Neurology

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Neurologists — an endangered species?

Irish and German neurology associations warn of an imminent shortage of neurologists. In Ireland, according to experts the situation is “lacking at best” and “catastrophic at worst”. German physicians as well detect increasing deficiencies in neurological care coverage primarily due to an aging population and concomitant morbidity.

Recall, replay, recollect

A unique experiment that compares single neuron firing during an activity and again as the activity is freely recalled as a memory shows what the brain looks like during spontaneous recollection.

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Article • Stroke prevention

Ultrasound brings many advantages, but trained sonographers are too few

What is the role of vascular ultrasound in stroke prevention? Asked by Karoline Laarmann of European Hospital, Professor Christian Arning MD, Medical Director of the Neurology Department at Asklepios Klinik Wandsbek, Germany, and Deputy Chairman of the German Society of Ultrasound in Medicine (DEGUM), gave an unequivocal answer: crucial - but only if the sonographer is properly qualified.

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How small RNA molecules impact biomedical research

The discovery of small RNA molecules and their relevance for gene regulation has dramatically changed our understanding of many essential cellular processes — and provides the opportunity to develop new ways for treating various diseases. By selectively inhibiting gene expression and thereby “silencing” genes involved in pathogenesis, the RNA molecules constitute a unique tool to treat…

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Dynamic volume CT - the impact on neuro-imaging

A 320-row CT scanner (Aquilion One, Toshiba Medical Systems Co., Tokyo, Japan) was installed for the first time in Europe, at the Charité University Hospital, Berlin, Germany, in November 2007. Its capability to cover the whole brain in a single rotation means this new type of scanner has the potential to impact strongly on the field of neuro-imaging.

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Article • Neuropelveology

Forging links between neurology and surgery

Surgery in the lower pelvic region often involves injury to or severing of nerve tissue. As in chronic diseases of the nervous system, the result can be pain, sensory disturbances or loss of function. Up to now the poor view of the nerves, partially formed of fine interwoven networks, has been one of the major problems – exacerbated by the strict division of skills between neurologists and…

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Interventional Neuroradiology

In Johns Hopkins therapeutic radiology, we perform 2,600 procedures in neurointervention and 14,000 peripheral interventions each year, totalling over 16,000 image-guided procedures a year in 14 rooms. We changed our approach to image guided therapy in June 2001, when we installed a new O.5 mm multidector CT (Aquilion, Toshiba America Medical Systems) and two 3D visualization workstations (Vital…

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Ultrasound Diagnostics of Tendon Injuries in Hand Surgery

Sonography is an increasingly used examination procedure for the diagnosis of illnesses of the hand, especially of the soft tissues. Sonoanatomic assessment of the functional structures (Tab. 1) sometimes allows the exclusion of various differential diagnoses. However, this requires quite a bit of experience on the part of the examiner. The assessment of the peripheral nerves can be difficult -…

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