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H Steinhäusl

Publications and source records attributed to H Steinhäusl.

11 recordsLinked to original sources

[Value of multimodal evoked potentials in the diagnosis of multiple sclerosis].

94 Patients diagnosed as having multiple sclerosis (MS) were examined by multimodal evoked potentials. According to the criteria of Bauer and Poser the patients were classified as possible, probable and certain forms of MS. Abnormalities were found in the VEP in 82.6% of cases (possible - 44.4%, probable - 87.5%, certain - 95.2%), in the BAEP in 51.3% of cases (possible - 27.3%, probable - 46.2%, certain - 68.8%) and in the SSEP in 71.1% of cases (possible - 35.3%, probable - 67.7%, certain - 88.1%). Subclinical lesions were detected by VEP in 37.0% of cases, by BAEP in 43.6% and by SSEP in 21.1%. Reclassification according to the results of the evoked potentials studies was required in 21.2% of cases. The value of evoked potentials in the diagnosis of MS is discussed with regard to the different forms of evoked potentials, as well as in comparison with other examination techniques.

Adolescent↗

[Doppler sonography after extra-intracranial anastomosis operations].

Extra-intracranial anastomosis are thought to improve the regional cerebral blood flow in patients with a stenosis or occlusion of the carotid system and prevent the later occurrence of ischemic cerebral diseases. Doppler-sonography has been used for a follow up of the effectiveness of the surgical procedure. We believe that minor hemodynamic improvements after surgery cannot be detected by Doppler-sonography. However this method is very useful in demonstrating the patency of the anastomosis.

Brain↗

[The value of visually evoked response in diagnosis of multiple sclerosis ].

We investigated the reliability of visually evoked responses (VER) in 56 cases in diagnosing multiple sclerosis. We found 100% pathological VER in proved cases and 71% in probable/possible cases. Patients with a duration of illness less than one year had in 80% pathological VER, whereas in other conditions only 17% were pathological. Structural changes are usually found in definite multiple sclerosis patients with a disease progress lasting more than 1 year. Pathological VER are an important diagnostic aid in multiple sclerosis, especially in doubtful cases, whereas structural investigations are primarily useful in the exclusion of other conditions.

Adolescent↗

[Cranial computertomography in multiple sclerosis (author's transl)].

Report on 59 patients with multiple sclerosis who additionally to other examinations were subjected an examination by cranial computerized tomography. The findings were unobtrusive in 6 cases (10,2%). Cerebral atrophy was found in 34 patients (57,6%), hypodensic regions in 28 patients (47,5%) and both alterations simultaneously in 15 patients (25,4%). One female patient with a recent episode at first showed a region with contrast enhancement, which became later isodensic, at the same time a cerebral atrophy developed. Cranial computerized tomography in patients with multiple sclerosis represents an enrichment of diagnostic possibilities.

Adult↗

[Meningitis carcinomatosa (author's transl)].

On the basis of a case report the clinical picture of meningitis carcinomatosa is discussed. The cerebrospinal fluid is the most important criterion for the diagnosis. All other examinations (EEG, brain-scan, X-ray) yield only imperfect information. The clinical picture of meningitis carcinomatosa is similar above all to meningitis tuberculosa. If cerebrospinal fluid shows inflammatory signs and there is a breakdown of cerebral nerves (blindness, deafness) meningitis carcinomatosa always should be considered, even if thorough examination does not succeed in proving a primary tumour.

Adult↗