W A Dauch

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There is still a considerable controversy about the usefulness of antiepileptic prophylaxis after traumatic brain injury. Overall incidence of posttraumatic fits and epilepsy's is well known, but an individual decision on prophylaxis requires knowledge about the individual risk. We performed a prospective observational study on 612 patients with traumatic(More)
The body core temperatures of 31 patients suffering from severe cerebral lesions were measured. Evidence for the existence or nonexistence of circadian rhythms in these patients was found to be associated with diagnosis (acute versus chronic lesions), with the level of consciousness, and with neurological findings (such as best motor response and pupillary(More)
As far as medical decision making is based on weighing up individual risks and chances of a certain patient receiving a certain treatment, some knowledge is required about signs and symptoms which are associated with a certain outcome: they are called risk factors, or predictive factors. In lumbar intervertebral disc surgery, the most frequent undesired(More)
A quarter of a century after the first description of a condition known as "normal pressure hydrocephalus", there no longer exists serious doubt about the existence of this disease nor about the possibility of treating it surgically with success. Nevertheless, there is still no general agreement on the exact definition of this condition, nor is there(More)
Starting in November, 1993, until January, 1994, we performed a survey among 127 Neurosurgical Departments in Austria, Germany, and Switzerland concerning the practice of antiepileptic prophylaxis in head injured patients. Seventy seven percent of the 12-item multiple choice questionnaires were completed and returned. They indicate a variety of attitudes(More)
Review of the literature reveals that considerable knowledge has accumulated on intervertebral space infection following lumbar disc surgery. This is based on more than 400 observations. There are, however, no unifying concepts regarding the pathogenesis of the condition. While the reported incidence has seemed to increase in the last three decades, we(More)
This paper describes the course of disease in an 11-year old boy with spinal epidural hematoma (SEH), and subsequently surveys 27 cases of SEH in children and young people. This group is compared in respect of aetiology, localization, symptoms and prognosis with the group of adults with SEH. This is followed by a suggestion of a nosological classification(More)
Since the time of Hippocrates patients and their physicians have been highly interested in knowing whether, and with what degree of probability "undesirable events" will occur in the course of illness--whether without, in spite of, or because of therapy. In surgery especially, the concept of "risk" is a familiar one to all concerned. The present paper(More)
Multiple CT investigations in critical ill neurosurgical patients are useful for monitoring the course of the illness and for the early detection of complications. CT's however, are expensive and require transportation of the patient, which is often inconvenient and, in some cases, dangerous. The decision to perform CT scanning should be based on the(More)
Nosocomial infections, which are not uncommon in neurosurgical intensive care medicine, may possibly be favoured by an impairment of immunological competence of the patient. In a prospective observational trial, we investigated several parameters of cellular and humoral immunity in 32 patients before and after resection of an intracranial tumour. We(More)