Universitätsklinik für Neurologie

Arbeitsgruppe Intensivneurologie -
Research Division Neurological Intensive Care

Die Arbeitsgruppe Neurologische Intensivmedizin hat sich zum Ziel gesetzt, in Patientenversorgung, Forschung und Lehre (prä- und postgraduale Aus- und Weiterbildung) für ihre beiden Komponenten, nämlich :

  • akute neurologische Erkrankungen des Gehirns und peripheren Nervensystems und

die intensivmedizinischen Versorgungsstrategien in bezug auf Diagnostik, Monitoring und Therapie
einen gemeinsamen Nenner zu bringen

The declared goals of the research division for neurological intensive care are medical care, research and teaching (pre- and postgraduate) for both of its components:

  • acute neurological diseases of the brain and the peripheral nerval system
  • strategies for neurological intesive care concerning diagnosis, monitoring and therapy

Leistungsbericht / Publications

Dissertation / Dimplomarbeit

Mitarbeiter:

Univ.-Prof.Dr. E. Schmutzhard

Univ.-Doz. Dr. Bettina Pfausler

Dr. R. Beer
Dr. G. Brössner
Dr. R. Helbok
Dr. P. Lackner

 

Intensiv Header

Highlights

 

Klinische Intensiv- und Infektionsneurologie

Kampfl A, Schmutzhard E, Franz G, Pfausler B, Haring HP, Ulmer H, Felber S, Golaszewski S, Aichner F.(1998)
Prediction of recovery from post-traumatic vegetative state with cerebral magnetic-resonance imaging.Lancet

 

Intensiv - MRI

Cerebral MRI findings in the subacute stage after head injury can predict the outcome of the post-traumatic vegetative state. Corpus callosum and dorsolateral brainstem lesions are highly significant in predicting non-recovery.

 

 

Cooling Device  Schmutzhard E, Engelhardt K, Beer R, Brossner G, Pfausler B, Spiss H, Unterberger I, Kampfl A.(2002)
Safety and efficacy of a novel intravascular cooling device to control body temperature in neurologic intensive care patients: a prospective pilot study.
Crit Care Med.
 

 

Franz G, Beer R, Kampfl A, Engelhardt K, Schmutzhard E, Ulmer H, Deisenhammer F.(2003)
Amyloid beta 1-42 and tau in cerebrospinal fluid after severe traumatic brain injury.Neurology

 

Tau

Aß-42 and tau may play a potential role in the pathophysiology of TBI. Furthermore, the results of this study suggest that Aß-42 may be a supportive early predictor for recovery after severe head injury.

Helbok R, Dent W, Nacher M, Lackner P, Treeprasertsuk S, Krudsood S, Wilairatana P, Silachamroon U, Looareesuwan S, and Schmutzhard E (2005) The use of the multi-organ-dysfunction score to discriminate different levels of severity in severe and complicated Plasmodium falciparum malaria. Am J Trop Med Hyg, 72: 150-154

Intensiv - MODS

The Multi-Organ-Dysfunction Score is applied in the evaluation of the clinical severity of complicated Plasmodium falciparum malaria, and shown provide a predictive value for morbidity and disease duration.

 

 

Experimentelle Intensiv- und Infektionsneurologie

Beer R, Franz G, Krajewski S, Pike BR, Hayes RL, Reed JC, Wang KK, Klimmer C, Schmutzhard E, Poewe W, Kampfl A.(2001)
Temporal and spatial profile of caspase 8 expression and proteolysis after experimental traumatic brain injury.J Neurochem.

 

Caspase 3

Our results provide the first evidence of caspase 8 activation after experimental TBI and suggest that this may occur in neurons, astrocytes and oligodendrocytes.
Our findings also suggest a contributory role of caspase 8 activation to caspase 3 mediated apoptotic cell death after experimental TBI in vivo.

 

 Caspase 3 Franz G, Beer R, Intemann D, Krajewski S, Reed JC, Engelhardt K, Pike BR, Hayes RL, Wang KK, Schmutzhard E, Kampfl A.(2002)
Temporal and spatial profile of Bid cleavage after experimental traumatic brain injury.J Cereb Blood Flow Metab.

The results provide the first evidence of Bid cleavage in the traumatized cortex after experimental traumatic brain injury in vivo, and demonstrate that tBid is expressed in neurons and glial cells. Further, findings indicate that cleavage of Bid may be associated with the activation of the initiator caspase-8 and caspase-9. Finally, these data support the hypothesis that cleavage of Bid contributes to the apoptotic degeneration of different CNS cells in the injured cortex.

Lackner P, Beer R, Heussler V, Goebel G, Rudzki D, Helbok R, Tannich E, Schmutzhard E (2006): Behavioural and histopathological alterations in mice with cerebral malaria; Neuropathol. Appl. Neurobiol. (in press)

Intensiv - Cerebral Malaria

Different features of sensorimotor function and behaviour were studied in murine cerebral malaria and malaria without cerebral involvement applying a well know scoring system for neurological functions in mice. Functional characterisation of animals suffering from cerebral malaria might prove useful in the preclinical assessment of new antimalarial and potential neuroprotective therapies. 

 

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