K. Lerch

University of Applied Sciences Landshut

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Joachim Grifka

Asklepios Kliniken Bad Abbach

Norbert Lehn

University of Regensburg

T. Kalteis

München Klinik

W. Baer

Segeberger Kliniken

N. Borisch

Klinikum Mittelbaden

Hans‐Jörg Linde

Institute of Medical Microbiology and Hygiene

Markus Tingart

Aachener Centrum für Technologietransfer in der Ophthalmologie

L. Perlick

University of Regensburg

Sergi Serrano

Hospital Del Mar

Sofia Nikitidou

Athens Medical Center

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University of Regensburg

University Hospital Regensburg

Orthopädische Universitätsklinik

Kyushu University

The University of Tokyo

Asklepios Kliniken Bad Abbach

Heidelberg University

National and Kapodistrian University of Athens

Fukushima Medical University

Austrian Society of Dermatology and Venereology

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Der endoprothetische Gelenkersatz des Ellenbogengelenks

Der Orthopäde (2003)

K. Lerch Markus Tingart Ian Trail Joachim Grifka

Sports medicine

10.1007/s00132-003-0526-y

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Citations (10)

6-Methylprednisolon beim Hirntumor: Klinische Beobachtungen mit Kontrolle von EEG, CT und intrakraniellem Druck

Klinische Neurophysiologie (1983)

K. Wild L. Glusa K. Lerch

In an acute preoperative study over seven days, the efficacy of 6-methylprednisolone was investigated in ten patients with solitary supratentorial tumors (five meningeomas and five tumors of the brain itself). Progress observations of EEG, ICP and CT were carried out poly-graphically to provide objective clinical neurological evidence for the improvement under steroid therapy of the functional disorders due to the tumors. Methylprednisolone was initially given i.v. at a dose of 1000 mg and subsequently 3 × 40 mg/day on five consecutive days. Visual and computer-assisted EEG analysis showed a favorable influence of methylprednisolone on brain function. This was reflected in a significant decrease in the intensity in the delta and in the slow intermediate wave bands as well as in an increase of the power in the rapid intermediate wave and in the alpha frequency range both on the side of the tumor and on the contralateral brain hemisphere. This alteration in power can be evaluated as manifestation of a direct favorable influence on the brain metabolism of mesencephalic and diencephalic-hypothalamic structures in the sense of a tendency to normalization or increase of vigilance. A direct correlation between the extent of the EEG alterations to observed and the localization and degree of peritumoral brain edema as well as the intracranial pressure could not be demonstrated. No patient showed a rise in ICP under 6-methylprednisolone. A cranial CT was carried out to determine the relative radiation-attenuation coefficient under methylprednisolone in the peritumoral edema (boundary region tumor/edema and edema/white matter) as well as a contralateral white matter reference area (ROD. A significant rise of the absolute values of the radiation attenuation coefficient was shown in the course of steroid medication on the second to fifth day both in the edema area adjacent to the tumor as well as contralaterally. A significant fall of the density values after discontinuation of the medication was found in the white matter area adjacent to the tumor as a manifestation of a steroid-induced alteration of the water content. Under high-dosage administration of 6-methylprednisolone. EEG and CT findings paralleled the improvement of the neurological and brain organic deficit phenomenon to be observed clinically.

10.1055/s-2008-1061036

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Ultrasound-guided decompression of the spinal canal in traumatic stenosis

Ultrasound in Medicine & Biology (2002)

K. Lerch Markus Völk G. Heers W. Baer Michael Nerlich

10.1016/s0301-5629(01)00489-6

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A Comparison of Two Indices for Ulnar Translation and Carpal Height in the Rheumatoid Wrist

Journal of Hand Surgery (European Volume) (2004)

N. Borisch K. Lerch J. Grifka P Haußmann

The indices for ulnar translation described by Chamay et al. (1983 , Annales de Chirurgie de la Main, Vol. 2, pp. 5–17), and Bouman et al. (1994 , Journal of Hand Surgery Vol. 19B, pp. 325–329), and for carpal height described by Youm et al. (1978 , Journal of Bone and Joint Surgery, Vol. 40A, pp. 423–431) and Bouman et al. (1994) were compared in pre- and postoperative wrist X-rays of 91 patients with rheumatoid arthritis undergoing radiolunate arthrodesis. Both indices described by Bouman had a higher applicability and sensitivity than the Chamay and Youm indices and are recommended for use with the rheumatoid wrist. However false-negative values may result when the Bouman index for ulnar translation is used to follow up radiolunate arthrodesis.

10.1016/j.jhsb.2003.10.008

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Das Ultraschallzentrum als ökonomisch und medizinisch sinnvolle Alternative - ein Erfahrungsbericht über das Regensburger Modell

Zeitschrift für Gastroenterologie (2000)

G. Lock C. Zülke K. Lerch R Andreesen Christoph Eilles

In most medical centres, ultrasonography is performed independently by several departments. In october 1997, the University hospital of Regensburg founded an ultrasound centre, integrating surgical and medical departments as well as the institutes for radiology and nuclear medicine. The aims of this centre were the concentration of organization, machines, financial resources, manpower and know-how, standardized training and quality, and strengthening of interdisciplinary cooperation in clinic, medical education and research. Booking, standardized reports and a joint archiving of reports are assisted by a collective computer system. Most examinations in the centre are performed by three all-day present gastroenterology, surgery and radiology residents who are supported by licensed sonographers of the other departments. Training is standardized, and the certification for ultrasound examinations is acquired after a test with theoretical and practical parts. The integration of various departments in the ultra-sound on-call service has led to significant savings. The pool of ultrasound machines is used jointly, department-specific resources for new machines have been put together. We are convinced that this way of a close interdisciplinary cooperation will result in improvements in quality, utilization of financial resources and clinical research.

10.1055/s-2000-10022

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Citations (3)

Author Index Vol. 207, 2003

Dermatology (2003)

Koichiro Nakamura Osamu Ishikawa Daisy Kopera Peter Wolf Iris Zalaudek

10.1159/000075388

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BNotO : Bundesnotarordnung : Kommentar

C. Heymanns eBooks (2012)

Herbert Arndt K. Lerch Gerd Sandkühler