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Verena Fassl

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Papers by Verena Fassl

Research paper thumbnail of Abdominal pseudocysts – A cause of peripheral dysfunction in ventriculoperitoneal shunts in children

Research paper thumbnail of Impact of pre-hospital handling and initial time to cranial computed tomography on outcome in aneurysmal subarachnoid hemorrhage patients with out-of-hospital sudden cardiac arrest—a retrospective bi-centric study

Frontiers in Cardiovascular Medicine

BackgroundAneurysmal subarachnoid hemorrhage (SAH) presents occasionally with cardiac arrest (CA)... more BackgroundAneurysmal subarachnoid hemorrhage (SAH) presents occasionally with cardiac arrest (CA). The impact of pre-hospital and emergency room (ER) treatment on outcome remains unclear. Therefore, we investigated the impact of pre-hospital treatment, focusing on lay cardiopulmonary resuscitation (CPR), and ER handling on the outcome of SAH patients with out-of-hospital CA (OHCA).MethodsIn this bi-centric retrospective analysis, we reviewed SAH databases for OHCA and CPR from January 2011 to June 2021. Patients were analyzed for general clinical and epidemiological parameters. CPR data were obtained from ambulance reports and information on ER handling from the medical records. Data were correlated with patient survival at hospital discharge as a predefined outcome parameter.ResultsOf 1,120 patients with SAH, 45 (4.0%) were identified with OHCA and CPR, 38 of whom provided all required information and were included in this study. Time to resuscitation was significantly shorter with...

Research paper thumbnail of Moderne Behandlung von Kraniosynostosen

Monatsschrift Kinderheilkunde

Zusammenfassung Hintergrund Bei 13–48 % aller Lebendgeborenen treten Auffälligkeiten der Schädelf... more Zusammenfassung Hintergrund Bei 13–48 % aller Lebendgeborenen treten Auffälligkeiten der Schädelform auf. Meistens ist ein lagerungsbedingter Plagiozephalus ursächlich. Bei vorzeitigem Verschluss von Schädelnähten resultieren pathognomische Deformitäten durch das kompensatorische Wachstum der umgebenden Schädelknochen. Es muss zwischen Einzelnahtsynostosen und Kraniosynostosen im Rahmen syndromaler Erkrankungen unterschieden werden. Ziel Diese Arbeit soll einen Überblick über Diagnostik, konservative und chirurgische Therapie von Kraniosynostosen geben. Methoden Narratives Review. Ergebnis Bei Verdacht auf eine Kraniosynostose erfolgt zunächst die klinische Beurteilung und Einschätzung durch erfahrene Untersucher. Die pathognomische Schädelform ergibt die Arbeitsdiagnose. Bestätigt wird diese durch Verfahren wie 3D-Stereofotografie und Sonographie. In komplexen Fällen können CT oder MRT notwendig sein. Die Indikation für eine Therapie ergibt sich aus ästhetischen Gesichtspunkten und...

Research paper thumbnail of Endoscopic treatment of sagittal suture synostosis — a critical analysis of current management strategies

Neurosurgical Review

While many centers nowadays offer minimally invasive techniques for the treatment of single sutur... more While many centers nowadays offer minimally invasive techniques for the treatment of single suture synostosis, surgical techniques and patient management vary significantly. We provide an overview of how scaphocephaly treated with endoscopic techniques is managed in the reported series and analyze the crucial steps that need to be dealt with during the management process. We performed a review of the published literature including all articles that examined sagittal-suture synostosis treated with endoscopic techniques as part of single- or multicenter studies. Fourteen studies reporting results of 885 patients were included. We identified 5 key steps in the management of patients. A total of 188 patients were female and 537 male (sex was only specified in 10 articles, for 725 included patients, respectively). Median age at surgery was between 2.6 and 3.9 months with a total range from 1.5 to 7.0 months. Preoperative diagnostics included clinical and ophthalmologic examinations as we...

Research paper thumbnail of Lay-Cardiopulmonary resuscitation after out-of-hospital cardiac arrest in aneurysmal subarachnoid hemorrhage patients - a retrospective multi-centric study

Introduction Aneurysmal subarachnoid hemorrhage (SAH) may be associated with sudden cardiac arres... more Introduction Aneurysmal subarachnoid hemorrhage (SAH) may be associated with sudden cardiac arrest (CA). Since there are many data on the positive impact of lay resuscitation on patient survival, but data are rare for SAH patients, our study aimed to investigate this aspect. Methods In this multi-center retrospective analysis, we reviewed the local SAH databases for OHCA and CPR from 01/2011 to 12/2020. Data on CPR were extracted from the ambulance and emergency room (ER) reports. Information on clinical management after hospital admission were gathered from the institutional health records. Collected data were correlated with patient survival as defined outcome parameter. Results We screened 1120 patients with SAH and identified 38 patients with SAH, OHCA and CPR (3.4%). Our cohort showed a high proportion of posterior circulation aneurysms (n = 17, 44.7%). Lay CPR was performed in 20 patients. Time to CPR was significantly shorter for lay CPR (p < 0.001). 17 patients (44.7%) we...

Research paper thumbnail of Abdominal pseudocysts – A cause of peripheral dysfunction in ventriculoperitoneal shunts in children

Research paper thumbnail of Impact of pre-hospital handling and initial time to cranial computed tomography on outcome in aneurysmal subarachnoid hemorrhage patients with out-of-hospital sudden cardiac arrest—a retrospective bi-centric study

Frontiers in Cardiovascular Medicine

BackgroundAneurysmal subarachnoid hemorrhage (SAH) presents occasionally with cardiac arrest (CA)... more BackgroundAneurysmal subarachnoid hemorrhage (SAH) presents occasionally with cardiac arrest (CA). The impact of pre-hospital and emergency room (ER) treatment on outcome remains unclear. Therefore, we investigated the impact of pre-hospital treatment, focusing on lay cardiopulmonary resuscitation (CPR), and ER handling on the outcome of SAH patients with out-of-hospital CA (OHCA).MethodsIn this bi-centric retrospective analysis, we reviewed SAH databases for OHCA and CPR from January 2011 to June 2021. Patients were analyzed for general clinical and epidemiological parameters. CPR data were obtained from ambulance reports and information on ER handling from the medical records. Data were correlated with patient survival at hospital discharge as a predefined outcome parameter.ResultsOf 1,120 patients with SAH, 45 (4.0%) were identified with OHCA and CPR, 38 of whom provided all required information and were included in this study. Time to resuscitation was significantly shorter with...

Research paper thumbnail of Moderne Behandlung von Kraniosynostosen

Monatsschrift Kinderheilkunde

Zusammenfassung Hintergrund Bei 13–48 % aller Lebendgeborenen treten Auffälligkeiten der Schädelf... more Zusammenfassung Hintergrund Bei 13–48 % aller Lebendgeborenen treten Auffälligkeiten der Schädelform auf. Meistens ist ein lagerungsbedingter Plagiozephalus ursächlich. Bei vorzeitigem Verschluss von Schädelnähten resultieren pathognomische Deformitäten durch das kompensatorische Wachstum der umgebenden Schädelknochen. Es muss zwischen Einzelnahtsynostosen und Kraniosynostosen im Rahmen syndromaler Erkrankungen unterschieden werden. Ziel Diese Arbeit soll einen Überblick über Diagnostik, konservative und chirurgische Therapie von Kraniosynostosen geben. Methoden Narratives Review. Ergebnis Bei Verdacht auf eine Kraniosynostose erfolgt zunächst die klinische Beurteilung und Einschätzung durch erfahrene Untersucher. Die pathognomische Schädelform ergibt die Arbeitsdiagnose. Bestätigt wird diese durch Verfahren wie 3D-Stereofotografie und Sonographie. In komplexen Fällen können CT oder MRT notwendig sein. Die Indikation für eine Therapie ergibt sich aus ästhetischen Gesichtspunkten und...

Research paper thumbnail of Endoscopic treatment of sagittal suture synostosis — a critical analysis of current management strategies

Neurosurgical Review

While many centers nowadays offer minimally invasive techniques for the treatment of single sutur... more While many centers nowadays offer minimally invasive techniques for the treatment of single suture synostosis, surgical techniques and patient management vary significantly. We provide an overview of how scaphocephaly treated with endoscopic techniques is managed in the reported series and analyze the crucial steps that need to be dealt with during the management process. We performed a review of the published literature including all articles that examined sagittal-suture synostosis treated with endoscopic techniques as part of single- or multicenter studies. Fourteen studies reporting results of 885 patients were included. We identified 5 key steps in the management of patients. A total of 188 patients were female and 537 male (sex was only specified in 10 articles, for 725 included patients, respectively). Median age at surgery was between 2.6 and 3.9 months with a total range from 1.5 to 7.0 months. Preoperative diagnostics included clinical and ophthalmologic examinations as we...

Research paper thumbnail of Lay-Cardiopulmonary resuscitation after out-of-hospital cardiac arrest in aneurysmal subarachnoid hemorrhage patients - a retrospective multi-centric study

Introduction Aneurysmal subarachnoid hemorrhage (SAH) may be associated with sudden cardiac arres... more Introduction Aneurysmal subarachnoid hemorrhage (SAH) may be associated with sudden cardiac arrest (CA). Since there are many data on the positive impact of lay resuscitation on patient survival, but data are rare for SAH patients, our study aimed to investigate this aspect. Methods In this multi-center retrospective analysis, we reviewed the local SAH databases for OHCA and CPR from 01/2011 to 12/2020. Data on CPR were extracted from the ambulance and emergency room (ER) reports. Information on clinical management after hospital admission were gathered from the institutional health records. Collected data were correlated with patient survival as defined outcome parameter. Results We screened 1120 patients with SAH and identified 38 patients with SAH, OHCA and CPR (3.4%). Our cohort showed a high proportion of posterior circulation aneurysms (n = 17, 44.7%). Lay CPR was performed in 20 patients. Time to CPR was significantly shorter for lay CPR (p < 0.001). 17 patients (44.7%) we...

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