Bruger:Jannick Brennum

Truth - a question of belief

Brennum J, Dahl JB. Ugeskr Laeger. 2008 Jan 28;170(5):313. Danish.

Presurgical functional MR imaging in the mapping of language function

Munk S, Forchhammer HB, Brennum J, Hansen AE, Larsson HB. Ugeskr Laeger. 2007 Oct 15;169(42):3571-4. Review. Danish.

Presurgical functional MR imaging (fMRI) is discussed as a possible replacement of intraoperative electrocortical stimulation (ES) in the mapping of language function. On the basis of a literature study and illustrated by our own preliminary clinical experience, it is concluded that at present fMRI does offer valuable information by identifying the language-dominant hemisphere preoperatively and estimating the distance between the tumour and functional language areas. However, it is not a reliable alternative to ES because of technical and conceptual problems.

Intracerebral haemorrhage

Andersen G, Meden P, Overgaard K, Brennum J. Ugeskr Laeger. 2007 Oct 1;169(40):3376-8. Danish.

Primary intracerebral haemorrhage (ICH) is a life threatening condition with a 60-70% risk for dependency or death at one year follow-up. Currently, acute neurointensive care and rehabilitation in a stroke unit is the only treatment that can improve survival and functional outcome. Evacuation of hematoma within 72 hours of symptom onset has not proved effective in general, but can be considered for selected patients. The question of whether the prevention of hematoma growth can improve outcome through medical haemostatic treatment needs to be proven in a randomised controlled trial.