Impact Factor 2023: 1.5
Current issue – 03/2025
CT in pediatric trauma patients
Stefan Appelhaus, Stefan O. Schönberg, Meike Weis
The decision as to whether to perform a computed tomography examination in severe pediatric trauma poses a challenge. The therapeutic benefit of computed tomography in injured children is lower compared to adults, while the potential negative effects of ionizing radiation may be higher. Thus, the threshold for CT should be higher. An injured child presents a challenging situation for all involved healthcare providers, and thus requires a structured approach to decision-making.
Flow Diversion for the Treatment of Middle Cerebral Artery Aneurysms
Marie-Sophie Schüngel, Walter A. Wohlgemuth, Erck Elolf et al.
The invention of flow diverting stents (FDS) is a novel milestone in the field of endovascular aneurysm therapy, promoting physiological healing of the vessel segment contrary to prior deconstructive treatment strategies, such as coiling. The effects of FDS are based on changes in flow patterns, segmental wall stabilization, and the growth of a neointima. Although flow diversion is already well established for cerebral aneurysms in proximal segments, peripheral locations remain challenging. Especially the middle cerebral artery (MCA) with its predominance of non-collateralized perforators and functional end arteries that supply the eloquent areas of the brain is of major concern.
Vaccine-associated axillary lymphadenopathy with a focus on COVID-19 vaccines
Caroline Wilpert, Evelyn Wenkel, Pascal A. T. Baltzer, et al.
Axillary lymphadenopathy (LA) is a common adverse effect after COVID-19 vaccination. The average duration of LA is more than 100 days. LA is also known to occur after other vaccinations, such as the seasonal influenza vaccine. Other causes of LA after vaccination (infections, autoimmune diseases, malignancies) should be considered for the differential diagnosis. In these cases, malignancy cannot always be excluded on the basis of morphological imaging criteria. Narrative review for decision-making regarding control and follow-up intervals for axillary LA according to currently published research.
