kuopio

Kuopio

https://pshyvinvointialue.fi/neurokirurgian-palvelut

Kuopio University Hospital (KUH) in Finland is a leading center for neurosurgical care, providing both acute and elective services to the Eastern Finland region. The Department of Neurosurgery at KUH is integrated within the KUH NeuroCenter, which combines neurosurgery, neurology, neuroradiology, neurophysiology, and neurointensive care under one roof to ensure comprehensive and personalized treatment for patients with central nervous system disorders.

Key Services and Expertise:

Neurovascular Surgery: Specialists in microvascular neurosurgery and endovascular neuroradiology collaborate daily to evaluate and treat intracranial aneurysms and other vascular malformations.

Spinal Surgery: The department performs approximately 900 surgeries annually for patients suffering from radiating pain or weakness due to spinal nerve root or spinal cord entrapment.

Epilepsy Surgery: KUH is one of the national centers for epilepsy surgery in Finland, offering advanced diagnostics and surgical treatments for severe epilepsy cases.

Neuromodulation: The Pain Neuromodulation Research Group, led by Adjunct Professor Jukka Huttunen, focuses on treating chronic pain through neuromodulation techniques, combining clinical research with biomarker studies and machine learning. kuopio.neurocenterfinland.fi

Advanced Surgical Facilities: KUH's operating rooms are equipped with modern neurosurgical technologies, including neuroanesthesia, operation microscopes with intraoperative fluorescence diagnostics, neuronavigation systems, and intraoperative neurophysiological monitoring.

Research and Development:

KUH places a strong emphasis on clinical research and quality control. The department has implemented structured interventions to optimize outpatient clinic operations, leading to increased efficiency and improved patient care. A study highlighted the benefits of adding a predictable neurosurgeon slot, resulting in a 7% increase in new patient visits.

Contact Information:

Address: Puijonlaaksontie 2, 70210 Kuopio, Finland

Phone: +358 44 717 6974

Email: finnhealth@pshyvinvointialue.fi

For more information, you can visit the KUH NeuroCenter's neurosurgery page or the FinnHealth neurosurgery section.

Neurosurgery of NeuroCenter, Kuopio University Hospital, Finland.

Ville E Korhonen

Virve Kärkkäinen

In a Prospective Observational Case-Control Study Kärkkäinen et al. aimed to identify neuroinflammation-related proteins in tear fluid (TF) as potential biomarkers for early-stage Alzheimer’s disease (AD). The novelty lies in using a non-invasive biofluid (TF) and applying high-resolution proteomics.

2. Strengths Non-invasive approach: Tear fluid collection via Schirmer strips offers a safe, patient-friendly method ideal for elderly populations.

Mass spectrometry-based proteomics: The use of label-free quantitative proteomics enhances the detection of subtle changes in protein expression without bias toward known candidates.

Clear case-control design: The inclusion of well-defined mild AD patients (CDR 0.5–1, MMSE 23.8 ± 2.8) and cognitively healthy controls (MMSE 28.9 ± 1.4) allows for meaningful comparisons.

Focus on neuroinflammation: Targeting neuroinflammatory pathways aligns with current hypotheses that inflammation plays a central role in early Alzheimer’s disease pathogenesis.

Identified candidate markers: The study reports 14 differentially expressed proteins, several of which (e.g., SERPINA3, ORM1, SPARCL1) have known links to inflammatory and neurodegenerative processes.

3. Limitations Small sample size: With only 19 AD cases and 34 controls, the study is underpowered for broad generalization or robust statistical correction for confounding variables.

Cross-sectional nature: Being observational and cross-sectional, it does not address causality or longitudinal stability of these biomarkers.

Lack of external validation: The findings are not validated in an independent cohort or in cerebrospinal fluid/plasma, limiting translational relevance.

Omission of confounding factors: Factors like dry eye syndrome, medications, systemic inflammation, or comorbidities were not extensively controlled for, which could significantly affect TF protein composition.

Overinterpretation risk: While the link between neuroinflammation and AD is established, asserting that these TF proteins are early biomarkers of AD is premature without longitudinal or mechanistic validation.

Lack of machine learning or biomarker signature development: Despite the proteomic data, no predictive models or ROC analyses were reported to evaluate diagnostic utility.

4. Contribution to the Field This study provides preliminary evidence that tear fluid proteins may reflect neuroinflammatory changes in early AD. It adds to a growing interest in peripheral biomarkers and supports the exploration of eye-brain connections in neurodegeneration.

5. Recommendations for Future Research Conduct longitudinal studies to assess temporal evolution of TF biomarkers in preclinical and prodromal AD.

Validate the identified proteins in larger, multicentric cohorts.

Correlate TF protein changes with CSF biomarkers (Aβ, tau) and neuroimaging findings.

Explore multiplex assays or ELISA-based panels for potential clinical translation.

Include confounder analysis (e.g., ocular surface disease, systemic inflammation).

Conclusion

This study is a promising proof-of-concept for using tear fluid as a diagnostic window into neurodegeneration, particularly AD. However, the small sample size, lack of validation, and cross-sectional design limit its current clinical utility. It should be viewed as a hypothesis-generating work that warrants more rigorous, larger-scale follow-up studies 1)

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5: Smeds M, Skrifvars MB, Reinikainen M, Bendel S, Hoppu S, Laitio R, Ala-Kokko T, Curtze S, Sibolt G, Martinez-Majander N, Raj R. One-year healthcare costs of patients with spontaneous intracerebral hemorrhage treated in the intensive care unit. Eur Stroke J. 2022 Sep;7(3):267-279. doi: 10.1177/23969873221094705. Epub 2022 Apr 29. PMID: 36082247; PMCID: PMC9446333.

6: Etminan N, de Sousa DA, Tiseo C, Bourcier R, Desal H, Lindgren A, Koivisto T, Netuka D, Peschillo S, Lémeret S, Lal A, Vergouwen MD, Rinkel GJ. European Stroke Organisation (ESO) guidelines on management of unruptured intracranial aneurysms. Eur Stroke J. 2022 Sep;7(3):V. doi: 10.1177/23969873221099736. Epub 2022 Jun 3. PMID: 36082246; PMCID: PMC9446328.

7: Giannini G, Baiardi S, Dellavalle S, Zenesini C, Cevoli S, Danner N, Jyrkkänen HK, Rossi M, Polischi B, Quadalti C, Stefanini C, Cortelli P, Milletti D, Herukka SK, Palandri G, Leinonen V, Parchi P. In vivo assessment of Lewy body and beta-amyloid copathologies in idiopathic normal pressure hydrocephalus: prevalence and associations with clinical features and surgery outcome. Fluids Barriers CNS. 2022 Sep 7;19(1):71. doi: 10.1186/s12987-022-00368-2. PMID: 36071460; PMCID: PMC9454182.

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9: Vehviläinen J, Skrifvars M, Reinikainen M, Bendel S, Laitio R, Hoppu S, Ala- Kokko T, Siironen J, Raj R. External validation of the NeuroImaging Radiological Interpretation System and Helsinki computed tomography score for mortality prediction in patients with traumatic brain injury treated in the intensive care unit: a Finnish intensive care consortium study. Acta Neurochir (Wien). 2022 Oct;164(10):2709-2717. doi: 10.1007/s00701-022-05353-0. Epub 2022 Sep 1. PMID: 36050580; PMCID: PMC9519640.

10: Kerttula S, Huttunen J, Leinonen V, Kämäräinen OP, Danner N. The effect of antithrombotic therapy on the recurrence and outcome of chronic subdural hematoma after burr-hole craniostomy in a population-based cohort. Acta Neurochir (Wien). 2022 Oct;164(10):2699-2708. doi: 10.1007/s00701-022-05337-0. Epub 2022 Aug 16. PMID: 35972559; PMCID: PMC9519695.

11: van Vliet EA, Immonen R, Prager O, Friedman A, Bankstahl JP, Wright DK, O'Brien TJ, Potschka H, Gröhn O, Harris NG. A companion to the preclinical common data elements and case report forms for in vivo rodent neuroimaging: A report of the TASK3-WG3 Neuroimaging Working Group of the ILAE/AES Joint Translational Task Force. Epilepsia Open. 2022 Aug 13. doi: 10.1002/epi4.12643. Epub ahead of print. PMID: 35962745.

12: Spitzer H, Ripart M, Whitaker K, D'Arco F, Mankad K, Chen AA, Napolitano A, De Palma L, De Benedictis A, Foldes S, Humphreys Z, Zhang K, Hu W, Mo J, Likeman M, Davies S, Güttler C, Lenge M, Cohen NT, Tang Y, Wang S, Chari A, Tisdall M, Bargallo N, Conde-Blanco E, Pariente JC, Pascual-Diaz S, Delgado-Martínez I, Pérez-Enríquez C, Lagorio I, Abela E, Mullatti N, O'Muircheartaigh J, Vecchiato K, Liu Y, Caligiuri ME, Sinclair B, Vivash L, Willard A, Kandasamy J, McLellan A, Sokol D, Semmelroch M, Kloster AG, Opheim G, Ribeiro L, Yasuda C, Rossi- Espagnet C, Hamandi K, Tietze A, Barba C, Guerrini R, Gaillard WD, You X, Wang I, González-Ortiz S, Severino M, Striano P, Tortora D, Kälviäinen R, Gambardella A, Labate A, Desmond P, Lui E, O'Brien T, Shetty J, Jackson G, Duncan JS, Winston GP, Pinborg LH, Cendes F, Theis FJ, Shinohara RT, Cross JH, Baldeweg T, Adler S, Wagstyl K. Interpretable surface-based detection of focal cortical dysplasias: a Multi-centre Epilepsy Lesion Detection study. Brain. 2022 Aug 12:awac224. doi: 10.1093/brain/awac224. Epub ahead of print. PMID: 35953082.

13: Lehtonen SJR, Vrzakova H, Paterno JJ, Puustinen S, Bednarik R, Hauta-Kasari M, Haneishi H, Immonen A, Jääskeläinen JE, Kämäräinen OP, Elomaa AP. Detection improvement of gliomas in hyperspectral imaging of protoporphyrin IX fluorescence - in vitro comparison of visual identification and machine thresholds. Cancer Treat Res Commun. 2022;32:100615. doi: 10.1016/j.ctarc.2022.100615. Epub 2022 Jul 20. PMID: 35905671.

14: Oulasvirta E, Pohjola A, Koroknay-Pál P, Hafez A, Roine R, Sintonen H, Laakso A. Long-term health-related quality of life in patients with ruptured arteriovenous malformations treated in childhood. J Neurosurg Pediatr. 2022 Jun 24:1-9. doi: 10.3171/2022.5.PEDS2284. Epub ahead of print. PMID: 35901751.

15: Kaijankoski H, Nissen M, Pesonen J, Ikaheimo TM, von Und Zu Fraunberg M, Airaksinen O, Huttunen J. Disability Pension Did Not Reduce Opioid Use Among Patients With Failed Back Surgery Syndrome Who Were Trialed and Implanted for Spinal Cord Stimulation. Pain Physician. 2022 Aug;25(5):E739-E748. PMID: 35901485.

16: Larivière S, Royer J, Rodríguez-Cruces R, Paquola C, Caligiuri ME, Gambardella A, Concha L, Keller SS, Cendes F, Yasuda CL, Bonilha L, Gleichgerrcht E, Focke NK, Domin M, von Podewills F, Langner S, Rummel C, Wiest R, Martin P, Kotikalapudi R, O'Brien TJ, Sinclair B, Vivash L, Desmond PM, Lui E, Vaudano AE, Meletti S, Tondelli M, Alhusaini S, Doherty CP, Cavalleri GL, Delanty N, Kälviäinen R, Jackson GD, Kowalczyk M, Mascalchi M, Semmelroch M, Thomas RH, Soltanian-Zadeh H, Davoodi-Bojd E, Zhang J, Winston GP, Griffin A, Singh A, Tiwari VK, Kreilkamp BAK, Lenge M, Guerrini R, Hamandi K, Foley S, Rüber T, Weber B, Depondt C, Absil J, Carr SJA, Abela E, Richardson MP, Devinsky O, Severino M, Striano P, Tortora D, Kaestner E, Hatton SN, Vos SB, Caciagli L, Duncan JS, Whelan CD, Thompson PM, Sisodiya SM, Bernasconi A, Labate A, McDonald CR, Bernasconi N, Bernhardt BC. Structural network alterations in focal and generalized epilepsy assessed in a worldwide ENIGMA study follow axes of epilepsy risk gene expression. Nat Commun. 2022 Jul 27;13(1):4320. doi: 10.1038/s41467-022-31730-5. PMID: 35896547; PMCID: PMC9329287.

17: Khateri M, Reisert M, Sierra A, Tohka J, Kiselev VG. What does FEXI measure? NMR Biomed. 2022 Jul 27:e4804. doi: 10.1002/nbm.4804. Epub ahead of print. PMID: 35892279.

18: Raj R, Wennervirta JM, Tjerkaski J, Luoto TM, Posti JP, Nelson DW, Takala R, Bendel S, Thelin EP, Luostarinen T, Korja M. Dynamic prediction of mortality after traumatic brain injury using a machine learning algorithm. NPJ Digit Med. 2022 Jul 18;5(1):96. doi: 10.1038/s41746-022-00652-3. PMID: 35851612; PMCID: PMC9293936.

19: Vasankari S, Hartikainen J, Vasankari V, Anttila V, Tokola K, Vähä-Ypyä H, Husu P, Sievänen H, Vasankari T, Halonen J. Objectively measured preoperative physical activity and sedentary behaviour among Finnish patients scheduled for elective cardiac procedures: baseline results from randomized controlled trial. BMC Sports Sci Med Rehabil. 2022 Jul 16;14(1):130. doi: 10.1186/s13102-022-00522-1. PMID: 35842711; PMCID: PMC9287962.

20: Lillemäe K, Luostarinen T, Reinikainen M, Bendel S, Laitio R, Hoppu S, Ala- Kokko T, Niemi T, Skrifvars MB, Raj R. Early thrombocytopenia is associated with an increased risk of mortality in patients with traumatic brain injury treated in the intensive care unit: a Finnish Intensive Care Consortium study. Acta Neurochir (Wien). 2022 Oct;164(10):2731-2740. doi: 10.1007/s00701-022-05277-9. Epub 2022 Jul 15. PMID: 35838800; PMCID: PMC9519714.

21: Takala J, Moser A, Reinikainen M, Varpula T, Raj R, Jakob SM. Impact of cardiac surgery and neurosurgery patients on variation in severity-adjusted resource use in intensive care units. J Crit Care. 2022 Oct;71:154110. doi: 10.1016/j.jcrc.2022.154110. Epub 2022 Jul 6. PMID: 35803010.

22: Huttunen J, Fraunberg MVUZ, Ikäheimo TM, Jyrkkänen HK, Nissen M, Leinonen V, Salmenkivi J, Malmivaara A, Sirola J, Sund R. Incidence and risk factors of spinal cord stimulation for persistent or recurrent pain after lumbar spine surgery: a population-based study. Acta Neurochir (Wien). 2022 Oct;164(10):2645-2653. doi: 10.1007/s00701-022-05268-w. Epub 2022 Jun 17. PMID: 35713719; PMCID: PMC9519649.

23: Räisänen S, Huttunen J, Huuskonen TJ, von Und Zu Fraunberg M, Koivisto T, Jääskeläinen JE, Lindgren A, Frösen J. Risk factor management matters more than pharmaceutical cyclooxygenase-2 inhibition in the prevention of de novo intracranial aneurysms. Eur J Neurol. 2022 Sep;29(9):2734-2743. doi: 10.1111/ene.15442. Epub 2022 Jun 27. PMID: 35678735.

24: Hannonen S, Andberg S, Kärkkäinen V, Rusanen M, Lehtola JM, Saari T, Korhonen V, Hokkanen L, Hallikainen M, Hänninen T, Leinonen V, Kaarniranta K, Bednarik R, Koivisto AM. Shortening of Saccades as a Possible Easy-to-Use Biomarker to Detect Risk of Alzheimer's Disease. J Alzheimers Dis. 2022;88(2):609-618. doi: 10.3233/JAD-215551. PMID: 35662117; PMCID: PMC9398059.

25: Räisänen S, Huttunen J, Huuskonen TJ, von Und Zu Fraunberg M, Koivisto T, Jääskeläinen JE, Frösen J, Lindgren A. Use of antihypertensive medication and formation of de novo intracranial aneurysms. Eur J Neurol. 2022 Sep;29(9):2708-2715. doi: 10.1111/ene.15430. Epub 2022 Jun 16. PMID: 35652754.

26: Wu L, Canna A, Narvaez O, Ma J, Sang S, Lehto LJ, Sierra A, Tanila H, Zhang Y, Gröhn O, Low WC, Filip P, Mangia S, Michaeli S. Orientation selective DBS of entorhinal cortex and medial septal nucleus modulates activity of rat brain areas involved in memory and cognition. Sci Rep. 2022 May 20;12(1):8565. doi: 10.1038/s41598-022-12383-2. PMID: 35595790; PMCID: PMC9122972.

27: Mikkonen J, Leinonen V, Kaski D, Hartvigsen J, Luomajoki H, Selander T, Airaksinen O. Postural sway does not differentiate individuals with chronic low back pain, single and multisite chronic musculoskeletal pain, or pain-free controls: a cross-sectional study of 229 subjects. Spine J. 2022 Sep;22(9):1523-1534. doi: 10.1016/j.spinee.2022.04.013. Epub 2022 Apr 30. PMID: 35504568.

28: Säisänen L, Huttunen J, Hyppönen J, Nissen M, Kotiranta U, Mervaala E, Fraunberg MVUZ. Efficacy and tolerability in patients with chronic facial pain of two consecutive treatment periods of rTMS applied over the facial motor cortex, using protocols differing in stimulation frequency, duration, and train pattern. Neurophysiol Clin. 2022 Apr;52(2):95-108. doi: 10.1016/j.neucli.2022.03.001. Epub 2022 Mar 24. PMID: 35339350.

29: Park BY, Larivière S, Rodríguez-Cruces R, Royer J, Tavakol S, Wang Y, Caciagli L, Caligiuri ME, Gambardella A, Concha L, Keller SS, Cendes F, Alvim MKM, Yasuda C, Bonilha L, Gleichgerrcht E, Focke NK, Kreilkamp BAK, Domin M, von Podewils F, Langner S, Rummel C, Rebsamen M, Wiest R, Martin P, Kotikalapudi R, Bender B, O'Brien TJ, Law M, Sinclair B, Vivash L, Kwan P, Desmond PM, Malpas CB, Lui E, Alhusaini S, Doherty CP, Cavalleri GL, Delanty N, Kälviäinen R, Jackson GD, Kowalczyk M, Mascalchi M, Semmelroch M, Thomas RH, Soltanian-Zadeh H, Davoodi-Bojd E, Zhang J, Lenge M, Guerrini R, Bartolini E, Hamandi K, Foley S, Weber B, Depondt C, Absil J, Carr SJA, Abela E, Richardson MP, Devinsky O, Severino M, Striano P, Parodi C, Tortora D, Hatton SN, Vos SB, Duncan JS, Galovic M, Whelan CD, Bargalló N, Pariente J, Conde-Blanco E, Vaudano AE, Tondelli M, Meletti S, Kong XZ, Francks C, Fisher SE, Caldairou B, Ryten M, Labate A, Sisodiya SM, Thompson PM, McDonald CR, Bernasconi A, Bernasconi N, Bernhardt BC. Topographic divergence of atypical cortical asymmetry and atrophy patterns in temporal lobe epilepsy. Brain. 2022 May 24;145(4):1285-1298. doi: 10.1093/brain/awab417. PMID: 35333312; PMCID: PMC9128824.

30: Fekonja LS, Wang Z, Cacciola A, Roine T, Aydogan DB, Mewes D, Vellmer S, Vajkoczy P, Picht T. Network analysis shows decreased ipsilesional structural connectivity in glioma patients. Commun Biol. 2022 Mar 23;5(1):258. doi: 10.1038/s42003-022-03190-6. PMID: 35322812; PMCID: PMC8943189.

31: Vaajala M, Kuitunen I, Nyrhi L, Ponkilainen V, Kekki M, Luoto T, Mattila VM. Pregnancy and delivery after traumatic brain injury: a nationwide population- based cohort study in Finland. J Matern Fetal Neonatal Med. 2022 Mar 13:1-8. doi: 10.1080/14767058.2022.2050899. Epub ahead of print. PMID: 35282782.

32: Eskelinen M, Saimanen I, Koskela R, Holopainen A, Selander T, Eskelinen M. Plasma Concentration of the Lipid Peroxidation (LP) Biomarker 4-Ηydroxynonenal (4-HNE) in Benign and Cancer Patients. In Vivo. 2022 Mar-Apr;36(2):773-779. doi: 10.21873/invivo.12764. PMID: 35241533; PMCID: PMC8931927.

33: Jaakonmäki N, Zedde M, Sarkanen T, Martinez-Majander N, Tuohinen S, Sinisalo J, Ryödi E, Autere J, Hedman M, Junttola U, Huhtakangas JK, Grimaldi T, Pascarella R, Nordanstig A, Bech-Hanssen O, Holbe C, Busch R, Fromm A, Ylikotila P, Turgut EE, Amorim I, Ryliskiene K, Tulkki L, Pascasio LA, Licenik R, Ferdinand P, Tsivgoulis G, Jatužis D, Kõrv L, Kõrv J, Pezzini A, Fonseca AC, Yesilot N, Roine RO, Waje-Andreassen U, von Sarnowski B, Redfors P, Huhtakangas J, Numminen H, Jäkälä P, Putaala J; SECRETO Study Group. Obesity and the Risk of Cryptogenic Ischemic Stroke in Young Adults. J Stroke Cerebrovasc Dis. 2022 May;31(5):106380. doi: 10.1016/j.jstrokecerebrovasdis.2022.106380. Epub 2022 Feb 19. PMID: 35193029.

34: Zuurbier CCM, Bourcier R, Constant Dit Beaufils P, Redon R, Desal H; ICAN Investigators, Bor ASE, Lindgren AE, Rinkel GJE, Greving JP, Ruigrok YM. Number of Affected Relatives, Age, Smoking, and Hypertension Prediction Score for Intracranial Aneurysms in Persons With a Family History for Subarachnoid Hemorrhage. Stroke. 2022 May;53(5):1645-1650. doi: 10.1161/STROKEAHA.121.034612. Epub 2022 Feb 11. PMID: 35144487; PMCID: PMC9022690.

35: Mikkola TM, Mänty M, Kautiainen H, von Bonsdorff MB, Haanpää M, Koponen H, Kröger T, Eriksson JG. Work incapacity among family caregivers: a record linkage study. J Epidemiol Community Health. 2022 Jun;76(6):580-585. doi: 10.1136/jech-2021-217901. Epub 2022 Feb 8. PMID: 35135858; PMCID: PMC9118073.

36: Lukkarinen H, Jeppsson A, Wikkelsö C, Blennow K, Zetterberg H, Constantinescu R, Remes AM, Herukka SK, Hiltunen M, Rauramaa T, Nägga K, Leinonen V, Tullberg M. Cerebrospinal fluid biomarkers that reflect clinical symptoms in idiopathic normal pressure hydrocephalus patients. Fluids Barriers CNS. 2022 Feb 5;19(1):11. doi: 10.1186/s12987-022-00309-z. PMID: 35123528; PMCID: PMC8817565.

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52: Salimi Ashkezari SF, Mut F, Slawski M, Cheng B, Yu AK, White TG, Woo HH, Koch MJ, Amin-Hanjani S, Charbel FT, Rezai Jahromi B, Niemelä M, Koivisto T, Frosen J, Tobe Y, Maiti S, Robertson AM, Cebral JR. Prediction of bleb formation in intracranial aneurysms using machine learning models based on aneurysm hemodynamics, geometry, location, and patient population. J Neurointerv Surg. 2022 Oct;14(10):1002-1007. doi: 10.1136/neurintsurg-2021-017976. Epub 2021 Oct 22. PMID: 34686573; PMCID: PMC9023610.

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63: Kaipainen AL, Pitkänen J, Haapalinna F, Jääskeläinen O, Jokinen H, Melkas S, Erkinjuntti T, Vanninen R, Koivisto AM, Lötjönen J, Koikkalainen J, Herukka SK, Julkunen V. A novel CT-based automated analysis method provides comparable results with MRI in measuring brain atrophy and white matter lesions. Neuroradiology. 2021 Dec;63(12):2035-2046. doi: 10.1007/s00234-021-02761-4. Epub 2021 Aug 14. PMID: 34389887; PMCID: PMC8589740.

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68: Leskelä S, Hoffmann D, Rostalski H, Huber N, Wittrahm R, Hartikainen P, Korhonen V, Leinonen V, Hiltunen M, Solje E, Remes AM, Haapasalo A. FTLD Patient-Derived Fibroblasts Show Defective Mitochondrial Function and Accumulation of p62. Mol Neurobiol. 2021 Nov;58(11):5438-5458. doi: 10.1007/s12035-021-02475-x. Epub 2021 Jul 30. PMID: 34328616; PMCID: PMC8599259.

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72: Alpay K, Hinkka T, Lindgren AE, Isokangas JM, Raj R, Parkkola R, Sinisalo M, Numminen J, Pienimäki JP, Saari P, Seppänen J, Palosaari K, Rautio R. Finnish flow diverter study: 8 years of experience in the treatment of acutely ruptured intracranial aneurysms. J Neurointerv Surg. 2022 Jul;14(7):699-703. doi: 10.1136/neurintsurg-2021-017641. Epub 2021 Jul 15. PMID: 34266906; PMCID: PMC9209683.

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74: Sirkka J, Parviainen M, Jyrkkänen HK, Koivisto AM, Säisänen L, Rauramaa T, Leinonen V, Danner N. Upper limb dysfunction and activities in daily living in idiopathic normal pressure hydrocephalus. Acta Neurochir (Wien). 2021 Oct;163(10):2675-2683. doi: 10.1007/s00701-021-04909-w. Epub 2021 Jul 8. PMID: 34235588; PMCID: PMC8437908.

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77: Hallikainen J, Pyysalo M, Keränen S, Kellokoski J, Koivisto T, Suominen AL, Pussinen P, Pessi T, Frösen J. Systemic immune response against the oral pathogens Porphyromonas gingivalis and Aggregatibacter actinomycetemcomitans is associated with the formation and rupture of intracranial aneurysms. Eur J Neurol. 2021 Sep;28(9):3089-3099. doi: 10.1111/ene.14986. Epub 2021 Jul 8. PMID: 34145948.

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83: Nerg O, Junkkari A, Hallikainen I, Rauramaa T, Luikku A, Hiltunen M, Jääskeläinen JE, Leinonen V, Hänninen T, Koivisto A. The CERAD Neuropsychological Battery in Patients with Idiopathic Normal Pressure Hydrocephalus Compared with Normal Population and Patients with Mild Alzheimer's Disease. J Alzheimers Dis. 2021;81(3):1117-1130. doi: 10.3233/JAD-201363. PMID: 33896842.

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231: Baud MO, Perneger T, Rácz A, Pensel MC, Elger C, Rydenhag B, Malmgren K, Cross JH, McKenna G, Tisdall M, Lamberink HJ, Rheims S, Ryvlin P, Isnard J, Mauguière F, Arzimanoglou A, Akkol S, Deniz K, Ozkara C, Lossius M, Rektor I, Kälviäinen R, Vanhatalo LM, Dimova P, Minkin K, Staack AM, Steinhoff BJ, Kalina A, Krsek P, Marusic P, Jordan Z, Fabo D, Carrette E, Boon P, Rocka S, Mameniškienė R, Vulliemoz S, Pittau F, Braun KPJ, Seeck M. European trends in epilepsy surgery. Neurology. 2018 Jul 10;91(2):e96-e106. doi: 10.1212/WNL.0000000000005776. Epub 2018 Jun 13. PMID: 29898967.

232: Kamtchum-Tatuene J, Kamwezi R, Nyalubwe T, Banda JP, Mwangalika G, Matandika I, Hemmila U, Tisell M, Koponen S, Benjamin LA, Kamalo P. A 42-year- old woman with subacute reversible dementia: A cautionary tale. Malawi Med J. 2017 Sep;29(3):265-267. doi: 10.4314/mmj.v29i3.7. PMID: 29872518; PMCID: PMC5812000.

233: Leinonen V, Rauramaa T, Johansson J, Bottelbergs A, Tesseur I, van der Ark P, Pemberton D, Koivisto AM, Jääskeläinen JE, Hiltunen M, Herukka SK, Blennow K, Zetterberg H, Jokinen P, Rokka J, Helin S, Haaparanta-Solin M, Solin O, Okamura N, Kolb HC, Rinne JO. S-[18F]THK-5117-PET and [11C]PIB-PET Imaging in Idiopathic Normal Pressure Hydrocephalus in Relation to Confirmed Amyloid-β Plaques and Tau in Brain Biopsies. J Alzheimers Dis. 2018;64(1):171-179. doi: 10.3233/JAD-180071. PMID: 29865068.

234: Duncan D, Vespa P, Pitkänen A, Braimah A, Lapinlampi N, Toga AW. Big data sharing and analysis to advance research in post-traumatic epilepsy. Neurobiol Dis. 2019 Mar;123:127-136. doi: 10.1016/j.nbd.2018.05.026. Epub 2018 Jun 1. PMID: 29864492; PMCID: PMC6274619.

235: Lindgren A, Turner EB, Sillekens T, Meretoja A, Lee JM, Hemmen TM, Koivisto T, Alberts M, Lemmens R, Jääskeläinen JE, Vergouwen MDI, Rinkel GJE; Stroke GOAL Group, Dr Foster Global Comparators Project, Dr Foster Ltd; Dr Foster Unit at Imperial College London. Outcome After Clipping and Coiling for Aneurysmal Subarachnoid Hemorrhage in Clinical Practice in Europe, USA, and Australia. Neurosurgery. 2019 May 1;84(5):1019-1027. doi: 10.1093/neuros/nyy223. PMID: 29846713; PMCID: PMC8764701.

236: Nissen M, Ikäheimo TM, Huttunen J, Leinonen V, von Und Zu Fraunberg M. Long-Term Outcome of Spinal Cord Stimulation in Failed Back Surgery Syndrome: 20 Years of Experience With 224 Consecutive Patients. Neurosurgery. 2019 May 1;84(5):1011-1018. doi: 10.1093/neuros/nyy194. PMID: 29788145.

237: Björkman J, Frösen J, Tähtinen O, Huttunen T, Huttunen J, Kurki MI, von Und Zu Fraunberg M, Koivisto T, Manninen H, Jääskeläinen JE, Lindgren AE. Aneurysm Size is the Strongest Risk Factor for Intracranial Aneurysm Growth in the Eastern Finnish Population. Neurosurgery. 2019 May 1;84(5):1098-1103. doi: 10.1093/neuros/nyy161. PMID: 29767773.

238: Korhonen TK, Tetri S, Huttunen J, Lindgren A, Piitulainen JM, Serlo W, Vallittu PK, Posti JP; Finnish National Cranial Implant Registry (FiNCIR) study group. Predictors of primary autograft cranioplasty survival and resorption after craniectomy. J Neurosurg. 2018 May 1:1-8. doi: 10.3171/2017.12.JNS172013. Epub ahead of print. PMID: 29749908.

239: Vanhala V, Junkkari A, Korhonen VE, Kurki MI, Hiltunen M, Rauramaa T, Nerg O, Koivisto AM, Remes AM, Perälä J, Suvisaari J, Lehto SM, Viinamäki H, Soininen H, Jääskeläinen JE, Leinonen V. Prevalence of Schizophrenia in Idiopathic Normal Pressure Hydrocephalus. Neurosurgery. 2019 Apr 1;84(4):883-889. doi: 10.1093/neuros/nyy147. PMID: 29741669; PMCID: PMC6417909.

240: Ollikainen E, Tulamo R, Lehti S, Hernesniemi J, Niemelä M, Kovanen PT, Frösen J. Myeloperoxidase Associates With Degenerative Remodeling and Rupture of the Saccular Intracranial Aneurysm Wall. J Neuropathol Exp Neurol. 2018 Jun 1;77(6):461-468. doi: 10.1093/jnen/nly028. PMID: 29718300.

241: Anwer M, Bolkvadze T, Ndode-Ekane XE, Puhakka N, Rauramaa T, Leinonen V, van Vliet EA, Swaab DF, Haapasalo A, Leskelä S, Bister N, Malm T, Carlson S, Aronica E, Pitkänen A. Sushi repeat-containing protein X-linked 2: A novel phylogenetically conserved hypothalamo-pituitary protein. J Comp Neurol. 2018 Aug 1;526(11):1806-1819. doi: 10.1002/cne.24449. Epub 2018 May 1. PMID: 29663392.

242: Cajanus A, Hall A, Koikkalainen J, Solje E, Tolonen A, Urhemaa T, Liu Y, Haanpää RM, Hartikainen P, Helisalmi S, Korhonen V, Rueckert D, Hasselbalch S, Waldemar G, Mecocci P, Vanninen R, van Gils M, Soininen H, Lötjönen J, Remes AM. Automatic MRI Quantifying Methods in Behavioral-Variant Frontotemporal Dementia Diagnosis. Dement Geriatr Cogn Dis Extra. 2018 Feb 23;8(1):51-59. doi: 10.1159/000486849. PMID: 29606954; PMCID: PMC5869565.

243: Shorvon SD, Bermejo PE, Gibbs AA, Huberfeld G, Kälviäinen R. Antiepileptic drug treatment of generalized tonic-clonic seizures: An evaluation of regulatory data and five criteria for drug selection. Epilepsy Behav. 2018 May;82:91-103. doi: 10.1016/j.yebeh.2018.01.039. Epub 2018 Mar 27. PMID: 29602083.

244: Karjalainen M, Saltevo J, Tiihonen M, Haanpää M, Kautiainen H, Mäntyselkä P. Frequent pain in older people with and without diabetes - Finnish community based study. BMC Geriatr. 2018 Mar 15;18(1):73. doi: 10.1186/s12877-018-0762-y. PMID: 29544464; PMCID: PMC5856375.

245: Katisko K, Haapasalo A, Koivisto A, Krüger J, Hartikainen P, Korhonen V, Helisalmi S, Herukka SK, Remes AM, Solje E. Low Prevalence of Cancer in Patients with Frontotemporal Lobar Degeneration. J Alzheimers Dis. 2018;62(2):789-794. doi: 10.3233/JAD-170854. PMID: 29480183.

246: Lång M, Skrifvars MB, Siironen J, Tanskanen P, Ala-Peijari M, Koivisto T, Djafarzadeh S, Bendel S. A pilot study of hyperoxemia on neurological injury, inflammation and oxidative stress. Acta Anaesthesiol Scand. 2018 Jul;62(6):801-810. doi: 10.1111/aas.13093. Epub 2018 Feb 20. PMID: 29464691.

247: Purdy M, Kinnunen M, Kokki M, Anttila M, Eskelinen M, Hautajärvi H, Lehtonen M, Kokki H. A prospective, randomized, open label, controlled study investigating the efficiency and safety of 3 different methods of rectus sheath block analgesia following midline laparotomy. Medicine (Baltimore). 2018 Feb;97(7):e9968. doi: 10.1097/MD.0000000000009968. PMID: 29443788; PMCID: PMC5839819.

248: Haapasalo J, Nordfors K, Granberg KJ, Kivioja T, Nykter M, Haapasalo H, Soini Y. NRF2, DJ1 and SNRX1 and their prognostic impact in astrocytic gliomas. Histol Histopathol. 2018 Aug;33(8):791-801. doi: 10.14670/HH-11-973. Epub 2018 Feb 14. PMID: 29441509.

249: Leskelä S, Takalo M, Marttinen M, Huber N, Paananen J, Mitra V, Rauramaa T, Mäkinen P, Leinonen V, Soininen H, Pike I, Remes AM, Hiltunen M, Haapasalo A. Interrelationship between the Levels of C9orf72 and Amyloid-β Protein Precursor and Amyloid-β in Human Cells and Brain Samples. J Alzheimers Dis. 2018;62(1):269-278. doi: 10.3233/JAD-170362. PMID: 29439323.

250: Karjalainen M, Tiihonen M, Kautiainen H, Saltevo J, Haanpää M, Mäntyselkä P. Pain and self-rated health in older people with and without type 2 diabetes. Eur Geriatr Med. 2018 Feb;9(1):127-131. doi: 10.1007/s41999-017-0017-z. Epub 2017 Dec 21. PMID: 34654280.

251: Pyykkö OT, Nerg O, Niskasaari HM, Niskasaari T, Koivisto AM, Hiltunen M, Pihlajamäki J, Rauramaa T, Kojoukhova M, Alafuzoff I, Soininen H, Jääskeläinen JE, Leinonen V. Incidence, Comorbidities, and Mortality in Idiopathic Normal Pressure Hydrocephalus. World Neurosurg. 2018 Apr;112:e624-e631. doi: 10.1016/j.wneu.2018.01.107. Epub 2018 Jan 31. PMID: 29374607.

252: Whelan CD, Altmann A, Botía JA, Jahanshad N, Hibar DP, Absil J, Alhusaini S, Alvim MKM, Auvinen P, Bartolini E, Bergo FPG, Bernardes T, Blackmon K, Braga B, Caligiuri ME, Calvo A, Carr SJ, Chen J, Chen S, Cherubini A, David P, Domin M, Foley S, França W, Haaker G, Isaev D, Keller SS, Kotikalapudi R, Kowalczyk MA, Kuzniecky R, Langner S, Lenge M, Leyden KM, Liu M, Loi RQ, Martin P, Mascalchi M, Morita ME, Pariente JC, Rodríguez-Cruces R, Rummel C, Saavalainen T, Semmelroch MK, Severino M, Thomas RH, Tondelli M, Tortora D, Vaudano AE, Vivash L, von Podewils F, Wagner J, Weber B, Yao Y, Yasuda CL, Zhang G, Bargalló N, Bender B, Bernasconi N, Bernasconi A, Bernhardt BC, Blümcke I, Carlson C, Cavalleri GL, Cendes F, Concha L, Delanty N, Depondt C, Devinsky O, Doherty CP, Focke NK, Gambardella A, Guerrini R, Hamandi K, Jackson GD, Kälviäinen R, Kochunov P, Kwan P, Labate A, McDonald CR, Meletti S, O'Brien TJ, Ourselin S, Richardson MP, Striano P, Thesen T, Wiest R, Zhang J, Vezzani A, Ryten M, Thompson PM, Sisodiya SM. Structural brain abnormalities in the common epilepsies assessed in a worldwide ENIGMA study. Brain. 2018 Feb 1;141(2):391-408. doi: 10.1093/brain/awx341. PMID: 29365066; PMCID: PMC5837616.

253: Frösen J, Joutel A. Smooth muscle cells of intracranial vessels: from development to disease. Cardiovasc Res. 2018 Mar 15;114(4):501-512. doi: 10.1093/cvr/cvy002. PMID: 29351598.

254: Nikolaev SI, Vetiska S, Bonilla X, Boudreau E, Jauhiainen S, Rezai Jahromi B, Khyzha N, DiStefano PV, Suutarinen S, Kiehl TR, Mendes Pereira V, Herman AM, Krings T, Andrade-Barazarte H, Tung T, Valiante T, Zadeh G, Tymianski M, Rauramaa T, Ylä-Herttuala S, Wythe JD, Antonarakis SE, Frösen J, Fish JE, Radovanovic I. Somatic Activating KRAS Mutations in Arteriovenous Malformations of the Brain. N Engl J Med. 2018 Jan 18;378(3):250-261. doi: 10.1056/NEJMoa1709449. Epub 2018 Jan 3. PMID: 29298116; PMCID: PMC8161530.

255: Raj R, Bendel S, Reinikainen M, Hoppu S, Luoto T, Ala-Kokko T, Tetri S, Laitio R, Koivisto T, Rinne J, Kivisaari R, Siironen J, Higgins A, Skrifvars MB. Temporal Trends in Healthcare Costs and Outcome Following ICU Admission After Traumatic Brain Injury. Crit Care Med. 2018 Apr;46(4):e302-e309. doi: 10.1097/CCM.0000000000002959. PMID: 29293155; PMCID: PMC5865506.

256: Backes D, Hendrikse J, van der Schaaf I, Algra A, Lindgren AE, Verweij BH, Rinkel GJE, Vergouwen MDI. Determinants of Gadolinium-Enhancement of the Aneurysm Wall in Unruptured Intracranial Aneurysms. Neurosurgery. 2018 Oct 1;83(4):719-725. doi: 10.1093/neuros/nyx487. PMID: 29088454.

257: Fallenius M, Skrifvars MB, Reinikainen M, Bendel S, Raj R. Common intensive care scoring systems do not outperform age and glasgow coma scale score in predicting mid-term mortality in patients with spontaneous intracerebral hemorrhage treated in the intensive care unit. Scand J Trauma Resusc Emerg Med. 2017 Oct 25;25(1):102. doi: 10.1186/s13049-017-0448-z. PMID: 29070068; PMCID: PMC5657126.

258: Rezai Jahromi B, Jääskeläinen JE, Niemelä M. Imaging Classification and Treatment of Spontaneous Intracranial Fusiform and Dissecting Aneurysms. World Neurosurg. 2017 Nov;107:1039. doi: 10.1016/j.wneu.2017.07.090. PMID: 29059791.

259: Vakkala M, Järvimäki V, Kautiainen H, Haanpää M, Alahuhta S. Incidence and predictive factors of spinal cord stimulation treatment after lumbar spine surgery. J Pain Res. 2017 Oct 5;10:2405-2411. doi: 10.2147/JPR.S143633. PMID: 29042816; PMCID: PMC5634380.

260: Leinonen V, Vanninen R, Rauramaa T. Cerebrospinal fluid circulation and hydrocephalus. Handb Clin Neurol. 2017;145:39-50. doi: 10.1016/B978-0-12-802395-2.00005-5. PMID: 28987185.

261: Leinonen V, Vanninen R, Rauramaa T. Raised intracranial pressure and brain edema. Handb Clin Neurol. 2017;145:25-37. doi: 10.1016/B978-0-12-802395-2.00004-3. PMID: 28987174.

262: Huovinen J, Helisalmi S, Paananen J, Laiterä T, Kojoukhova M, Sutela A, Vanninen R, Laitinen M, Rauramaa T, Koivisto AM, Remes AM, Soininen H, Kurki M, Haapasalo A, Jääskeläinen JE, Hiltunen M, Leinonen V. Alzheimer's Disease- Related Polymorphisms in Shunt-Responsive Idiopathic Normal Pressure Hydrocephalus. J Alzheimers Dis. 2017;60(3):1077-1085. doi: 10.3233/JAD-170583. PMID: 28984604.

263: Nurmonen HJ, Huttunen T, Huttunen J, Kurki MI, Helin K, Koivisto T, von Und Zu Fraunberg M, Jääskeläinen JE, Lindgren AE. Polycystic kidney disease among 4,436 intracranial aneurysm patients from a defined population. Neurology. 2017 Oct 31;89(18):1852-1859. doi: 10.1212/WNL.0000000000004597. Epub 2017 Oct 4. PMID: 28978659.

264: Cui LL, Golubczyk D, Jolkkonen J. Top 3 Behavioral Tests in Cell Therapy Studies After Stroke: Difficult to Stop a Moving Train. Stroke. 2017 Nov;48(11):3165-3167. doi: 10.1161/STROKEAHA.117.018950. Epub 2017 Sep 20. PMID: 28931616.

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266: Junkkari A, Roine RP, Luikku A, Rauramaa T, Sintonen H, Nerg O, Koivisto AM, Häyrinen A, Viinamäki H, Soininen H, Jääskeläinen JE, Leinonen V. Why Does the Health-Related Quality of Life in Idiopathic Normal-Pressure Hydrocephalus Fail to Improve Despite the Favorable Clinical Outcome? World Neurosurg. 2017 Dec;108:356-366. doi: 10.1016/j.wneu.2017.08.170. Epub 2017 Sep 5. PMID: 28887286.

267: Lemma SA, Kuusisto M, Haapasaari KM, Sormunen R, Lehtinen T, Klaavuniemi T, Eray M, Jantunen E, Soini Y, Vasala K, Böhm J, Salokorpi N, Koivunen P, Karihtala P, Vuoristo J, Turpeenniemi-Hujanen T, Kuittinen O. Integrin alpha 10, CD44, PTEN, cadherin-11 and lactoferrin expressions are potential biomarkers for selecting patients in need of central nervous system prophylaxis in diffuse large B-cell lymphoma. Carcinogenesis. 2017 Aug 1;38(8):812-820. doi: 10.1093/carcin/bgx061. PMID: 28854563; PMCID: PMC5862348.

268: Järvimäki V, Kautiainen H, Haanpää M, Koponen H, Spalding M, Alahuhta S, Vakkala M. Depressive symptoms are associated with poor outcome for lumbar spine surgery. Scand J Pain. 2016 Jul;12:13-17. doi: 10.1016/j.sjpain.2016.01.008. Epub 2016 Mar 4. PMID: 28850484.

269: Malmberg-Ceder K, Haanpää M, Korhonen PE, Kautiainen H, Soinila S. Relationship of musculoskeletal pain and well-being at work - Does pain matter? Scand J Pain. 2017 Apr;15:38-43. doi: 10.1016/j.sjpain.2016.11.018. Epub 2016 Dec 16. PMID: 28850343.

270: Marbacher S, Niemelä M, Hernesniemi J, Frösén J. Recurrence of endovascularly and microsurgically treated intracranial aneurysms-review of the putative role of aneurysm wall biology. Neurosurg Rev. 2019 Mar;42(1):49-58. doi: 10.1007/s10143-017-0892-2. Epub 2017 Aug 17. PMID: 28819834.

271: Niittykoski M, von Und Zu Fraunberg M, Martikainen M, Rauramaa T, Immonen A, Koponen S, Leinonen V, Vähä-Koskela M, Zhang Q, Kühnel F, Mei YF, Ylä- Herttuala S, Jääskeläinen JE, Hinkkanen A. Immunohistochemical Characterization and Sensitivity to Human Adenovirus Serotypes 3, 5, and 11p of New Cell Lines Derived from Human Diffuse Grade II to IV Gliomas. Transl Oncol. 2017 Oct;10(5):772-779. doi: 10.1016/j.tranon.2017.07.002. Epub 2017 Aug 4. PMID: 28797937; PMCID: PMC5610111.

272: Aro AK, Karjalainen M, Tiihonen M, Kautiainen H, Saltevo J, Haanpää M, Mäntyselkä P. Glycemic control and health-related quality of life among older home-dwelling primary care patients with diabetes. Prim Care Diabetes. 2017 Dec;11(6):577-582. doi: 10.1016/j.pcd.2017.07.001. Epub 2017 Jul 25. PMID: 28754430.

273: Pitkänen M, Kallioniemi E, Julkunen P, Nazarova M, Nieminen JO, Ilmoniemi RJ. Minimum-Norm Estimation of Motor Representations in Navigated TMS Mappings. Brain Topogr. 2017 Nov;30(6):711-722. doi: 10.1007/s10548-017-0577-8. Epub 2017 Jul 18. Erratum in: Brain Topogr. 2017 Sep 6;: PMID: 28721533.

274: Lokki AI, Daly E, Triebwasser M, Kurki MI, Roberson EDO, Häppölä P, Auro K, Perola M, Heinonen S, Kajantie E, Kere J, Kivinen K, Pouta A, Salmon JE, Meri S, Daly M, Atkinson JP, Laivuori H. Protective Low-Frequency Variants for Preeclampsia in the Fms Related Tyrosine Kinase 1 Gene in the Finnish Population. Hypertension. 2017 Aug;70(2):365-371. doi: 10.1161/HYPERTENSIONAHA.117.09406. Epub 2017 Jun 26. PMID: 28652462; PMCID: PMC5535812.

275: Huttunen J, Lindgren A, Kurki MI, Huttunen T, Frösen J, Koivisto T, von Und Zu Fraunberg M, Immonen A, Jääskeläinen JE, Kälviäinen R. Epilepsy-associated long-term mortality after aneurysmal subarachnoid hemorrhage. Neurology. 2017 Jul 18;89(3):263-268. doi: 10.1212/WNL.0000000000004113. Epub 2017 Jun 14. PMID: 28615425; PMCID: PMC5513818.

276: Räisänen S, Frösen J, Kurki MI, Huttunen T, Huttunen J, Koivisto T, Helin K, von Und Zu Fraunberg M, Jääskeläinen JE, Lindgren AE. Impact of Young Age on the Presentation of Saccular Intracranial Aneurysms: Population-Based Analysis of 4082 Patients. Neurosurgery. 2018 Jun 1;82(6):815-823. doi: 10.1093/neuros/nyx305. PMID: 28605505.

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424: Huttunen T, von und zu Fraunberg M, Frösen J, Lehecka M, Tromp G, Helin K, Koivisto T, Rinne J, Ronkainen A, Hernesniemi J, Jääskeläinen JE. Saccular intracranial aneurysm disease: distribution of site, size, and age suggests different etiologies for aneurysm formation and rupture in 316 familial and 1454 sporadic eastern Finnish patients. Neurosurgery. 2010 Apr;66(4):631-8; discussion 638. doi: 10.1227/01.NEU.0000367634.89384.4B. PMID: 20190670.

425: Simula S, Koivisto T, Rinne J, Vanninen R, Jäkälä P. Hemikraniektomia pahanlaatuisen aivoinfarktin hoidossa [Malignant cerebral infarction and hemicraniectomy]. Duodecim. 2009;125(24):2729-38. Finnish. PMID: 20175327.

426: Celik O, Piippo A, Romani R, Navratil O, Laakso A, Lehecka M, Dashti R, Niemelä M, Rinne J, Jääskeläinen JE, Hernesniemi J. Management of dural arteriovenous fistulas - Helsinki and Kuopio experience. Acta Neurochir Suppl. 2010;107:77-82. doi: 10.1007/978-3-211-99373-6_12. PMID: 19953375.

427: Romani R, Laakso A, Niemelä M, Lehecka M, Dashti R, Isarakul P, Celik O, Navratil O, Lehto H, Kivisaari R, Hernesniemi J. Microsurgical principles for anterior circulation aneurysms. Acta Neurochir Suppl. 2010;107:3-7. doi: 10.1007/978-3-211-99373-6_1. PMID: 19953364.

428: Bendel P, Koivisto T, Aikiä M, Niskanen E, Könönen M, Hänninen T, Vanninen R. Atrophic enlargement of CSF volume after subarachnoid hemorrhage: correlation with neuropsychological outcome. AJNR Am J Neuroradiol. 2010 Feb;31(2):370-6. doi: 10.3174/ajnr.A1804. Epub 2009 Nov 26. PMID: 19942696; PMCID: PMC7964141.

429: Koivisto T, Jääskeläinen JE. Chronic subdural haematoma–to drain or not to drain? Lancet. 2009 Sep 26;374(9695):1040-1. doi: 10.1016/S0140-6736(09)61682-2. PMID: 19782854.

430: Karamanakos PN, Varis J, Ronkainen A, Koivisto T, Rinne J, Jaaskelainen JE. Chronic subdural haematoma after endoscopic treatment of a supracellar arachnoid cyst. Acta Neurol Belg. 2009 Jun;109(2):149-51. PMID: 19681449.

431: Kaikkonen MU, Lesch HP, Pikkarainen J, Räty JK, Vuorio T, Huhtala T, Taavitsainen M, Laitinen T, Tuunanen P, Gröhn O, Närvänen A, Airenne KJ, Ylä- Herttuala S. (Strept)avidin-displaying lentiviruses as versatile tools for targeting and dual imaging of gene delivery. Gene Ther. 2009 Jul;16(7):894-904. doi: 10.1038/gt.2009.47. Epub 2009 May 14. PMID: 19440224.

432: Myllymaa S, Myllymaa K, Korhonen H, Töyräs J, Jääskeläinen JE, Djupsund K, Tanila H, Lappalainen R. Fabrication and testing of polyimide-based microelectrode arrays for cortical mapping of evoked potentials. Biosens Bioelectron. 2009 Jun 15;24(10):3067-72. doi: 10.1016/j.bios.2009.03.028. Epub 2009 Mar 31. PMID: 19380223.

433: Sinikallio S, Aalto T, Koivumaa-Honkanen H, Airaksinen O, Herno A, Kröger H, Viinamäki H. Life dissatisfaction is associated with a poorer surgery outcome and depression among lumbar spinal stenosis patients: a 2-year prospective study. Eur Spine J. 2009 Aug;18(8):1187-93. doi: 10.1007/s00586-009-0955-3. Epub 2009 Apr 3. PMID: 19343375; PMCID: PMC2899510.

434: Lehecka M, Dashti R, Romani R, Celik O, Navratil O, Kivipelto L, Kivisaari R, Shen H, Ishii K, Karatas A, Lehto H, Kokuzawa J, Niemelä M, Rinne J, Ronkainen A, Koivisto T, Jääskelainen JE, Hernesniemi J. Microneurosurgical management of internal carotid artery bifurcation aneurysms. Surg Neurol. 2009 Jun;71(6):649-67. doi: 10.1016/j.surneu.2009.01.028. Epub 2009 Mar 27. PMID: 19328524.

435: Purdy M, Nykopp TK, Kainulainen S, Pääkkönen M. Division of the hepatic branch of the anterior vagus nerve in fundoplication: effects on gallbladder function. Surg Endosc. 2009 Sep;23(9):2143-6. doi: 10.1007/s00464-008-0242-0. Epub 2008 Dec 6. PMID: 19067049.

436: Hernesniemi J, Romani R, Albayrak BS, Lehto H, Dashti R, Ramsey C 3rd, Karatas A, Cardia A, Navratil O, Piippo A, Fujiki M, Toninelli S, Niemelä M. Microsurgical management of pineal region lesions: personal experience with 119 patients. Surg Neurol. 2008 Dec;70(6):576-83. doi: 10.1016/j.surneu.2008.07.019. PMID: 19055952.

437: Leinonen V, Alafuzoff I, Aalto S, Suotunen T, Savolainen S, Någren K, Tapiola T, Pirttilä T, Rinne J, Jääskeläinen JE, Soininen H, Rinne JO. Assessment of beta-amyloid in a frontal cortical brain biopsy specimen and by positron emission tomography with carbon 11-labeled Pittsburgh Compound B. Arch Neurol. 2008 Oct;65(10):1304-9. doi: 10.1001/archneur.65.10.noc80013. Epub 2008 Aug 11. PMID: 18695050.

438: Danner N, Julkunen P, Könönen M, Säisänen L, Nurkkala J, Karhu J. Navigated transcranial magnetic stimulation and computed electric field strength reduce stimulator-dependent differences in the motor threshold. J Neurosci Methods. 2008 Sep 15;174(1):116-22. doi: 10.1016/j.jneumeth.2008.06.032. Epub 2008 Jul 11. PMID: 18662721.

439: Julkunen P, Jauhiainen AM, Westerén-Punnonen S, Pirinen E, Soininen H, Könönen M, Pääkkönen A, Määttä S, Karhu J. Navigated TMS combined with EEG in mild cognitive impairment and Alzheimer's disease: a pilot study. J Neurosci Methods. 2008 Jul 30;172(2):270-6. doi: 10.1016/j.jneumeth.2008.04.021. Epub 2008 Apr 29. PMID: 18533272.

440: Lehecka M, Dashti R, Hernesniemi J, Niemelä M, Koivisto T, Ronkainen A, Rinne J, Jääskeläinen J. Microneurosurgical management of aneurysms at the A2 segment of anterior cerebral artery (proximal pericallosal artery) and its frontobasal branches. Surg Neurol. 2008 Sep;70(3):232-46; discussion 246. doi: 10.1016/j.surneu.2008.03.008. Epub 2008 May 16. PMID: 18486199.

441: Lehecka M, Dashti R, Hernesniemi J, Niemelä M, Koivisto T, Ronkainen A, Rinne J, Jääskeläinen J. Microneurosurgical management of aneurysms at A3 segment of anterior cerebral artery. Surg Neurol. 2008 Aug;70(2):135-51; discussion 152. doi: 10.1016/j.surneu.2008.03.019. Epub 2008 May 14. PMID: 18482754.

442: Lehecka M, Dashti R, Hernesniemi J, Niemelä M, Koivisto T, Ronkainen A, Rinne J, Jääskeläinen J. Microneurosurgical management of aneurysms at A4 and A5 segments and distal cortical branches of anterior cerebral artery. Surg Neurol. 2008 Oct;70(4):352-67; discussion 367. doi: 10.1016/j.surneu.2008.03.017. Epub 2008 May 14. PMID: 18482751.

443: Hernesniemi J, Dashti R, Lehecka M, Niemelä M, Rinne J, Lehto H, Ronkainen A, Koivisto T, Jääskeläinen JE. Microneurosurgical management of anterior communicating artery aneurysms. Surg Neurol. 2008 Jul;70(1):8-28; discussion 29. doi: 10.1016/j.surneu.2008.01.056. Epub 2008 May 2. PMID: 18452980.

444: Lehecka M, Lehto H, Niemelä M, Juvela S, Dashti R, Koivisto T, Ronkainen A, Rinne J, Jääskeläinen JE, Hernesniemi JA. Distal anterior cerebral artery aneurysms: treatment and outcome analysis of 501 patients. Neurosurgery. 2008 Mar;62(3):590-601; discussion 590-601. doi: 10.1227/01.neu.0000317307.16332.03. PMID: 18425008.

445: Mahindu A, Koivisto T, Ronkainen A, Rinne J, Assaad N, Morgan MK. Similarities and differences in aneurysmal subarachnoid haemorrhage between eastern Finland and northern Sydney. J Clin Neurosci. 2008 Jun;15(6):617-21. doi: 10.1016/j.jocn.2007.08.018. Epub 2008 Apr 18. PMID: 18395449.

446: Mustonen T, Koivisto T, Vanninen R, Hänninen T, Vapalahti M, Hernesniemi J, Kuikka JT, Vanninen E. Heterogeneity of cerebral perfusion 1 week after haemorrhage is an independent predictor of clinical outcome in patients with aneurysmal subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 2008 Oct;79(10):1128-33. doi: 10.1136/jnnp.2007.142851. Epub 2008 Mar 20. PMID: 18356250.

447: Hernesniemi J, Romani R, Dashti R, Albayrak BS, Savolainen S, Ramsey C 3rd, Karatas A, Lehto H, Navratil O, Niemelä M. Microsurgical treatment of third ventricular colloid cysts by interhemispheric far lateral transcallosal approach –experience of 134 patients. Surg Neurol. 2008 May;69(5):447-53; discussion 453-6. doi: 10.1016/j.surneu.2007.11.005. Epub 2008 Mar 4. PMID: 18295836.

448: Bendel P, Koivisto T, Könönen M, Hänninen T, Hurskainen H, Saari T, Vapalahti M, Hernesniemi J, Vanninen R. MR imaging of the brain 1 year after aneurysmal subarachnoid hemorrhage: randomized study comparing surgical with endovascular treatment. Radiology. 2008 Feb;246(2):543-52. doi: 10.1148/radiol.2461061915. Epub 2007 Dec 4. PMID: 18056855.

449: Dashti R, Hernesniemi J, Lehto H, Niemelä M, Lehecka M, Rinne J, Porras M, Ronkainen A, Phornsuwannapha S, Koivisto T, Jääskeläinen JE. Microneurosurgical management of proximal anterior cerebral artery aneurysms. Surg Neurol. 2007 Oct;68(4):366-77. doi: 10.1016/j.surneu.2007.07.084. PMID: 17905060.

450: Dashti R, Hernesniemi J, Niemelä M, Rinne J, Lehecka M, Shen H, Lehto H, Albayrak BS, Ronkainen A, Koivisto T, Jääskeläinen JE. Microneurosurgical management of distal middle cerebral artery aneurysms. Surg Neurol. 2007 Jun;67(6):553-63. doi: 10.1016/j.surneu.2007.03.023. PMID: 17512323.

451: Dashti R, Hernesniemi J, Niemelä M, Rinne J, Porras M, Lehecka M, Shen H, Albayrak BS, Lehto H, Koroknay-Pál P, de Oliveira RS, Perra G, Ronkainen A, Koivisto T, Jääskeläinen JE. Microneurosurgical management of middle cerebral artery bifurcation aneurysms. Surg Neurol. 2007 May;67(5):441-56. doi: 10.1016/j.surneu.2006.11.056. PMID: 17445599.

452: Leinonen V, Airaksinen M, Taimela S, Kankaanpää M, Kukka A, Koivisto T, Airaksinen O. Low back pain suppresses preparatory and triggered upper-limb activation after sudden upper-limb loading. Spine (Phila Pa 1976). 2007 Mar 1;32(5):E150-5. doi: 10.1097/01.brs.0000256886.94791.94. PMID: 17334276.

453: Soppi V, Kokki H, Koivisto T, Lehtonen M, Helin-Tanninen M, Lehtola S, Rinne J. Early-phase pharmacokinetics of enteral and parenteral nimodipine in patients with acute subarachnoid haemorrhage - a pilot study. Eur J Clin Pharmacol. 2007 Apr;63(4):355-61. doi: 10.1007/s00228-007-0267-7. Epub 2007 Feb 23. PMID: 17318527.

454: Dashti R, Rinne J, Hernesniemi J, Niemelä M, Kivipelto L, Lehecka M, Karatas A, Avci E, Ishii K, Shen H, Peláez JG, Albayrak BS, Ronkainen A, Koivisto T, Jääskeläinen JE. Microneurosurgical management of proximal middle cerebral artery aneurysms. Surg Neurol. 2007 Jan;67(1):6-14. doi: 10.1016/j.surneu.2006.08.027. PMID: 17210285.

455: Hernesniemi J, Niemelä M, Dashti R, Karatas A, Kivipelto L, Ishii K, Rinne J, Ronkainen A, Peláez JG, Koivisto T, Kivisaari R, Shen H, Lehecka M, Frösen J, Piippo A, Avci E, Jääskeläinen JE. Principles of microneurosurgery for safe and fast surgery. Surg Technol Int. 2006;15:305-10. PMID: 17029189.

456: Ronkainen A, Niskanen M, Auvinen A, Aalto J, Luosujärvi R. Cervical spine surgery in patients with rheumatoid arthritis: longterm mortality and its determinants. J Rheumatol. 2006 Mar;33(3):517-22. PMID: 16511921.

457: Hernesniemi J, Niemelä M, Karatas A, Kivipelto L, Ishii K, Rinne J, Ronkainen A, Koivisto T, Kivisaari R, Shen H, Lehecka M, Frösen J, Piippo A, Jääskeläinen JE. Some collected principles of microneurosurgery: simple and fast, while preserving normal anatomy: a review. Surg Neurol. 2005 Sep;64(3):195-200. doi: 10.1016/j.surneu.2005.04.031. PMID: 16099243.

458: Hernesniemi J, Ishii K, Niemelä M, Kivipelto L, Fujiki M, Shen H. Subtemporal approach to basilar bifurcation aneurysms: advanced technique and clinical experience. Acta Neurochir Suppl. 2005;94:31-8. doi: 10.1007/3-211-27911-3_6. PMID: 16060238.

459: Koskela AK, Sudah M, Berg MH, Kärjä VJ, Mustonen PK, Kataja V, Vanninen RS. Add-on device for stereotactic core-needle breast biopsy: how many biopsy specimens are needed for a reliable diagnosis? Radiology. 2005 Sep;236(3):801-9. doi: 10.1148/radiol.2363040782. Epub 2005 Jul 14. PMID: 16020555.

460: Niskanen M, Koivisto T, Rinne J, Ronkainen A, Pirskanen S, Saari T, Vanninen R. Complications and postoperative care in patients undergoing treatment for unruptured intracranial aneurysms. J Neurosurg Anesthesiol. 2005 Apr;17(2):100-5. doi: 10.1097/01.ana.0000163202.33236.ml. PMID: 15840997.

461: Luukkonen MT. Medial facetectomy in recurrent lumbar nerve root compression. J Spinal Disord Tech. 2005 Feb;18(1):48-51. doi: 10.1097/01.bsd.0000127702.75711.ae. PMID: 15687852.

462: Immonen A, Vapalahti M, Tyynelä K, Hurskainen H, Sandmair A, Vanninen R, Langford G, Murray N, Ylä-Herttuala S. AdvHSV-tk gene therapy with intravenous ganciclovir improves survival in human malignant glioma: a randomised, controlled study. Mol Ther. 2004 Nov;10(5):967-72. doi: 10.1016/j.ymthe.2004.08.002. PMID: 15509514.

463: Niskanen M, Koivisto T, Ronkainen A, Rinne J, Ruokonen E. Resource use after subarachnoid hemorrhage: comparison between endovascular and surgical treatment. Neurosurgery. 2004 May;54(5):1081-6; discussion 1086-88. doi: 10.1227/01.neu.0000119350.80122.43. PMID: 15113461.

464: Immonen A, Jutila L, Kälviäinen R, Mervaala E, Partanen K, Partanen J, Vanninen R, Ylinen A, Alafuzoff I, Paljärvi L, Hurskainen H, Rinne J, Puranen M, Vapalahti M. Preoperative clinical evaluation, outline of surgical technique and outcome in temporal lobe epilepsy. Adv Tech Stand Neurosurg. 2004;29:87-132. doi: 10.1007/978-3-7091-0558-0_3. PMID: 15035337.

465: Kokki H, Ylönen P, Heikkinen M, Reinikainen M. Levobupivacaine for pediatric spinal anesthesia. Anesth Analg. 2004 Jan;98(1):64-67. doi: 10.1213/01.ANE.0000093309.75358.30. PMID: 14693586.

466: Reinikainen M, Hedman A, Pelkonen O, Ruokonen E. Cardiac arrest after interscalene brachial plexus block with ropivacaine and lidocaine. Acta Anaesthesiol Scand. 2003 Aug;47(7):904-6. doi: 10.1034/j.1399-6576.2003.00188.x. PMID: 12859315.

467: van Groen T, Liu L, Ikonen S, Kadish I. Diffuse amyloid deposition, but not plaque number, is reduced in amyloid precursor protein/presenilin 1 double- transgenic mice by pathway lesions. Neuroscience. 2003;119(4):1185-97. doi: 10.1016/s0306-4522(03)00215-x. PMID: 12831872.

468: Immonen A, Jutila L, Könönen M, Mervaala E, Partanen J, Puranen M, Rinne J, Ylinen A, Vapalahti M. 3-D reconstructed magnetic resonance imaging in localization of subdural EEG electrodes. Case illustration. Epilepsy Res. 2003 Apr;54(1):59-62. doi: 10.1016/s0920-1211(03)00038-x. PMID: 12742597.

469: Leinonen V, Määttä S, Taimela S, Herno A, Kankaanpää M, Partanen J, Hänninen O, Airaksinen O. Paraspinal muscle denervation, paradoxically good lumbar endurance, and an abnormal flexion-extension cycle in lumbar spinal stenosis. Spine (Phila Pa 1976). 2003 Feb 15;28(4):324-31. doi: 10.1097/01.BRS.0000048495.81763.8C. PMID: 12590204.

470: Kadish I, Van Groen T. Differences in lesion-induced hippocampal plasticity between mice and rats. Neuroscience. 2003;116(2):499-509. doi: 10.1016/s0306-4522(02)00718-2. PMID: 12559105.

471: Ropponen KM, Kankkunen JP, Ronkainen A, Vihavainen M, Alafuzoff I. Castleman's disease of the leptomeninges–immunohistochemical findings in 2 cases. Clin Neuropathol. 2002 Nov-Dec;21(6):278-83. PMID: 12489677.

472: Liu L, Ikonen S, Tapiola T, Tanila H, van Groen T. Fimbria-fornix lesion does not affect APP levels and amyloid deposition in the hippocampus of APP+PS1 double transgenic mice. Exp Neurol. 2002 Oct;177(2):565-74. doi: 10.1006/exnr.2002.8015. PMID: 12429202.

473: Koivisto T, Vanninen E, Vanninen R, Kuikka J, Hernesniemi J, Vapalahti M. Cerebral perfusion before and after endovascular or surgical treatment of acutely ruptured cerebral aneurysms: a 1-year prospective follow-up study. Neurosurgery. 2002 Aug;51(2):312-25; discussion 325-6. PMID: 12182769.

474: Savolainen S, Hurskainen H, Paljärvi L, Alafuzoff I, Vapalahti M. Five-year outcome of normal pressure hydrocephalus with or without a shunt: predictive value of the clinical signs, neuropsychological evaluation and infusion test. Acta Neurochir (Wien). 2002 Jun;144(6):515-23; discussion 523. doi: 10.1007/s00701-002-0936-3. PMID: 12111484.

475: Kadish I, Pradier L, van Groen T. Transgenic mice expressing the human presenilin 1 gene demonstrate enhanced hippocampal reorganization following entorhinal cortex lesions. Brain Res Bull. 2002 Mar 15;57(5):587-94. doi: 10.1016/s0361-9230(01)00751-1. PMID: 11927360.

476: Ronkainen A, Niskanen M, Rinne J, Koivisto T, Hernesniemi J, Vapalahti M. Evidence for excess long-term mortality after treated subarachnoid hemorrhage. Stroke. 2001 Dec 1;32(12):2850-3. doi: 10.1161/hs1201.099711. PMID: 11739986.

477: Koivisto T, Vapalahti M, Parviainen I, Takala J. Gastric tonometry after subarachnoid hemorrhage. Intensive Care Med. 2001 Oct;27(10):1614-21. doi: 10.1007/s001340101058. PMID: 11685302.

478: Savolainen S, Karhu J, Pääkkönen A, Paljärvi L, Partanen J, Alafuzoff I, Vapalahti M. Auditory event-related potentials differentiate patients with normal pressure hydrocephalus and patients with concomitant Alzheimer's disease verified by brain biopsy. Neuroreport. 2001 Jan 22;12(1):33-7. doi: 10.1097/00001756-200101220-00015. PMID: 11201087.

479: Koivisto T, Vanninen R, Hurskainen H, Saari T, Hernesniemi J, Vapalahti M. Outcomes of early endovascular versus surgical treatment of ruptured cerebral aneurysms. A prospective randomized study. Stroke. 2000 Oct;31(10):2369-77. doi: 10.1161/01.str.31.10.2369. PMID: 11022066.

480: Simula S, Lakka T, Kuikka J, Laitinen T, Remes J, Kettunen R, Hartikainen J. Cardiac adrenergic innervation within the first 3 months after acute myocardial infarction. Clin Physiol. 2000 Sep;20(5):366-73. doi: 10.1046/j.1365-2281.2000.00278.x. PMID: 10971548.

481: Savolainen S, Laakso MP, Paljärvi L, Alafuzoff I, Hurskainen H, Partanen K, Soininen H, Vapalahti M. MR imaging of the hippocampus in normal pressure hydrocephalus: correlations with cortical Alzheimer's disease confirmed by pathologic analysis. AJNR Am J Neuroradiol. 2000 Feb;21(2):409-14. PMID: 10696032; PMCID: PMC7975349.

482: Pitkänen A, Jolkkonen J. Do GABAergic circuitries play a critical role in the regulation of seizure-induced neuronal damage and synaptic reorganization in the rat hippocampus? Electroencephalogr Clin Neurophysiol Suppl. 1999;50:443-9. PMID: 10689492.

483: Puoliväli J, Miettinen R, Pradier L, Riekkinen P Jr. Apolipoprotein E-deficient mice are not more susceptible to the biochemical and memory deficits induced by nucleus basalis lesion. Neuroscience. 2000;96(2):291-7. doi: 10.1016/s0306-4522(99)00545-x. PMID: 10683569.

484: Herno A, Airaksinen O, Saari T, Pitkänen M, Manninen H, Suomalainen O. Computed tomography findings 4 years after surgical management of lumbar spinal stenosis. No correlation with clinical outcome. Spine (Phila Pa 1976). 1999 Nov 1;24(21):2234-9. doi: 10.1097/00007632-199911010-00011. PMID: 10562990.

485: Savolainen S, Paljärvi L, Vapalahti M. Prevalence of Alzheimer's disease in patients investigated for presumed normal pressure hydrocephalus: a clinical and neuropathological study. Acta Neurochir (Wien). 1999;141(8):849-53. doi: 10.1007/s007010050386. PMID: 10536721.

486: Herno A, Partanen K, Talaslahti T, Kaukanen E, Turunen V, Suomalainen O, Airaksinen O. Long-term clinical and magnetic resonance imaging follow-up assessment of patients with lumbar spinal stenosis after laminectomy. Spine (Phila Pa 1976). 1999 Aug 1;24(15):1533-7. doi: 10.1097/00007632-199908010-00006. PMID: 10457572.

487: Ronkainen A, Niskanen M, Piironen R, Hernesniemi J. Familial subarachnoid hemorrhage. Outcome study. Stroke. 1999 May;30(5):1099-102. doi: 10.1161/01.str.30.5.1099. PMID: 10229750.

488: Riekkinen P Jr, Ikonen S, Riekkinen M. D-cycloserine, a partial NMDA receptor-associated glycine-B site agonist, enhances reversal learning, but a cholinesterase inhibitor and nicotine has no effect. Neuroreport. 1998 Nov 16;9(16):3647-51. doi: 10.1097/00001756-199811160-00016. PMID: 9858374.

489: Koivisto T, Vanninen E, Vanninen R, Saari T, Luukkonen M, Hernesniemi J, Vapalahti M. Regional cerebral blood flow in aneurysmal subarachnoid hemorrhage: single photon emission tomography evaluation of endovascular versus surgical treatment. J Neurosurg Sci. 1998 Mar;42(1 Suppl 1):117-23. PMID: 9800617.

490: Puumalainen AM, Vapalahti M, Agrawal RS, Kossila M, Laukkanen J, Lehtolainen P, Viita H, Paljärvi L, Vanninen R, Ylä-Herttuala S. Beta- galactosidase gene transfer to human malignant glioma in vivo using replication- deficient retroviruses and adenoviruses. Hum Gene Ther. 1998 Aug 10;9(12):1769-74. doi: 10.1089/hum.1998.9.12-1769. PMID: 9721087.

491: Savolainen S, Rinne J, Hernesniemi J. A prospective randomized study of anterior single-level cervical disc operations with long-term follow-up: surgical fusion is unnecessary. Neurosurgery. 1998 Jul;43(1):51-5. doi: 10.1097/00006123-199807000-00032. PMID: 9657188.

492: Ronkainen A, Miettinen H, Karkola K, Papinaho S, Vanninen R, Puranen M, Hernesniemi J. Risk of harboring an unruptured intracranial aneurysm. Stroke. 1998 Feb;29(2):359-62. doi: 10.1161/01.str.29.2.359. PMID: 9472874.

493: Airaksinen O, Herno A, Turunen V, Saari T, Suomlainen O. Surgical outcome of 438 patients treated surgically for lumbar spinal stenosis. Spine (Phila Pa 1976). 1997 Oct 1;22(19):2278-82. doi: 10.1097/00007632-199710010-00016. PMID: 9346149.

494: Jolkkonen J, Kähkönen K, Pitkänen A. Cholinergic deafferentation exacerbates seizure-induced loss of somatostatin-immunoreactive neurons in the rat hippocampus. Neuroscience. 1997 Sep;80(2):401-11. doi: 10.1016/s0306-4522(96)00650-1. PMID: 9284343.

495: Luukkonen M, Partanen K, Vapalahti M. Lumbar disc herniations in children: a long-term clinical and magnetic resonance imaging follow-up study. Br J Neurosurg. 1997 Aug;11(4):280-5. doi: 10.1080/02688699746041. PMID: 9337924.

496: Jolkkonen J, Jolkkonen E, Pitkänen A. Seizure-induced damage to somatostatin-immunoreactive neurons in the rat hippocampus is regulated by fimbria-fornix transection. Exp Neurol. 1997 May;145(1):141-53. doi: 10.1006/exnr.1997.6450. PMID: 9184117.

497: Ronkainen A, Hernesniemi J, Puranen M, Niemitukia L, Vanninen R, Ryynänen M, Kuivaniemi H, Tromp G. Familial intracranial aneurysms. Lancet. 1997 Feb 8;349(9049):380-4. doi: 10.1016/S0140-6736(97)80009-8. PMID: 9033463.

498: Vapalahti M. Periodic evaluation of training progress and teaching. Acta Neurochir Suppl. 1997;69:98-100. doi: 10.1007/978-3-7091-6860-8_25. PMID: 9253452.

499: Herno A, Airaksinen O, Saari T, Svomalainen O. Pre- and postoperative factors associated with return to work following surgery for lumbar spinal stenosis. Am J Ind Med. 1996 Oct;30(4):473-8. doi: 10.1002/(SICI)1097-0274(199610)30:4<473::AID-AJIM13>3.0.CO;2-1. PMID: 8892553.

500: Turpeinen AK, Vanninen E, Kuikka JT, Uusitupa MI. Demonstration of regional sympathetic denervation of the heart in diabetes. Comparison between patients with NIDDM and IDDM. Diabetes Care. 1996 Oct;19(10):1083-90. doi: 10.2337/diacare.19.10.1083. PMID: 8886553.

501: Leivo S, Hernesniemi J, Luukkonen M, Vapalahti M. Early surgery improves the cure of aneurysm-induced oculomotor palsy. Surg Neurol. 1996 May;45(5):430-4. doi: 10.1016/0090-3019(95)00432-7. PMID: 8629242.

502: Vanninen RL, Hernesniemi JA, Puranen MI, Ronkainen A. Magnetic resonance angiographic screening for asymptomatic intracranial aneurysms: the problem of false negatives: technical case report. Neurosurgery. 1996 Apr;38(4):838-40; discussion 840-1. PMID: 8692408.

503: Hernesniemi J, Leivo S. Management outcome in third ventricular colloid cysts in a defined population: a series of 40 patients treated mainly by transcallosal microsurgery. Surg Neurol. 1996 Jan;45(1):2-14. doi: 10.1016/0090-3019(95)00379-7. PMID: 9190693.

504: Rinne J, Hernesniemi J, Niskanen M, Vapalahti M. Analysis of 561 patients with 690 middle cerebral artery aneurysms: anatomic and clinical features as correlated to management outcome. Neurosurgery. 1996 Jan;38(1):2-11. doi: 10.1097/00006123-199601000-00002. PMID: 8747945.

505: Hedman AE, Hartikainen JE, Tahvanainen KU, Hakumäki MO. The high frequency component of heart rate variability reflects cardiac parasympathetic modulation rather than parasympathetic 'tone'. Acta Physiol Scand. 1995 Nov;155(3):267-73. doi: 10.1111/j.1748-1716.1995.tb09973.x. PMID: 8619324.

506: Hedman AE, Tahvanainen KU, Hartikainen JE, Hakumäki MO. Effect of sympathetic modulation and sympatho-vagal interaction on heart rate variability in anaesthetized dogs. Acta Physiol Scand. 1995 Oct;155(2):205-14. doi: 10.1111/j.1748-1716.1995.tb09965.x. PMID: 8669293.

507: Ronkainen A, Hernesniemi J, Tromp G. Special features of familial intracranial aneurysms: report of 215 familial aneurysms. Neurosurgery. 1995 Jul;37(1):43-6; discussion 46-7. doi: 10.1227/00006123-199507000-00006. PMID: 8587689.

508: Ronkainen A, Puranen MI, Hernesniemi JA, Vanninen RL, Partanen PL, Saari JT, Vainio PA, Ryynänen M. Intracranial aneurysms: MR angiographic screening in 400 asymptomatic individuals with increased familial risk. Radiology. 1995 Apr;195(1):35-40. doi: 10.1148/radiology.195.1.7892491. PMID: 7892491.

509: Tuomisto J, Andrzejewski W, Unkila M, Pohjanvirta R, Linden J, Vartiainen T, Tuomisto L. Modulation of TCDD-induced wasting syndrome by portocaval anastomosis and vagotomy in Long-Evans and Han/Wistar rats. Eur J Pharmacol. 1995 Mar 16;292(3-4):277-85. doi: 10.1016/0926-6917(95)90033-0. PMID: 7796867.

510: Hernesniemi J. Kallonsisäisten arteriovenoosisten epämuodostumien hoito [The treatment of intracranial arteriovenous malformations]. Duodecim. 1995;111(21):2039-46. Finnish. PMID: 9841161.

511: Rinne J, Hernesniemi J, Niskanen M, Vapalahti M. Management outcome for multiple intracranial aneurysms. Neurosurgery. 1995 Jan;36(1):31-7; discussion 37-8. doi: 10.1227/00006123-199501000-00003. PMID: 7708165.

512: Leinonen E, Tuunainen A, Lepola U. Postoperative psychoses in epileptic patients after temporal lobectomy. Acta Neurol Scand. 1994 Dec;90(6):394-9. doi: 10.1111/j.1600-0404.1994.tb02747.x. PMID: 7892757.

513: Rinne J, Hernesniemi J, Puranen M, Saari T. Multiple intracranial aneurysms in a defined population: prospective angiographic and clinical study. Neurosurgery. 1994 Nov;35(5):803-8. doi: 10.1227/00006123-199411000-00001. PMID: 7838326.

514: Herno A, Airaksinen O, Saari T. Computed tomography after laminectomy for lumbar spinal stenosis. Patients' pain patterns, walking capacity, and subjective disability had no correlation with computed tomography findings. Spine (Phila Pa 1976). 1994 Sep 1;19(17):1975-8. PMID: 7997932.

515: Ronkainen A, Hernesniemi J, Ryynänen M, Puranen M, Kuivaniemi H. A ten percent prevalence of asymptomatic familial intracranial aneurysms: preliminary report on 110 magnetic resonance angiography studies in members of 21 Finnish familial intracranial aneurysm families. Neurosurgery. 1994 Aug;35(2):208-12; discussion 212-3. doi: 10.1227/00006123-199408000-00005. PMID: 7969827.

516: Herno A, Airaksinen O, Saari T, Miettinen H. The predictive value of preoperative myelography in lumbar spinal stenosis. Spine (Phila Pa 1976). 1994 Jun 15;19(12):1335-8. doi: 10.1097/00007632-199406000-00006. PMID: 8066513.

517: Savolainen S, Usenius JP, Hernesniemi J. Iliac crest versus artificial bone grafts in 250 cervical fusions. Acta Neurochir (Wien). 1994;129(1-2):54-7. doi: 10.1007/BF01400873. PMID: 7998496.

518: Airaksinen O, Herno A, Saari T. Surgical treatment of lumbar spinal stenosis: patients' postoperative disability and working capacity. Eur Spine J. 1994;3(5):261-4. doi: 10.1007/BF02226576. PMID: 7866848.

519: Rinne JK, Hernesniemi JA. De novo aneurysms: special multiple intracranial aneurysms. Neurosurgery. 1993 Dec;33(6):981-5. doi: 10.1227/00006123-199312000-00004. PMID: 8134011.

520: Ronkainen A, Hernesniemi J, Ryynänen M. Familial subarachnoid hemorrhage in east Finland, 1977-1990. Neurosurgery. 1993 Nov;33(5):787-96; discussion 796-97. doi: 10.1227/00006123-199311000-00001. PMID: 8264874.

521: Herno A, Airaksinen O, Saari T. Long-term results of surgical treatment of lumbar spinal stenosis. Spine (Phila Pa 1976). 1993 Sep 1;18(11):1471-4. PMID: 8235818.

522: Lahtinen H, Korhonen E, Castrén E, Miettinen R, Ylinen A, Riekkinen PJ Sr. Long-term alterations in NMDA-sensitive L-[3H]glutamate binding in the rat hippocampus following fimbria-fornix lesioning. Exp Neurol. 1993 Jun;121(2):193-9. doi: 10.1006/exnr.1993.1086. PMID: 8339770.

523: Sihvonen T, Herno A, Paljärvi L, Airaksinen O, Partanen J, Tapaninaho A. Local denervation atrophy of paraspinal muscles in postoperative failed back syndrome. Spine (Phila Pa 1976). 1993 Apr;18(5):575-81. doi: 10.1097/00007632-199304000-00009. PMID: 8484148.

524: Hakola HP, Puranen M, Repo L, Tiihonen J. Long-term effects of bilateral frontal lobe lesions from neuropsychiatric and neuroradiological aspects. Dementia. 1993 Mar-Apr;4(2):109-12. doi: 10.1159/000107305. PMID: 8358510.

525: Hernesniemi J, Vapalahti M, Niskanen M, Tapaninaho A, Kari A, Luukkonen M, Puranen M, Saari T, Rajpar M. One-year outcome in early aneurysm surgery: a 14 years experience. Acta Neurochir (Wien). 1993;122(1-2):1-10. doi: 10.1007/BF01446980. PMID: 8333298.

526: Tapaninaho A, Hernesniemi J, Vapalahti M, Niskanen M, Kari A, Luukkonen M, Puranen M. Shunt-dependent hydrocephalus after subarachnoid haemorrhage and aneurysm surgery: timing of surgery is not a risk factor. Acta Neurochir (Wien). 1993;123(3-4):118-24. doi: 10.1007/BF01401866. PMID: 8237488.

527: Lahtinen H, Miettinen R, Ylinen A, Halonen T, Riekkinen PJ Sr. Biochemical and morphological changes in the rat hippocampus following transection of the fimbria-fornix. Brain Res Bull. 1993;31(3-4):311-8. doi: 10.1016/0361-9230(93)90223-x. PMID: 8098258.

528: Hernesniemi J, Tapaninaho A, Vapalahti M, Niskanen M, Kari A, Luukkonen M. Saccular aneurysms of the distal anterior cerebral artery and its branches. Neurosurgery. 1992 Dec;31(6):994-8; discussion 998-9. doi: 10.1227/00006123-199212000-00002. PMID: 1470334.

529: Hernesniemi J, Vapalahti M, Niskanen M, Kari A. Management outcome for vertebrobasilar artery aneurysms by early surgery. Neurosurgery. 1992 Nov;31(5):857-61; discussion 861-2. doi: 10.1227/00006123-199211000-00005. PMID: 1279451.

530: Hedman AE, Hartikainen JE, Tahvanainen KU, Hakumäki MO. Power spectral analysis of heart rate and blood pressure variability in anaesthetized dogs. Acta Physiol Scand. 1992 Oct;146(2):155-64. doi: 10.1111/j.1748-1716.1992.tb09404.x. PMID: 1442131.

531: Riekkinen P Jr, Sirviö J, Ekonsalo T, Riekkinen P. Effects of noradrenergic DSP4 lesion on the effectiveness of pilocarpine in reversing scopolamine-induced amnesia. Brain Res Bull. 1992 Jun;28(6):919-22. doi: 10.1016/0361-9230(92)90213-h. PMID: 1638418.

532: Ronkainen A, Hernesniemi J. Subarachnoid haemorrhage of unknown aetiology. Acta Neurochir (Wien). 1992;119(1-4):29-34. doi: 10.1007/BF01541778. PMID: 1481749.

533: Heinonen KM. Rare procedures during delivery room resuscitation– cardioversion of ventricular tachycardia in an asphyctic neonate. Intensive Care Med. 1992;18(8):491-2. doi: 10.1007/BF01708588. PMID: 1289376.

534: Hernesniemi J. Arteriovenous malformations of the vein of Galen: report of three microsurgically treated cases. Surg Neurol. 1991 Dec;36(6):465-9. doi: 10.1016/0090-3019(91)90162-3. PMID: 1759188.

535: Riekkinen M, Riekkinen P, Riekkinen P Jr. Comparison of quisqualic and ibotenic acid nucleus basalis magnocellularis lesions on water-maze and passive avoidance performance. Brain Res Bull. 1991 Jul;27(1):119-23. doi: 10.1016/0361-9230(91)90292-r. PMID: 1933423.

536: Riekkinen P Jr, Aaltonen M, Riekkinen P. Tetrahydroaminoacridine inhibits high voltage spindle activity in aged rats after acute and chronic treatment. Psychopharmacology (Berl). 1991;103(2):265-7. doi: 10.1007/BF02244214. PMID: 2027925.

537: Riekkinen P Jr, Sirviö J, Riekkinen P. Interaction between raphe dorsalis and nucleus basalis magnocellularis in spatial learning. Brain Res. 1990 Sep 17;527(2):342-5. doi: 10.1016/0006-8993(90)91156-b. PMID: 2253039.

538: Hernesniemi J, Keränen T. Microsurgical treatment of arteriovenous malformations of the brain in a defined population. Surg Neurol. 1990 Jun;33(6):384-90. doi: 10.1016/0090-3019(90)90149-j. PMID: 2349534.

539: Hernesniemi J, Keränen T. Long-term outcome after surgery for spasmodic torticollis. Acta Neurochir (Wien). 1990;103(3-4):128-30. doi: 10.1007/BF01407519. PMID: 2399839.

540: Soppi E, Järventie G, Siitonen L. Multiple pulmonary embolism in patients with ventriculoatrial shunts: a report on two cases. J Intern Med. 1989 Jun;225(6):423-5. doi: 10.1111/j.1365-2796.1989.tb00106.x. PMID: 2746159.

541: Tapaninaho A, Hernesniemi J, Vapalahti M. Emergency treatment of cerebral aneurysms with large haematomas. Acta Neurochir (Wien). 1988;91(1-2):21-4. doi: 10.1007/BF01400522. PMID: 3394543.

542: Hendolin H, Mattila MA. Vergleich von Bupivacain Hydrochlorid 0.5% und Bupivacain Carbonat 0.5% in der interscalenären Plexusanaesthesie [Comparison of bupivacaine hydrochloride 0.5% and bupivacaine carbonate 0.5% in interscalene plexus anesthesia]. Reg Anaesth. 1988 Jan;11(1):12-5. German. PMID: 3353524.

543: Vapalahti M, Luukkonen M, Puranen M, Hernesniemi J, Tapaninaho A. Early clinical signs and prognosis in children with brain injuries. Ann Clin Res. 1986;18 Suppl 47:37-42. PMID: 3101575.

544: Aukee S. Surgery of peptic ulcer in the years 1965-1969, at Kuopio Central Hospital. Ann Chir Gynaecol Fenn. 1973;62:3-69. PMID: 4754177.

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Kärkkäinen V, Saari T, Rusanen M, Uusitalo H, Leinonen V, Thiede B, Kaarniranta K, Koivisto AM, Utheim TP. Neuroinflammation Markers in Tear Fluid of Mild Alzheimer's Disease. J Mol Neurosci. 2025 Jun 5;75(2):73. doi: 10.1007/s12031-025-02368-x. PMID: 40471493.
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