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Part of the'What Do I Do Now?'series, Cerebrovascular Disease a case-based approach to cover common and important topics in the examination, investigation, and management of stroke, embolism, thrombosis, hemorrhage, and other critical presentations of cerebrovascular disease. Each chapter provides a discussion of the diagnosis, key points to remember, and selected references for further reading. For this edition, all cases and references have been updated and new cases have been added including: Ischemic stroke in cancer, posterior reversible encephalopathy syndrome (PRES), primary angiitis of the central nervous system, symptomatic spinal vascular malformation, anoxic brain injury, and vascular dementia. Cerebrovascular Disease is an engaging collection of thought-provoking cases which clinicians can utilize when they encounter difficult patients. The volume is also a self-assessment tool that tests the reader's ability to answer the question,'What do I do now?'

Patients suffering from cerebrovascular disease pose many clinical challenges and even experienced clinicians can arrive at the point where diagnostic, work-up, treatment, or prognostic thinking falters. Authored by a vascular neurologist whose work spans the entire spectrum of this group of brain dysfunctions, Cerebrovascular Disease helps clinicians evaluate and manage patients suffering from stroke, embolism, thrombosis, hemorrhage, and other critical presentations. In a medical field where it's often difficult to distill the vast array of research and apply it in any meaningful clinical way, this next volume in the'What Do I Do Now?'series focuses on walking the clinician through evidence-based decision-making. Each clinical scenario featured in Cerebrovascular Disease describes in careful detail the presentation, diagnostic studies, treatment options, and rationale for handling these tricky cases.

Prevention, diagnosis and treatment are the watchwords in stroke research, for basic neuroscientists and clinicians alike. This 2002 book, from the 22nd Princeton Conference on Cerebrovascular Disease, contains contributions from outstanding investigators on numerous topics in stroke research. The contents cover the status and future directions of stroke pathophysiology, diagnosis and treatment, with special emphasis on the molecular and cellular mechanisms of ischaemic cell death and repair, and clinical issues including imaging, risk factors and therapeutic strategies in stroke. Available in both print and online formats, this survey of the basic and clinical science of stroke is an essential resource for all involved in advancing knowledge of cerebrovascular disease.

Imaging plays an integral role in the diagnosis and intervention of debilitating, often fatal vascular diseases of the brain, such as ischemic and hemorrhagic stroke, aneurysms, and arteriovenous malformations (AVMs). Written by a world renowned neuro-radiologist and pioneer in the early adoption of magnetic resonance (MR) technology, Imaging of Cerebrovascular Disease is a concise yet remarkably thorough textbook that advances the reader's expertise on this subject.The text draws on the author's vast personal experience, case studies, and traditional educational sources, offering didactic dialogue with accompanying images. A practical clinical resource organized into six chapters, this book offers unparalleled breadth in delineating the diagnostic and treatment usages of modern imaging techniques. Chapter one sets a foundation with extensive coverage of modalities and their applications, including MR, computed tomography (CT) and digital subtraction angiography (DSA). Subsequent chapters cover utilization of imaging techniques specific to underlying pathologies.Key Features:In-depth discussion of medical and neuroradiologic/neurosurgical interventions, focusing on the use of imaging prior to, during, and following treatmentComprehensive text enhanced with more than 700 high-quality imagesDetailed evaluation of normal brain anatomy, as well as gyral anatomy in brain ischemia, an important subtopicAdvantages, disadvantages, mortality, and morbidity of surgery (clipping) versus endovascular techniques (coiling and flow diversion) for aneurysmsPresented in a style that facilitates cover-to-cover reading, this is an essential tool for residents and fellows, and provides a robust study guide prior to sitting for relevant certification exams. It is also a quick, invaluable reference for radiologists, neurosurgeons, and neurologists in the midst of a busy clinical day.

This work started out quite modestly as an investigation into the geographic distribution of cerebrovascular disease. But one question soon led to another and it just growed, like Topsy. In fact, it is hard to characterize precisely what this should be called. It is in part a Review of the Literature, in part a critique and reworking of other publications, and in part a standard view of stroke epidemio­ logy in the more restricted sense of attack and mortality rates and distribution. Still the result would I hope provide a synthesis of the population features of stroke as they appear to me at this time - a highly individual interpretation of the'state of the art'. I have studiously avoided any survey of the history of cerebrovascular disease, and citations are for those of most recent vintage appropriate to the situation. Literature in this field continues to burgeon; my references end with the Fall of 1967. When counting noses we must have numbers, so the reader will find a massive compilation of tables. They are however necessary, especially since so many of my statements seem to fly in the face of current orthodoxy, whether lay or medical. With the data, one may decide for himself their validity. Insofar as possible tables have been placed in the appendix. Unless an author is directly quoted by me, all interpretations of his data are my own and he should be held blameless.

This fourth edition offers a practical guide to endovascular treatment of cerebrovascular disease and provides a comprehensive reference for the related neurovascular anatomy and the various disorders that affect the vascular system. Chapters cover fundamental principles underlying cerebral and spinal angiography; interventional techniques, devices, and practice guidelines; and commonly encountered cerebrovascular disorders for which interventional and endovascular methods are appropriateBuilding on the previous edition, the text is presented similarly in style and scope to emphasize accessibility and ease of reading. All chapters are fully updated to include more recent data, and obsolete products and techniques are replaced with the most current technology. Some key updates include:A greater emphasis on the use of radial artery access for the discussed endovascular techniques.The associations of COVID-19 with ischemic stroke and the implicationsof providing care for cerebrovascular patients during a pandemic.An extensive update to the acute ischemic stroke chapter with new references and format to more closely follow the format of other chapters in that section.Expansion of the pediatric sections of disease chapters, including discussions of genetic associations with disease. This is an ideal guide for clinicians and trainees in neurology, neurosurgery and neuroradiology, as well as practicing clinicians in related fields caring for patients with cerebrovascular disease.

This book offers a practical guide to endovascular treatment of cerebrovascular disease and provides a concise reference for the related neurovascular anatomy and the various disorders that affect the vascular system. Fully revised and updated, the information is accessible and easy to read. It discusses fundamental principles underlying cerebral and spinal angiography; interventional techniques, devices, and practice guidelines; and commonly encountered cerebrovascular disorders for which interventional and endovascular methods are appropriate. New topics and features include: intracerebral and intraventricular hemorrhage; intracranial tumor embolization; vasculitis work-up and management; percutaneous carotid artery puncture technique; and pediatric aspects of neurointerventional techniques and disease states. Handbook of Cerebrovascular Disease and Neurointerventional Technique, 3rd Edition, is a portable and concise resource for interventional neuroradiologists, neurologists, neurosurgeons, cardiologists, and vascular surgeons.

Risk Factors for Cerebrovascular Disease and Stroke address the relationship of a wide variety of vascular risk factors in the spectrum of cerebrovascular diseases. An international group of professionals the forefront of research and education, provide their expertise about environmental and genetic determinants for cerebrovascular disease and stroke. The authors aim to provide information on developments of genetic, environmental and lifestyle-related risk factors of various subtypes of stroke, and MRI-markers of cerebrovascular disease. One in two men, and one in three women after the age of 40, will develop a stroke in their lifetime. The burden of cerebrovascular disease extends far beyond that of acute clinical events such as stroke, with'covert'vascular injury on brain MRI being highly prevalent in older community-dwelling persons. Therefore, improving our understanding of the risk factors for stroke and cerebrovascular disease is of paramount importance for improving prevention strategies. Secular trends in stroke epidemiology, risk factors, and intermediate markers (including carotid ultrasound, brain MRI and circulating biomarkers) are presented. Cutting edge information on genetic, environmental and lifestyle-related risk factors of various subtypes of stroke and MRI-markers of cerebrovascular diseases are displayed. This important book is an essential reference to physicians interested in more effective primary prevention of stroke.

When discussing dementia, the medical literature tends to focus on Alzheimer's disease, leaving other dementias, such as those relating to cerebrovascular disease, somewhat neglected, despite being a common cause of cognitive decline in later life. However, in recent years there has been a remarkable transformation in our knowledge about the role o

This issue of Interventional Cardiology Clinics is devoted to Carotid and Cerebrovascular Disease. Expert authors review the most current information available about diagnosing cerebral artery disease and managing carotid and cerebral artery stenosis. Keep up-to-the-minute with the latest developments in cerebrovascular disease interventions.

Stroke is a major health concern worldwide, and the epidemiological data is staggering. One in six people will have a stroke during the course of their life; it is the second most common cause of death; and stroke also ranks second among causes contributing to the global burden of disability. However, the burden of stroke can be alleviated: it is potentially preventable, treatable, and possible to manage long term. Despite continuing advances in our knowledge about this disease, there is currently still a large evidence-to-clinical practice gap in all regions. The Oxford Textbook of Stroke and Cerebrovascular Disease is a comprehensive textbook on clinical stroke, covering all major aspects of cerebrovascular disease including epidemiology, risk factors, primary prevention, pathophysiology, diagnostics, clinical features, acute therapies, secondary prevention, prognosis, and rehabilitation. It makes use of current pedagogic principles, and includes not only aspects on management in the acute hospital phase of stroke, but also public health issues, prevention, long-term management, and silent vascular disease (which is becoming increasingly epidemic in the general population). Topical aspects also include advice to improve clinical skills in examination, diagnosing, and treating stroke. The text also covers the fields of silent cerebrovascular disease (silent brain infarcts, microbleeds, white matter ischemic abnormalities) that more recently have been recognized to be highly prevalent in the general population, and that carry important risks on vascular events and cognitive decline/dementia. Chapters are written by a most distinguished group of international experts in the field of stroke from around the world, and have been carefully edited to ensure consistency in style and clarity of contents. The concurrent online version allows access to the full content of the textbook, contains links from the references to primary research journal articles, allows full text searches, and provides access to figures and tables that can be downloaded to PowerPoint®. Practical, easy to use, yet detailed with respect to pathophysiology, diagnostics, and management, this text provides a source of reference for the detection and management of all stroke and less common cerebrovascular diseases for practising and trainee neurologists, geriatricians, and all stroke physicians and clinicians.

This book provides a comprehensive clinical review of the diagnosis and treatment of patients with ischemic cerebrovascular disease. The book includes chapters on the clinical features of transient ischemic attacks and ischemic stroke, risk factors, and evaluations. Additional chapters discuss causes of stroke including atherosclerosis, cardioembolism, non-atherosclerotic vasculopathies, and pro-thrombotic disorders. The causes of stroke in children and young adults are highlighted. The final section of the book includes chapters on therapies to prevent stroke, acute stroke treatment, general management of the patient with recurrent stroke, and rehabilitation. The volume is heavily referenced with an emphasis on recent publications so that the reader can pursue additional information about a topic. It also includes several tables and algorithms that should aid the clinician treating patients with cerebrovascular disease.

Endovascular Management of Cerebrovascular Disease, An Issue of Neurosurgery Clinics of North America,

Fully revised and updated, the Handbook serves as a practical guide to endovascular methods and as a concise reference for neurovascular anatomy and published data about cerebrovascular disease from a neurointerventionalist's perspective. Divided into three parts, the book covers:Fundamentals of neurovascular anatomy and basic angiographic techniques; Interventional Techniques and endovascular methods, along with useful device information and tips and tricks for daily practice; Specific Disease States, with essential clinical information about commonly encountered conditions.New features in the 2nd Edition include:Global Gems that illuminate aspects of the field outside the United States;Angio-anatomic and angio-pathologic image correlates;Newly released clinical study results influencing neurointerventional practice;Information on emerging technologies in this rapidly advancing field.The Handbook is a vital resource for all clinicians involved in neurointerventional practice, including radiologists, neurosurgeons, neurologists, cardiologists, and vascular surgeons.

The field of stroke and cerebrovascular disease in children is one in which there has been much recent research activity, leading to new clinical perspectives. This book for the first time summarises the state of the art in this field. A team of eminent clinicians, neurologists and researchers provide an up-to-the-minute account of all aspects of stroke and cerebrovascular disease in children, ranging from a historical perspective to future directions, through epidemiology, the latest neuroimaging techniques, neurodevelopment, co-morbidities, diagnosis and treatment. The authors practical approach to the clinical problems makes this essential reading for practising clinicians. It will also be of interest to researchers in the field.

This book is designed as a definitive report on current capabilities of ultrasound imaging and Doppler evaluation of the cerebral circulation, both extracranial and intracranial. The basic chapters are directed to the beginner in ultrasound and hemodynamics and for the expert in updating newly available modalities and techniques new to the field. The ultrasonic and hemodynamic principles are presented for physicians and vascular technologists in a practical way to avoid unnecessary mathematics. The aim is for maximum clinical utilization so that available equipment may be used more efficiently and provide more accurate diagnosis. The selection of authors represents a wide range of the expertise available in the world today. M.P. Spencer Contents Preface V Contributors IX 1. Introduction 1 Merrill P. Spencer, M.D. 2. Ultrasound physical concepts 7 Merrill P. Spencer, M.D., Ronald E. Hileman, Ph.D., John M. Reid, Ph.D 3. Doppler instrumentation 29 Robert S. Reneman, MD., Ph.D., A.P.G. Hoeks, Ph.D. 4. Normal anatomy, anatomical anomalies and collateral Pathways of the blood supply to the brain 43 Robert Ackerstaff, M.D. 5. Normal blood flow in the arteries 57 Merrill P. Spencer, M.D. 6. Normal physiology and pathophysiology of human cerebral blood fuw ~ P.C.M. Mosmans, M.D., E.J. Jonkman, M.D.

Neurointerventional radiology is evolving into a rarified and complex field, with more people today training to become neurointerventionalists than ever before. With these developments comes a need for a unified handbook of techniques and essential literature. In Handbook of Cerebrovascular Disease and Neurointerventional Technique, Mark Harrigan and John Deveikis present the first practical guide to endovascular methods and provide a viable reference work for neurovascular anatomy and cerebrovascular disease from a neurointerventionalist's perspective. This new gold-standard reference covers the fundamental techniques and core philosophies of Neurointerventional radiology, while creating a manual that offers structure and standardization to the field. Authoritative and concise, Handbook of Cerebrovascular Disease and Neurointerventional Technique is the must-have work for today's neurosurgeons, neuroradiologists, and interventional radiologists.

This book examines historiographical accounts of the cerebrovascular condition using a socio-historical approach influenced by the writings of Michel Foucault in an attempt to understand how stroke medicine has emerged in its current form.

In July 2008, European and Japanese specialists in neurosurgery, neurology, interventional neuroradiology and neurointensive care joined together to discuss the latest developments in the management of cerebrovascular disorders at the 4th European Japanese Joint Conference on Stroke Surgery, held in Helsinki, Finland. This collection of papers from the meeting deal with aneurysm surgery and management of subarachnoid hemorrhage and stroke, arterial dissection, intracranial arteriovenous malformations and fistulas, and microneurosurgical bypass and revascularization techniques.

New, exciting, and innovative advances in the field of cerebrovascular medicine continue to occur at a rapid pace. The fourth edition of Current Review of Cerebrovascular Disease provides an update on these rapidly evolving topics and a gives the reader insight into the thought-provoking issues in stroke neurology that have undergone tremendous changes during the past two years. The volume covers four main sections: basic science, diagnostics, clinical aspects, and treatment.

Direct from the Cleveland Clinic Foundation, Endovascular Techniques in the Management of Cerebrovascular Disease is intended for neurologists, neurosurgery fellows-in training, and practicing clinicians with an interest in endovascular procedures. This essential volume:Reviews equipment, devices, and therapeutic agents such as anti-coagulants and

Multidetector Computed Tomography in Cerebrovascular Disease: CT Perfusion Imaging focuses on anatomy and procedural strategy for perfusion CT imaging in clinical neurology and cerebrovascular disease. This text-atlas combines pictures and schematic diagrams to show how this new modality can be used to assess anatomy and guide therapeutic intervent

Stroke is one of the leading causes of disability and death worldwide. It has become the first disease leading to neurologic referrals to hospital and, while recognized in medicine since antiquity, stroke did not acquire a proper place within neurology until the second part of the 20th century. The main reason for this is that, because it deals with blood vessels and circulation, neurologists themselves did not want to include stroke as a primary disorder of the nervous system. However, this is one of the many reasons the historical development of stroke and cerebrovascular disease is of unique interest; it touches not only on neurology but also on internal medicine, angiology, cardiology, rehabilitation, and psychiatry within the frame of secondary behavioral and personality changes after stroke. For the same reasons, the study of the developments in the field of stroke over time is an excellent mirror of historical developments in medicine in general, encompassing many different domains. It is, thus, rather paradoxical that the last book on the history of stroke was published over thirty years ago (Fields and Lemak's History of Stroke in 1989). Along with the many new developments in stroke diagnosis, acute management and prevention, a new look at the evolution of stroke concepts over time has become necessary, and this is what the present volume is attempting to accomplish. Since stroke has developed into several different smaller fields, we have organized the book with four editors from different fields who have chosen authors with specific expertise in the corresponding overviewed issues. Our principle goal is to underline how and to follow the paths of these developments over the years. History is not a minor part of medical knowledge. Indeed, history defines what we are and think today and how we will envision and plan the future. This fresh look at history of stroke may also have a significant impact on future advances and research in cerebrovascular disease and stroke.

Sleep Apnea: Implications in Cardiovascular and Cerebrovascular Disease specifically addresses the cardiovascular and cerebrovascular consequences of sleep apnea and is geared toward a broad readership of physicians that will ultimately aid patients suffering from sleep apnea. The Second Edition ensures that there is a critical synthesis of existin

Strokes are divided into two groups: ischemic strokes (85%) and hemorrhagic strokes (15%). Brain tissue is very sensitive to ischemia. When the blood flow is interrupted in the vessels feeding the brain, permanent damage occurs within minutes in the areas fed by that vessel. Especially in large vessel occlusions, an irreversible area called ischemic nucleus occurs in areas where the minute blood flow falls below the critical level. There are different blood flow belts that increase from the regions surrounding the ischemic nucleus towards the periphery and are fed by collateral vascular systems. Infarcts have not yet occurred in these areas under ischemic stress. This region is called the penumbra. This area can be saved by opening the vessel in suitable patients presented in the acute period. This is valid for vascular occlusion, but not for brain hemorrhages. Rarely, if an aneurysm is detected in subarachnoid hemorrhages, angiographic intervention may be required to prevent re-bleeding. Early and appropriate treatment of a stroke, which is important in terms of mortality and morbidity, is of vital importance. In our book, the identification and prevention of risk factors, as well as stroke treatment, will be covered. In this context, our book is intended to be a resource for medical doctors and students.

This book was written by a veterinary pathologist with an unlimited curiosity directed at the mechanisms of a disease studied in animal models. Despite its evidently ancient origin and distinct presentation; the paralysis, urinary incontinence, and the lack of improvement in motor and sensory deficits, the pathogenesis of the spinal cord injury (SCI) remained poorly understood. This unacceptable ignorance persisted despite vigorous research efforts in the field of SCI mandated by increased public awareness in the last few decades. The lack of understanding of the pathogenesis of SCI, the traumatic brain injury (TBI) and stroke has maintained a peculiar conundrum where the most important group of incurable diseases in medicine combined with a very high cost of medical care persisted well into the 21st century. This book seeks to open the door for the medical and scientific fields to a better understanding of the pathogenesis of neurotrauma and stroke with anticipated effective treatments for tens of millions of patients every year.

Interventional Neuroradiology, Volume 179, provides a basic outline of the field of interventional neuroradiology that is accessible to fellows, residents, clinicians and researchers in various disciplines, from diagnostic and interventional radiology to vascular neurology, general and vascular neurosurgery, and vascular biology. This volume offers a timely update to experienced clinical practitioners in a logical, easy-to-follow format. Content includes neurovascular anatomy, vascular biology, neurovascular physiology, vascular imaging, as well as sections on the diagnosis and therapeutic treatment of neurovascular disease. - Explores the general scope of current clinical interventional neuroradiology, both for endovascular and percutaneous image-guided diagnosis and interventions in a variety of pathologies - Defines basic physiological principles (e.g., cerebral perfusion pressure, intracranial pressure, vasospasm, tissue osmolality) with reference to those most essential to the management of neurovascular diseases - Discusses pathophysiology and the unique challenges of pediatric cerebrovascular diseases, as well as endovascular and surgical therapies

This book, written by renowned experts from across the world, provides readers with a detailed and up-to-date understanding of posterior circulation stroke and its management. Anatomy, pathophysiology, clinical syndromes, and imaging findings are clearly and thoroughly described with the aid of illustrative cases and schematic drawings. The management-oriented chapters explain all forms of treatment, including the use of antiplatelet agents and anticoagulants, thrombolysis, mechanical thrombectomy, stenting, and surgical therapy, i.e., bypass and decompression. Throughout, full account is taken of recent significant advances in knowledge and clinical practice. Stroke affecting the posterior circulation continues to pose particular challenges for clinicians. This book will help readers to avoid misdiagnosis, which still occurs far too frequently, and to manage individual patients optimally. It will be an excellent learning resource for residents in neurology, neurosurgery, radiology, interventional radiology, and vascular surgery, as well as an ideal reference for more experienced practitioners in these specialties.

This book provides a comprehensive coverage of the state of the art in precision medicine in stroke. It starts by explaining and giving general information about precision medicine. Current applications in different strokes types (ischemic, haemorrhagic) are presented from diagnosis to treatment. In addition, ongoing research in the field (early stroke diagnosis and estimation of prognosis) is extensively discussed. The final part provides an in-depth discussion of how different interdisciplinary areas like artificial intelligence, molecular biology and genetics are contributing to this area.Precision Medicine in Stroke provides a practical approach to each chapter, reinforcing clinical applications and presenting clinical cases. This book is intended for all clinicians that interact with stroke patients (neurologists, internal medicine doctors, general practitioners, neurosurgeons), students and basic researchers.

A 65-year-old patient arrives at the Emergency Department with stroke symptoms that began 45 minutes ago. You are called STAT!Acute stroke management has changed dramatically in recent years. Tremendous advances have been made in acute treatments, diagnostic neuroimaging, and organized systems of care, and are enabling better outcomes for patients. Stroke has evolved from a largely untreatable condition in the acute phase to a true medical emergency that is potentially treatable—and sometimes curable. The Code Stroke emergency response refers to a coordinated team-based approach to stroke patient care that requires rapid and accurate assessment, diagnosis, and treatment in an effort to save the brain and minimize permanent damage.The Code Stroke Handbook contains the'essentials'of acute stroke to help clinicians provide best practice patient care. Designed to assist frontline physicians, nurses, paramedics, and medical learners at different levels of training, this book highlights clinical pearls and pitfalls, guideline recommendations, and other high-yield information not readily available in standard textbooks. It is filled with practical tips to prepare you for the next stroke emergency and reduce the anxiety you may feel when the Code Stroke pager rings. - An easy-to-read, practical, clinical resource spread over 12 chapters covering the basics of code stroke consultations: history-taking, stroke mimics, neurological examination, acute stroke imaging (non-contrast CT/CT angiography/CT perfusion), and treatment (thrombolysis and endovascular therapy) - Includes clinical pearls and pitfalls, neuroanatomy diagrams, and stroke syndromes, presented in an easily digestible format and book size that is convenient to carry around for quick reference when on-call at the hospital - Provides foundational knowledge for medical students and residents before starting your neurology, emergency medicine, or internal medicine rotations

Stroke is a leading cause of mortality and morbidity worldwide. Just a decade ago, stroke management was simple. Apart from secondary prevention, and education, there was not much a clinician could do that would significantly change outcomes. There were no acute interventions, no tPA, and no endovascular therapies. Stroke was thus not an emergency. Today, we live in a different world. With the advent of tPA and endovascular intervention, acute stroke is an emergency of epic proportions. Time literally is brain and the clinician has to be acutely aware of the advances in stroke in order to maximize the therapeutic impact. Many books have been written about stroke. The authors and editors envisioned a succinct, yet comprehensive guide for the clinician in the management of stroke. From the medical management of stroke, to neuroimaging, thrombolysis, endovascular therapies, and rehabilitation, this book guides the novice clinician as well as the seasoned vascular neurologist to be able to recognize, manage, and treat acute stroke to the best of medical science's guidelines.

Stroke is a condition that predominantly affects older people, often leading to death, disability and dependency as well as occupancy of hospital and nursing-home beds. Older stroke patients are similar in many ways to their younger counterparts, but at the same time exhibit several key differences. Their outcome and care are complicated by delayed diagnosis, polypharmacy, difficult rehabilitation, ageism, false assumptions of poor outcome, multiple co-morbidity, social issues including implications for independent living, ethical dilemmas, and many others. The proportion of older people is increasing every day and with it the burden of disease and disability. The implications this has for health services are immense, especially for long-term conditions. Despite this there is limited literature available to clinicians on stroke with a particular focus on this age group. Traversing the whole stroke pathway, Stroke in the Older Person brings together key discussions on every aspect of the disease as it affects the older person, including its general aspects and those very specific to the older populations. All chapters are written by highly experienced clinicians that offer up-to-date evidence-based information as well as practical tips to promote excellent, empathetic care to older patients. Over 30 chapters, this resource addresses the epidemiology, aetio-pathogenesis, clinical presentation, diagnostic work-up (including imaging), primary and secondary prevention, and rehabilitation of older people. There is a special focus on intracerebral haemorrhage, carotid re-vascularisation, transient ischaemic attack, cognitive impairment, research, ethical and moral dilemmas including DNAR, advanced directives and end-of-life care.

This updated edition of Stroke: Pathophysiology, Diagnosis, and Management delivers convenient access to the latest research findings and management approaches for cerebrovascular disease. Picking up from where J. P. Mohr and colleagues left off, a new team of editors — Drs. Grotta, Albers, Broderick, Kasner, Lo, Mendelow, Sacco, and Wong — head the sixth edition of this classic text, which is authored by the world's foremost stroke experts. Comprehensive, expert clinical guidance enables you to recognize the clinical manifestations of stroke, use the latest laboratory and imaging studies to arrive at a diagnosis, and generate an effective medical and surgical treatment plan. Abundant full-color CT images and pathology slides help you make efficient and accurate diagnoses. Data from late-breaking endovascular trials equips you with recent findings. Includes comprehensive coverage of advances in molecular biology of cell death; risk factors and prevention; advances in diagnostics and stroke imaging; and therapeutic options, including a thorough review of thrombolytic agents and emerging data for endovascular therapy. Features brand-new chapters on Intracellular Signaling: Mediators and Protective Responses; The Neurovascular Unit and Responses to Ischemia; Mechanisms of Cerebral Hemorrhage; Stroke Related to Surgery and Other Procedures; Cryptogenic Stroke; and Interventions to Improve Recovery after Stroke. Highlights new information on genetic risk factors; primary prevention of stroke; infectious diseases and stroke; recovery interventions such as robotics, brain stimulation, and telerehabilitation; and trial design. Details advances in diagnostic tests, such as ultrasound, computed tomography (including CT angiography and CT perfusion), MRI (including MR perfusion techniques), and angiography. Includes extracted and highlighted evidence levels. Expert Consult eBook version included with print purchase. This enhanced eBook experience allows you to search all of the text, figures, and references on a variety of devices. The content can also be downloaded to tablets and smart phones for offline use.

Wie können Roboter bei ambulanten Pflege- und Therapiemaßnahmen nach einem Schlaganfall helfen? Die Beiträger•innen fassen die Ergebnisse des Forschungsprojekts »DeinHaus 4.0 Oberpfalz« zusammen, bei dem interdisziplinäre Forscher•innen im Rahmen einer Längsschnittstudie den Einsatz von Telepräsenzrobotern empirisch untersuchen. Die unterschiedlichen Perspektiven der angewandten Ethik, E-Health, Logopädie, Physiotherapie, Pflegewissenschaft, Soziologie und Technikfolgenabschätzung legen nahe: Die Digitalisierung lässt sich gewinnbringend zur Unterstützung der Gesundheitsversorgung einsetzen.

A transdisciplinary approach to the medical, radiologic, interventional, and surgical treatment of strokeIn the last decade, advances in interventional, microsurgcial, radiosurgical techniques, medical approaches and imaging technology have dramatically changed the management of ischemic stroke. Perhaps the most important advance has been the increasing collaboration between multispecialty clinicians to deliver team-based stroke care. Hemorrhagic and Ischemic Stroke: Medical, Imaging, Surgical, and Interventional Approaches, Second Edition by renowned neurosurgeons Bernard R. Bendok and H. Hunt Batjer and acclaimed contributors provides a user-friendly, single resource for managing ischemic and hemorrhagic stroke. The second edition has been updated to reflect progress, most notably acute evaluation and triage, advanced imaging, critical care and medical support, and endovascular and surgical interventions. In addition to scientifically supported content, readers will benefit from pragmatic, real-world applications and concise, practical reviews.Organized into four sections and 41 chapters, the text starts with the section Acute Triage, which includes early diagnosis and medical decision-making, advances in medical imaging, innovations in prehospital management of stroke, and the promise of telestroke networks. The second section, Critical Care, covers the importance of astute clinical examination, stabilization, and advanced neuromonitoring techniques. The third section, Open Surgical, Minimally Invasive, and Microsurgical Approaches, reviews recent surgical innovations that have the potential to be lifesaving and enhance quality of life in select patients. The fourth and final section, Neurointerventional Approaches, explores recent innovations in image-guided catheter techniques to deliver new therapies for stroke treatment and prevention.Key HighlightsThe often difficult yet important adjudication of antithrombotic medication useInsightful discussion of the importance of prehospital systems of care and stroke center certificationInsightful discussions of interventional and microsurgical approaches for hemorrhagic and ischemic stroke managementMedical illustrations and author-narrated videos provide a visual learning experienceClinical pearls and case presentations enhance learning and retention of knowledgeThe goal of this book is to increase collaborative stroke management among neuroradiologists, neurologists, neurosurgeons, neuroanesthesiolgists, neurologic critical care physicians, and allied health care professionals to achieve better patient outcomes.

This practical guide to diagnostic tests, advanced treatments, medication management, research protocols, and best practice standards is a quick and handy reference for the advanced practice nurse caring for stroke patients. Fast Facts About Stroke Care for the Advanced Practice Nurse serves as an instructive resource for advanced practice providers not specializing in neurology or neurocritical care but who are increasingly called upon to care for patients suffering from stroke while integrating into a multidisciplinary stroke team. This new book provides foundational information on the anatomy and physiology of the stroke patient, as well as diagnostic and assessment tools and details on treatment and education. In addition, the book provides important information on critical care, pharmacology, end-of-life management, and research, as well as examining the role of the advanced practice provider who is integrating within the core stroke team. Fast Facts About Stroke Care for the Advanced Practice Nurse provides advanced practice nurses with the essential knowledge they will need to successfully care for stroke patients while adapting into their role on the core stroke team. Key Features: Reflects the most current standards of the American Heart Association, American Stroke Association, and the leading certifying organizations Foundational information on stroke care, anatomy, and physiology Comprehensive review of diagnostic studies and treatments Information on stroke research protocols, pharmacology, and end-of-life management Advanced level resource for new and seasoned advanced practice providers

A practical textbook, based on a problem-oriented workflow, that will improve patients'likelihood of full recovery from stroke and prevent future strokes from occurring Stroke is the leading cause of adult disability and is in the top five causes of death globally. Warlow's Stroke: Practical Management, 4th Edition takes a problem-oriented approach and addresses the questions posed by a stroke patient in the order they are likely to present in clinical practice, for instance,'Is it a stroke?','What sort of stroke?','What caused it?', and'What can be done about it?'. Beginning with chapters phrased as questions, the book walks the reader through a standard clinical workflow, exploring the practical skills and assessment required at each stage of patient management. Early chapters cover: locating the vascular lesion, identifying the involved arterial territory, the role imaging should play, and the application thereof. Subsequent chapters look at what causes a transient or persistent ischemic event, an intracerebral hemorrhage and a subarachnoid hemorrhage. Unusual causes of ischemic stroke and transient ischemic attack are also covered. The book then presents a practical approach to the management of stroke and transient ischemic attack; offers specific treatments for acute ischemic stroke and aneurysmal subarachnoid hemorrhage; provides ways for professionals to prevent first or recurrent stroke; and more. Final chapters of the book discuss rehabilitation after stroke, how patients and carers can be supported in the short term and long term, prevention of recurrent stroke, and the organization of stroke services. Warlow's Stroke: Practical Management, 4th Edition Follows clinical workflow for stroke analysis Features evidence-based approach throughout Offers practical application aimed at improving patient outcomes Written and edited by internationally renowned experts in the field An essential resource for all practitioners involved in the care of patients who suffer from cerebrovascular disease, but particularly suitable for neurologists, residents, geriatricians, stroke physicians, radiologists and primary care physicians.

This important title brings together a distinguished panel of thought-leaders, known for their insights into the development and application of minimally-invasive surgical and endovascular techniques, to provide a comprehensive and discerning compendium of our most current knowledge and state-of-the-art procedures in the management of cerebral vascular diseases. Written in a style that is accessible to students and experienced practitioners alike, the book covers all the important recent advances that have reshaped the field in dramatic ways. Emphasizing how surgical and endovascular techniques are complementary, the volume includes illuminating chapters on the nexus of endovascular and conventional “open” cerebrovascular surgery, including patient assessment and practice in a hybrid operating environment, utilizing the best methods to achieve optimal outcomes. A major addition to the clinical literature, Management of Cerebrovascular Disorders: AComprehensive, Multidisciplinary Approach will be of significant interest to neurosurgeons, neurologists, neuroradiologists, neurointensivists, students, residents, fellows, and specialized attending physicians.

The newest title in the series Survivor Stories, this book tells the story of Paul Allen, a photographer who likes opera and was a good baritone singer. At the age of 56 he sustained a stroke that left him paralysed and speechless. He has Locked-In Syndrome (LIS), a rare consequence of brain damage. Although Paul is fully conscious and his cognitive abilities are intact, he is unable to move or speak due to the paralysis of nearly all his voluntary muscles. However, Paul is keen to communicate and through his eye movements he tells his story, from his early life, career, singing and other interests, to the details of his stroke and the effects it has had on his life. The book also includes contributions from Paul's wife Liz, who tells the story from her point of view, along with Paul's physiotherapists, occupational therapists, speech therapists, psychologists and others from the Raphael Hospital who have assisted in Paul's rehabilitation. In telling of his frustrations, his successes, his views on life and how he sees his future, Paul raises awareness of the quality of life possible for those with LIS.Combining scientific knowledge with personal narrative, this unique and optimistic book is of huge importance to any professional involved in the care of someone with a brain injury, and to the individuals and families touched by LIS.

This collection of case studies is authored by a group of internationally recognised experts in the field of cerebrovascular disease. The cases are carefully selected to provide an insight into the different kinds of stroke syndromes from the common through to more rare presentations of cerebrovascular pathology. Each case is worked through with a discussion on presentation, clinical features, examination, radiological findings and management. Finally, learning points are highlighted to help the reader focus on the key points of the case study. Stroke Medicine: Case Studies from Queen Square is aimed at medical students and doctors in all stages of training from foundation years through to consultancy.

This new text from the Great Ormond Street Hospital team is a practical guide to the current multidisciplinary clinical management of paediatric vascular anomalies. Aiming to share their valuable expertise, this book offers a much-needed clinical resource for the multidisciplinary team. From haematology to orbital vascular malformations, this text provides a comprehensive overview of paediatric vascular anomalies, offering a wealth of tips from practical experience. Including illustrations from current practice, this book is a valuable addition to all those involved in the care of children with these rare conditions.

A lucid exploration of amnesia, selfhood, and who is left behind when the past is obliterated.Tara Sidhoo Fraser is thirty-one years old when a rare mutation in her brain causes a stroke. Awakening after surgery with no memory of her previous life, she attempts to piece it all back together through a haze of amnesia. Yet, as memories do begin to surface, they are seen through someone else's eyes—the person whose body she stole, whom she calls Ghost. Fighting to stabilize her existence, Tara struggles with the gulf between who she was and who she is now, while constantly battling and paying penance to Ghost. She meets Jude, who is also contending with their identity, the gap between who they are and who they present to the world. As Jude's transition progresses and they begin testosterone injections, Tara's conflict with Ghost heightens. Ghost's voice becomes stronger, and memories, buried in the body they now share, of hospital visits, old desires, and her ex threaten Tara's new relationship. She burrows deeper into the mystery of who she once was, recognizing the need to fuse herself and Ghost into one. When My Ghost Sings is a lyrical memoir of healing, a farewell letter, and an embracing/reclamation of selfhood.This publication meets the EPUB Accessibility requirements and it also meets the Web Content Accessibility Guidelines (WCAG-AA). It is screen-reader friendly and is accessible to persons with disabilities. This book is defined with accessible structural markup. This book contains various accessibility features such as alternative text for images, table of contents, page-list, landmark, reading order and semantic structure.

Stroke is common, complicated to manage, and a major health concern worldwide. However, evidence shows that thorough and organized care from teams of health professionals on stroke units leads to substantially fewer deaths and better recovery than other types of care. For all the members of the stroke team, including doctors, nurses, stroke co-ordinators, physiotherapists, occupational therapists, and speech and language therapy members, this handbook provides a holistic approach to the care of patients with transient ischemic attacks (TIA) and stroke. It covers the wide range of knowledge and skills needed to tackle problems that may lead up to, or follow on from a stroke, and follows the course of a patient's'journey'from diagnosis to life at home, incorporating recent changes in the field of stroke medicine, including the latest clinical trials. For this new edition, practice recommendations have been fully updated in light of the evidence supporting prevention (including early intervention and DOACs), acute care (in particular, thrombectomy and the role of hyperacute stroke units), rehabilitation, and long-term care. Chapter 5'Neuroimaging in stroke'has been expanded to include new technical developments and the book includes a brand new chapter on cognitive impairment.

Stroke Nursing Certification Review is designed to help you prepare for the high-stakes SCRN® certification exam. This comprehensive study aid includes concise review content as well as updated Q&A. Chapters feature clinical pearls and tips to help you prepare for exam day. Case studies facilitate knowledge application and provide various examples of common stroke patient situations across the continuum of care. Each chapter covers everything you need to know to pass the exam and includes end-of-chapter questions to check your knowledge. The review concludes with a full-length practice test to get you ready for exam day. Key Features Reflects the latest American Board of Neuroscience Nursing (ABNN) SCRN® exam blueprint Provides a comprehensive yet concise review of essential knowledge for the exam Covers essential pharmacology content and key stroke care medications Highlights clinical pearls and exam tips—ideal for last-minute refreshers before the big day Includes end-of-chapter Q&A and a full practice test with detailed rationales Boosts your confidence with a 100% pass guarantee SCRN® is a registered service mark of American Board of Neuroscience Nursing (ABNN). ABNN does not sponsor or endorse this resource, nor does it have a proprietary relationship with Springer Publishing.

Gerda, 75, lives in Greenville, North Carolina. A former war child from Germany, she's a person of great courage, accustomed to face challenges. She has traveled the globe by herself, given readings as an author at world-famous venues. But above all, she's a healthy person. Out of the blue, she gets a stroke. And all of a sudden, she's confronted with an unknown helplessness and uncertain future. So is her son Michael, a risk manager. From one day to the next his mother becomes his „client number one.” Making his first experiences as a patient advocate, he gains a second full-time job. He organizes an e-mail communication with friends of the family, sharing any relevant news with them and appealing to their support, to motivate his mother. A visit, phone call or post card is enough. Meanwhile Gerda is in good hands, doing a rehab. Gerda can return home and focus on the healing process, regaining her independency and resuming her life. Instead of some smaller setbacks, each day is an improvement. Soon, Gerda can go back to the rehabilitation center – for an outpatient therapy. A book that does not only tell the story of a stroke patient, but is “a good reminder... to never give up, regardless of the endeavor.” Because “it's worth it.”

This book will cover recent advances in genetics and molecular biology of cerebrovascular diseases, including ischemic stroke, brain arteriovenous malformation, brain aneurysms, and cavernous malformation. Developments in diagnostics, imaging and treatment will also be discussed.Much progress has been made in recent years in these fields, but not been summarized in one comprehensive text. This volume fills the gap in the literature by compiling them in one convenient, handy volume for neuroscience researchers and medical professionals.

Now in its third edition, Stronger After Stroke puts the power of recovery in the reader's hands by providing simple-to-follow instructions for reaching the highest possible level of recovery. The book's neuroplastic recovery model stresses repetition of task-specific practice, proper scheduling of practice, setting goals, and measuring progress to achieve optimal results. Researcher Peter G Levine breaks down the science and gives survivors evidence-based tools to retrain the brain and take charge of recovery.In easy-to-read sections, Stronger After Stroke introduces readers to leading-edge stroke recovery information while simplifying the process to attain specific benchmarks. Also included is a sample recovery schedule, a helpful glossary of frequently used stroke recovery terms, and a list of resources for readers to research emerging stroke recovery options.The new Third Edition of Stronger After Stroke features:Complete update of all chapters to reflect new knowledge about maximizing recoveryThe latest research insights applied to individual recovery programsSteps to cope with challenges at each stage of recovery and achieve successDIY strategies to save time and moneyNew chapters on using electrical stimulation, reducing post-stroke pain, and understanding spasticity

Tashi Hansen du Toit was 15 years old when her mother, Karen, suffered a severe haemorrhagic stroke which left her with multiple physical and cognitive impairments. This beautifully written and poignant account tells Tashi's story from the first moments after her mother's stroke, following her and her family through the experience of her mother's hospitalisation and rehabilitation. Tashi offers a rare glimpse into the impact of her mother's stroke on her family and on her life as a teenager as she juggles the stresses and demands of family, school, and friends alongside coping with her mother's brain injury. As she describes how she is learning to cope with her unresolved grief three years on, she provides hope, perspective, and insight on how to work towards growth and acceptance despite the catastrophe of a parent's stroke.Presenting the rarely heard adolescent perspective on parental brain injury, Tashi's moving story also features Karen's account as she comes to terms with her experience. This authentic book offers great support to others, particularly teenagers, who may be going through a similar experience. It is also valuable reading for those working in brain injury services and the education system, and for any professional or student involved in neurorehabilitation or supporting families of parents with brain injury.

Jedes Jahr erleiden 270.000 Menschen in Deutschland einen Schlaganfall. In vielen Fällen können die betroffenen Personen wieder nach Hause zurückkehren und ihr Leben fortführen, benötigen dabei aber ambulante Pflege- und Therapiemaßnahmen. Gerade in ländlichen Regionen bringt dies erhebliche Herausforderungen mit sich, denen sich neue Technologien und die Digitalisierung entgegenstellen. Die Beiträger•innen des Bandes diskutieren erste Ergebnisse des Projekts »DeinHaus 4.0 Oberpfalz« aus interdisziplinärer Sicht, bei dem die Möglichkeit des Einsatzes von Telepräsenzrobotern zur Unterstützung ambulanter Pflege- und Therapiemaßnahmen untersucht wird.