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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 book presents state of the art knowledge on dyslipidemia in stroke, covering both basic and clinical aspects in detail. The focus is in particular on two major themes: the clinical significance of dyslipidemia in stroke and the treatment of dyslipidemia in stroke patients. Readers will find up-to-date information on lipid metabolism, biomarkers, and advances in treatment options, including novel biologic drugs. Specific management considerations and pitfalls are also discussed. The individual components of pathophysiology, treatment, and key issues are addressed with the aid of complementary illustrations that facilitate understanding of practical aspects and enable the reader to retrieve fundamental information quickly. This book is timely in bringing together within one volume the most important current knowledge on dyslipidemia in stroke. It will be invaluable for stroke physicians, pharmacists, and students seeking to acquire up-to-date knowledge.

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 new book on vascular malformations brings together international experts to present advances and discuss controversies in the multidisciplinary management of patients with congenital vascular malformations.Major advances in recent years in medical genetics, and tremendous progress in the fields of imaging and minimally invasive percutaneous interventions have revolutionized both evaluation and management of vascular malformations. The six major parts of this state of the art book ensure that the reader has the most up to date valuable clinical information to ensure the delivery of world class clinical practice. Beautifully illustrated with color line drawings, numerous photographs and informative tables, the advances and controversies of the full spectrum of vascular malformations are presented in 90 definitive chapters. Vascular Malformations brings new information and unparalleled insights to vascular specialists and physicians, trainees and allied health professionals who participate in the care of patients with vascular malformations, either in a private practice setting or at a major institution in an interdisciplinary vascular center.

The book provides detailed information on all major neuroemergencies, and includes a detailed checklist for practical care during the first hour of an emergency. Reinforcing the concept of quality care for better outcomes in patients with neurological diseases, the book discusses approaches to comatose patients, neurological evaluation, neuropharmacology, neuroradiology, traumatic brain and spine injury, and various other neurological disorders. The field of neuroanesthesiology and neurocritical care has expanded with the advent of newer, complex surgeries, and neurocritical care is becoming an established subspecialty of neuroscience. Neurological emergencies require special care since prevention of secondary damage to the brain is of paramount importance. A valuable resource for intensivists, neurointensivists, emergency medicine physicians, neurology and neurosurgeons and nursing professionals involved in neurocare, this book also serves as study material forparticipants of the two-day course on “Acute Neuro Care” designed by the Indian Society of Neuroanesthesiology and Critical Care (ISNACC).

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.

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.

Pratique et synthétique, Urgences AVC est un outil indispensable pour le diagnostic et la prise en charge des accidents vasculocérébraux en phase aiguë. Cet ouvrage, conforme aux dernières recommandations internationales, propose une base de connaissances communes entre les médecins neurovasculaires, urgentistes, neuroradiologues, réanimateurs, pédiatres, gériatres et neurochirurgiens. En 10 parties, ce livre aborde l'ensemble des thématiques clés liées à la prise en charge des AVC dans les premières heures ; la reconnaissance d'un AVC, orientation et transport des patients victimes d'AVC, imagerie initiale, traitement, évaluation du pronostic, accidents ischémiques transitoires, AVC graves, hémorragies méningées, étiologie et physiopathologie des AVC, contextes particuliers. Urgences AVC constitue le support nécessaire au diplôme universitaire « Urgences AVC » délivré par la faculté de médecine Pierre et Marie-Curie, Paris. Cet ouvrage s'adresse au personnel médical confronté à la prise en charge des AVC en phase aiguë : internes et séniors pendant les gardes d'urgence, médecins des unités neurovasculaires et soins intensifs, urgentistes, neurologues, neuroradiologues et réanimateurs, gériatres et pédiatres.

The incidence of stroke in younger adults is rising, with approximately 5% of all ischaemic strokes occurring in individuals younger than 45 years and 10% occurring in those under 50. Causes and risk factor profiles among young ischaemic stroke patients differ significantly from those in elderly patients, and young patients frequently have genetic or other rare causes which require different diagnostic work-up and treatment strategies from older stroke patients. While the aetiology, diagnosis, and treatment of stroke are commonly covered elsewhere, there is little literature referring specifically to the treatment needs for younger stroke patients. Ischaemic Stroke in the Young brings together the latest research from leading stroke teams, and takes a detailed diagnostic approach to explore the issues particular to younger stroke victims. This problem-based approach complements existing stroke volumes, providing physicians and stroke service staff with the specific diagnostic and treatment information they need when dealing with younger stroke patients.

A rise in the number of young and old patients suffering from a stroke or traumatic brain injury has led to the need for better drug development and treatment, as well as diagnosis and prevention of ischemic stroke and traumatic brain injury. This book provides a comprehensive overview of scientific advancements in these areas. Chapters provide the latest knowledge in neuroscience, biotechnology, and personalized medicine applicable to acute brain injuries. Development of neuroprotective drugs is treated in detail. Chemical biomarkers for detection, imaging and preventative strategies are covered to provide medicinal chemists with a broad view of translational aspects of the field. This book will be useful to postgraduate students and researchers in medicinal chemistry and pharmacology as well as specialists in the acute brain injury field.

This book approaches the topic of management of acute ischemic stroke in an interdisciplinary manner, explaining how best to utilize the methods currently available for medical, surgical, and endovascular care. After an opening section on basics such as pathophysiology, radiological assessment, and pathology, comprehensive and up-to-date information is provided on each of the available therapies, techniques, and practices. Special attention is paid to recent advances in neurointerventional and neurosurgical procedures, with clear description of important technical details.The book includes plentiful high-quality case illustrations and a wealth of practical information that will prove of value in emergency rooms, angiography suites, operating rooms, and intensive care units. It will aid not only neurologists, neurointerventionists, and neurosurgeons, but also all others who are involved in the management of acute ischemic stroke, from radiologists and emergency physicians to healthcare providers.

The second edition of Stroke Medicine incorporates considerable advances in the treatment of stroke that have occurred since the first edition published. This provides an up-to-date and easily accessible source of information on all aspects of stroke care, from acute care through to rehabilitation and secondary prevention. The new edition includes some additional updates on cardiac investigation of stroke, due to novel methods for detecting atrial fibrillation, and new trial data has been added to the chapter on Treatment of Stroke. The book includes numerous illustrations and tables presenting information in an easy-to-follow way and is designed to be used by the practising physician as a practical handbook of stroke care.

This book presents state of the art knowledge on stroke management in a unique organizational style. Ischemic stroke is extensively covered, with inclusion of overviews that dynamically describe all relevant diagnostic and therapeutic processes in a time sequence mirroring real practice. The individual components of management and key issues are fully discussed with the aid of complementary illustrations that facilitate understanding of practical aspects and enable the reader to retrieve fundamental information quickly. In addition, the book considers the various causes of stroke and provides detailed guidance on means of secondary prevention. The recent demonstration of the substantial benefit of intra-arterial thrombectomy using stentrievers in patients with acute ischemic stroke represents a great moment in the history of stroke management. As we embark on a new era, there is an urgent need to review and evaluate current modalities for stroke diagnosis and treatment. In tackling this task, this book will be invaluable for physicians, angiographic interventionists, surgeons, and students seeking to acquire up-to-date knowledge on stroke.

Stroke, a brusque interruption of blood supply in an area of the brain, has a sudden and frequently devastating impact on both patients and their families. Although stroke is most common in older people, it can occur in individuals of any age, including young adults and children. Fortunately, the prospects for preventing and treating stroke are far better than they were just a few decades ago. However, a lot of challenges await physicians and researchers in terms of prevention, pathogenesis and treatment. Stroke remains a high priority medical condition for our society; globally, about 15 million people suffer of cerebrovascular diseases, with stroke being the most frequent life-threatening neurological disease and the third cause of death and disability. The authors of Advances and Challenges in Stroke hope to guide readers through the complexity of stroke pathogenesis, from the molecular basis to the most recent advances in terms of pathophysiological cascade leading to cell death. Through the expert opinion of Italian and European researchers, multiple aspects will be explored, including the etiology of juvenile or cryptogenic stroke, correlations between the heart and brain, state-of-the-art telemedicine in reducing door to needle and decision-making time, and the contribution of modern neuroimaging techniques and surgical/endovascular treatment in the hyperacute stroke phase.

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.

“What is a stroke?” This is the question that plagues Ron Smith as he emerges from the carpet bombing of his brain. The Defiant Mind: Living Inside a Stroke is a first-person account of a massive ischemic stroke to the brain stem. Smith takes the reader inside the experience and shows how recuperation happens ― the challenges of communication, the barriers to treatment, the frustrations of being misunderstood and written off, the role of memory in recovering identity, the power of continuing therapy, and the passionate will to live. Full of arresting anecdote, enlivened by a vivid and vigorous style, the book tells of successes and failures and draws on the newest research in stroke treatment. The Defiant Mind is a necessary book for stroke survivors still dealing with the effects of their trauma and for caregivers, vital to the process of recuperation, who feel hampered and harried by concern and confusion. For medical professionals, the book offers insights into the workings of the brain, the power of the brain to heal, critiques of conventional limits imposed on therapy and suggestions for ways to improve care.

Stroke is thought to be the second biggest killer worldwide, and is responsible for over 5 million deaths per year. Several strategies have been developed to enhance treatment of stroke patients. Multimodal neuroimaging allows physicians to diagnose and e

The definitive core text in its field, Stroke Recovery and Rehabilitation is a comprehensive reference covering all aspects of stroke rehabilitation ó from neurophysiology of stroke through the latest treatments and interventions for functional recovery and restoration of mobility. This second edition is completely updated to reflect recent advances in scientific understanding of neural recovery and growing evidence for new clinical therapies.The second edition ó which includes free e-book access with every print purchase ó continues to provide in-depth information on the assessment and management of all acute and long-term stroke-related impairments and complications including cognitive dysfunctions, musculoskeletal pain, and psychological issues. It examines risk factors, epidemiology, prevention, and neurophysiology as well as complementary and alternative therapies, functional assessments, care systems, ethical issues, and community and psychosocial reintegration. With contributions from over 100 acknowledged leaders from every branch of the stroke recovery field, this edition features expanded coverage of key issues such as the role of robotics and virtual reality in rehabilitation. New chapters have been incorporated to cover fields of recent exploration including transcranial magnetic stimulation, biomarkers, and genetics of recovery as well as essentials like the use of medication and the survivorís perspective. The up-to-date presentation of scientific underpinnings and multi-specialty clinical perspectives from physical medicine and rehabilitation, neurology, physical therapy, occupational therapy, speech and language pathology, and nursing ensures that Stroke Recovery and Rehabilitation will continue to serve as an invaluable reference for every health care professional working to restore function and help stroke survivors achieve their maximum potential.New to Stroke Recovery and Rehabilitation, Second EditionAll chapters are thoroughly revised and updated to reflect advances in scientific understanding of neural recovery and clinical progress Five completely new chapters and expanded coverage of key issues that drive the field forward New contributions from leading stroke specialists from all involved disciplines Includes access to the fully-searchable downloadable ebook

Winner of the 2016 ICQI Outstanding Qualitative Book AwardAcclaimed qualitative scholar Jane Speedy's world was upended completely after suffering a severe stroke when only in her late 50s. After returning home from the hospital, Speedy took to her iPad to write and draw as a way of making sense of her experience and to aid her recovery. The stunning, fragmented, poetic text and images comprising Staring at the Park depict the events of this difficult journey. It provides an alternative model of engaging the self in a research project in an evocative and artistic way. This highly original book: -uses the seemingly ordinary motif of the park opposite the author's house as the catalyst for a wildly creative autoethnography;-includes three narratives of the author's experience of staring at the park—an imagined murder mystery in the park, a realist ethnography of the park, and the life story (both imagined and real) of her facing her illness and recovery; -offers readers a poetic and performative inquiry into the author's new reality.

Thieme congratulates Milton Waner on being chosen by New York magazine for its prestigious'Best Doctors 2017'list.Vascular Lesions of the Head and Neck provides readers with an up-to-date review of the pathology, basic science, classification, radiologic features, and treatment modalities for vascular lesions of the head and neck. It covers all recent developments in medical and surgical treatment, laser technology, endovascular techniques, and appropriate radiation protocols that dramatically affect the evaluation and management of patients with vascular lesions.Key Features:Written by leading experts on the diagnosis and treatment of vascular lesions in the fields of otolaryngology, plastic surgery, radiology, dermatology, pathology, and pediatrics Emphasizes a multidisciplinary approach to the diagnosis and treatment of vascular lesions More than 200 full-color illustrations help clarify information in the textThis book is an excellent desk reference for all otolaryngologists, plastic surgeons, vascular interventional radiologists, pediatricians, dermatologists, pathologists, and general pediatric surgeons involved in the treatment of patients with vascular lesions of the head and neck.

While there are a number of books on the market that deal with neuronal mechanisms and targets, the proposed book will be the only one to cover the vascular aspects of CNS trauma. The contributing authors will present basic mechanisms, explain cutting-edge experimental models and techniques, and provide several clinical chapters that provide treating physicians with some insight on the cases that they see in the ICU. The table of contents is diverse and comprehensive with chapters on molecular mechanisms, physiology, pharmacology, stem cells, genomics and proteomics, in vivo MRI and PET, as well as the clinical management of vascular parameters.​

Small vessel disease is an important frontier in neurology; about 25% of strokes are classified as small vessel, and SVD is the most common cause of vascular cognitive impairment. The risk of developing SVD increases with age, making this a growing concern for countries with aging populations. Despite this, there has been a paucity of information about its causes, diagnosis, prevention and treatment. This volume brings together contributions from leading international experts in the field and discusses pathogenesis, pathophysiology, clinical and radiologic manifestations, prevention and treatment modalities, and future directions for research and practice. Genetic forms of SVD are discussed, as well as the rapid development of neuroimaging techniques as tools for screening and treatment. This authoritative book is essential reading for neurologists, stroke physicians, geriatricians, and interventional neuroradiologists, as well as researchers in the fields of aging and dementia.

The ever-improving emergency care of those who have suffered serious cerebrovascular disease has shifted the treatment objective towards helping sufferers regain independence - meaning that there is an increased need to understand, manage and treat the residual deficits. The Behavioral and Cognitive Neurology of Stroke focuses on the diagnosis and management of behavioral and cognitive problems in patients with cerebrovascular disease. Written to be practical for clinical use, the book contains diagnosis and management strategies for all disorders observed in stroke patients, including acute and later problems, and aiming to minimize long-term disability. All important information related to each disorder is summarized in key-point tables. Fully updated throughout and containing five new chapters, this new edition brings the book up to date with the major advances of the last five years. This book will be of value to all clinicians caring for stroke patients, neuroscientists, neuropsychologists, neurorehabilitationists and a wide range of therapists.

Chronic kidney disease (CKD) is an established risk factor for cardiovascular diseases. Stroke, on the other hand, is not only a major player in cardiovascular disease, but it also has strong two-way relationships with CKD. Moreover, subclinical cerebral abnormalities are also associated with CKD. But despite all these connections, the cerebro-renal interaction has so far not received much attention. This book includes easily understandable reviews on brain, stroke and kidney by both experts in nephrology and neurology. Examined are underlying concepts for cerebro-renal interaction, risk of clinical and subclinical brain damage in CKD patients, primary prevention and acute/chronic management for stroke patients with CKD and end-stage kidney disease. This book promotes not only further understanding and a multidisciplinary collaboration between nephrologists and neurologists, but it is also of interest for neurosurgeons and cardiologists.

A comprehensive, state-of-the-art contribution to a field that is rapidly developing, The Behavioral Consequences of Stroke provides a broad overview of the cognitive and neurobehavioral effects of stroke. As attention to paralysis and the more obvious physical disabilities stroke patients incur expands, greater attention is being paid today to the cognitive and neurobehavioral complications that impact stroke morbidity and even functional neurological recovery in patients. Written by an international panel of experts and edited by a neurosurgeon and by a cognitive neuroscientist, this unique title addresses the full range of issues relevant to the field, including epidemiology, general treatment, sensorimotor control after stroke, post-stroke aphasia, memory loss after stroke, post-stroke depression, the role of imaging after a stroke, and an update on some stroke clinical trials, to name just some of the areas covered. Illuminative and an influential addition to the literature, The Behavioral Consequences of Stroke will serve as an invaluable resource for neurologsits, neurosurgeons, physiatrists and other physicians, as well as physical, speech and occupational therapists, nurses, psychologists, and other professionals.

Neuropsychiatric Symptoms of Cerebrovascular Diseases is an up-to-date, comprehensive review of the neuropsychiatry of stroke, by active authorities in the field, with an emphasis on diagnostic and management issues. Neuropsychiatric Symptoms of Cerebrovascular Diseases includes critical appraisal of the methodological aspects and limitations of the current research on the neuropsychiatry of stroke and on unanswered questions/controversies. Pharmacological aspects of management are discussed, to provide robust information on drug dosages, side effects and interaction, in order to enable the reader to manage these patients more safely. Illustrative cases provide real life scenarios that are clinically relevant and engaging to read. Neuropsychiatric Symptoms of Cerebrovascular Diseases is aimed at neurologists, stroke physicians and psychiatrists, and will also be of interest to intensive care doctors, psychologists ad neuropsychologists, research and specialist nurses, clinical researchers and methodologists.

Based around the core curriculum for specialist trainees, Oxford Case Histories in TIA and Stroke features 51 well-structured, peer-reviewed cases from the Oxford Hospitals giving detailed coverage of the specialty, including diagnostic and management dilemmas. Each case comprises a brief clinical history and the relevant examination findings; details of investigations undertaken, followed by questions on differential diagnosis and management; and detailed answers and discussion. The question-and-answer format is designed to enhance the reader's diagnostic ability and clinical understanding. As part of the Oxford Case Histories series, this book is aimed at post-membership trainees and consultants and will be a useful resource for those preparing for exit examinations or revalidation. It will also be of interest to those who wish to improve their skills in diagnosis and management of a broad range of stroke disorders.

This volume sets a basis for effective translational research. Authored by experts in the field of translational stroke research, each chapter specifically addresses one or more components of preclinical stroke research. The emphasis is placed on target identification and drug development using state-of-the-art in vitro and in vivo assays, in combination with in vitro toxicology assays, AMDE and clinical design.

Stroke is the third most common cause of death after heart disease and cancer in developed countries. Part of the Oxford Neurology Library, this pocketbook highlights the importance of stroke, its diagnosis, the problems of misdiagnosis, and current thoughts on its pathogenesis, acute treatment and rehabilitation as well as prevention. The book will serve as an invaluable quick reference for neurologists, cardiologists, geriatricians, internists, trainees, nurses, allied health professionals, and general practitioners.

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

This exciting new work on vascular neurology offers a richly illustrated and practical guide to assist in the clinical management and decision-making involved in this complex field. The authors have assembled a comprehensive collection of original visual material to create a uniquely informative visual reference for specialists and trainees alike.

Society-sanctioned guidelines are valuable tools, but accessing key information can be a daunting task. This book illuminates a clear path to successful application of the American Heart Association/American Stroke Association guidelines. Organized for fast reference, this new volume helps practitioners improve patient care.

Stroke is a leading cause of death and the major cause of long-term, physical, psychological and social disability in the elderly around the world. Knowing and treating the most common risk factors for stroke such as hypertension, diabetes mellitus, dyslipidemia, atrial fibrillation, and obesity may reduce the occurrence of stroke sub-stantially. In the last decades, there has been tremendous progress in the development of noninvasive diagnostic techniques like ultrasound MRI, CT angiography, CT perfusion, as well as new effective therapeutic strategies for acute ischemic stroke which established vascular neurology as one of the most progressive fields in medicine. This publication provides the reader with the most recent updated advanced knowl-edge on the practical clinical approach to stroke medicine. It covers essential and practical information on the pathophysiology and epidemiology of stroke, new diagnostic techniques which allow for better diagnosis and identification of various subtypes of stroke, and new therapeutic strategies for acute stroke and transient ischemic attack.

Over the past three decades, the diagnosis and treatment of stroke has changed at a phenomenal rate since the first use of CT scans and early studies using thrombolytic agents. New investigative procedures help direct patient selection for specific therapies and may substantially increase the chance of a successful therapeutic outcome. These advances in treatment have led to a paradigm shift in the way stroke victims are diagnosed and cared for. Specialists have seen the introduction of a range of new therapies for the management of ischemic stroke such as mechanical embolectomy and other cathe.

The literature concerning cerebral circulation, its control, its relation to the metabolism of the brain and its disorders, including cerebral ischemia, is very large and reflects an interest which goes back to Greek and Arabian medicine and which has greatly intensified, particularly over the past decades. Data of the literature remain, however, too sparse to propose a pragmatic approach to cerebral ischemia when affecting people at young age. The first purpose of this monograph has been therefore to bring together from such a literature a coherent account of how present concepts and approaches have developed. In this, the authors have been guided by what seems to be the important lines of investigation. Secondly, the evidence from studies which form the basis of the present understanding has been reviewed critically and, where possible, an attempt has been made to pose present controversies in terms which would be helpful in everyday clinical practice.

The revised and updated second edition of this comprehensive text continues to offer careful critical evaluation and authoritative advice on stroke, the most complicated disease affecting the nervous system of children and young adults. New chapters, the latest guidelines from the American Heart Association, tips for preventing misdiagnoses, and more provide you with the knowledge you need to make the best clinical and management decisions of both common and rare cerebrovascular disorders in the young population. Tightly focused, this fully referenced textbook fills the void in the literature by including detailed discussions on topics such as stroke in neonates, atherosclerotic cerebral infarction in young adults, strokes caused by migraines, stroke during pregnancy, and a myriad of others. Up-to-date tables containing rich troves of data along with the careful selection of multiple references further enhances your acumen.Offers practical, clinical guidance on stroke and stroke related issues, such as atherosclerotic cerebral infarction, non-atherosclerotic cerebral vasculopathies, cardiac disorders, and disorders of hemostasis to broaden your knowledge base. Includes an overview of stroke types, risk factors, prognosis, and diagnostic strategies in neonates, children, and young adults to help you better manage every condition you see. Discusses the diverse etiologies of stroke in children and young adults to increase awareness in the differences of presenting signs between children and adults.Features new chapters on Applied Anatomy, Pediatric CNS Vascular Malformation, and Vascular Disorders of the Spinal Cord to keep you on the cusp of this challenging and burgeoning field. Presents data from the latest American Heart Association guidelines for stroke in children and young adults—coauthored by Dr. Biller—to help you make better informed evaluation and management decisions. Provides tips on how to prevent misdiagnosis. Offers the latest knowledge on therapy and rehabilitation to help you chose the best treatment options. Includes more images to enhance visual guidance.

Updated and revised, this new edition of Caplan's Stroke continues to provide a concise and pragmatic approach to the evaluation, diagnosis, and management of adult and pediatric stroke patients. Dr. Caplan—a highly esteemed stroke authority— shares with you his vast experience and wisdom as a stroke clinician, including his time-tested strategies and unique clinical pearls that you can implement into your own practice. Expanded coverage of imaging and laboratory diagnosis and treatment as well as extensive revisions throughout, brings you the latest advances on prevention, complications, and rehabilitation. The use of case studies illustrates the types of clinical scenarios you may experience in practice. And, its conversational, easy-to-read format make Caplan's Stroke an ideal resource for general neurologists, non-neurologists, and stroke specialists alike.Discusses all cerebrovascular diseases to help you differentiate among all types of stroke so you can treat each patient appropriately. Takes a distinctly personal and individual approach to general principles, pathophysiology, diagnosis, treatment, and rehabilitation, offering practical, clinical guidance on stroke and stroke related issues. Provides detailed discussions on stroke syndromes in children and adults, including large artery occlusive disease of the anterior circulation, brain embolism, spinal cord stroke, and many, many more, to help you better manage every condition you see. Uses case studies to highlight and emphasize clinical points.Includes expanded coverage of imaging and laboratory diagnosis and treatment to help you make better informed evaluation and management decisions. Presents meticulous revisions and updates throughout, particularly to the chapters on stroke prevention and rehabilitation to keep you current on today's best practices. Features a new two-color design with updated artwork and more images that elucidates key points and enhances visual guidance.

The only review book for the biggest subspecialty in neurology, Vascular Neurology: Questions and Answers contains more than 500 questions and answers to help readers prepare for the vascular neurology Boards, as well as the neurology Boards and the AAN's RITE&#174 exam. Board-formatted review questions are used throughout, each with an answer and detailed explanation. The information in the book ranges from review of basic neuroscience to must-know clinical neurology to neurovascular esoteric. Divided into nine key sections for targeted topic review, this is the most comprehensive and effective way to prepare for your exams. Key features include: Applicability to a wide range of physicians, including medical students neurology residents, vascular neurologists, cardiologists, neurosurgeons, internists, hospitalists A testing without anxiety self-assessment format for board examinations A Q&A format with explanatory answers and references for further investigation Clinical scenario format with real-life patients Excellent color and black and white radiological images Excellent color neuropathological images

Stroke is a common cause of disability and the third commonest cause of death but it fails to attract much public attention. This book seeks to redress the balance by describing who is at the most risk of stroke and why. Anyone can have a stroke, but why is it mainly a disease of older age? Why do babies and children get strokes? What should we do for suspected stroke? How should stroke be treated and perhaps more importantly, how can we all make changes to our lives to prevent this happening to ourselves and our family. This guide features all the facts you need to understand why strokes occur and how to prevent strokes in the future. For those living with strokes the author looks at the most common problems and provides the most reliable solutions. This book will be of great interest to those who have had a stroke or Transient Ischaemic Attack, and for those who worry about having a stroke.

The care of stroke patients has changed dramatically. As well as improvements in the emergency care of the condition, there have been marked advances in our understanding, management and rehabilitation of residual deficits. This book is about the care of stroke patients, focusing on behavioural and cognitive problems. It provides a comprehensive review of the field covering the diagnostic value of these conditions, in the acute and later phases, their requirements in terms of treatment and management and the likelihood and significance of long-term disability. This book will appeal to all clinicians involved in the care of stroke patients, as well as to neuropsychologists, other rehabilitation therapists and research scientists investigating the underlying neuroscience.

As the third leading cause of death in the United States, stroke accounts for one in every fifteen deaths and is the major cause of disability in the country. Compiled by a renowned editorial team, this reference bridges the gap between basic science and patient care protocols, and collects 43 expertly written chapters that range from laboratory-ba

The 3D Angiographic Atlas of Neurovascular Anatomy and Pathology is the first atlas to present neurovascular information and images based on catheter 3D rotational angiographic studies. The images in this book are the culmination of work done by Neil M. Borden over several years using one of the first 3D neurovascular angiographic suites in the United States. With the aid of this revolutionary technology, Dr Borden has performed numerous diagnostic neurovascular angiographic studies as well as endovascular neurosurgical procedures. The spectacular 3D images he obtained are extensively labeled and juxtaposed with conventional 2D angiograms for orientation and comparison. Anatomical color drawings and concise descriptions of the major intracranial vascular territories further enhance understanding of the complex cerebral vasculature.

Providing a thorough overview of rapid developments in medical therapy, surgery, and angioplasty, this reference provides a complete review of carotid artery stenosis treatment, as well as a clear overview of carotid surgery and stenting. Offering chapters by seasoned authorities on epidemiology, imaging with ultrasound and angiography, cholesterol

Acute Ischemic Stroke: Imaging and Intervention is a comprehensive presentation of the state-of-the-art in the diagnosis and treatment of acute ischemic stroke. This book, the first of its kind, offers a practical review of recent advances in stroke neuroimaging, and the latest therapeutic options for this disease. Written by an internationally recognized experts who are members of the interdisciplinary stroke team at the Massachusetts General Hospital and Harvard Medical School, the book covers the pathophysiology, mechanisms and molecular manifestations of ischemic brain injury and its clinical presentations; the physical principles, and practical applications of CT, CT angiography and CT perfusion; a detailed discussion of MRI, MRA, as well as diffusion and perfusion MR imaging; and the clinical management of the acute ischemic stroke patient including intravenous thrombolysis and intra-arterial vascular recanalization. Practical guidance is provided for the use of imaging in guiding therapeutic decisions efficiently. The book is richly illustrated with images and plentiful tables are available for easy reference. It will serve as a unique source of information for neurologists, emergency physicians, radiologists and other health care providers who care for the patient with acute ischemic stroke

This booklet explains why heart attacks and strokes happen and how you can avoid them. It tells you what you should do to avoid becoming a victim. It gives you guidance for your children too. A lot of the damage to the blood vessels starts at a young age. Children often need help to develop healthy habits, like eating a balanced diet and being active. If you are at high risk, there is advice on the signs to look out for and what you can do to reduce your risk. If you have already had a heart attack or stroke, there is advice on how your condition can be treated and controlled, and how you can.

A young woman suffers a stroke; she rebuilds her career and personal life, but not before her marriage falls apart. An eighty-year-old man dies unexpectedly of stroke, leaving his grown sons to wonder whether they are genetically predisposed to stroke. A recently retired woman confronts her future with a husband suddenly disabled by stroke. How can she help her husband? Will he ever recover? How will she cope with her own emotional stress?In Stroke and the Family: A New Guide, Joel Stein shows the many faces of stroke and the people it strikes. To the family just beginning to cope with the aftermath of a stroke, the diagnostic tests, drug regimens, rehabilitation strategies, and varied prognoses can be completely bewildering. Because stroke can affect memory, speech, and movement, the impact on everyday routines and close relationships can be especially intense. Stein has produced a book that allows general readers and nonphysicians working with stroke survivors to make sense of the confusing variety of diagnoses and treatment options, and goes on to explore challenges the recovering stroke patient and the recovering family will face during a long recuperation with an uncertain outcome. Stroke and the Family offers up-to-date information and places the current research findings in context.

Rev. ed. of: Lacunar and other subcortical infarctions, 1995.

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.

A triumphant memoir by the former editor-in-chief of French Elle that reveals an indomitable spirit and celebrates the liberating power of consciousness. In 1995, Jean-Dominique Bauby was the editor-in-chief of French Elle, the father of two young children, a 44-year-old man known and loved for his wit, his style, and his impassioned approach to life. By the end of the year he was also the victim of a rare kind of stroke to the brainstem. After 20 days in a coma, Bauby awoke into a body which had all but stopped working: only his left eye functioned, allowing him to see and, by blinking it, to make clear that his mind was unimpaired. Almost miraculously, he was soon able to express himself in the richest detail: dictating a word at a time, blinking to select each letter as the alphabet was recited to him slowly, over and over again. In the same way, he was able eventually to compose this extraordinary book. By turns wistful, mischievous, angry, and witty, Bauby bears witness to his determination to live as fully in his mind as he had been able to do in his body. He explains the joy, and deep sadness, of seeing his children and of hearing his aged father's voice on the phone. In magical sequences, he imagines traveling to other places and times and of lying next to the woman he loves. Fed only intravenously, he imagines preparing and tasting the full flavor of delectable dishes. Again and again he returns to an'inexhaustible reservoir of sensations,'keeping in touch with himself and the life around him. Jean-Dominique Bauby died two days after the French publication of The Diving Bell and the Butterfly. This book is a lasting testament to his life.