Author: Andrei V. Alexandrov
Publisher: John Wiley & Sons
Release Date: 2011-07-05
Effective stroke therapy can be improved through real-time monitoring of the neurological and cardiovascular responses to treatment. This requires crucial knowledge on behalf of both the sonographer and stroke physician to make the best decisions for the patient so as to minimize the damage caused by the original stroke and the risk of further stroke. Cerebrovascular Ultrasound in Stroke Prevention and Treatment, Second Edition, takes a practical approach to the examination of patients, the interpretation of ultrasound studies and the application of cerebrovascular ultrasound in the development of management and treatment studies, assisting neurologists, radiologists, and ultrasonographers in stroke therapy.
Author: Andrei V. Alexandrov
Publisher: John Wiley & Sons
Release Date: 2008-04-15
Ultrasound enables us to monitor the cardiovascular system and brain responses to treatment in real time; a genuine blessing on the route to more effective stroke therapies, and an invaluable tool with which to tailor treatment when available evidence is meagre. Ultrasound is a vital observational tool, yet a probe needs a scientist to point it in the right direction and a skilled physician to synthesise scientific data with practical management strategies. This book, intended for clinicians who are eager to learn and prepared to observe, focusses on the examination of stroke patients, the interpretation of ultrasound studies, and the application of cerebrovascular ultrasound to management and treatment strategies. Produced by an international team of contributors and edited at the University of Texas, one of the major world centres in stroke research, it is a practical volume that can be used by beginners to learn the principles of ultrasound testing, by advanced users to learn differential diagnosis, and by clinicians (non-sonographers) who treat stroke patients. The latter will gain knowledge on how to apply ultrasound, and what to expect from it in terms of clinical decision making and treatment selection.
Author: Ralf W. Baumgartner
Publisher: Karger Medical and Scientific Publishers
Release Date: 2006-01-01
Neurovascular ultrasound increases the reliability of assessing occlusive cerebrovascular disease, including the detection of instable carotid plaques, the delineation of cerebral perfusion and therapeutic options such as ultrasound-enhanced sonothrombolysis. Written by international experts, this publication provides the reader with the present knowledge and future research directions of diagnostic and therapeutic neurovascular ultrasound. The first chapters deal with physical and technical principles of ultrasound, arterial wall imaging, endothelial function testing and modern assessment of atherosclerotic obstruction of the carotid and vertebro-basilar systems. Subsequently, typical ultrasound findings in cervical artery dissection, dural fistula, glomus tumor and vasculitis are reported. The book concludes with the description of diagnostic and therapeutic transcranial ultrasound and clinical applications of transcranial Doppler monitoring as well as the presentation of future developments. Neurologists, angiologists and radiologists will find a valuable source of up-to-date information on this fascinating, essentially non-invasive technique, which allows real-time assessment of the human cerebral vessels.
Author: Nancy Futrell, MD
Publisher: Springer Publishing Company
Release Date: 2017-12-28
Vascular Neurology Board Review: Questions and Answers Second Edition Expanded and updated successor to the only question and answer review book for vascular neurology Now with 620 questions—more than 250 completely new to this edition—this review guide has been thoroughly revised to reflect current science and clinical knowledge. With improved diagnostic-quality images, an emphasis on new drugs, and added chapters devoted to anatomy, clinical trials and ethics, neuro-ophthalmology, and case studies, this comprehensive review covers the full range of topics tested on the ABPN vascular neurology certification and MOC exams. Vascular Neurology Board Review is an engaging, active method to gauge proficiency and identify gaps for further study. Questions and answers with detailed rationales address a broad mix of topics including basic science, pharmacology, epidemiology and prevention, recovery and rehabilitation, and recognition, evaluation, and treatment of cerebrovascular diseases and associated clinical problems. Each answer is accompanied by a relevant reference to guide further study. The book is a must-have review tool for anyone taking the vascular neurology subspecialty exam, and for physicians who want to enhance their understanding of stroke and stroke-related issues and concerns. Key Features: Contains 620 board-style questions and answers with rationales and references Covers all topic areas on the ABPN content outline for vascular neurology boards and the MOC exam 85 images reinforce key diagnostic points and build interpretive skills 5 new chapters All questions reviewed and updated to include the latest scientific, clinical, and treatment information Includes downloadable ebook to broaden study options
Author: Robert N. Gan
Publisher: World Scientific
Release Date: 2008
Computational structural biology has made tremendous progress over the last two decades, and this book provides a recent and broad overview of such computational methods in structural biology. It covers the impact of computational structural biology on protein structure prediction methods, macromolecular function and protein design, and key methods in drug discovery. It also addresses the computational challenges of experimental approaches in structural biology. In addition to reviewing the current state of computational structural biology, each chapter ends with a brief, visionary discussion on the future outlook, whereby the main challenges for the coming years are elucidated. Written by an international panel of expert contributors, this book can serve as a reference manual for students and practitioners alike.
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-based research on animal models to the progression, mechanisms, treatment, and prognosis of diseases such as subarachnoid hemorrhage (SAH), intracerebral hemorrhage (ICH), focal ischemic stroke, and global cerebral ischemia.
Author: Hermann J. Gelmers
Release Date: 2013-03-14
Auf der Grundlage neuer Erkenntnisse über die verschiedenen Ursachen und Pathogenesen zerebraler Ischämien durch verbesserte diagnostische Untersuchungsmethoden wie z. B. Ultraschall, Computer-Tomographie, Magnet-Resonanz-Tomographie und Positronen-Emissions-Tomographie wird in diesem Buch die traditionelle Stadieneinteilung des Schlaganfalls ergänzt durch ätiologische Überlegungen, die Grundlage therapeutischer Maßnahmen sein sollen. Dieses Konzept wird auch deshalb der mehr deskriptiven traditionellen Einteilung vorgezogen, weil es die individuelle Krankheitsgeschichte des einzelnen Patienten besser berücksichtigt. Wie ein roter Faden zieht sich diese Überlegung durch das ganze Buch: bei der Darstellung der anatomischen Grundlagen, den pathophysiologischen Aspekten von Hirnischämie und Hirninfarkt, epidemiologischen und definitorischen Aspekten, besonders aber in den großen Kapiteln zur klinischen Symptomatologie und der detaillierten Beschreibung des zur Verfügung stehenden diagnostischen Repertoires. Topisch anatomische und dynamische Aspekte stehen im Vordergrund. Ein ausführliches Therapiekapitel, das den aktuellen Stand kritisch reflektiert, beschließt das Buch. Es wendet sich insbesondere an den klinisch und in der Praxis tätigen Internisten, Neurologen und Allgemeinmediziner, aber auch an alle anderen Disziplinen, die mit zerebralen Ischämien konfrontiert werden.
Author: M.P. Spencer
Publisher: Springer Science & Business Media
Release Date: 2012-12-06
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.
Author: James F. Toole
Release Date: 1999
This volume may be used as a text in neurology courses and is designed to be a reference for physicians and house officers who manage patients with cerebrovascular disorders and stroke. For this updated fifth edition, Dr Toole has invited colleagues to contribute chapters in specialized areas such as atherosclerosis of the cervicocranial arteries, ultrasound and cerebrovascular disease, neurorehabilitation, strokes during youth, and diseases of the brain veins. This edition highlights advances in the use of MRI, CT, and other noninvasive imaging techniques for early diagnosis. Attention is paid to the status of carotoid endarterectomy, including results from two trials, ACAS and NASCET. Coverage also includes information on neuroprotective agents, thrombolytics, and the use of vitamins for stroke prevention.
Publisher: Lippincott Williams & Wilkins
Release Date: 2009
This book is a unique source of practical information for frontline providers of care for stroke patients. It focuses on patient management—from stroke prevention through acute stroke management, through chronic care—and offers how-to guidance on implementing diagnostic and treatment protocols. Each chapter includes a bulleted list of key learning points; an evidence-based rationale for why the diagnostic and treatment recommendations work; a step-by-step approach to clinical application; practical recommendations from the authors; a critical pathway; and a bibliography. An entire chapter focuses on building a stroke team. Appendices include reproducible samples of order sets and a list of important medications.
This book covers all aspects of the prevention, diagnosis, and treatment of stroke, offering an integrated perspective that will be relevant to a range of specialists. Extensive consideration is given to the different methods of stroke prevention and arterial revascularization, with up-to-date information on pharmacological measures and clear presentation of endovascular stent placement procedures and surgical techniques, including those involving the carotid artery, vertebral artery, and aortic arch. Complex procedures, such as simultaneous bilateral carotid revascularization, are discussed in depth, drawing on a large series of cases and setting out practical rules. The diagnosis and treatment of intra- and extracranial aneurysms and the management of cervical trauma are examined fully. In addition, the reader is provided with guidance on characterization of the culprit lesion by means of different imaging modalities and with advice on the importance of a multidisciplinary team and combined approaches (endovascular and surgical), identification of risk factors, anesthesia, neuromonitoring, and hemodynamic monitoring. The book will be of value not only for cardiac and vascular surgeons but also for cardiologists, neurologists, neurosurgeons, anesthesiologists, anatomists, specialists in diagnostic imaging, and interventional radiologists.