New PDF release: Case Studies in Stroke: Common and Uncommon Presentations

By Michael G. Hennerici, Michael Daffertshofer, Louis R. Caplan, Kristina Szabo

ISBN-10: 0521673674

ISBN-13: 9780521673679

Neurologists research from their sufferers, and this option of 60 stroke circumstances will tell and problem clinicians of all profession levels. together with either universal and strange instances, the purpose is to augment diagnostic talents via cautious research of person offering styles and to lead remedy judgements. every one case contains a medical historical past, exam findings and targeted investigations, often related to imaging prior to a prognosis is given. There then follows for every case a dialogue of the scientific concerns raised through the case, during which the most educating issues are emphasised. chosen references, usually together with the 1st description, are supplied on the end of every case. Drawing at the services of best lecturers and practitioners, and liberally illustrated, those case experiences and the discussions that accompany them are a vital advisor to studying the complexity of stroke analysis.

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Extra info for Case Studies in Stroke: Common and Uncommon Presentations (Case Studies in Neurology)

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Abnormal Babinski’s reflex was present on the left. Neurological scores on admission NIH 6; Barthel Index 80; GCS 15. Special studies Ultrasound examination revealed an occlusion of the right ICA and a high grade (80%) stenosis of the left ICA. Transcranial Doppler showed collateral flow from the left to the right hemisphere via the anterior communicating artery and the posterior cerebral artery. 24 Common cases of stroke Follow-up The patient was operated on the left ICA to restore cerebral perfusion and was treated with a platelet inhibitor (75 mg clopidogrel).

Neurology 2006; 66:1175–1181. Fernandes, H. , & Mendelow, A. D. Surgery in intracerebral hemorrhage. The uncertainty continues. Stroke 2000; 31:2511–2516. Hankey, G. J. & Hon, C. Surgery for primary intracerebral hemorrhage: is it safe and eVective? A systematic review of case series and randomized trials. Stroke 1997; 28:2126–2132. , Poranen, A. et al. The treatment of spontaneous intracerebral hemorrhage. A prospective randomized trial of surgical and conservative treatment. J. Neurosurg. 1989; 70:755–758.

In Bogousslavsky, J. & Caplan, L. ) Stroke Syndromes, 2nd edn. New York: Cambridge University Press, 2001; 111–128. Case 5 An 85-year-old man with difficulty expressing himself on the telephone Clinical history An 85-year-old man noticed diYculty expressing himself during a telephone conversation accompanied by a slight loss of strength in the right arm. He was brought to the emergency room within 1 hour; during this time his symptoms had nearly completely resolved. General history Arterial hypertension, hyperlipidemia, history of severe cardiac disease with myocardial infarction 6 years earlier, bradyarrhythmia, and reduced left-ventricular function.

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Case Studies in Stroke: Common and Uncommon Presentations (Case Studies in Neurology) by Michael G. Hennerici, Michael Daffertshofer, Louis R. Caplan, Kristina Szabo

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