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El. knyga: Acute Stroke Care

(University of Texas Health Science Center, Houston), , ,
  • Formatas: PDF+DRM
  • Serija: Cambridge Manuals in Neurology
  • Išleidimo metai: 07-Nov-2019
  • Leidėjas: Cambridge University Press
  • Kalba: eng
  • ISBN-13: 9781108617116
  • Formatas: PDF+DRM
  • Serija: Cambridge Manuals in Neurology
  • Išleidimo metai: 07-Nov-2019
  • Leidėjas: Cambridge University Press
  • Kalba: eng
  • ISBN-13: 9781108617116

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Fully-updated in its third edition, this accessible and comprehensive handbook fills a niche for professional caregivers, worldwide. For students and stroke specialists alike to confidently reach critical decisions on stroke treatment, and substantially affect patient outcomes.

You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales.

Daugiau informacijos

A newly-revised third edition of the accessible handbook, engineered to optimally manage acute stroke patients; from ambulance to discharge.
Preface to the Third Edition xi
List of Abbreviations
xii
1 Stroke in the Emergency Department
1(6)
Is This a Stroke?
1(5)
What Type of Stroke?
6(1)
2 What to Do First
7(5)
Airway -- Breathing -- Circulation (ABCs)
7(1)
What Was the Time of Onset?
8(1)
How Bad Are the Symptoms Now?
9(1)
Do a Non-Contrast Head CT
9(1)
If the CT Shows No Blood, Try to Get the Artery Open
10(1)
Recommended Diagnostic Evaluation
10(2)
3 Ischemic Stroke
12(20)
Definition
12(1)
Etiology
12(1)
Diagnosis
12(1)
The Four Components of Ischemic Stroke Care
13(1)
Acute Therapy and Optimization of Neurological Status
13(8)
Etiological Work-up for Secondary Prevention
21(3)
Prevention of Neurological Deterioration or Medical Complications
24(3)
Recovery and Rehabilitation
27(1)
Ischemic Stroke Outcome
27(3)
General Timeline
30(2)
4 Stroke Radiology
32(26)
Computed Tomography
32(3)
Head CT with Contrast
35(5)
Magnetic Resonance Imaging
40(1)
MRI Sequences
41(11)
Usual Sequences Ordered for Acute Ischemic Stroke Patients
52(1)
Abbreviated Protocol for Uncooperative Patients
53(1)
Usual Sequences Ordered for Acute ICH Patients
53(1)
MRI Findings in Brain Hemorrhage
54(1)
Cerebral Angiogram
55(1)
Diffusion Tensor Imaging
55(3)
5 Intravenous Thrombolysis
58(22)
tPA Indications
60(1)
tPA Contraindications
61(10)
Procedure
71(2)
Risks Versus Benefits of tPA
73(3)
tPA-Related Intracranial Hemorrhage: Management Protocol
76(1)
Oropharyngeal Angioedema: Management Protocol
77(3)
6 Endovascular Therapy
80(21)
Time is Still Important
81(1)
Planning an Endovascular Case
81(9)
During the Procedure
90(2)
After the Procedure
92(2)
Risks and Benefits of EVT
94(3)
Posterior Circulation
97(4)
7 Neurological Deterioration in Acute Ischemic Stroke
101(18)
Probable Causes
101(1)
Initial Evaluation of Patients with Neurological Deterioration
102(1)
Stroke Enlargement
102(2)
Drop in Perfusion Pressure
104(1)
Recurrent Stroke
105(2)
Cerebral Edema and Mass Effect
107(5)
Hemorrhagic Transformation
112(2)
Metabolic Disturbance
114(1)
Seizure
115(1)
Symptom Fluctuations Without a Good Cause
115(1)
The Uncooperative Patient
116(3)
8 Ischemic Stroke Etiology and Secondary Prevention
119(34)
Diagnostic Studies
119(5)
Control Risk Factors
124(4)
Antiplatelets and Anticoagulants
128(4)
Atrial Fibrillation
132(4)
Carotid Stenosis
136(3)
Carotid Occlusion
139(1)
Intracranial Stenosis
140(1)
Lacunar Strokes
141(2)
Cervical Arterial Dissection
143(3)
Patent Foramen Ovale
146(7)
9 Transient Ischemic Attack
153(7)
Definition
153(1)
Etiology
154(1)
Presentation
154(1)
Differential Diagnosis
154(1)
Clinical Approach to a Patient With Suspected TIA
155(2)
Prognosis After TIA
157(3)
10 Less Common Causes of Stroke
160(8)
Causes
160(6)
Tests to Consider
166(2)
11 Cerebral Venous Sinus Thrombosis
168(7)
Epidemiology
168(1)
Pathogenesis
168(1)
Risk Factors
168(2)
Clinical Picture
170(1)
Diagnosis
170(1)
Acute Management
171(1)
Chronic Management
172(1)
Complications of CVST
172(1)
Prognosis and Recurrence
173(2)
12 Intracerebral Hemorrhage
175(23)
Definition
176(1)
Etiology
177(1)
Presentation
178(1)
Diagnosis and Evaluation
179(2)
Management
181(11)
Prognosis and Outcome
192(6)
13 Subarachnoid Hemorrhage
198(17)
Definition
198(1)
Epidemiology
198(1)
Presentation
199(1)
Diagnosis
199(2)
Management of Ruptured Aneurysms
201(10)
Unruptured Aneurysms
211(4)
14 Organization of Stroke Care
215(11)
Timely Care
215(1)
Prehospital Stroke Care
216(1)
Prehospital Stroke Scales
217(1)
Drip-and-Ship versus Mothership Models
218(1)
Stroke Centers
218(3)
Telemedicine for Stroke (Telestroke)
221(1)
Stroke Teams
221(1)
Stroke Units
222(4)
15 Stroke Rehabilitation
226(11)
Early Acute Stroke Rehabilitation Trials
227(1)
Multidisciplinary Rehabilitation Team
228(6)
Discharge Disposition
234(3)
16 Transition to Outpatient Stroke Care
237(4)
Psychosocial Evaluation
237(1)
Stroke Prevention Clinics
238(1)
Common Post-Stroke Sequelae
238(3)
Appendix 1 IV tPA Dosing Chart 241(3)
Appendix 2 Transcranial Doppler Ultrasound 244(3)
Appendix 3 Medical Complications 247(6)
Appendix 4 Brainstem Syndromes 253(3)
Appendix 5 Anatomy of Cerebral Vasculature 256(6)
Appendix 6 Brain Death Criteria 262(4)
Appendix 7 Stroke Assessment Scales 266(17)
Further In-Depth Reading 283(2)
Index 285
M. Carter Denny MD, MPH is an assistant professor of neurology in the stroke program at MedStar Georgetown University Hospital, Washington DC. She completed her two-year vascular neurology fellowship at the University of Texas Health Science Center in Houston, Texas. Ahmad Riad Ramadan MD is a staff neurologist in the Stroke and Neurocritical Care divisions at Henry Ford Hospital, Detroit, Michigan. He completed a vascular neurology fellowship at the University of Texas Health Science Center in Houston, Texas, as a well as a neurocritical care fellowship at Johns Hopkins Hospital in Baltimore, Maryland. Sean I. Savitz MD is professor and Director of the Institute for Stroke and Cerebrovascular Disease and holds the Frank M. Yatsu, MD Chair in Neurology at the University of Texas Health Science Center in Houston, Texas. He conducts both basic science and clinical research in stroke, with a focus on developing cell-based therapies to promote stroke recovery. James C. Grotta MD is Director of the Mobile Stroke Unit Consortium and Director of Stroke Research, Clinical Institute for Research and Innovation, Memorial Hermann-Texas Medical Center, Houston, Texas. He is the editor of the market-leading stroke reference, Stroke: Pathophysiology, Diagnosis and Management, 6th edition (2016).