Handbook of Stroke

by Wiebers, David O.; Feigin, Valery L.; Brown, Robert D.

• ISBN13: 9780781786584
• ISBN10: 0781786584
• Edition: 2nd
• Format: Paperback
• Copyright: 2006-03-22
• Publisher: LWW

Summary

Thoroughly updated to reflect the best current practices in stroke medicine, Handbook of Stroke, Second Edition is a user-friendly one-stop guide to the clinical management of patients with cerebrovascular disorders--from clinical and laboratory assessment, differential diagnosis, and initial management, to medical and surgical treatment, prognosis, rehabilitation, and stroke prevention. The book is written by leaders in stroke medicine and delivers concise, practice-oriented overviews and practical recommendations to guide decision-making. This edition includes cutting-edge information on acute stroke treatment, cerebrovascular disease genetics, primary stroke prevention, management of unruptured intracranial aneurysms, and the newest therapies for various stroke-related symptoms and disorders.

Table of Contents

Foreword	xi
Preface	xiii
I. Clinical and Laboratory Assessment of Patients with Cerebrovascular Disease
Systematic Clinical Assessment	3	(4)
Historical Evaluation of Key Signs and Symptoms	7	(30)
General Medical Review	37	(4)
General Examination	41	(8)
Neurologic Examination	49	(38)
Approach to the Comatose Patient	87	(16)
Laboratory Evaluation	103	(32)
Suggested Reading for Part I	130	(5)
II. Differential Diagnosis and Clinical Features of Cerebrovascular Disease
Differential Diagnosis Made Easy: General Approach	135	(4)
Temporal Profile of Ischemic Cerebrovascular Diseases	139	(8)
Suggested Reading for Part II	143	(4)
III. Management Before Determination of the Mechanism of Cerebrovascular Disease
Telephone Interview and Triage	147	(6)
Management of Acute Stroke in Critically Ill Patients	153	(8)
Transient Ischemic Attack and Minor Cerebral Infarction: General Evaluation and Treatment	161	(14)
Major Cerebral Infarction: General Evaluation and Treatment	175	(10)
Subarachnoid Hemorrhage: General Evaluation and Treatment	185	(12)
Intracerebral Hemorrhage: General Evaluation and Treatment	197	(16)
Suggested Reading for Part III	206	(7)
IV. Medical and Surgical Management Based on Specific Mechanisms of Cerebrovascular Disease
Four Major Categories of Ischemic Cerebrovascular Disease: Identification and Treatment	213	(28)
Five Major Categories of Hemorrhagic Disease: Treatment of Specific Underlying Mechanisms	241	(18)
Cerebral Venous Thrombosis	259	(4)
Other Cerebrovascular Syndromes	263	(4)
Vascular Disease of the Spinal Cord	267	(6)
Cerebrovascular Disease in Children and Young Adults	273	(8)
Cerebrovascular Disease in Pregnant Patients	281	(10)
Cerebrovascular Disease Genetics	291	(14)
Suggested Reading for Part IV	296	(9)
V. Primary Prevention of Cerebrovascular Disorders
Modifiable Lifestyle and Environmental Factors	305	(6)
Asymptomatic Carotid and Vertebral Stenosis	311	(4)
Hypertension	315	(4)
Dyslipidemia	319	(6)
Other Host Factors	325	(4)
Unruptured Intracranial Aneurysms	329	(6)
Unruptured Intracranial Vascular Malformations	335	(6)
Hematologic Disease	341	(8)
Suggested Reading for Part V	342	(7)
VI. Assessing and Discussing Prognosis and Natural History of Cerebrovascular Disorders
Carotid or Vertebral Artery Occlusive Disease	349	(4)
Transient Ischemic Attack	353	(2)
Cerebral Infarction	355	(4)
Intracerebral Hemorrhage	359	(4)
Subarachnoid Hemorrhage	363	(6)
Suggested Reading for Part VI	365	(4)
VII. Management and Rehabilitation After Stroke
Physical Therapy	369	(6)
Speech Therapy	375	(2)
Other Chronic Complications of Stroke	377	(4)
Family and Patient Education	381	(66)
Suggested Reading for Part VII	383	(4)
Appendixes
A. Clinical Anatomy of the Brain and Spinal Cord Vascular System	387	(22)
A-1. Brain and spinal cord vascular anatomy and syndromes	387	(15)
A-2. Central nervous system ischemic vascular syndromes	402	(3)
A-3. Symptoms of unruptured intracranial aneurysms	405	(2)
A-4. Differential signs indicating hemispheric localization of intellectual deficits	407	(2)
B. Glasgow Coma Scale	409	(2)
C. Functional Status Scales (Stroke Severity Scales)	411	(10)
C-1. Barthel index	411	(4)
C-2. Stroke Scale of National Institutes of Health-National Institute of Neurological Disorders and Stroke (NIH-NINDS)	415	(4)
C-3. Modified Rankin disability scores	419	(1)
C-4. Clinical grades of subarachnoid hemorrhage	420	(1)
D. Stroke and Cardiovascular Risk Profiles	421	(6)
D-1. Probability of stroke within 10 years for men who are aged 55--84 years and have no previous stroke	421	(1)
D-2. Probability of stroke within 10 years for women who are aged 55--84 years and have no previous stroke	422	(2)
D-3. New Zealand cardiovascular risk prediction charts	424	(3)
E. Practice Guidelines for Management of Cerebrovascular Disease	427	(14)
E-1. Guideline for initial evaluation by telephone of a patient with cerebrovascular disease	428	(2)
E-2. Guideline for transient ischemic attack/ reversible ischemic neurologic deficit/ minor ischemic stroke	430	(2)
E-3. Guideline for major ischemic stroke	432	(2)
E-4. Guideline for subarachnoid hemorrhage	434	(2)
E-5. Guideline for intracerebral/intraventricular hemorrhage	436	(2)
E-6. Guideline for asymptomatic carotid artery stenosis	438	(3)
F. Outline of Diets Low in Fat and Cholesterol and Table of Ideal Body Weight	441	(6)
F-1. Low-fat, low-cholesterol diet	441	(2)
F-2. Very-low-fat, very-low-cholesterol diet	443	(3)
F-3. Metropolitan Height and Weight Tables	446	(1)
Subject Index	447