Warlow’s Stroke: Practical Management 4th Edition by Fan Z. Caprio, Christopher Chen, Philip B. Gorelick, Graeme J. Hankey, Malcolm MacLeod, Heinrich Mattle – Ebook PDF Instant Download/DeliveryISBN: 1118492413, 9781118492413
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ISBN-10 : 1118492413
ISBN-13 : 9781118492413
Author: Fan Z. Caprio, Christopher Chen, Philip B. Gorelick, Graeme J. Hankey, Malcolm MacLeod, Heinrich Mattle
A practical textbook, based on a problem-oriented workflow, that will improve patients’ likelihood of full recovery from stroke and prevent future strokes from occurring Stroke is the leading cause of adult disability and is in the top five causes of death globally. Warlow’s Stroke: Practical Management, 4th Edition takes a problem-oriented approach and addresses the questions posed by a stroke patient in the order they are likely to present in clinical practice, for instance, ‘Is it a stroke?’, ‘What sort of stroke?’, ‘What caused it?’, and ‘What can be done about it?’. Beginning with chapters phrased as questions, the book walks the reader through a standard clinical workflow, exploring the practical skills and assessment required at each stage of patient management. Early chapters cover: locating the vascular lesion, identifying the involved arterial territory, the role imaging should play, and the application thereof. Subsequent chapters look at what causes a transient or persistent ischemic event, an intracerebral hemorrhage and a subarachnoid hemorrhage. Unusual causes of ischemic stroke and transient ischemic attack are also covered. The book then presents a practical approach to the management of stroke and transient ischemic attack; offers specific treatments for acute ischemic stroke and aneurysmal subarachnoid hemorrhage; provides ways for professionals to prevent first or recurrent stroke; and more. Final chapters of the book discuss rehabilitation after stroke, how patients and carers can be supported in the short term and long term, prevention of recurrent stroke, and the organization of stroke services. Warlow’s Stroke: Practical Management, 4th Edition Follows clinical workflow for stroke analysis Features evidence-based approach throughout Offers practical application aimed at improving patient outcomes Written and edited by internationally renowned experts in the field An essential resource for all practitioners involved in the care of patients who suffer from cerebrovascular disease, but particularly suitable for neurologists, residents, geriatricians, stroke physicians, radiologists and primary care physicians.
Warlow’s Stroke: Practical Management 4th Table of contents:
1 Introduction
1.1 Introduction to the first edition
1.2 Introduction to the second edition
1.3 Introduction to the third edition
1.4 Introduction to the fourth edition
2 Development of knowledge about cerebrovascular disease
2.1 Ideas change slowly
2.2 The anatomy of the brain and its blood supply
2.3 What happens in “apoplexy”?
2.4 Cerebral infarction (ischemic stroke)
2.5 Thrombosis and embolism
2.6 Transient ischemic attacks
2.7 Intracerebral hemorrhage
2.8 Subarachnoid hemorrhage
2.9 Treatment and its pitfalls
2.10 Epilogue
References
3 Is it a vascular event and where is the lesion?
3.1 Introduction
3.2 Definitions of transient ischemic attack, stroke, and acute stroke syndrome (“brain attack” or “unstable brain ischemia”)
3.3 The diagnosis of a cerebrovascular event
3.4 Differential diagnosis of focal cerebral symptoms of sudden onset
3.5 Differential diagnosis of transient monocular blindness
3.6 Improving the reliability of the clinical diagnosis
3.7 Is it a subarachnoid hemorrhage?
References
4 Which arterial territory is involved?
4.1 Introduction
4.2 Cerebral arterial supply
4.3 Clinical subclassification of stroke
References
5 What is the role of imaging in acute stroke?
5A Neuroimaging
5A.1 Introduction
5A.2 Imaging of stroke
5A.3 Step 1: Rule out intracranial hemorrhage
5A.4 Step 2: Define the infarct core and ischemic penumbra
5A.5 Step 3: Vessel imaging
5A.6 Step 4: Further information that can affect the therapeutic decision
5A.7 Advanced MR techniques and new concepts for stroke imaging
5A.8 Imaging of postperfusion phase
5A.9 Stroke mimics and other differential diagnoses on CT and MRI
5A.10 Imaging of intracranial venous thrombosis
References
5B Ultrasound of the extra‐ and intracranial arteries
5B.1 Introduction
5B.2 Extracranial artery assessment with cervical duplex ultrasonography
5B.3 Intracranial artery assessment with transcranial Doppler and transcranial color‐coded duplex sonography
5B.4 Intracerebral hemorrhage
5B.5 Acute ischemic stroke
5B.6 Limitations and future prospects
References
5C Cardioembolic stroke
5C.1 General concepts, stroke classification, and types of cardiac sources of embolism
5C.2 Imaging for evaluation of cardioembolic source
5C.3 Cardioembolic sources
5C.4 Cardiac tumors
5C.5 Valve diseases
5C.6 Paradoxical embolism
5C.7 Thoracic aortic atherosclerosis and risk of embolism
References
6 What caused this transient or persisting ischemic event?
6.1 Introduction
6.2 What to expect
6.3 Atheroma and large‐vessel disease
6.4 Intracranial small‐vessel disease
6.5 Embolism from the heart
6.6 Risk factors for ischemic stroke
6.7 From symptoms, signs, and clinical syndrome to cause
6.8 Investigation
6.9 Identifying the three most common causes of ischemic stroke and transient ischemic attack
References
7 Unusual causes of ischemic stroke and transient ischemic attack
7.1 Introduction
7.2 Arterial injuries
7.3 Autoimmune diseases and systemic vasculopathies
7.4 Inflammatory vasculopathies
7.5 Reversible cerebral vasoconstriction syndrome (RCVS)
7.6 Migraine
7.7 Posterior reversible encephalopathy syndrome (PRES)
7.8 Pediatric vasculitides
7.9 Bites and stings
7.10 Infections
7.11 Congenital arteriopathies
7.12 Moyamoya disease
7.13 Unusual embolic material
7.14 Hematological disorders
7.15 Perioperative stroke
7.16 Neoplasm and effects of treatment
7.17 Medications and drugs
7.18 Pregnancy and the puerperium
7.19 GI disorders
7.20 Mitochondrial disease
7.21 Single gene disease
7.22 Cerebral venous sinus thrombosis (CVST)
7.23 Other unusual causes of stroke
7.24 Ischemic stroke or transient ischemic attack without an identified cause
References
8 What caused this intracerebral hemorrhage?
8.1 Introduction
8.2 Disorders and malformations of the cerebral blood vessels
8.3 Hemostatic factors
8.4 Hemodynamic factors
8.5 Miscellaneous
8.6 Diagnosis
8.7 Subdural hematoma
References
9 What caused this subarachnoid hemorrhage?
9.1 Basic overview of subarachnoid hemorrhage
9.2 Mechanisms of subarachnoid bleeding
9.3 Neuroimaging patterns and findings
9.4 Personal and genetic influences on subarachnoid hemorrhage
9.5 Examination features in patients with subarachnoid hemorrhage
9.6 Investigative course
References
10 A practical approach to the management of stroke and transient ischemic attack
10.1 Aims of treatment
10.2 What is this patient’s prognosis?
10.3 Delivering an integrated management plan
10.4 Treatment restrictions
References
11 What are this patient’s problems? A problem‐based approach to the general management of stroke
11.1 Introduction
11.2 Airway, breathing, and circulation
11.3 Reduced level of consciousness
11.4 Severe stroke versus apparently severe stroke
11.5 Worsening after a stroke
11.6 Coexisting medical problems
11.7 High and low blood pressure after stroke
11.8 Epileptic seizures
11.9 Headache, nausea, and vomiting
11.10 Hiccups
11.11 Immobility and poor positioning
11.12 Fever and infection
11.13 Venous thromboembolism
11.14 Urinary incontinence and retention
11.15 Fecal incontinence and constipation
11.16 Pressure ulcers
11.17 Swallowing problems
11.18 Metabolic disturbances
11.19 Nutritional problems
11.20 Spasticity and contractures
11.21 Limb weakness, poor truncal control, and unsteady gait
11.22 Sensory impairments
11.23 Pain (excluding headache)
11.24 Painful shoulder
11.25 Swollen and cold limbs
11.26 Falls and fractures
11.27 Visual problems
11.28 Visuospatial dysfunction
11.29 Cognitive dysfunction
11.30 Communication difficulties
11.31 Psychological problems
11.32 Dependency in activities of daily living
11.33 Social difficulties
11.34 Carer problems
References
12 Have the patient’s cognitive abilities been affected?
12.1 Poststroke cognitive impairment: relevance of the problem
12.2 How to diagnose cognitive impairment in patients with stroke
12.3 Diagnosis of poststroke dementia and poststroke cognitive impairment in the chronic phase
12.4 Cognitive assessment of patients with stroke in the acute phase
References
13 Specific treatment of acute ischemic stroke
13.1 Pathophysiology of acute ischemic stroke
13.2 General treatment considerations
13.3 Routine use: Aspirin
13.4 Selective use: Anticoagulants
13.5 Selective use: Thrombolytic drugs
13.6 Selected use: Mechanical intra‐arterial interventions
13.7 Unproven value: Other reperfusion strategies
13.8 Selective use: Surgical decompression for large cerebral infarcts
13.9 Unproven value: Other treatments of cerebral edema and raised intracranial pressure
13.10 Unproven value: Other interventions
References
14 Specific treatment of intracerebral hemorrhage
14.1 Epidemiology
14.2 Pathophysiology and risk factors
14.3 Clinical outcome prediction models
14.4 Initial management
14.5 Control of physiological variables
14.6 Prophylaxis and management of common complications
14.7 Hemostatic treatment and corrective therapy for iatrogenic intracerebral hemorrhage
14.8 Surgical treatment
14.9 Treatment of intracerebral hemorrhage associated with structural abnormality
14.10 Blood pressure control for secondary prevention of intracerebral hemorrhage
14.11 Summary
References
15 Specific treatment of aneurysmal subarachnoid hemorrhage
15.1 Introduction
15.2 Initial management
15.3 Prevention of rehemorrhage
15.4 Post‐treatment considerations
15.5 Outcomes
References
16 Specific interventions to prevent intracranial hemorrhage
16.1 Introduction
16.2 Saccular intracranial aneurysms
16.3 Arteriovenous malformations of the brain
References
17 Preventing recurrent stroke and other serious vascular events
17.1 General approach to preventing recurrent stroke and other serious vascular events
17.2 Prognosis and prediction of future vascular events
17.3 Pharmacological blood pressure reduction
17.4 Pharmacological cholesterol reduction
17.5 Antiplatelet drugs
17.6 Anticoagulants
17.7 Lifestyle modification
17.8 Dietary supplements: B vitamins and antioxidants
17.9 Management of diabetes mellitus and glucose intolerance
17.10 Treatment of specific underlying causes
17.11 Endarterectomy for symptomatic carotid stenosis
17.12 Endarterectomy for asymptomatic carotid stenosis
17.13 Carotid angioplasty and stenting
17.14 Carotid endarterectomy before, during, or after coronary artery surgery?
17.15 Extracranial‐to‐intracranial bypass surgery
17.16 Surgery and angioplasty for vertebrobasilar ischemia
17.17 Other surgical procedures
17.18 Putting secondary prevention into practice
References
18 Rehabilitation after stroke
18.1 What is rehabilitation and why is it important?
18.2 Key examples of stroke rehabilitation
18.3 Key evidence gaps and emerging evidence
18.4 Future directions and aspirational goals
References
19 The organization of stroke services
19.1 Introduction
19.2 Planning and developing a stroke service
19.3 Comprehensive stroke service
19.4 General principles when discussing a comprehensive stroke service
19.5 Interventions to improve access to early specialist assessment and treatment
19.6 Organized inpatient (stroke unit) care
19.7 Transfer from hospital to community
19.8 Continuing rehabilitation and reintegration back to normal life
19.9 Longer term follow‐up and chronic disease management
19.10 Generic issues in stroke service delivery
19.11 Planning, developing and maintaining a stroke service
19.12 Evaluating and monitoring stroke services
19.13 Stroke guidelines
19.14 Integrated care pathways
19.15 Impact of a comprehensive stroke service
19.16 Cost‐effectiveness of stroke services
References
20 Reducing the impact of stroke and improving public health
20.1 The impact of stroke
20.2 Strategies to reduce the impact of stroke and improve public health
20.3 Treatment of acute stroke – to minimize death and disability
20.4 Prevention of recurrent stroke among individuals with prior stroke or transient ischemic attack
20.5 Prevention of first‐ever stroke among high‐risk individuals and the general population
20.6 Translating evidence into practice
20.7 Conclusion
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Tags: Warlows Stroke, Practical Management, Fan Caprio, Christopher Chen, Philip Gorelick, Graeme Hankey, Malcolm MacLeod, Heinrich Mattle