Neurosonology and Neuroimaging of Stroke 2nd Edition PDF : A Comprehensive Reference
|Author||José Manuel Valdueza|
|File size||141 MB|
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cerebrovascular reactivity, autoregulation, and bilateral continuous monitoring for spontaneous microemboli. What is the best diagnostic approach for patients with acute and chronic brain ischemia? Several angiologic methods are now available for the treatment of stroke patients: DSA, MRA, CTA, and ultrasound. Each technique may yield information that is partly competing and part-ly complementary regarding vessel anatomy, vessel wall properties, and circulation physiology. Stroke physicians should be aware of the strengths and weaknesses of each of the available methods. In this book, we point out both the advantages and limitations of each of these methods, but the reader should also consider availability and in-vestigator skill. The concept of this book is based on the combined teaching experience gained by the authors (J.M.Valdueza, Si. Schreiber, J.-E. Roehl, and F. Connolly) in ultrasound courses, seminars, and lectures over the past 15 years. We realized that the presentation and discussion of real cases provoked the greatest interest among our listeners, which we have again considered by adding new and instructive clinical case reports. The book is divided into two parts. Part A outlines the necessary basic principles, with a particular focus on the precise description of ultrasound anatomy and the relat-ed examination techniques. The online materials accom-panying this book include video sequences of a complete extra- and intracranial arterial and venous duplex ex-amination and of fusion imaging with MRL Part A also includes a discussion of the basic principles of cerebral hemodynamics and a comprehensive presentation of pathologic findings in ectracnnial and intracranial ste-noses and occlusions. The relevant stroke aspects from a clinical and radiologic point of view are presented in a separate chapter. Part A ends with an overview of the cur-rently available neuroradiologic techniques—DSA, MRA, and CTA (R. Klingebiel). In Part B, we present 45 case histories of selected pa-tients managed either in the Department of Neurology, Chaska’ – Universititsmedizin Berlin (Germany), or in the Neurological Center in Bad Segeberg (Germany). Each case is divided into two sections: the case report and a discussion. In the case reports, the diagnostic algorithm and the therapeutic strategy are presented in chronolog-ic order. Each case report begins with a short history of the presenting complaint and a description of the initial radiologic findings. On these grounds, we have formulat-ed a hypothesis and angiologic questions to be answered using ultrasound. The findings of extra- and intracranial color-coded duplex sonography are controlled for plau-sibility and the postulated hypothesis is confirmed or…
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