Cerebrovascular Disease [Paperback]

Patients suffering from cerebrovascular disease pose many clinical challenges and even experienced clinicians can arrive at the point where diagnostic, work-up, treatment, or prognostic thinking falters.

Authored by a vascular neurologist whose work spans the entire spectrum of this group of brain dysfunctions,Cerebrovascular Diseasehelps clinicians evaluate and manage patients suffering from stroke, embolism, thrombosis, hemorrhage, and other critical presentations. In a medical field where it's often difficult to distill the vast array of research and apply it in any meaningful clinical way, this next volume in the What Do I Do Now? series focuses on walking the clinician through evidence-based decision-making. Each clinical scenario featured inCerebrovascular Diseasedescribes in careful detail the presentation, diagnostic studies, treatment options, and rationale for handling these tricky cases.

Table of Contents

Case 1 IV tPA for acute ischemic stroke
IV tPA is the only FDA approved treatment for acute ischemic stroke. It needs to be delivered in a timely fashion, but select patients may be treated beyond the 3 hour window out to 4 and a half hours.

Case 2 Endovascular treatment for acute ischemic stroke
Select patients who are not eligible for IV tPA and are within an 8 hour window may be treated with other acute endovascular therapies.

Case 3 Combination reperfusion therapy for acute stroke
In patients who do not recanalize with IV tPA, adjunctive endovascular therapies may be used to improve reperfusion.

Case 4 Hemorrhagic complications of tPA
Intracerebral hemorrhage is a known complication of tPA. Different hemostatic agents can be used for symptomatic hemorrhage.

Case 5 Stroke mimic and acute treatment
Patients with stroke mimics and eligible for tPA may safely be treated. The diagnosis of a stroke mimic is typically made after the acute setting.

Case 6 Minor slŠ