Handbook of stroke and neurocritical care / Vivien H. Lee, editor.

Format:

Book

Contributor:

Lee, Vivien H.

Series:

Neurology--laboratory and clinical research development series.

Cerebrovascular research and disorders series.

Neurology--laboratory and clinical research developments

Cerebrovascular research and disorders

Language:

English

Subjects (All):

Cerebrovascular disease--Treatment.

Cerebrovascular disease.

Neurological intensive care.

Physical Description:

1 online resource (391 p.)

Edition:

1st ed.

Place of Publication:

New York : Nova Science Publishers, c2012.

Language Note:

English

Summary:

'Handbook of Stroke and Neurocritical Care' is a thorough-source of referenced material in handbook format that provides useful material on the topic of stroke and neurocritical care for the trainee level. This handbook was written for the fellow, resident or medical student and is meant to be a quick source of detailed information on the topic of stroke and neurocritical care. The concise organization and relianaceon abundant figures and images are useful to the trainee. Although detailed, the size of the handbook allows it to be easily carried with the trainee, making it practical and useful.

Contents:

Intro

HANDBOOK OF STROKE AND NEUROCRITICAL CARE

Contents

Preface

Normal Anatomy

Arterial Anatomy

Great Vessels

Carotid Arteries

Circle of Willis (Figure 6)

Venous Anatomy

References

Ischemic Stroke - Epidemiology

Ischemic Stroke-Large-Artery Atherosclerosis

Large Artery Atherosclerosis (LAA)

Intracranial Atherosclerotic Stenosis (ICAS)

Carotid Atherosclerosis

Asymptomatic Carotid Stenosis

Symptomatic Carotid Stenosis

Carotid Stenting Studies

Carotid Occlusion

Cardiac issues and Carotid Disease

Chapter Keypoints

Small Vessel Disease Occlusion

Ischemic Stroke - Cardioembolic

Categories of Cardioembolic Stroke

Dysrhythmias

Structural

Endocarditis

Aortic Atheroma

Ischemic Stroke- Cryptogenic

Key Points

Introduction

Etiologies

Diagnostic Tests

Prognosis and Management

Ischemic Stroke - Other Rare Causes

Background

Vasculitis- Primary CNS and Systemic Diseases

Other Inflammatory Conditions

Infectious Causes of Stroke

Hereditary and Genetic Conditions

Small Vessel Hereditary Conditions

Heritable connective tissue disorders

Mitochondrial Disorders

Hematologic / Prothrombotic States

Disorders of the Arterial Wall

Textbooks

Ischemic Stroke - Acute Therapy (IV)

NIHSS Standard Images

Scoring of NIHSS in Special Populations

Common Mistakes when Scoring and Performing the NIHSS

Interpreting the NIHSS

Initial Studies

Imaging (in the order they would be considered in most Hospitals)

Serum Studies

Additional Non-Neurologic Imaging Studies

Hour Window

Common Misconceptions about IV tPA

So you've decided to give IV tPA…

Consent.

Elements to include when Seeking informed Consent

Legal Pitfalls

Dosing/Rate

Monitoring

Use of tPA in Special Populations

When good Intentions aren't enough (Protocol Violations and Impact on Outcome)

Risk of Spontaneous Intracerebral Hemorrhage

Drip and Ship/Telemedicine

Future Directions in Research: Neuroprotective Therapy

Ischemic Stroke Acute Treatment Intraarterial Therapy

Ischemic Stroke in Hospital Management

Non-Thrombolytic Treatment

Blood Pressure Management in Ischemic Stroke Patients

Stroke Units

Prevention and Detection of Medical Complications

Cardiac Complications

Fevers and Infections

Hematologic Complications

Deep Venous Thrombosis (DVT) and Pulmonary Embolism (PE)

GI Bleeding

GI Complications

Dysphagia

Nutrition

Hyperglycemia and Hypoglycemia

Surgical Treatment of Ischemic Stroke

Box Ongoing and Upcoming Clinical Trials

Ischemic Stroke- Secondary Stroke Prevention

Anti-Platelet Medications

Anti-Coagulants

Surgery- Carotid Stenosis- CEA (See Chapter 3)

Vascular Risk Factor Modification

Intracerebral Hemorrhage

Incidence

Etiology

Clinical Features

Diagnosis

Management

Outcomes

Research

Subarachnoid Hemorrhage

Epidemiology

Risk Factors

Diagnosis of Asah

Imaging

Cerebrospinal Fluid Analysis

Conventional Four-Vessel Angiography

Grading Scales

Management of Asah (Figures 1 and 2)

Control of Intracranial Pressure (ICP)

Prevention of Re-Bleeding

Prevention and Treatment of Delayed Cerebral Ischemia (DCI)

Medical Complications

Cardiopulmonary

Hyponatremia

Prognosis

Other Stroke Like Conditions

Posterior Reversible Encephalopathy Syndrome (PRES).

Reversible Cerebral Vasoconstriction Syndrome (RCVS)

Cerebral Venous Sinus Thrombosis (CVT)

Neuroimaging

Abbreviations

15.1 Introduction

Imaging Protocols

MR

Stroke has 4 Main Etiologies

15.2 Ischemic Stroke

15.2.1 CT Findings in Ischemic Stroke

NECT

Acute Stage 0-2 Days

Subacute Stage 2-14 Days

Chronic Stage (Months to Year)

CECT

CTA

CTP

15.2.2. MR Findings in Ischemic Stroke

Conventional MR Imaging

Acute Stage

Subacute Stage

Chronic Stage

MRA

DWI

PWI

Comparison of DWI and PWI Abnormalities

15.2.3 Strokes in Specific Vascular Distributions

Supratentorial Infarcts

Infratentorial Infarcts

15.3 Intraparenchymal Hemorrhage

15.3.1 Evolution of Intracranial Hemorrhage on CT

15.3.2 Evolution of Intracranial Hemorrhage on MR

15.3.3 Causes of Spontaneous Nontraumatic Intracerebral Hemorrhage

15.4 Nontraumatic Subarachnoid Hemorrhage

15.4.1 Etiologies of Nontraumatic Subarachnoid Hemorrhage

15.4.2 Aneurysmal Subarachnoid Hemorrhage (SAH)

15.4.3 Benign Perimesencephalic Hemorrhage

15.4.4 "Pseudo-Subarachnoid Hemorrhage"

15.5 Venous Infarction

15.5.1 Dural Sinus Thrombosis

15.5.2 Cortical Venous Thrombosis

15.5.3 Deep Cerebral Venous Thrombosis

15.6 Imaging Arterial Dissection

15.6.1 Intracranial Dissection

15.6.2 Extracranial Dissection

Neurosonology

Background Physics and Principles

Transcranial Doppler (TCD)

TCD Examination Technique [1]

Transtemporal Window

Transorbital Window

Transoccipital Window

Tcd Interpretation

TCD Clinical Applications

Carotid Ultrasound

Cerebral Catheter Angiography

Performing the Catheter Cerebral Angiogram

Spinal Catheter Angiography

Pharmacology

Intravenous Antihypertensive Agents.

Clevidipine Butyrate Injectable Emulsion (Cleviprex®)

Nicardipine HCL Injection (Cardene®I.V.)

Sodium Nitroprusside

Nitroglycerin

Labetalol HCL

Esmolol HCL (Brevibloc®)

Hydralazine

Enalaprilat

Antiplatelet Agents

Aspirin

Clopidogrel (Plavix)

Abciximab (ReoPro)

Prasugrel (Effient)

Anticoagulants

Dabigatran Etexilate Mesylate (Pradaxa)

Dalteparin (Fragmin®)

Enoxaparin (Lovenox®)

Warfarin (Coumadin®)

Fibrinolysis

Tissue Plasminogen Activator (TPA)/ Alteplase (Activase®)

Hemostatic Agents

Coagulation Factor VIIa (Recombinant) rFVIIa (Novoseven®)

Aminocaproic Acid (Amicar®)

Phytonadione - Vitamin K

Protamine Sulfate

Hyperosmotic Agents

Mannitol

Hypertonic Saline

Anticonvulsant Agents

Carbamazepine (Tegretol®)

Felbamate (Felbatol®)

Fosphenytoin (Cerebryx®)

Lacosamide (Vimpat®)

Lamotrigine (Lamictal®)

Levetiracetam (Keppra®)

Pentobarbital (Nembutal®)

Phenobarbital

Phenytoin

Topiramate (Topamax®)

Valproic Acid/ Divalproex Sodium/ Valproate Sodium

Zonisamide (Zonegran®)

Aquaretics

Conivaptan HCL (Vaprisol®)

Tolvaptan (SAMSCA®)

Acid-Inhibitors

Miscellaneous Agents

Nimodipine (Nimotop®)

Antihypertensive Agents

Thiazide Diuretics

Loop Diuretics

Potassium-Sparing Diuretics

Aldosterone Receptor Blockers

Combination Diuretics

Beta-Blockers

Angiotensin Converting Enzyme Inhibitors (ACE -Inhibitors)

Angiotensin II Receptor Blockers (ARBs)

Dihydropyridine Calcium Channel Blockers

Non-Dihydropyridine Calcium Channel Blockers

Alpha-Blockers

Combined Alpha and Beta-Blockers

Central Agonists

Direct Vasodilators

Cholesterol Lowering Drugs

Ezetimibe (Zetia®)

ICU Opioid Analgesics and ICU Sedation - See Attached Charts

Niacin (Niaspan®)

Index.

Notes:

Description based upon print version of record.

Includes bibliographical references and index.

ISBN:

1-61324-798-2

OCLC:

829960360