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Neurocritical care / / edited by Michel T. Torbey
| Neurocritical care / / edited by Michel T. Torbey |
| Edizione | [1st ed.] |
| Pubbl/distr/stampa | Cambridge ; ; New York, : Cambridge University Press, 2010 |
| Descrizione fisica | 1 online resource (xiii, 425 pages) : digital, PDF file(s) |
| Disciplina | 616.8/0428 |
| Altri autori (Persone) | TorbeyMichel T |
| Collana | Cambridge medicine |
| Soggetto topico | Neurological intensive care |
| ISBN |
1-139-81391-9
1-107-19239-0 1-282-33692-4 9786612336928 0-511-63454-4 0-511-63498-6 0-511-63275-4 0-511-63154-5 0-511-63543-5 0-511-63395-5 |
| Formato | Materiale a stampa  |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto | Cover; Half-title; Title; Copyright; Contents; Contributors; Foreword; Introduction; Section I: Principles of Neurocritical Care; Section II: Neuromonitoring; Section III: Management of Specific Disorders in the Neurocritical Care Unit; Section IV: Management of Medical Disorders in the Neurocritical Care Unit; Index |
| Record Nr. | UNINA-9910810760503321 |
| Cambridge ; ; New York, : Cambridge University Press, 2010 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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The stroke book / / edited by Michel T. Torbey, Magdy H. Selim
| The stroke book / / edited by Michel T. Torbey, Magdy H. Selim |
| Edizione | [2nd ed.] |
| Pubbl/distr/stampa | Cambridge, UK ; ; New York, : Cambridge University Press, c2013 |
| Descrizione fisica | 1 online resource (xiii, 380 pages) : digital, PDF file(s) |
| Disciplina | 616.8/1 |
| Altri autori (Persone) |
TorbeyMichel T
SelimMagdy H |
| Soggetto topico |
Cerebrovascular disease
Cerebrovascular disease - Patients - Rehabilitation |
| ISBN |
1-107-27280-7
1-107-27747-7 1-107-42296-5 1-107-27870-8 1-107-27545-8 1-107-27421-4 1-139-34429-3 |
| Formato | Materiale a stampa |
| Livello bibliografico | Monografia |
| Lingua di pubblicazione | eng |
| Nota di contenuto |
Intro -- Contents -- List of contributors -- Foreword -- Introduction -- Section I Assessment of Stroke Patients -- 1 Emergency medical services (EMS): first line of defense against stroke -- Introduction -- The golden hour -- EMS pre-hospital assessment -- Pre-hospital stroke assessment instruments -- The Los Angeles pre-hospital stroke screen (LAPSS) -- The Cincinnati pre-hospital stroke scale (CPSS) -- The Newcastle face arm speech test (FAST) -- Speech -- Facial movements -- Arm movements -- Melbourne ambulance stroke screen (MASS) -- Miami emergency neurological deficit (MEND) -- Central Ohio trauma system (COTS) -- Regional EMS/hospital stroke alert tool -- EMS pre-hospital management of the acute stroke patient -- EMS communication with receiving emergency departments -- Determining the stroke patient´s destination -- Primary stroke center (PSC) -- Comprehensive stroke center (CSC) -- Summary -- Bibliography -- 2 Initial assessment of patients with stroke-like symptoms -- General medical examination -- General health and appearance -- Vital signs -- Fundoscopic examination -- Carotid/vertebral artery examination -- Cardiac examination -- Dermatological examination -- Neurological examination -- Mental status -- Alert -- Orientation -- Attention -- Memory -- Language -- Calculation -- Neglects -- Apraxias -- Frontal lobe dysfunction -- Cranial nerves -- I -- Olfactory -- II -- Optic -- III, Oculomotor -- IV, Trochlear -- VI, Abducens -- V, Trigeminal -- VII, Facial -- VIII, Auditory/vestibular -- IX, Glossopharyngeal -- X, Vagus complex -- IX, Spinal accessory -- XII, Hypoglossal -- Motor -- Bulk and tone -- Drift -- Strength -- Coordination -- Rapid alternating movements -- Finger to nose -- Heel to shin -- Rebound/overshoot/mirror test -- Sensation -- Fine touch -- Extinction -- Pin prick/temperature -- Vibration -- Proprioception.
Cortical sensory loss -- Romberg test -- Gait -- Description -- Reflexes/Toes -- NIH stroke scale (NIHSS) -- Stroke imitators -- OCSP classification -- Seizures -- Toxic/metabolic encephalopathy -- Space-occupying lesions -- Syncope -- Vestibular dysfunction -- Migraine -- Spinal cord lesion -- Summary -- Bibliography -- 3 Clinical stroke syndromes and localization -- Syndromes -- Ischemic syndromes -- Lacunar (penetrating artery) -- Embolic -- Atherosclerotic -- Hemorrhagic syndromes -- Location (radiologic syndromes) -- Localization -- General pearls -- Anterior circulation -- Internal carotid artery (ICA) -- Retinal ischemia -- Hemispheric ischemia -- Dissection -- Middle cerebral artery (MCA) -- Main stem -- Penetrating artery -- Superior division -- Inferior division -- Anterior cerebral artery (ACA) -- Anterior choroidal artery -- Borderzone -- Posterior circulation -- Anterior spinal artery -- Medial medullary -- Vertebral artery -- (Extracranial) dissection -- Lateral medullary (Wallenberg) -- Posterior inferior cerebellar artery (PICA) -- Basilar artery -- Proximal stem -- Penetrating artery -- Anterior inferior cerebellar artery (AICA) -- Superior cerebellar artery (SCA) -- Top of the basilar -- Posterior cerebral artery (PCA) -- Proximal -- Distal -- Penetrating artery -- Bilateral PCA -- Notable variations -- Fetal PCA -- Azygos ACA origin -- Atresia of the AComm (anterior communicating artery) -- Azygos paramedian artery (Percheron) -- PICA terminus to vertebral artery -- Bibliography -- Section II The Hunt for a Stroke Etiology -- 4 The hunt for a stroke etiology: ischemic stroke -- History and physical examination -- Initial diagnostics -- The pipes: investigation of craniocervical arteries -- Steno-occlusive etiologies -- Atherosclerotic plaque -- Arterial dissection -- Vasculopathies -- Vasculitides -- Cerebral vasospasm. The pump: investingation of the heart -- Cardiac embolism -- Left ventricular thrombus -- Left atrial thrombus -- Valvular disease -- Interseptal cardiac defect/shunt -- Arrhythmia -- Cardiomyopathy with congestive heart failure (CHF) -- Other infections of the heart -- Aortic disease -- Intracardiac tumors -- The blood: hypercoagulable, hypercellular, and prothrombotic states -- Hereditary thrombophilia -- Aquired thrombophilia -- Blood cell disorders -- Polycythemia vera -- Diagnosis -- Essential thrombocythemia -- Diagnosis -- Sickle cell disease -- Diagnosis -- Hereditary spherocytosis -- Diagnosis -- Other causes of ischemic stroke -- Fabry disease -- Diagnosis -- MELAS -- Diagnosis -- Bibliography -- 5 The hunt for a stroke etiology: hemorrhagic stroke -- Introduction -- History and clinical examination -- Laboratory tests -- Imaging -- Computed tomography -- Magnetic resonance imaging -- CT and MR angiography -- Cerebral angiography -- Histopathology -- Cerebrospinal fluid analysis -- General protocol -- Conclusion -- Bibliography -- 6 Uncommon causes of stroke and stroke mimics -- Vasculitis -- Primary angiitis of the CNS -- Temporal arteritis -- Behcet's disease -- Other vasculitides -- Connective tissue disorders -- Systemic lupus erythematosus (SLE) -- Marfan syndrome -- Ehlers-Danlos syndrome -- Fibromuscular dysplasia (FMD) -- Angiopathies -- Moyamoya syndrome -- Susac's syndrome -- Hereditary endotheliopathy with retinopathy, nephropathy, and stroke (HERNS) -- Osler-Weber-Rendu disease -- Arterial dissections -- Sneddon's syndrome -- Metabolic diseases -- Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL) -- Fabry's disease -- Mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) -- Homocystinuria -- Hematologic and oncologic causes. Hyperviscosity syndromes -- Strokes in the setting of cancer -- Substance abuse -- Infections -- Bacterial infections -- Viral infections -- Fungal infections -- Parasitic infections -- Migrainous infarction -- Stroke mimics -- Intracranial mass lesion -- Subdural hematoma -- Seizures -- Migraine -- Alternating hemiplegia -- Posterior reversible encephalopathy syndrome (PRES) -- Hypoglycemia -- Non-ketotic hyperglycemia -- Radial neuropathy -- Metabolic insult causing re-expression of old stroke (MICROS) -- Conversion disorder -- Malingering -- Bibliography -- Section III Acute Stroke Imaging -- 7 Computed tomography in acute stroke -- CT: considerations -- Advantages and disadvantages of CT -- Advantages -- Disadvantages -- Unenhanced CT -- CT angiography -- Infarct detection with CTA-SI -- CT perfusion -- Technical considerations -- CTP radiation dose considerations -- Clinical role of CTP -- Acute stroke imaging workflow (Table 7.3) -- Potential future applications of CTP: extending the ``treatment time window´´ -- CTP image interpretation pitfalls -- CTP imaging predictors of clinical outcome -- Cerebral venous infarcts and CT venography -- Unenhanced CT -- Enhanced CT -- CT venography -- Summing up: important considerations in acute stroke imaging -- Conclusions -- Bibliography -- 8 Magnetic resonance imaging in acute stroke -- Pathophysiological principles of MRI -- Technical considerations -- Clinical applications of MRI in stroke patients -- Conventional T1, T2, and FLAIR images -- Gradient echo susceptibility-weighted (T2*) imaging -- Diffusion-perfusion MRI and the ischemic penumbra -- Diffusion-weighted MRI -- Perfusion-weighted MRI -- Magnetic resonance angiography -- Special considerations -- Bibliography -- 9 Neurosonology in acute ischemic stroke -- TCD advantages and limitations -- Fast-track insonation protocol. Yield and accuracy of TCD and carotid duplex -- TCD and carotid duplex criteria for lesions amenable for intervention -- TCD monitoring of arterial occlusion, reocclusion and recanalization -- Therapeutic TCD -- Other bedside diagnostic applications -- Emboli detection -- Intracranial stenosis -- Vasomotor reactivity -- Right-to-left shunt detection -- Evaluating collateral circulation by TCD -- Conclusions -- References -- Section IV Management of Stroke Patients -- 10 Ischemic stroke in the first 24 hours -- Hospital door to emergency department phase -- Neurological evaluation -- Confirming the diagnosis of stroke -- Laboratory tests -- Neuroimaging -- CT versus MRI in evaluation of hyperacute stroke -- Vascular imaging -- Acute treatment(s) for ischemic stroke in the first 24 hours -- IV thrombolysis (rt-PA) -- IA thrombolysis -- IV/IA combination therapy -- Mechanical disruption of the clot -- Management of hydration and fluid status -- Management of fever -- Management of blood sugar -- Management of blood pressure -- Conclusion -- Bibliography -- 11 Management of the acute ischemic stroke patient beyond 24 hours -- Introduction -- Stroke centers and acute stroke units -- Neurointensive care unit -- BP management -- Hypotension and hydration -- Prevention of DVT and pulmonary embolism -- Maintenance of normoglycemia -- Temperature control: normothermia or hypothermia -- Airway management -- Weaning parameters -- Cerebral edema and elevated ICP -- Nutrition management -- Prevention of pressure ulcers -- Prevention of UTIs -- Early post-stroke seizures -- Early rehabilitation -- Early antithrombotics -- Anticoagulation versus antiplatelet agents -- Early statin use -- Surgical and endovascular management -- Decompressive hemicraniectomy -- Posterior fossa decompression and cerebellectomy -- Ventricular drainage. Evacuation of intracerebral hemorrhage. |
| Record Nr. | UNINA-9910808222503321 |
| Cambridge, UK ; ; New York, : Cambridge University Press, c2013 | ||
| Materiale a stampa | ||
| Lo trovi qui: Univ. Federico II | ||
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