Stroke : a practical guide to management

著者

書誌事項

Stroke : a practical guide to management

edited by Charles Warlow, with Martin Dennis ... [et al.] ; forword by Henry Barnett

Blackwell Science, 1996

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注記

Includes bibliographical references and index

内容説明・目次

内容説明

For decades the occurrence of an insult to the brain from ischaemia or from haemorrhage was used to localize brain function or to describe syndromes. It was an academic pursuit and of little help to the patients. Prevention and therapy remained elusive. Fortunately, revolutionary changes followed upon several sequential and contemporaneous developments: imaging of the blood vessels, the brain and the heart; explosive new knowledge about thrombosis and strategies to modify it; surgical techniques to remove the lesions of arterial degenerations and faults; and the maturation of the science of epidemiology, methodology and biostatics which lead us on a path towards the practice of evidence-based medicine. This work aims to assist practitioners to make practical use of this rapidly expanding body of knowledge. It is written to assist those at the bedside or the clinic, in sorting out what is useful, to point out what is likely to become useful, and to caution about therapeutic strategies which remain in the realm of speculation. The book is a distillation of that which currently is useful to know and utilize in the field of cerebral vascular disease.

目次

  • Stroke - a practical approach
  • development of knowledge concerning cerebrovascular disease
  • is it a vascular event? - transient ischaemic attack or stroke
  • where is the lesion?
  • what pathological type of stroke is it?
  • what caused this transient or persisting ischaemic event?
  • unusual causes of ischaemic stroke and transient ischaemic attack
  • what caused this intracerebral haemorrhage?
  • what caused this subarachnoid haemorrhage?
  • a practical approach to the management of stroke patients
  • specific treatment of acute ischaemic stroke
  • specific treatment of intracerebral haemorrhage
  • specific treatment of aneurysmal subarachnoid haemorrhage
  • specific treatment of arteriovenous malformations
  • what are this person's problems? - a problem-based approach to the general management of stroke
  • preventing recurrent stroke and other serious vascular events
  • the organization of stroke services
  • reducing the burden of stroke and improving the public health.

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