Neurologists learn from their patients, and this selection of 60 stroke cases will inform and challenge clinicians at all stages in their careers. Including both common and unusual cases, the aim is to reinforce diagnostic skills through careful analysis of individual presenting patterns, and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, usually involving imaging before a diagnosis is given. There then follows for each case a discussion of the clinical issues raised by the case, in which the main teaching points are emphasized. Selected references, frequently including the first description, are provided at the conclusion of each case. Drawing on the expertise of leading teachers and practitioners, and liberally illustrated, these case studies and the discussions that accompany them are an essential guide to learning the complexity of stroke diagnosis.
Part of the Oxford Neurology Library, this pocketbook highlights the importance of stroke, its diagnosis, the problems of misdiagnosis, and current thoughts on its pathogenesis, acute treatment and rehabilitation as well as prevention.
Neuroimaging techniques are crucial in the management of stroke patients. This book is an important resource in the quest to better understand stroke and its heterogeneity. After a first chapter on the classification of stroke, it outlines that neuroimaging techniques are not only useful to diagnose stroke, its mechanisms, and its causes, but are also an important tool to improve our knowledge on the pathophysiology of stroke and of its recovery. This book has involved prestigious contributors who have a great knowledge on this topic, and are skilled at describing the current state of knowledge, and also at projecting developments that are likely to occur in the future. This book is useful for all those who have to manage stroke patients at the acute stage, or later, and for those who are in search of a focused, authoritative review on this subject. It will assume a prominent place as a reference.
First published in 1986 under the editorial direction of Dr. Henry J.M. Barnett, Stroke: Pathophysiology, Diagnosis, and Management continues to provide the dependable, current answers you need to effectively combat the increasing incidence of this disease. Dr. J.P. Mohr, together with new associate editors Philip A. Wolf, James C. Grotta, Michael A. Moskowitz, Marc Mayberg, and Rüdiger von Kummer as well as a multitude of expert contributors from around the world, offer you updated and expanded coverage of mechanisms of action of commonly used drugs, neuronal angiogenesis and stem cells, basic mechanisms of spasm and hemorrhage, prevention of stroke, genetics/predisposing risk factors, and much more, equipping you to understand the latest scientific discoveries and make effective use of the newest approaches to diagnosis and treatment. Gain fresh perspectives and up-to-date insights from the world’s leading authorities on the pathophysiology, diagnosis, and management of stroke. Access the comprehensive, expert clinical guidance you need to recognize the clinical manifestations of stroke, use the latest laboratory and imaging studies to arrive at a diagnosis, and generate an effective medical and surgical treatment plan. Make efficient and accurate diagnoses with the aid of abundant full-color CT images and pathology slides. Stay up to date on hot topics such as mechanisms of action of commonly used drugs, neuronal angiogenesis and stem cells, basic mechanisms of spasm and hemorrhage, prevention of stroke, genetics/predisposing risk factors, and much more.
This book provides a carefully selected compilation of challenging cases representative of the situations and pathologies likely to be encountered when performing cardiovascular imaging using CT. The conditions covered include coronary artery disease, anomalous coronary arteries, congenital heart disease, coronary artery bypass grafts, infectious diseases, structural heart disease, tumors, and aortic pathology. The book also provides insights into various scanning techniques geared towards the pre-procedural use of cardiac CTA in patients undergoing atrial fibrillation ablation, thoracic endovascular aortic repair, or transcatheter aortic valve replacement. In addition, scanning techniques for some of the more difficult cases that a cardiac imager may encounter in practice are reviewed. All images are high-resolution reproductions, and subsequent cardiac catheterization images are included for cases in which obstructive coronary artery disease was revealed. Clinical Pearls in Diagnostic Cardiac Computed Tomographic Angiography is specifically designed to meet the needs of residents, fellows, and physicians who have an interest in cardiovascular CT.
The Interventional Radiology volume of the landmark reference Abrams' Angiography has now been expanded and thoroughly revised to reflect dynamic advances in interventional radiology. More than 60 contributors representing a "Who's Who" of the specialty provide comprehensive, step-by-step coverage of all contemporary vascular and nonvascular interventional procedures. Major sections discuss today's equipment and describe interventions for specific disorders of each organ system, as well as for trauma, pediatric diseases, abscess drainage, and miscellaneous disorders. More than 1,100 illustrations complement the text. This edition incorporates an extensive new section on interventional oncologic procedures. The section covers all organ-specific cancers for which interventional therapies are used. Other sections include artervenous malformations, liver diseases, arterial occlusive disease, aneurysms, traumatic arterial injuries, hemorrhage, and venous diseases. It also has full color.
Modern adult brain surgery is a very new discipline. While many would consider the fathers of modern neurosurgery to be people like Victor Horsley, Harvey Cushing, and Walter Dandy, they all worked in the early 20th century, in an era before the creation of equipment now considered to be “game-changers” in the field of neurosurgery. Only towards the end of the 20th century did we see such critical advances as the operating microscope, the wide availability of CT and MRI imaging, neuro-endoscopy, stereotactic neuro-navigation, stereotactic radiosurgery, interventional neuro-endovascular techniques, and intra-operative neuromonitoring. It is not just that these advances occurred only recently, but it is even more recently that they have become accessible to many neurosurgeons. Furthermore, the scientific evidence for adult brain surgery in this new era is itself extremely new and a work in progress. There is certainly both an “art” and a “science” to the practice of medicine and also to the practice of adult brain surgery. Furthermore, there is also a wide range of acceptable practices in regards to adult brain surgery, ranging from the most conservative/minimally invasive options to the most aggressive approaches. The author of Put Down the Knife, neurosurgeon Dr. Michael Brisman, is of the belief that the pendulum in medicine has swung way too far to the “art” side and away from the “science.” Furthermore, given the very high risks associated with adult brain surgery, the default choice of treatment should be the more conservative/minimally invasive options when possible. This book explores adult brain surgery from a more conservative vantage point, highlighting potential errors in thought related to decision-making and rationales for brain surgery as well as interpretation of the surgical literature. Focused chapters then dive into considerations of less invasive and even non-invasive approaches for various conditions of the brain, including tumors, cysts, hematomas, pain and movement disorders, skull base disorders, and much more.
This text blends theoretical and scientific aspects with practical and directly applicable diving physiology and medical information. It is divided into three sections - the underwater environment, physiological responses to the underwater environment, and medical problems associated with the sport.
50th Anniversary Edition of the groundbreaking case-based pharmacotherapy text, now a convenient two-volume set. Celebrating 50 years of excellence, Applied Therapeutics, 12th Edition, features contributions from more than 200 experienced clinicians. This acclaimed case-based approach promotes mastery and application of the fundamentals of drug therapeutics, guiding users from General Principles to specific disease coverage with accompanying problem-solving techniques that help users devise effective evidence-based drug treatment plans. Now in full color, the 12th Edition has been thoroughly updated throughout to reflect the ever-changing spectrum of drug knowledge and therapeutic approaches. New chapters ensure contemporary relevance and up-to-date IPE case studies train users to think like clinicians and confidently prepare for practice.
For over fifty years, McDonald's Blood Flow in Arteries has remained the definitive reference work in the field of arterial hemodynamics, including arterial structure and function with special emphasis on pulsatile flow and pressure. Prestigious, authoritative and comprehensive, the sixth edition has been totally updated and revised with several ne
This ground breaking title presents the many different neurologic syndromes and vastly expanding data in the brain sciences from an evolutionary, or neuro-archeological, perspective, as well as a clinical one. The neuro-archeological perspective offers a more thorough picture of the field – providing hindsight that leads to great insight and foresight. It thus provides the reader with the core foundational aspects of many perplexing neurologic syndromes. Authored by a noted authority in cognitive neurology and including ample tables, diagrams and images, the book covers the full range of behavioral neurological, psychological and neuropsychiatric syndromes, as well as their underlying disease states, relevant neuropsychological tests and contemporary neuroimaging, both structural and functional. The evolutionary approach offers a comprehensive, novel, and completely updated overview of each topic. An invaluable title unlike any other in the field, Cognitive, Conative and Behavioral Neurology: An Evolutionary Perspective is a landmark resource and will be of great interest to neurologists, psychiatrists, neuroscientists, and trainees in all fields.
For three decades psychiatrists have turned to Lishman's Organic Psychiatry as the standard neuropsychiatry reference. It stood as the last great single author reference text in medicine, a combination of meticulous, exhaustive research conveyed in a beautifully clear style. Now the mantle has been passed to a group of five distinguished authors and it is to their considerable credit that the attributes which made Organic Psychiatry such a distinctive voice remain. The fourth Edition of Lishman's Organic Psychiatry is a rich blend of detailed clinical inquiry and up to date neuroscience. It should be on every psychiatrist;s book shelf." —Anthony Feinstein, MPhil, PhD., FRCP, Professor, Department of Psychiatry, University of Toronto, Canada Over the past 30 years, thousands of physicians have depended on Lishman's Organic Psychiatry. Its authoritative and reliable clinical guidance was - and still is - beyond compare. The new edition of this classic textbook has now been extensively revised by a team of five authors, yet it follows the tradition of the original single-authored book. It continues to provide a comprehensive review of the cognitive, emotional and behavioural consequences of cerebral disorders and their manifestations in clinical practice. Enabling clinicians to formulate incisive diagnoses and appropriate treatment strategies, Lishman's Organic Psychiatry is an invaluable source of information for practising psychiatrists, neurologists and trainees. This new edition: covers recent theoretical and clinical developments, with expanded sections on neuropsychology and neuroimaging includes a new chapter on sleep disorders whilst the chapters on Alzheimer's disease and related dementias, Epilepsy, Movement disorders and Traumatic brain injury have been extensively revised reflecting the greatly improved understanding of their underlying pathophysiologies showcases the huge advances in brain imaging and important discoveries in the fields of molecular biology and molecular genetics has been enhanced with the inclusion of more tables and illustrations to aid clinical assessment incorporates important diagnostic tools such as magnetic resonance brain images.
For three decades psychiatrists have turned to Lishman's Organic Psychiatry as the standard neuropsychiatry reference. It stood as the last great single author reference text in medicine, a combination of meticulous, exhaustive research conveyed in a beautifully clear style. Now the mantle has been passed to a group of five distinguished authors and it is to their considerable credit that the attributes which made Organic Psychiatry such a distinctive voice remain. The fourth Edition of Lishman's Organic Psychiatry is a rich blend of detailed clinical inquiry and up to date neuroscience. It should be on every psychiatrist;s book shelf." —Anthony Feinstein, MPhil, PhD., FRCP, Professor, Department of Psychiatry, University of Toronto, Canada Over the past 30 years, thousands of physicians have depended on Lishman's Organic Psychiatry. Its authoritative and reliable clinical guidance was - and still is - beyond compare. The new edition of this classic textbook has now been extensively revised by a team of five authors, yet it follows the tradition of the original single-authored book. It continues to provide a comprehensive review of the cognitive, emotional and behavioural consequences of cerebral disorders and their manifestations in clinical practice. Enabling clinicians to formulate incisive diagnoses and appropriate treatment strategies, Lishman's Organic Psychiatry is an invaluable source of information for practising psychiatrists, neurologists and trainees. This new edition: covers recent theoretical and clinical developments, with expanded sections on neuropsychology and neuroimaging includes a new chapter on sleep disorders whilst the chapters on Alzheimer's disease and related dementias, Epilepsy, Movement disorders and Traumatic brain injury have been extensively revised reflecting the greatly improved understanding of their underlying pathophysiologies showcases the huge advances in brain imaging and important discoveries in the fields of molecular biology and molecular genetics has been enhanced with the inclusion of more tables and illustrations to aid clinical assessment incorporates important diagnostic tools such as magnetic resonance brain images.
Better understand your patients' complete medical profile and provide the best possible care! This one-of-a-kind reference provides a practical look at neurological disease and how it affects, and is affected by, other disease. It helps neurologists manage patients with co-existing medical conditions, and helps internists understand and treat the neurological manifestations of patients' primary diseases. A new emphasis on diagnosis and management—including advances in pharmacology, genetic-based therapies, and new imaging techniques—makes this 4th Edition more clinically valuable than ever! Focused content highlights the vital links between neurology and other medical specialties, promoting a better understanding of all disciplines, as well as enhancing patient care. Comprehensive coverage of advances in pharmacology, such as new antibiotics for infectious diseases, helps you successfully manage a full range of diseases and disorders. An interdisciplinary team of authors provides insight into the neurological aspects of the conditions you see in daily practice. Easy-to-read chapters apply equally well to neurologists and non-neurologists, providing essential knowledge that covers the full spectrum of medical care. Expanded chapters emphasize key diagnostic and therapeutic information, including appropriate testing and treatments for neurological disease. An emphasis on advances in pharmacology and new imaging techniques helps you better manage your patients and understand how new drugs or therapies will affect your patients and practice. New chapters on auditory and vestibular disease, ocular disease, and cutaneous disease provide a well-rounded look at the specialty. Updated illustrations make complex concepts easier to understand and apply.
Despite a worldwide reduction in its incidence, stroke remains one of the most common diseases generally and the most important cause of premature and persistent disability in the industrialized countries. The most frequent cause of stroke is a localized disturbance of cerebral circulation, i.e., cerebral ischemia. Less common are spon taneous intracerebral and subarachnoid hemorrhages and sinus ve nous thromboses. The introduction of new diagnostic procedures such as cranial computed tomography, magnetic resonance imaging, digi tal subtraction radiologic techniques, and various ultrasound tech niques has led to impressive advances in the diagnosis of stroke. Through the planned application of these techniques, it is even possible to identify the pathogenetic mechanisms underlying focal cerebral ischemia in humans. However, these diagnostic advances have made the gap between diagnostic accuracy and therapeutic implications even greater than before. This fact can be easily explained. In the past, therapeutic studies had to be based on the symptoms and temporal aspects of stroke; it was impossible for early investigations to consider the various pathogeneses of cerebral ischemia. Inevitably, stroke patients were treated as suffering from a uniform disease.
With your heavy case load, you can't afford to waste time searching for answers. Cardiology, 3rd Edition, by Drs. Crawford, DiMarco, and Paulus, offers you just the practical, problem-based guidance you need to quickly overcome any clinical challenge. 8 color-coded sections cover the 8 major clinical syndromes of cardiovascular disease—each section a virtual "mini textbook" on its topic! 40 new chapters keep you up to date with the latest advances in the field, while more than 2,000 lavish, high-quality illustrations, color photographs, tables, and ECGs capture clinical manifestations as they present in practice. It’s current, actionable information that you can put to work immediately for your patients! Offers a problem-based approach that integrates basic science, diagnostic investigations, and therapeutic management in one place for each cardiovascular disease so you can quickly find all of the actionable knowledge you need without flipping from one section to another. Features introductory bulleted highlights in each chapter that present the most pertinent information at a glance. Presents abundant algorithms to expedite clinical decision making. Includes more than 2,000 lavish, high-quality illustrations, color photographs, tables, and ECGs that capture clinical manifestations as they present in practice, and promote readability and retention. Includes 40 new chapters including Inherited Arrhythmia Syndromes, Implantable Cardioverter-Defibrillators and Cardiac Resynchronization Therapy in CHD, Management of the Cyanotic Patient with CHD, Special Problems for the Cardiology Consultant Dealing with Bariatric/Gastric Bypass — and many more — that equip you with all of the latest knowledge. Presents "Special Problem" sections—many new to this edition—that provide practical advice on problems that can be difficult to treat.
Widely acknowledged as the most comprehensive book on its subject, this book offers concise, practical guidance on the use of electrodiagnostic techniques for investigating problems of both the central and peripheral nervous systems. Forty-two experts, many new to this edition, discuss the principles, scope, limitations, diagnostic importance, prognostic relevance and complications for each technique.
Recognized for a practice-oriented approach to neurology based on the patient’s presenting symptoms or signs. This uniquely readable and concise book provides a strong foundation in basic neuroscience linking it to current approaches in the diagnosis and treatment of neurologic disorders. Features new relevant web sites and a glossary as well as extensive use of charts and tables.
Neurologists learn from their patients, and this selection of 60 stroke cases will inform and challenge clinicians of all career stages. Including both common and unusual cases, the aim is to reinforce diagnostic skills through careful analysis of individual presenting patterns and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, usually involving imaging before a diagnosis is given. There then follows for each case a discussion of the clinical issues raised by the case, in which the main teaching points are emphasized. Selected references, frequently including the first description, are provided at the conclusion of each case. Drawing on the expertise of leading teachers and practitioners, and liberally illustrated, these case studies and the discussions that accompany them are an essential guide to learning the complexity of stroke diagnosis.
Neurologists learn from their patients, and this selection of 60 stroke cases will inform and challenge clinicians at all stages in their careers. Including both common and unusual cases, the aim is to reinforce diagnostic skills through careful analysis of individual presenting patterns, and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, usually involving imaging before a diagnosis is given. There then follows for each case a discussion of the clinical issues raised by the case, in which the main teaching points are emphasized. Selected references, frequently including the first description, are provided at the conclusion of each case. Drawing on the expertise of leading teachers and practitioners, and liberally illustrated, these case studies and the discussions that accompany them are an essential guide to learning the complexity of stroke diagnosis.
Neuroimaging techniques are crucial in the management of stroke patients. This book is an important resource in the quest to better understand stroke and its heterogeneity. After a first chapter on the classification of stroke, it outlines that neuroimaging techniques are not only useful to diagnose stroke, its mechanisms, and its causes, but are also an important tool to improve our knowledge on the pathophysiology of stroke and of its recovery. This book has involved prestigious contributors who have a great knowledge on this topic, and are skilled at describing the current state of knowledge, and also at projecting developments that are likely to occur in the future. This book is useful for all those who have to manage stroke patients at the acute stage, or later, and for those who are in search of a focused, authoritative review on this subject. It will assume a prominent place as a reference.
Despite a worldwide reduction in its incidence, stroke remains one of the most common diseases generally and the most important cause of premature and persistent disability in the industrialized countries. The most frequent cause of stroke is a localized disturbance of cerebral circulation, i.e., cerebral ischemia. Less common are spon taneous intracerebral and subarachnoid hemorrhages and sinus ve nous thromboses. The introduction of new diagnostic procedures such as cranial computed tomography, magnetic resonance imaging, digi tal subtraction radiologic techniques, and various ultrasound tech niques has led to impressive advances in the diagnosis of stroke. Through the planned application of these techniques, it is even possible to identify the pathogenetic mechanisms underlying focal cerebral ischemia in humans. However, these diagnostic advances have made the gap between diagnostic accuracy and therapeutic implications even greater than before. This fact can be easily explained. In the past, therapeutic studies had to be based on the symptoms and temporal aspects of stroke; it was impossible for early investigations to consider the various pathogeneses of cerebral ischemia. Inevitably, stroke patients were treated as suffering from a uniform disease.
Part of the Oxford Neurology Library, this pocketbook highlights the importance of stroke, its diagnosis, the problems of misdiagnosis, and current thoughts on its pathogenesis, acute treatment and rehabilitation as well as prevention.
The critically acclaimed Vascular Diagnosis of Ultrasound returns in a new two-volume second edition, offering the most comprehensive information available on the broad spectrum of vascular ultrasound applications. Volume 1:Cerebral and Peripheral Vessels retains the accessible design and structure of the first edition to discuss the available ultrasound technologies, including continuous and pulsed-wave Doppler mode, b-mode, and conventional and color-coded duplex analysis in frequency and amplitude power modes. This text covers anatomy, physiology, normal and abnormal findings, test accuracy and sensitivity, providing the reader with the information essential to managing common clinical situations. Highlights: Provides comprehensive coverage of vascular ultrasonography in the arteries and veins of the cerebral circulation and the peripheral upper and lower limb circulation Compares other diagnostic methods used in each region, such as conventional and noninvasive MR angiography Assesses recent developments in ultrasound technology, including tissue perfusion studies, 3D and 4D imaging, contrast enhancement and microbubble applications, and their diagnostic, technological, and therapeutic implications Features new challenging case studies for both the novice and the expert to review With contributions from experts in the field and more than 500 line drawings and images, this text is an indispensable reference for radiologists, vascular surgeons, and residents and students in these specialties.
Features more than 500 line drawings and images The critically acclaimed Vascular Diagnosis of Ultrasound returns in a new two-volume second edition, offering the most comprehensive information available on the broad spectrum of vascular ultrasound applications. Volume 1: Cerebral and Peripheral Vessels retains the accessible design and structure of the first edition to discuss the available ultrasound technologies, including continuous and pulsed-wave Doppler mode, b-mode, and conventional and color-coded duplex analysis in frequency and amplitude power modes. This text covers anatomy, physiology, normal and abnormal findings, test accuracy and sensitivity, providing the reader with the information essential to managing common clinical situations. Highlights: Provides comprehensive coverage of vascular ultrasonography in the arteries and veins of the cerebral circulation and the peripheral upper and lower limb circulation Compares other diagnostic methods used in each region, such as conventional and noninvasive MR angiography Assesses recent developments in ultrasound technology, including tissue perfusion studies, 3D and 4D imaging, contrast enhancement and microbubble applications, and their diagnostic, technological, and therapeutic implications Challenging case studies for both the novice and the expert to review With contributions from experts in the field and more than 500 line drawings and images, this text is an indispensable reference for radiologists, vascular surgeons, and residents and students in these specialties.
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