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.

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.

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.

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.

Auf der Grundlage neuer Erkenntnisse A1/4ber die verschiedenen Ursachen und Pathogenesen zerebraler IschAmien durch verbesserte diagnostische Untersuchungsmethoden wie z. B. Ultraschall, Computer-Tomographie, Magnet-Resonanz-Tomographie und Positronen-Emissions-Tomographie wird in diesem Buch die traditionelle Stadieneinteilung des Schlaganfalls ergAnzt durch Atiologische Aoeberlegungen, die Grundlage therapeutischer MaAnahmen sein sollen. Dieses Konzept wird auch deshalb der mehr deskriptiven traditionellen Einteilung vorgezogen, weil es die individuelle Krankheitsgeschichte des einzelnen Patienten besser berA1/4cksichtigt. Wie ein roter Faden zieht sich diese Aoeberlegung durch das ganze Buch: bei der Darstellung der anatomischen Grundlagen, den pathophysiologischen Aspekten von HirnischAmie und Hirninfarkt, epidemiologischen und definitorischen Aspekten, besonders aber in den groAen Kapiteln zur klinischen Symptomatologie und der detaillierten Beschreibung des zur VerfA1/4gung stehenden diagnostischen Repertoires. Topisch anatomische und dynamische Aspekte stehen im Vordergrund. Ein ausfA1/4hrliches Therapiekapitel, das den aktuellen Stand kritisch reflektiert, beschlieAt das Buch. Es wendet sich insbesondere an den klinisch und in der Praxis tAtigen Internisten, Neurologen und Allgemeinmediziner, aber auch an alle anderen Disziplinen, die mit zerebralen IschAmien konfrontiert werden.