Acute Stroke Care

You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales. Organized in chronological order of the issues faced by medical personnel after stroke onset Provides a comprehensive insight for caregivers, from pre-hospital to discharge Includes practical advice based on the authors' extensive experience to help caregivers to handle dilemmas, not covered within any other text, or addressed by clinical trial data Offers practical advice from leading experts, to help professionals to prioritize the multiplicity of issues, faced, when managing their stroke patients, in a global setting Cover......Page 1 Front Matter ......Page 3 Acute Stroke Care......Page 5 Copyright ......Page 6 Contents ......Page 7 Preface to the Third Edition......Page 13 Abbreviations ......Page 14 1 Stroke in the Emergency Department......Page 21 2 What to Do First......Page 27 3 Ischemic Stroke......Page 32 4 Stroke Radiology......Page 52 5 Intravenous Thrombolysis......Page 78 6 Endovascular Therapy......Page 100 7 Neurological Deterioration in Acute Ischemic Stroke......Page 121 8 Ischemic Stroke Etiology and Secondary Prevention......Page 139 9 Transient Ischemic Attack......Page 173 10 Less Common Causes of Stroke......Page 180 11 Cerebral Venous Sinus Thrombosis......Page 188 12 Intracerebral Hemorrhage......Page 195 13 Subarachnoid Hemorrhage......Page 218 14 Organization of Stroke Care......Page 235 15 Stroke Rehabilitation......Page 246 16 Transition to Outpatient Stroke Care......Page 257 Appendix 1. IV tPA Dosing Chart......Page 261 Appendix 2. Transcranial Doppler Ultrasound......Page 264 Appendix 3. Medical Complications......Page 267 Appendix 4. Brainstem Syndromes......Page 273 Appendix 5. Anatomy of Cerebral Vasculature......Page 276 Appendix 6. Brain Death Criteria......Page 282 Appendix 7. Stroke Assessment Scales......Page 286 Further In-Depth Reading ......Page 303 Index......Page 305 Plate Section......Page 315