By Michael G. Hennerici, Michael Daffertshofer, Louis R. Caplan, Kristina Szabo
Neurologists study from their sufferers, and this option of 60 stroke situations will tell and problem clinicians of all occupation phases. together with either universal and weird circumstances, the purpose is to enhance diagnostic talents via cautious research of person offering styles and to lead remedy judgements. each one case contains a scientific heritage, exam findings and distinct investigations, frequently related to imaging sooner than a prognosis is given. There then follows for every case a dialogue of the scientific concerns raised by way of the case, during which the most educating issues are emphasised. chosen references, often together with the 1st description, are supplied on the end of every case. Drawing at the services of top lecturers and practitioners, and liberally illustrated, those case reviews and the discussions that accompany them are an important consultant to studying the complexity of stroke analysis.
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Extra info for Case Studies in Stroke: Common and Uncommon Presentations (Case Studies in Neurology)
Hankey, G. J. & Hon, C. Surgery for primary intracerebral hemorrhage: is it safe and eVective? A systematic review of case series and randomized trials. Stroke 1997; 28:2126–2132. , Poranen, A. et al. The treatment of spontaneous intracerebral hemorrhage. A prospective randomized trial of surgical and conservative treatment. J. Neurosurg. 1989; 70:755–758. Mayer, S. A. Ultra-early hemostatic therapy for intracerebral hemorrhage. Stroke 2003; 34:224–229. Mayer, S. , Brun, N. , Begtrup, K. et al.
Hurst, J. , & Chimowitz, M. I. ). , 1999; 35–185. Cerebral Embolism Task Force. Cardiogenic brain embolism: the second report of the Cerebral Embolism Task Force. Arch. Neurol. 1989; 46:727–743. Roh, J. , Kang, D. , Lee, S. , Yoon, B. , & Chang, K. H. Significance of acute multiple brain infarction on diVusion-weighted imaging. Stroke 2000; 31:688–694. Case 6 Transient loss of vision Clinical history A 67-year-old man came to the hospital because of recurrent transient loss of vision in the left eye and sensorimotor hemiparesis of the right side.
Case 8 Tinnitus during cycling in an orthopedic surgeon Clinical history A 40-year-old orthopedic surgeon came to the emergency room because of rightsided tinnitus. He had first noticed the tinnitus after his regular sunday bike-ride that consisted of 4 h hard cycling in mountainous terrain. He had no history of cardiovascular risk factors. Examination On examination he had an incomplete right Horner’s syndrome (unilateral miosis and mild ptosis), but no further abnormalities. He had no headache, facial or neck pain or signs of cerebral ischemia.