Hemorrhagic and Ischemic Stroke

A transdisciplinary approach to the medical, radiologic, interventional, and surgical treatment of stroke

In the last decade, advances in interventional, microsurgcial, radiosurgical techniques, medical approaches, and imaging technology have dramatically changed the management of ischemic stroke. Perhaps the most important advance has been the increasing collaboration between multispecialty clinicians to deliver team-based stroke care. Hemorrhagic and Ischemic Stroke, Second Edition by renowned neurosurgeons Bernard R. Bendok and H. Hunt Batjer and acclaimed contributors provides a user-friendly, single resource for managing ischemic and hemorrhagic stroke. The second edition has been updated to reflect progress, most notably acute evaluation and triage, advanced imaging, critical care and medical support, and endovascular and surgical interventions. In addition to scientifically supported content, readers will benefit from pragmatic, real-world applications and concise, practical reviews.

Organized into four sections and 41 chapters, the text starts with the section Acute Triage, which includes early diagnosis and medical decision-making, advances in medical imaging, innovations in prehospital management of stroke, and the promise of telestroke networks. The second section, Critical Care, covers the importance of astute clinical examination, stabilization, and advanced neuromonitoring techniques. The third section, Open Surgical, Minimally Invasive, and Microsurgical Approaches, reviews recent surgical innovations that have the potential to be lifesaving and enhance quality of life in select patients. The fourth and final section, Neurointerventional Approaches, explores recent innovations in image-guided catheter techniques to deliver new therapies for stroke treatment and prevention.

Key Highlights

• The often difficult yet important adjudication of antithrombotic medication use

• Insightful discussion of the importance of prehospital systems of care and stroke center certification

• Insightful discussions of interventional and microsurgical approaches for hemorrhagic and ischemic stroke management

• Medical illustrations and author-narrated videos provide a visual learning experience

• Clinical pearls and case presentations enhance learning and retention of knowledge

  The goal of this book is to increase collaborative stroke management among neuroradiologists, neurologists, neurosurgeons, neuroanesthesiolgists, neurologic critical care physicians, and allied health care professionals to achieve better patient outcomes.

Inhalt

Section I Acute Triage
1 Clinical Presentation and Acute Triage of Ischemic Stroke, Intracranial Hemorrhage, and Subarachnoid Hemorrhage
2 Differential Diagnosis of Acute Ischemic and Hemorrhagic Stroke
3 Medical Imaging for Acute Ischemic and Hemorrhagic Stroke
4 The Promise of Telestroke
5 Innovations in Prehospital Management of Stroke
6 Intravenous Fibrinolysis for Acute Ischemic Stroke
7 Identifying Patients for Stroke Thrombectomy
8 Stroke Center Certification
Section II Critical Care
9 Critical Care Management of Acute Ischemic Stroke
10 New Horizons for Hemorrhagic Stroke Critical Care Management
11 Critical Care Management of SAH And Spasm
12 Management of Anticoagulation and Antiplatelets in Hemorrhagic Stroke: Administration and Reversal
13 Medical Management of Ischemic Stroke and Prevention
14 Prognostication, Ethics and Scales
15 Advanced Neuromonitoring in Acute Brain Injury
16 TCD in ICU
17 Brain Death
Section III Open Surgical, Minimally Invasive And Microsurgical Approaches
18 Anesthesia Considerations for Neurovascular Procedures
19 Bypass for Acute and Chronic Ischemic States
20 Moya Moya Disease
21 Carotid Endarterectomy
22 Microsurgical Revascularization of Extracranial Vertebral Artery Disease
23 Microsurgery for Unruptured Aneurysms
24 Microsurgery For Ruptured Aneurysms
25 Microsurgery for Intracranial Arteriovenous Malformations
26 Microsurgery of Cavernous Malformations
27 Surgery for Intracranial Dural Arteriovenous Fistulas
28 Open Surgery and Craniectomy for Malignant Stroke and ICH
29 Minimally Invasive Approaches for Intracerebral Hemorrhage and Intraventricular Hemorrhage
30 Radiosurgical Management of Arteriovenous Malformations
Section IV Neurointerventional Approaches
31 Endovascular Thrombectomy: Revolution in the Care of Acute Ischemic Stroke
32 Intracranial Atherosclerotic Disease
33 Endovascular Stenting in Atherosclerotic Carotid Artery Stenosis
34 Management of Vertebral Artery Origin Stenosis
35 Aneurysm Coiling
36 Vasospasm Management
37 Flow Diversion
38 Approaches to Extracranial and Intracranial Dissection
39 Endovascular Management of Arteriovenous Malformations
40 Endovascular Approaches to Intracranial Dural Arteriovenous Fistulas
41 Venous Thrombectomy