Contents:

1 Intravenous Tissue Plasminogen Activator IV tPA for Acute Ischemic Stroke

2 Endovascular Treatment for Acute Ischemic Stroke

3 Combination Reperfusion Therapy for Acute Stroke

4 Hemorrhagic Complications of tPA

5 Stroke Mimic and Acute Treatment

6 Minor Stroke Symptoms and Acute Treatment

7 Hemicraniectomy for Large MCA Stroke

8 Suboccipital Decompression for Cerebellar Stroke

18 Stroke in a Young Adult

19 Mycotic Aneurysm Due to Bacterial Endocarditis

20 Migrainous Stroke

21 Dural Venous Sinus Thrombosis

22 Moyamoya Disease

23 Reversible Cerebral Vasoconstriction Syndrome

24 Transient Ischemic Attack Diagnosis and Management

25 Hypertensive Intracerebral Hemorrhage

9 Blood Pressure Management in Acute Stroke

10 Primary Prevention of Stroke

11 Asymptomatic Internal Carotid Artery ICA Stenosis

12 Secondary Stroke Prevention After Lacunar Stroke

13 Secondary Stroke Prevention After Stroke Due to Carotid Stenosis

14 Secondary Stroke Prevention After Stroke Due to Intracranial Atherosclerosis

15 Secondary Stroke Prevention After Cardioembolic Stroke

16 Secondary Stroke Prevention After Cryptogenic Stroke with Patent Foramen Ovale PFO

17 Carotid Dissection

26 Cerebral Amyloid Angiopathy

27 Intracerebral Hemorrhage Secondary to Arteriovenous Malformation

28 Intracerebral Hemorrhage ICH from Cavernous Malformation

29 Aneurysmal Subarachnoid Hemorrhage

30 Perimesencephalic Subarachnoid Hemorrhage

31 Asymptomatic Intracranial Aneurysm

Index

Patients suffering from cerebrovascular disease pose many clinical challenges and even experienced clinicians can arrive at the point where diagnostic, work-up, treatment, or prognostic thinking falters. Authored by a vascular neurologist whose work spans the entire spectrum of this group of brain dysfunctions, Cerebrovascular Disease helps clinicians evaluate and manage patients suffering from stroke, embolism, thrombosis, hemorrhage, and other critical presentations. In a medical field where it's often difficult to distill the vast array of research and apply it in any meaningful clinical way, this next volume in the "What Do I Do Now?" series focuses on walking the clinician through evidence-based decision-making. Each clinical scenario featured in Cerebrovascular Disease describes in careful detail the presentation, diagnostic studies, treatment options, and rationale for handling these tricky cases. Common terms and phrases: acute American aneurysm angiogram anticoagulation artery associated atrial fibrillation benefit Bibliography blood pressure brain carotid cause Cerebral clinical clopidogrel compared considered CT scan death deficit developed device diagnosis difference disease dissection early effective Engl et al evaluation evidence facial FIGURE followed guideline head CT headache Heart hemorrhage higher hospital hypertension imaging important improved increased infarct initial intentionally left blank International intracranial KEY POINTS Lancet lesions lower mechanical medical therapy migraine monitoring neurological normal occlusion occur onset outcomes patients prevention prior randomized trial rates recanalization recurrent stroke requires risk risk factors secondary seen severe showed significant signs stenosis stent stroke prevention subarachnoid hemorrhage suggestive surgery surgical symptomatic symptoms syndrome treated treatment trial typically usually vascular venous versus vessels warfarin weakness woman worsening young