Contents:

Part II Hemodynamic principles

Part III Criteria for interpretation

Part IV Ultrasound in stroke prevention and treatment

Part V Select clinical applications and clinical vignettes

Index

Ultrasound enables us to monitor the cardiovascular system and brain responses to treatment in real time; a genuine blessing on the route to more effective stroke therapies, and an invaluable tool with which to tailor treatment when available evidence is meagre. Ultrasound is a vital observational tool, yet a probe needs a scientist to point it in the right direction and a skilled physician to synthesise scientific data with practical management strategies.
This book, intended for clinicians who are eager to learn and prepared to observe, focusses on the examination of stroke patients, the interpretation of ultrasound studies, and the application of cerebrovascular ultrasound to management and treatment strategies. Produced by an international team of contributors and edited at the University of Texas, one of the major world centres in stroke research, it is a practical volume that can be used by beginners to learn the principles of ultrasound testing, by advanced users to learn differential diagnosis, and by clinicians (non-sonographers) who treat stroke patients. The latter will gain knowledge on how to apply ultrasound, and what to expect from it in terms of clinical decision making and treatment selection. Common terms and phrases: acute stroke Alexandrov aneurysm angiography angioplasty angle of insonation artery occlusion assessment atherosclerosis atherosclerotic B-mode baseline basilar artery bifurcation brain cardiac cardiovascular carotid endarterectomy carotid stenosis cerebral blood flow cerebrovascular circle of Willis clinical clot cm/s collateral color flow contralateral criteria decrease Demchuk depth detected diagnosis diameter diastolic disease dissection distal Doppler ultrasound end-diastolic evaluation extracranial Figure flow imaging flow signal grade Grotta JC hemodynamic ICA occlusion internal carotid artery ischemia lesion Lindegaard lumen M1 MCA MCA stenosis mean flow velocity measurements middle cerebral artery mmHg monitoring neurologic NIHSS score normal occlusion ofthe ophthalmic artery oxygen patients peak systolic perfusion plaque posterior probe pulsatility recanalization residual flow risk scanning segments spectral subarachnoid hemorrhage symptomatic systolic TAMM TCD examination TCD showed terminal ICA therapy thrombolysis thrombus TIBI tion tissue transcranial Doppler transducer trial vascular vasospasm ventricular vertebral vessel volume waveform