This text is a comprehensive clinical manual for the management of stroke patients. The diagnosis and evaluation of patients with suspected stroke is covered along with detailed sections on imaging of the brain, emergency medical evaluation and management, management of hemorrhagic stroke, therapies to restore or improve blood flow to the brain, neuroprotective therapies, and secondary prevention. Algorithms are presented for the evaluation of suspected stroke, ordering of transesophageal or transthoracic echocardiography, assessment prior to treatment with rt-PA, and prevention of stroke. Treatment protocols for rt-PA are included in the text. Results of pertinent clinical trials are reviewed, with discussion of areas where consensus exists on stroke treatment protocols, as well as areas where consensus does not exist. Numerous neuroimaging photos are included to assist in refining diagnostic technique. Guidelines for the prevention of ischemic stroke or recurrent stroke are also presented.
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Harold P. Adams, Jr., MD is Professor and Director of the Division of Cerebrovascular Disease, Department of Neurology, the University of Iowa School of Medicine. Gregory J. del Zoppo, MD is Associate Member of the Department of Molecular and Experimental Medicine at the Scripps Research Institute in La Jolla, California. Rudiger von Kummer, MD is Professor of Radiology and Neuroradiology at the Technical University in Dresden, Germany.
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