By Louis R. Caplan
Up to date and revised, this re-creation of Caplan's Stroke maintains to supply a concise and pragmatic method of the overview, analysis, and administration of grownup and pediatric stroke sufferers. Dr. Caplan-a hugely esteemed stroke authority- stocks with you his enormous adventure and knowledge as a stroke clinician, together with his time-tested suggestions and special medical pearls so that you can enforce into your individual perform. accelerated insurance of imaging and laboratory analysis and remedy in addition to wide revisions all through, brings you the most recent advances on prevention, problems, and rehabilitation. using case experiences illustrates the kinds of medical situations you could adventure in perform. And, its conversational, easy-to-read structure make Caplan's Stroke a fantastic source for common neurologists, non-neurologists, and stroke experts alike.
- Discusses all cerebrovascular illnesses that can assist you differentiate between all kinds of stroke so that you can deal with every one sufferer effectively.
- Takes a extraordinarily own and person method of basic ideas, pathophysiology, prognosis, therapy, and rehabilitation, supplying useful, medical counsel on stroke and stroke comparable concerns.
- Provides unique discussions on stroke syndromes in young children and adults, together with huge artery occlusive sickness of the anterior stream, mind embolism, spinal wire stroke, and plenty of, many extra, that will help you higher deal with each situation you spot.
- Uses case reviews to focus on and emphasize scientific points.
- Includes extended assurance of imaging and laboratory prognosis and remedy that will help you make larger proficient assessment and administration judgements.
- Presents meticulous revisions and updates all through, quite to the chapters on stroke prevention and rehabilitation to maintain you present on ultra-modern top practices.
- Features a brand new two-color layout with up to date art and extra pictures that elucidates key issues and complements visible guidance.
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Additional info for Caplan's Stroke: A Clinical Approach
Cartoon showing penetrating arteries that supply the basal ganglia and thalamus Pontine hemorrhage A Figure 2-33. Drawings of horizontal cerebral section and sagittal brainstem section, showing most common sites of intracerebral hemorrhage. Subarachnoid Hemorrhage B C Figure 2-32. Drawing showing the arterial pathology in atheromatous branch disease: (A) plaque in parent artery obstructing a branch, (B) junctional plaque extending into the branch, (C) microatheroma formed at the oriﬁce of a branch.
The internal carotid arteries lie on the medial walls of the cavernous sinuses. The superior sagittal sinus courses in an arc from anteriorly to far posteriorly in the superior margin of the falx cerebri and ends Basic Pathology, Anatomy, and Pathophysiology of Stroke Chapter 2 Anterior communicating artery Anterior cerebral artery Internal carotid artery Middle cerebral artery Anterior choroidal artery Posterior communicating artery Posterior cerebral artery Figure 2-23. ” Superior sagittal sinus Ophthalmic vein Sphenoparietal sinus Intercavernous sinus Cavernous sinus Basilar plexus veins Inferior petrosal sinus Superior petrosal sinus Sigmoid sinus Marginal sinus Occipital sinus Confluence of sinuses Transverse sinus Figure 2-24.
Researchers and clinicians are now exploring the potential for using other agents that inactivate factor Xa or directly inhibit thrombin generation and function. Naturally occurring factors also exist that act to lyse clots once they are formed. Tissue plasminogen activator and other substances activate plasminogen to form plasmin, a potent ﬁbrinolytic enzyme. Plasminogen is also activated by various coagulation factors, such as factor XII, so that the process of coagulation itself activates the thrombolytic system.