Cerebrovascular Ultrasound in Stroke Prevention and Treatment


Book Description

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.




Cerebrovascular Ultrasound


Book Description

This comprehensive text covers the fundamentals and clinical applications of cerebrovascular ultrasound in all ages.




Cerebrovascular Ultrasound in Stroke Prevention and Treatment


Book Description

Effective stroke therapy can be improved through real-time monitoring of the neurological and cardiovascular responses to treatment. This requires crucial knowledge on behalf of both the sonographer and stroke physician to make the best decisions for the patient so as to minimize the damage caused by the original stroke and the risk of further stroke. Cerebrovascular Ultrasound in Stroke Prevention and Treatment, Second Edition, takes a practical approach to the examination of patients, the interpretation of ultrasound studies and the application of cerebrovascular ultrasound in the development of management and treatment studies, assisting neurologists, radiologists, and ultrasonographers in stroke therapy.




Cerebrovascular Evaluation with Doppler Ultrasound


Book Description

This book represents tangible results of the Institute of Applied Physiology and Medicine's objectives of bringing into clinical application the concepts and results of bioengineers and physiologists. lt has grown out of our experience in development of original Doppler diagnostic instrumentation and its application to more than 6,000 patients in non-invasive diagnosis of the extracranial cerebrovascular circulation. It gath ers together bioengineering and physiological concepts which were initially developed for a graduate course for physicians and specialized medical tech nicians. lt should be of particular interest to physicians and medical technol ogists whose specialties lie in the field of neurology, vascular surgery, and radiology. The particular selection of techniques on our complete cerebrovascular non-invasive evaluation was chosen primarily to provide an integrated approach relying primarily on Doppler ultrasonic audio signals, but in addition utilizing a pertinent history and physical examination of the patient. The examination is performed by a specially trained physiology technician. Suffi cient data is provided to the interpreting physician who develops a consulta tive report for the referring physician. The ultimate objective is prevention of stroke and symptoms of cerebrovascular insufficiency. The Doppler functional information supplements the angiography anatomical management decisions for angiography and surgery, anti-platelet or anti-coagulant medication, or to follow the patient with no special treatment.




Ultrasound Diagnosis of Cerebrovascular Disease


Book Description

This comprehensive textbook on current neurovascular examination includes continuous wave Doppler sonography, duplex sonography with B-mode imaging, pulsed Doppler & color-coded Doppler flow imaging, as well as Doppler sonography of the intracranial arteries. The book reflects the authors' 17-year experience in this field. It includes chapters on basic technology, anatomy & haemodynamics, & introduces the various examination techniques. The criteria for the different lesions are extensively discussed together with the most common pitfalls. The key features of the book are: physical & technical principles; anatomic principles; haemodynamic principles; Doppler sonography of the cervical vessels-examination technique & differentiation; diagnostic parameters of Doppler spectral analysis; duplex scanning of the cervical vessels; periorbital Doppler examination; Doppler examination of the basal cerebral arteries (transcranial or intracranial doppler sonography); stenoses & occlusions of the extracranial carotid system; stenoses & occlusions of the subclavian artery; stenoses & occlusions of the brachiocephalic trunk; stenoses & occlusions of the vertebral arteries; intracranial doppler sonography in the investigations of cerebrovascular stenoses & occlusions; fistulas & angiomas; serial examinations & monitoring; sample documentation sheets.




Ultrasonic Diagnosis of Cerebrovascular Disease


Book Description

This book is designed as a definitive report on current capabilities of ultrasound imaging and Doppler evaluation of the cerebral circulation, both extracranial and intracranial. The basic chapters are directed to the beginner in ultrasound and hemodynamics and for the expert in updating newly available modalities and techniques new to the field. The ultrasonic and hemodynamic principles are presented for physicians and vascular technologists in a practical way to avoid unnecessary mathematics. The aim is for maximum clinical utilization so that available equipment may be used more efficiently and provide more accurate diagnosis. The selection of authors represents a wide range of the expertise available in the world today. M.P. Spencer Contents Preface V Contributors IX 1. Introduction 1 Merrill P. Spencer, M.D. 2. Ultrasound physical concepts 7 Merrill P. Spencer, M.D., Ronald E. Hileman, Ph.D., John M. Reid, Ph.D 3. Doppler instrumentation 29 Robert S. Reneman, MD., Ph.D., A.P.G. Hoeks, Ph.D. 4. Normal anatomy, anatomical anomalies and collateral Pathways of the blood supply to the brain 43 Robert Ackerstaff, M.D. 5. Normal blood flow in the arteries 57 Merrill P. Spencer, M.D. 6. Normal physiology and pathophysiology of human cerebral blood fuw ~ P.C.M. Mosmans, M.D., E.J. Jonkman, M.D.




Handbook on Neurovascular Ultrasound


Book Description

Neurovascular ultrasound increases the reliability of assessing occlusive cerebrovascular disease, including the detection of instable carotid plaques, the delineation of cerebral perfusion and therapeutic options such as ultrasound-enhanced sonothrombolysis. Written by international experts, this publication provides the reader with the present knowledge and future research directions of diagnostic and therapeutic neurovascular ultrasound. The first chapters deal with physical and technical principles of ultrasound, arterial wall imaging, endothelial function testing and modern assessment of atherosclerotic obstruction of the carotid and vertebro-basilar systems. Subsequently, typical ultrasound findings in cervical artery dissection, dural fistula, glomus tumor and vasculitis are reported. The book concludes with the description of diagnostic and therapeutic transcranial ultrasound and clinical applications of transcranial Doppler monitoring as well as the presentation of future developments. Neurologists, angiologists and radiologists will find a valuable source of up-to-date information on this fascinating, essentially non-invasive technique, which allows real-time assessment of the human cerebral vessels.




Textbook of Stroke Medicine


Book Description

Fully revised throughout, the new edition of this concise textbook is aimed at doctors preparing to specialize in stroke care.




Ultrasonography in Vascular Diagnosis


Book Description

This is the second edition of a well-received book that has been recommended for inclusion in any vascular library or vascular radiology suite. The first edition has been fully revised so as to provide a comprehensive, up-to-date account of vascular ultrasound that reflects recent advances. The emphasis remains on the clinical aspects most relevant to angiologists and vascular surgeons. Ultrasound anatomy is discussed, examination procedures explained, normal and pathological findings described, and the clinical impact of ultrasound assessed. Atlas sections present pertinent case material to illustrate typical ultrasound findings for both the more common vascular diseases and rarer conditions. This book will serve not only as an invaluable guide for beginners, but also as an indispensable reference for experienced sonographers, who will benefit from the detailed evaluation of the role of ultrasound as compared with other modalities and the discussion of ultrasound findings in their clinical context.




Neurosonology and Neuroimaging of Stroke


Book Description

Praise for this book:An excellent textbook accompanied by high quality illustrations illustrating clinical applications, [and the] advantages and limitations of ultrasound examinations of the central nervous system.--RAD MagazineNeurosonology and Neuroimaging of Stroke is a comprehensive reference for the diagnosis and management of cerebrovascular disease using neurosonology. Divided into two main parts, the book opens with an in-depth overview of the fundamental principles of neurosonology. It describes ultrasound anatomy, examination techniques, the essential technical concepts for clinical applications, as well as the pathogenesis of stroke and vascular pathology. The second part of the book presents 30 cases of various levels of difficulty. For each case, the book provides concise descriptions of clinical presentation, initial neuroradiological findings, suspected diagnosis, the angiological questions, and final diagnosis. Each case concludes with a detailed discussion, enabling the clinician to gain a solid understanding of the diagnosed disease and the angiologic questions arising from the case. Features: Practical discussion of 30 clinical scenarios thoroughly prepares the clinician for the range of frequently encountered problems Consistent presentation aids rapid reference to cases of interest More than 750 high-quality illustrations, including full-color Doppler images Nearly 100 video clips on the accompanying MediaCenter web page demonstrate anatomy, imaging concepts, and select cases included in the book A reference and casebook in a single volume, Neurosonology and Neuroimaging of Strokeis ideal for clinicians seeking to optimize care for patients by enhancing their knowledge of this important diagnostic tool.