Ji Y. Chong's Cerebrovascular disease PDF

By Ji Y. Chong

ISBN-10: 0190495545

ISBN-13: 9780190495541

"Part of the "What Do I Do Now?" sequence, Cerebrovascular disorder a case-based method of conceal universal and significant subject matters within the exam, research, and administration of stroke, embolism, thrombosis, hemorrhage, and different serious displays of cerebrovascular ailment. each one bankruptcy presents a dialogue of the prognosis, key issues to recollect, and chosen references for additional interpreting. For this edition, Read more...

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a part of the "What Do I Do Now?" sequence, Cerebrovascular disorder a case-based method of hide universal and significant subject matters within the exam, research, and administration of stroke, embolism, Read more...

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Sample text

Shifting of normal brain occurs as in this patient. His CT shows compression of the right lateral ventricle and left shift with subfalcine herniation. However, the most morbid herniation pattern is transtentorial. The uncus of the temporal lobe can shift downward and compress the brainstem, leading to brainstem dysfunction and death. Medical therapy includes intubation and intensive care unit (ICU) monitoring, preferably in a specialized ICU for neurological disease. Hyperosmolar therapy with mannitol or hypertonic saline is often used to reduce brain edema.

Other reports suggest varied treatment options such as corticosteroids or hyperbaric oxygen, but these have not been studied in a rigorous manner and are not recommended for routine clinical use. A large proportion of our experience with the disease is taken from cases following aortic surgeries, and institutional protocols have been published for spinal cord ischemia as a surgical complication. Perioperative interventions include the placement of lumbar drains and the use of pressor support to assist in increasing cord perfusion.

Cerebrovascular Disease 55 to stenting with relatively low periprocedural complications. However, a randomized trial—​Stenting vs. Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS)—​showed no benefit of intracranial stenting when compared to maximal medical management. 7% vs. 8%). One-​third of the early strokes after stenting were hemorrhages. Two important differences between the surgical treatment in the randomized trial and registries were that in SAMMPRIS only high-​grade stenoses were included (>70%) and all patients had very recent (within 30 days) stroke.

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Cerebrovascular disease by Ji Y. Chong


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