Case Studies in Stroke: Common and Uncommon Presentations

Front Cover
Cambridge University Press, Nov 30, 2006 - Medical
1 Review
Neurologists learn from their patients, and this selection of 60 stroke cases will inform and challenge clinicians at all stages in their careers. Including both common and unusual cases, the aim is to reinforce diagnostic skills through careful analysis of individual presenting patterns, and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, usually involving imaging before a diagnosis is given. There then follows for each case a discussion of the clinical issues raised by the case, in which the main teaching points are emphasized. Selected references, frequently including the first description, are provided at the conclusion of each case. Drawing on the expertise of leading teachers and practitioners, and liberally illustrated, these case studies and the discussions that accompany them are an essential guide to learning the complexity of stroke diagnosis.
 

What people are saying - Write a review

User Review - Flag as inappropriate

Unfortunately, the list of etiologies and syndromes is far from exhaustive which means that after reading this book you need to look for other sources. For instance, including Sneddon's and CADASIL, but not Fabry's or Ehlers-Danlos syndrome is disappointing.
Ubiquitous application of NIH, Barthel index and GCS score (?!) was completely uncalled for and quickly becomes annoying. Despite the title, the books is heavily skewed towards mechanisms rather than presentations (don't expect interesting and rare syndromes!). On the bright side, I did find some rare etiologies of stroke, so the book served some purpose after all, I guess.
Overall, would expect more return from 300+ page book.
 

Contents

Introduction
1
Binder J Pfleger S Schwarz S Images in cardiovascular medicine
7
Dysarthria and clumsy hand syndrome
15
A 52yearold woman with sudden hemiparesis
23
Gass A Hennerici M G MRI of basilararteryaneurysm growth Lancet
30
An 85yearold man with difficulty expressing himself
31
Massive intracerebral hemorrhage
39
Headache after an exhausting tennis match
47
Recurrent weakness after major car accident
151
Stroke at awakening
155
Cognitive impairment and seizures
158
Progressive headache tinnitus and nausea
162
Small problem with severe consequences
166
Dizzy spells and double vision
171
Bad disease with good outcome
174
Livid skin and stroke
178

Worst headache of his life
56
the importance of
67
An 80yearold woman with sudden paresis and normal motor latencies
71
Lower limb weakness after surgery
75
A young engineer with suspected MS
79
Vertigo after lifting a heavy suitcase
82
A 79yearold man with a typical MCAstroke?
86
A man with slowly progressive weakness of the left hand
90
Sudden weakness after holidays in Kenya
94
Recurrent spells of rightsided weakness
98
An uncommon cause of CVT
102
My arm no longer belongs to me
106
Coma of unknown onset in an old lady
111
Spreading sensation of the left arm and face
116
From dysarthria to lockedin syndrome
120
The woman who could not smile on command
123
Severe headache and facial palsy
127
Isolated difficulty writing and grasping
130
Young mother found comatose on the bathroom floor
133
Progressive mental decline and fever
137
Aphasia after laparoscopic cholecystectomy
141
Risks of carotid surgery in longstanding asymptomatic disease
146
Stroke mimicking vestibular neuronitis
182
Scuba diver with decompression sickness
186
Memory loss after gastrointestinal endoscopy
189
Aphasia and severe headache
193
Progressive neurological decline and fever
197
Lady who did not want to get up in the morning
203
Vermont farmer with many spells of rotating and whirling objects
207
Woman with right arm discomfort and sudden blindness
210
A 22yearold woman with sudden right limb weakness and a mixed aphasia
214
10year followup of a woman with bilateral MCA disease
219
Dysarthria reoccurring after 2 years
224
54yearold man with AVM
227
Alternating transient numbness
230
Typical intracerebral hemorrhage or not?
235
The butcher and his wife
239
Malignant MCA infarction
244
Stroke in Recklinghausens disease
247
Painful double vision and a hissing sound
252
Spontaneous resolution of PWIDWI mismatch
255
Index
259
Copyright

Other editions - View all

Common terms and phrases

About the author (2006)

Michael Hennerici is Professor of Neurology at the University of Heidelberg, and the editor, with Stephen Meairs, of Cerebrovascular Ultrasound: Theory, Practice and Future Developments, published by Cambridge University Press. He is Chairman of the European Stroke Society.

Michael Daffertshofer is Professor of Neurology at the University Hospital in Mannheim, and director of the stroke unit.

Louis Caplan is Professor of Neurology at Harvard Medical School and Senior Neurologist at Beth Israel Deaconess Medical Center, Boston. He is the editor, with Julien Bogousslavsky, of Stroke Syndromes and Uncommon Causes of Stroke, both published by Cambridge University Press.

Kristina Szabo is Senior Lecturer in University Hospital Mannheim, and an expert in neuroimaging.

Bibliographic information