By S.K. Gill, M.M. Brown, F. Robertson, N. Losseff
This choice of case stories is authored through a gaggle of the world over acknowledged specialists within the box of cerebrovascular disorder. The circumstances are rigorously chosen to supply an perception into different types of stroke syndromes from the typical via to extra infrequent displays of cerebrovascular pathology. every one case is labored via with a dialogue on presentation, scientific beneficial properties, exam, radiological findings and administration. eventually, studying issues are highlighted to aid the reader specialize in the major issues of the case learn.
Stroke drugs: Case Studiesfrom Queen Square is aimed toward clinical scholars and medical professionals in all levels of educating from starting place years via to consultancy.
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Additional resources for Stroke Medicine: Case Studies from Queen Square
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CD002005. pub2. Chapter 3 A Child with Enlarged Pupils Georgios Niotakis and Vijeya Ganesan Clinical History A 3-year-old girl presented with recurrent episodes of transient unilateral limb and face weakness. Either side could be affected and initially the episodes resolved completely. Following an episode of persistent right hemiparesis, she was admitted to the local paediatric neurology unit. She has been noted to have fixed, dilated pupils from birth. No cause had been found and there was no impairment of visual function.
6. Boukobza M, Crassard I, Bousser MG, et al. MR imaging features of isolated cortical vein thrombosis: diagnosis and follow up. AJNR Am J Neuroradiol. 2009;30(2):344–8. 7. Coutinho J, de Bruijn SFTM, deVeber G, et al. Anticoagulation for cerebral venous sinus thrombosis. Cochrane Database of Systematic Reviews. 2011, Issue 8. Art. : CD002005. pub2. Chapter 3 A Child with Enlarged Pupils Georgios Niotakis and Vijeya Ganesan Clinical History A 3-year-old girl presented with recurrent episodes of transient unilateral limb and face weakness.
A “shelf-like” 60% stenosis of the right ICA and severe stenosis of the left VA were confirmed. CT perfusion demonstrated significantly delayed transit time and reduced cerebral blood flow in the cortical territories of the left MCA territory with marked reduction in perfusion in the anterior and posterior border zones of the left MCA (Fig. 2). A diagnosis of chronic hypoperfusion of the left cerebral hemisphere with resultant left MCA territory border zone infarction was made. Clinical Progress The patient was already taking a statin, ramipril, aspirin and dipyridamole.