Neuware -Despite a worldwide reduction in its incidence, stroke remains one of the most common diseases generally and the most important cause of premature and persistent disability in the industrialized countries. The most frequent cause of stroke is a localized disturbance of cerebral circulation, i.e., cerebral ischemia. Less common are spon taneous intracerebral and subarachnoid hemorrhages and sinus ve nous thromboses. The introduction of new diagnostic procedures such as cranial computed tomography, magnetic resonance imaging, digi tal subtraction radiologic techniques, and various ultrasound tech niques has led to impressive advances in the diagnosis of stroke. Through the planned application of these techniques, it is even possible to identify the pathogenetic mechanisms underlying focal cerebral ischemia in humans. However, these diagnostic advances have made the gap between diagnostic accuracy and therapeutic implications even greater than before. This fact can be easily explained. In the past, therapeutic studies had to be based on the symptoms and temporal aspects of stroke; it was impossible for early investigations to consider the various pathogeneses of cerebral ischemia. Inevitably, stroke patients were treated as suffering from a uniform disease.Springer Verlag GmbH, Tiergartenstr. 17, 69121 Heidelberg 256 pp. Englisch.

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Bibliografische Details

Titel: Cerebral Ischemia
Verlag: Springer Berlin Heidelberg, Springer Berlin Heidelberg Jan 2012
Ver�ffentlichungsdatum: 2012
Sprache: Englisch
ISBN-10: 364275550X
ISBN-13: 9783642755507
Bindung: Taschenbuch
Zustand: Neu

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Despite a worldwide reduction in its incidence, stroke remains one of the most common diseases generally and the most important cause of premature and persistent disability in the industrialized countries. The most frequent cause of stroke is a localized disturbance of cerebral circulation, i.e., cerebral ischemia. Less common are spon� taneous intracerebral and subarachnoid hemorrhages and sinus ve� nous thromboses. The introduction of new diagnostic procedures such as cranial computed tomography, magnetic resonance imaging, digi� tal subtraction radiologic techniques, and various ultrasound tech� niques has led to impressive advances in the diagnosis of stroke. Through the planned application of these techniques, it is even possible to identify the pathogenetic mechanisms underlying focal cerebral ischemia in humans. However, these diagnostic advances have made the gap between diagnostic accuracy and therapeutic implications even greater than before. This fact can be easily explained. In the past, therapeutic studies had to be based on the symptoms and temporal aspects of stroke; it was impossible for early investigations to consider the various pathogeneses of cerebral ischemia. Inevitably, stroke patients were treated as suffering from a uniform disease.

Rese�a del editor

This book covers the different causes of cerebral ischemia on the basis of information gained from new diagnostic techniques, in particular ultrasonography, computed tomography, magnetic resonance imaging, and positron emission tomography. Various treatment possibilities are considered based on the differential analysis of topical anatomy and the dynamic aspects of the clinical phenomena. This approach is preferable to the conventional stage classification of stroke development because it reveals the individual pathomechanisms involved - e.g., hemodynamic and thromboembolic causes, macro- and microangiopathies, marginal flow and lacunar infarcts - and leads to the appropriate forms of treatment. With this in mind, the relevant anatomic and physiologic aspects of the cerebral circulation and the development of ischemia are discussed. The book also provides a comprehensive description of the clinical syndromes and modern diagnostic techniques and critically examines the current status of treatment.

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