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When Charles Miller Fisher was born in 1913 there was very little
scientific knowledge about stroke. But thanks to him, our
understanding of stroke and of other brain disorders are now well
established in every neurology training program around the world.
C. Miller Fisher is his story: his life, his method of study and of
research, and his contributions. This work, reinforced with
unequalled access to the CMF archives overseen by the Fisher estate
and told in his own words (italicized in the text) from his
memoirs, will shed light on one of the most important clinicians in
North America and the world. He devoted his career and the great
majority of every waking day to the study of stroke, both in the
pathology laboratory and in people. Fisher's discoveries and
contributions and those of the individuals that he trained changed
the knowledge basis of stroke and vascular disease for everyone.
Primer on Cerebrovascular Diseases is a handy reference source for
scientists, students, and physicians needing reliable, up-to-date
information on basic mechanisms, physiology, pathophysiology, and
medical issues related to brain vasculature. The book consists of
short, specific chapters written by international experts on
cerebral vasculature, and presents the information in a
comprehensive and easily accessible manner. The book also contains
valuable information on practical applications of basic research.
Key Features
* Presents topics in a comprehensive and accessible format
* Written by international authorities on cerebral
vasculature
* Provides practical applications for researchers
Primer on Cerebrovascular Diseases, Second Edition, is a handy
reference source for scientists, students, and physicians needing
reliable, up-to-date information on basic mechanisms, physiology,
pathophysiology, and medical issues related to brain vasculature.
The book consists of short, specific chapters written by
international experts on cerebral vasculature, presenting the
information in a comprehensive and easily accessible manner.
Numerous changes have occurred in the field since the publication
of the first edition in 1997, particularly our understanding of the
genetic aspects of cerebrovascular disease. This updated edition
reflects the advances made over the last two decades, not only
demonstrating the promise for therapy, but also for a molecular
understanding of cerebrovascular diseases. The new edition includes
new and expanded topics, including carotid stenting, Iatrogenic
causes of stroke, axonal transport and injury, RNAIs, proteomics,
and more. 2018 BMA Medical Book Awards Highly Commended in
Neurology.
Stroke is one of the most important and most feared conditions
known to man. The threat of stroke is important to all people. What
could be more devastating than to lose the ability to speak, move a
limb, stand, talk, see, read, feel write or even think? This book
brings together ideas, events and advances - the stories - before
and during the 20th Century through the accounts of global experts
in the field, many of them having been first-hand witnesses to
progress. Focusing on selected stories of stroke, this book offers
a readable summary of the most dramatic and extensive changes in
knowledge about stroke and in caring for stroke patients. Of
interest to anyone interested in neurosciences and for physicians
caring for stroke patients, this book informs on moving forward, by
looking to how we got to where we are.
Strokes afflict thousands of people every year. Yet, for every
fatal case, many more victims survive, often going on to live long,
productive lives. Of course, none of it is simple-not preventing a
"brain attack," nor survival, rehabilitation, or living with
cerebrovascular disease. The key is education, for both the moment
of crisis and the long term. Navigating the Complexities of Stroke
provides a practical guide for the lay public and medical
professionals. Dr. Louis R. Caplan, one of the world's leading
experts, guides readers through the subject in a straightforward
and accessible manner. He examines the anatomy of the brain,
explaining the specialized functions of different regions, and
describes the flow of blood from the heart. He turns to the
mechanics of the stroke itself, clearly discussing the complexities
of the two major kinds-the ischemic and hemorrhagic-and the
resulting damage. Most helpfully, Caplan offers information and
advice that readers will find immediately useful: the medical
conditions and other factors that create risk, stroke symptoms,
abnormalities that doctors look for, tests available to evaluate
strokes, complications and disabilities that can result, and the
paths of treatment and rehabilitation. He offers real-life cases of
victims and their families that demonstrate successful recovery,
but also reveal the sometimes troubling impact of strokes on
survivors and their families, who can suffer frustration and
demoralization that the medical profession often overlooks in its
biological focus. Caplan also examines strokes in children and
young adults, who are often neglected in literature that is largely
aimed at seniors. Navigating the Complexities of Stroke empowers
victims, families, and general medical providers. It puts in
readers' hands the knowledge necessary to avoid strokes, address
them quickly, and effectively recover, so they won't lose heart
when it is needed most.
The brain stem and cerebellum are structures that have fascinated
and puzzled physicians, anatomists, and physio- logists for
centuries. Relatively small in volume compared to the much larger
and more majestic human cerebrum, and hidden away in relative
obscurity in the back of the head under the protection of the bony
posterior fossa and the firm dural envelope, the tentorium
cerebelli, these critical neural structures defied precise study
during life until very recently. Recent advances in brain and
vascular imaging and improved understanding of brain-stem reflex
and tract functions and their measurement by electrophysiological
techniques have presented an opportunity for clinicians and
researchers to better study, during life, patients with stroke and
other conditions that involve the brain stem and cere- bellum. A
congress was held at the Neurology Clinic of the University in
Mainz, April 4-5, 1992, during which clinicians and researchers
reported and discussed modern topical diagnosis of diseases of the
brain stem and cere- bellum. This volume represents the edited
proceedings of that congress. Early information about brain stem
anatomy and func- tions came from anatomical studies by Ludwig
Turk, Paul Flechsig, Rudolph von K6lliker, Karl Burdach, Vladimir
Bekterew, and Benedikt Stilling, among others, all working in
Germany during the middle years of the nineteenth century. Johann
Reil, a German anatomist, in the begin- ning of the nineteenth
century had described the structure and some functions of the
cerebellum which he called the little brain ("Kleinhirn").
Part of the "What Do I Do Now?" series, Stroke uses a case-based
approach to cover common and important topics in the diagnosis and
treatment of stroke. Each chapter provides an overview of the
approach to the problem in question followed by a discussion of the
diagnosis, key points to remember, and selected references for
further reading. For this edition, all cases have been carefully
revised, and new information and references have been added. Stroke
is an engaging collection of thought-provoking cases which
clinicians can utilize when they encounter difficult patients on
the ward or in the clinic. The volume is also a self-assessment
tool that tests the reader's ability to answer the question, "What
do I do now?"
The topography of the brainstem is complex, and even experienced
neurologists find it challenging to localize brainstem lesions and
diagnose brainstem disorders. This richly illustrated book provides
a comprehensive review of brainstem disorders and presents the
clinical knowledge necessary for diagnosis. The opening sections
document the brainstem neuroanatomy and discuss current diagnostic
methods. The entire spectrum of clinical findings in brainstem
disorders is then described, and topodiagnostic aspects of the
neurological findings are explained in detail. The descriptions of
brain stem disorders are consistently structured and are supported
by many MR images and short case reports. In addition to primary
brainstem lesions, such as vascular brainstem syndromes, other
disorders are considered that do not exclusively show brainstem
symptoms or signs, e.g., multiple sclerosis. This book will serve
as an invaluable reference work for neurologists in clinical
practice or further education.
This comprehensive review of vascular disease in the
vertebrobasilar circulation is based on Dr Louis R. Caplan's
extensive experience and observation of patients from the New
England Medical Center posterior circulation stroke registry. It
benefits from an organized, uniform, and coherent analysis of all
types of vascular disease involving the posterior circulation,
presented by a single author who is one of the world's leading
authorities on this topic. This new edition is fully updated
throughout, including a review of all the literature published on
this topic since the previous edition in 1996. There are major
rewrites for the chapters on diagnosis and therapy, inclusion of
modern imaging techniques, and extensive illustrations. Essential
reading for stroke physicians and neurologists, the book will also
be an important source of reference for neurosurgeons, vascular
surgeons and endovascular radiologists.
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.
Stroke is the leading cause of permanent disability, including
post-stroke dementia, pain, depression, and personality changes.
While large clinical trials reflect information about large stroke
populations, the presentation of each and every stroke patient is
individual and special. More Case Studies in Stroke presents a new
selection of stroke cases from seven countries prepared by
practising stroke physicians. The book includes both common and
unusual cases, as well as misleading cases of diseases mimicking
stroke. 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, followed by diagnosis and
discussion. The outline of the actual diagnostic process, including
the use of modern diagnostic tools, decision making and course,
challenge the reader at all stages of their career from medical
students to neurologists and stroke physicians.
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