Stroke is a complex disease with heterogeneous etiology. Its clinical presentation mirrors the complexity of human brain. The last 25 years saw the field change drastically, with significant advances in neuroimaging techniques, new medications for cardiovascular risk factor management and therapies for acute management. A lot more can be done nowadays about stroke patients both in the acute setting and secondary prevention. Despite the technologic and therapeutic advances, clinical acumen and diagnostic reasoning remain as relevant as ever. This case-based book offers an insightful look into the clinical practice of Stroke through the eyes of seasoned specialists in a tertiary academic center. The deductive reasoning inherent to neurologic diagnosis and localization is strongly emphasized; clinical description is accompanied by relevant imaging studies and management recommendations are evidence-based and accompanied by up-to-date recommended readings. Although not an exhaustive account of stroke presentations, the book includes a combination of rare and more commonly encountered cases, which mirrors the day-to-day reality of a stroke neurologist.
Table of Contents
- 1 Confused after a Nap
- 2 Headache after a Beach Trip
- 3 Why Are You Staring over There?
- 4 Dizziness and Ataxia after Lifting a Vacuum
- 5 Two Generations with Stroke and Cognitive Decline
- 6 Ms. H Heads to the Hospital
- 7 The Weak Construction Worker
- 8 Twisted Tongue and Dizzy Head
- 9 Right Hemibody Weakness in a Man with Lightning-like Transient Facial Pain
- 10 Blurry Vision
- 11 Gastroenteritis with Dizziness and Ataxia
- 12 Neck Pain Soon Followed by Right Hemiparesis
- 13 Sudden Onset of Double Vision and Left Ataxic Hemiparesis
- 14 Arm Pain and Swelling Followed by Headache, Right Weakness, and Aphasia
- 15 More Than Meets the Eye
- 16 A Rusty Pipe
- 17 Eyelid Droopiness and Body Weakness
- 18 A Pain in the Hand
- 19 A Ticking Time Bomb
- 20 “Dancing” Hand
- 21 Double Vision and Jumpy Eyes
- 22 Between a Rock and a Hard Place
- 23 Follow Your Heart or Your Brain?
- 24 A Bloody Mesh
- 25 A Lernaean Hydra
- 26 It Looks Like a Stroke, Walks Like a Stroke, and Behaves Like a Stroke. But Is It a Stroke?
- 27 A Relentless Headache