Cerebrovascular Ultrasound in Stroke Prevention and Treatment 2011


Review
Review of the textbook
“Cerebrovascular Ultrasound in Stroke prevention and Treatment” Edited by Andrei V. Alexandrov
Assistant
Professor of Neurology and Radiology, Director, STAT Neurosonology
Service and Center for Non-invasive Brain Perfusion Studies Stroke
Program, University of Texas-Houston Medical School Houston Texas
First Edition, 2004. 267 pages. Blackwell Publishing www.blackwellpublishing.com, www.blackwellfutura.com
This
book has been produced by an international team of contributors, edited
at the University of Texas and is aimed at three types of individuals:
beginners to learn the basics of ultrasound testing, advanced users to
learn differential diagnosis and clinicians involved in treating stroke
patients. The text is packed full of useful practical information and
has excellent illustrations and TCD images. However, the content is not
basic and beginners wishing to start TCD would be advised to read
simpler texts prior to this book. It is divided into five parts: Part
I-How to perform ultrasound tests covers both extracranial and
intracranial ultrasound examination with an emphasis on standardisation
for carotid duplex. The techniques for carrying out single-gated spectra
(TCD), power-motion Doppler (M-mode) and transcranial colour duplex
imaging (TCCS) are outlined in a simple and clear manner. The advantages
of M-mode (easier window-finding) and TCCS (identifying anomalies of
the circle of Willis) for the beginner are emphasised but the caveat for
both M-mode and TCCS is spectral resolution and it is acknowledged that
experienced operators will still use single-gated TCD. Part
II-Haemodynamic principles is a “heavy” section but will be of
particular interest to anyone working in the intensive care/surgical
setting. The chapter on practical models of cerebral haemodynamics
importantly emphasises spectral waveform recognition rather than the
usual emphasis on velocity. Part III-Criteria for interpretation. is an
excellent section covering diagnostic and validation criteria for
carotid stenosis, carotid and vertebral artery dissection and occlusion,
intracerebral arterial vasospasm, embolism detection, with a good
description of the TIBI ultrasound classification for large vessel
occlusion. Part IV–Ultrasound in stroke prevention and treatment covers
ultrasound findings of specific diseases including sickle cell disease,
cardiovascular risk, secondary stroke prevention, acute ischaemic
stroke, subarachnoid haemorrhage. The chapter on ischaemic stroke
discusses the potential therapeutic use of TCD and is well worth
reading. Part V–Select clinical applications and clinical vignettes
includes an interesting collection of anecdotal vascular cases covering
areas, which can give diagnostic difficulty. The exciting parts of this
book have to be the emphasis on the potential therapeutic use of
diagnostic TCD and the focus on waveform analysis rather than velocity
measurements. This opens up TCD as a bedside tool, which will hopefully
mean that more clinicians will start using this powerful technique.

Dr Paul Syme

Consultant Physician

Lead Stroke Physician NHS Borders

Part-time Senior lecturer University of Edinburgh
--This text refers to an out of print or unavailable edition of this title.

Product Description

Effective stroke therapy can be improved through real-time monitoring
of the neurological and cardiovascular responses to treatment. This
requires crucial knowledge on behalf of both the sonographer and stroke
physician to make the best decisions for the patient so as to minimize
the damage caused by the original stroke and the risk of further stroke.Cerebrovascular Ultrasound in Stroke Prevention and Treatment, Second Edition,
takes a practical approach to the examination of patients, the
interpretation of ultrasound studies and the application of
cerebrovascular ultrasound in the development of management and
treatment studies, assisting neurologists, radiologists, and
ultrasonographers in stroke therapy.

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