ecrebrovascular Ultrasound in Stroke Prevention and Treatment

# Hardcover: 280 pages
# Publisher: Wiley-Blackwell; 1 edition (February 2, 2004)
# Language: English
# ISBN-10: 1405103817
# ISBN-13: 978-1405103817
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
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

Product Description

(Futura) Univ. of Texas-Houston Medical School, Houston. Focuses on the
examination of stroke patients, the interpretation of ultrasound
studies, and the application of cerebrovascular ultrasound in developing
management and treatment strategies. For students and practitioners.
DNLM: Cardiovascular Accident--ultrasonography.

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