Vascular Malformations
Figure 14-1 Hemorrhage due to AVM. Initial noncontrast CT (a) shows left temporal lobar hematoma with overlying subdural hemorrhage. CTA (b) shows a parenchymal nidus seen as a prominent tuft…
NEUROLOGY
Stroke Syndromes
Figure 4-1 DWI sequence demonstrating left ACA territory infarct in a patient that presented with right leg weakness Contralateral leg > arm weakness and numbness Loss of voluntary control of micturition Recurrent…
Classification of Stroke
Figure 7-1 Reversible cerberal vasoconstriction syndrome. A 58-year-old female that presented with acute severe headache and vision changes. Axial FLAIR image (a) shows T2 hyperintense lesions in the bilateral parieto-occipital…
Stroke Treatment and Management
0–3 h 3–4.5 ha ICH/SAH/SDH on head CT 0–3 h criteria PLUS History of ICH Age > 80 Surgery/head trauma or major stroke in last 3 months History of DM and prior…
Special Populations
Hematologic Hemodynamic Congenital heart disease Trauma Vasculopathy Vasculitis Sickle-cell disease Hypotension Arrhythmia Blunt instrument Moya Moya Meningitis Polycythemia Endocarditis Transient cerebral arteriopathy Varicella infection Rheumatic valve disease FMD SLE …
Stroke Pathophysiology
Figure 6-1 Pathway of cerebral ischemia Reduction in blood flow: Cerebral ischemia develops when CBF is reduced to <22 ml/100 g/min <10 ml/100 g/min leads to infarct Energy failure: Diminished…
Vascular Neuroanatomy
Figure 3-1 Arterial anatomy Endothelium Single layer of cells lining the inner wall of arteries forming an interface between blood and tissue Modulates tone, growth, hemostasis, and inflammation Tunica Intima…
Genetic Stroke Syndromes
Disease Gene Inheritance Mechanism Clinical features CADASIL NOTCH3 AD Small vessel Migraine with aura, cognitive deficits CARASIL HTRA1 AR Small vessel disease Alopecia, cervical/lumbar spondylosis Cerebral amyloid angiopathy APP (Dutch…
Special Systems
Figure 12-1 Ophthalmic artery vascular anatomy OA passes into orbit through optic canal where it travels with the optic nerve Gives off central retinal artery (first branch) and posterior ciliary…
Stroke Systems of Care
© Springer International Publishing Switzerland 2017Hardik P. Amin and Joseph L. Schindler (eds.)Vascular Neurology Board Review10.1007/978-3-319-39605-7_20 20. Stroke Systems of Care Hardik P. Amin1 and Joseph L. Schindler2 (1) Assistant Professor of Neurology, Yale University School of Medicine, Associate…
