Stroke

1. Front Matter

   Pages I-XV

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2. Improving Early Referral and Emergency Care in Acute Stroke

   • J. P. Broderick, H.-C. Diener, E. Mori, E. Rickels, M. F. Hazinski

   Pages 1-9

3. Referral Patterns in Clinical Trials

   • S. Davis, G. Donnan

   Pages 10-15

4. Pathophysiology of Stroke

   • M. Diringer, O. Kempski

   Pages 16-23

5. Autonomic Changes in Acute Cerebrovascular Disorders

   • C. Borel, G. Hamann

   Pages 24-32

6. Intracranial Pressure and Circulatory Management

   • A. Unterberg, M. Fink

   Pages 33-42

7. Imaging and the Early Evaluation of Stroke

   • E. B. Ringelstein, R. von Kummer, J.-C. Baron

   Pages 43-60

8. Modern Imaging Technology in the Assessment of Acute Ischemic Stroke

   • R. E. Latchaw, M. Fisher

   Pages 61-74

9. Thrombolytic Therapy in Acute Ischemic Stroke

   • J. R. Marler, C. Fieschi, R. Higashida, G. Boysen

   Pages 75-83

10. Preventing Postischemic Injury During Reperfusion

    • R. C. Koehler, J. R. Kirsch, A. Bhardwaj, H. Takahashi, R. J. Traystman

    Pages 84-89

11. Mechanisms of Reversible Injury and Neuroprotection

    • R. J. Traystman, M. Hennerici

    Pages 90-99

12. Combined Neuroprotection/Thrombolysis in Acute Stroke

    • J. Zivin, J. Grotta

    Pages 100-105

13. Medical Management of Elevated ICP

    • C. K. Spiss, U. M. Illievich, T. Shimizu, G. Clifton

    Pages 106-117

14. Surgical Management of Elevated ICP and Monitoring

    • T. Steiner, A. Aschoff

    Pages 118-127

15. Intracerebral Hemorrhage Progression

    • T. Brott, H. Hennes

    Pages 128-132

16. Surgical Treatment of Intracerebral Hemorrhage

    • S. Tuhrim, J. Grotta, H. Hondo, U. Gryzska

    Pages 133-145

17. Operative and Interventional Neuroradiology

    • M. Shibuya, R. Higashida, D. Kühne

    Pages 146-155

18. Vasospasm Following Subarachnoid Hemorrhage: Medical and Transvascular Treatment

    • D. Wecht, J. Eskridge, M. Findlay, J. Torner

    Pages 156-166

19. Cytoprotective Drugs After Subarachnoid Hemorrhage

    • T. P. Bleck

    Pages 167-171

20. Back Matter

    Pages 173-179

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The manuscripts in this book were generated from a conference occurring at the University of Heidelberg in September 1996. These manuscripts have been reviewed and updated by the designated authors in late 1997 for publication in early 1998. Conferences occur for a variety of reasons. These include the need to exchange information where complex activities are undergoing reassessment or change. For the emergency and critical care man­ agement of stroke this is certainly the situation. Today, both the pri­ mary care and the neurologic physician must provide medical care in an environment where daily change in the knowledge base of: brain function, disease mechanism(s), therapeutic efficacy, and cost control are all occurring. In addition, patient advocacy has become increasingly complex because government, employers, insurers, health care providers as well as families all desire a voice in the phy­ sician relationship with the patient. Our conference subject was the organization of rapid care delivery and the development of a ration­ al basis for treatment of a previously untreatable disorder acute stroke. Thus, the obvious need for multiple open and free discus­ sions about priority setting and modification of current treatment plans. Clearly, the face to face opportunities provided by this first conference on Emergency Management And Critical Care Of Stroke (EMACCOS) are required when patient care issues are as complex as these. Neuroscience is new to the experience of active therapeutic inter­ vention.

• Hirnschlag
• Hirnverletzung
• Neuroradiologie
• brain
• brain injury
• care
• cerebral hematoma
• critical care
• intracranial pressure
• neuroprotection
• neuroradiology
• pathophysiology
• radiology
• subarachnoid hemorrhage
• subarachnoidale Blutung

• Neurologische Klinik, Universität Heidelberg, Heidelberg, Germany

  Thorsten Steiner, Werner Hacke

• Division of Neurosciences Critical Care, John Hopkins University, Medical School, Baltimore, USA

  Daniel F. Hanley

Policies and ethics