Acute Stroke Care

You have just encountered a possible stroke patient. You ask yourself: what should I do first? How do I know it is a stroke? Is it too late to reverse the damage? This book provides integral assistance in answering these critical questions. All content is arranged in chronological order, covering all considerations in assessing and treating patients in the emergency room, stroke unit, and rehabilitation facilities. This new edition offers readers the latest information on stroke treatment, and features brand new chapters on stroke radiology, endovascular therapy, the uncommon causes of stroke, cerebral venous thrombosis, stroke prevention, and the transition to outpatient care. The comprehensive set of appendices contains useful reference information, including dosage algorithms, conversion factors, and stroke scales.

    Organized in chronological order of the issues faced by medical personnel after stroke onset
    Provides a comprehensive insight for caregivers, from pre-hospital to discharge
    Includes practical advice based on the authors' extensive experience to help caregivers to handle dilemmas, not covered within any other text, or addressed by clinical trial data
    Offers practical advice from leading experts, to help professionals to prioritize the multiplicity of issues, faced, when managing their stroke patients, in a global setting

Table of Contents

1. Stroke in the emergency department
2. What to do first
3. Ischemic stroke
4. Stroke radiology
5. Intravenous thrombolysis
6. Endovascular therapy (ET)
7. Neurological deterioration in acute ischemic stroke
8. Ischemic stroke etiology and secondary prevention
9. Transient ischemic attack (TIA)
10. Less common causes of stroke
11. Cerebral venous sinus thrombosis
12. Intracerebral hemorrhage (ICH)
13. Subarachnoid hemorrage (SAH)
14. Organization of stroke care
15. Stroke rehabilitation
16. Transition to outpatient stroke care.

James C. Grotta MD is Director of the Mobile Stroke Unit Consortium and Director of Stroke Research, Clinical Institute for Research and Innovation, Memorial Hermann-Texas Medical Center, Houston, Texas. He is the editor of the market-leading stroke reference, Stroke: Pathophysiology, Diagnosis and Management, 6th edition (2016).

Ahmad Riad Ramadan MD is a staff neurologist in the Stroke and Neurocritical Care divisions at Henry Ford Hospital, Detroit, Michigan. He completed a vascular neurology fellowship at the University of Texas Health Science Center in Houston, Texas, as a well as a neurocritical care fellowship at Johns Hopkins Hospital in Baltimore, Maryland.

M. Carter Denny MD, MPH is an assistant professor of neurology in the stroke program at MedStar Georgetown University Hospital, Washington DC. She completed her two-year vascular neurology fellowship at the University of Texas Health Science Center in Houston, Texas.

Sean I. Savitz MD is professor and Director of the Institute for Stroke and Cerebrovascular Disease and holds the Frank M. Yatsu, MD Chair in Neurology at the University of Texas Health Science Center in Houston, Texas. He conducts both basic science and clinical research in stroke, with a focus on developing cell-based therapies to promote stroke recovery.