Stroke, Your Questions Answered, 2nd Edition


2nd Edition Your Questions Answered

By Graeme J. Hankey, MBBS, MD, FRCP(Edin), FRACP, Consultant Neurologist and Head of Stroke Unit and Clinical Associate Professor, Royal Perth Hospital, Perth, Australia

How to use this book
1. Terminology and definitions (what is a stroke?)
Patient questions
2. Epidemiology how big is the problem of a stroke?)
3. Diagnosis of stroke and transcient ischaemic attack (is it a vascular event?)
Symptoms and signs
Diagnosis of transcient ischaemic attack
diagnosis of stroke
Subarachnoid haemorrage
Patient questions
4. Localisation of the lesion (where is the damage?)
Carotid and vertebrobasilar territory ischaemia
Stroke syndromes
Boundary zone infarctions
5. Pathological diagnosis
Patient questions
6. Aetiological diagnosis 1 (what are the possible causes?)
Establishing the cause of stroke
Atherosclerosis as a cause of ischaemic stroke
Intracranial small vessel disease as a cause of stroke
Embolism from the heart as a cause of stroke
Rarer causes of ischaemic stroke
Establishing the cause of brain haemorrhage
Patient questions
7. Aetiological diagnosis 2 (what are the possible risk factors?)
General risk factors
Cardiovascular risk factors
Metabolic risk factors
Hormonal risk factors
Lifestyle risk factors
genetic risk factors
Patient questions
8. Aetiological diagnosis 3(what investigations are needed?)
Laboratory tests
Patient questions
9. Prognosis (what does the future hold for the patient?)
Prognosis of stroke
Prognosis of TA
Prognosis of subarachnoid haemorrhage
Patient questions
10. Early management (should patients be referred to hospital?)
Patient questions
11. Hospital management
The stroke unit
The stroke team
The work of the stroke team
Patient questions
12. General management (what is basic stroke care?)
Patient questions
13. Specific management (what therapy for stroke is effective?)
Management principles
Thrombolysis in acute ischaemic stroke
Asprin therapy
Anticoagulation therapy
Prevention of deep vein thrombosis
Other treatments
Patient questions
14. Secondary prevention (how can recurrance be prevented?)
Reduction of blood pressure
Other measures to prevent recurrent stroke
Lifestyle modification and diet
Antiplatelet therapy
Surgical interventions
Stroke caused by cardiogenic embolism
Selection of patients for thromboprophylaxis
Patient questions
Post-stroke care (how should new problems be managed?)
Progress of stroke
Deep vein thrombosis and pulmonary embolism
Residual handicaps
Patient questions
Stroke in special populations
Appendix A: Volunteer and support groups and websites
Appendix B: Diagnostic evaluation of suspected transcient ischaemic attack and stroke
List of patient questions