Stroke is the leading cause of permanent disability, including post-stroke dementia, pain, depression, and personality changes. While large clinical trials reflect information about large stroke populations, the presentation of each and every stroke patient is individual and special. More Case Studies in Stroke presents a new selection of stroke cases from seven countries prepared by practising stroke physicians. The book includes both common and unusual cases, as well as misleading cases of diseases mimicking stroke. The aim is to reinforce diagnostic skills through careful analysis of individual presenting patterns, and to guide treatment decisions. Each case consists of a clinical history, examination findings and special investigations, followed by diagnosis and discussion. The outline of the actual diagnostic process, including the use of modern diagnostic tools, decision making and course, challenge the reader at all stages of their career from medical students to neurologists and stroke physicians.

Book Description

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Contents

Case 1 Woman with aphasia and right-sided numbness
Case 2 Dysarthria and hemiparesis
Case 3 From vertigo to coma
Case 4 Laughing and crying without apparent reason
Case 5 Severe stroke in a 66-year-old man
Case 6 Right hemispheric stroke in a young man
Case 7 Dysarthria and severe hemiparesis
Case 8 Stroke in a 12-year-old girl
Case 9 Woman with headache, arthritis, and nausea
Case 10 Woman with transient sensory disturbance
Case 11 A severe attack of migraine
Case 12 An acute loss of vision
Case 13 Angiography with complications
Case 14 “Ican still write”
Case 15 Old lady with sudden confusion
Case 16 Neck pain and upper arm paresis
Case 17 Aphasia during pregnancy
Case 18 Hemiparesis in two men treated for prostate carcinoma
Case 19 Horner syndrome and headache
Case 20 Involuntary shaking of the arm and leg
Case 21 A young woman with infertility
Case 22 Acute weakness of the right lower limb
Case 23 Recurrent embolic stroke in a 61-year-old man
Case 24 Repeated episodes of weakness and visual loss
Case 25 A woman with transient double vision
Case 26 Acute myocardial infarction during thrombolysis
Case 27 A misleading ca(u)se of cerebral microbleeds
Case 28 A psychiatrist battered by the sea
Case 29 Severe migraine with double vision
Case 30 Another young woman with infertility
Case 31 Man with bilateral hypoglossal palsy
Case 32 Thoracic pain and right hemispheric syndrome
Case 33 Severe gait disorder in a 38-year-old man
Case 34 Visual field loss and memory disturbance
Case 35 Right hemiparesis with behavioral changes
Case 36 Acute stroke symptoms in a 23-year-old man
Case 37 Acute onset of expressive speech disturbance
Case 38 Complete loss of vision in a 44-year-old woman
Case 39 Spells of numbness in a biochemical graduate
Case 40 Recurrent episodes of disturbed speech
Case 41 Acute aphasia and hemiparesis
Case 42 Man with gait disturbance and urinary retention