More Case Studies in Stroke. Common and Uncommon Presentations

Description

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.

• Step by step diagnostic procedures
• Cases from neurological hospitals worldwide
• State-of-the-art diagnostic tools used

Contents

List of abbreviations
Preface
Introduction

Part I. Common Cases of Stroke: Case 1. Woman with aphasia and right-sided numbness Kristina Szabo
Case 2. Dysarthria and hemiparesis Martin Griebe
Case 3. From vertigo to coma Angelika Alonso
Case 4. Laughing and crying without any reason Angelika Alonso
Case 5. Severe stroke in a 66-year old man Angelika Alonso
Case 6. Right hemispheric stroke in a young man Micha Kablau
Case 7. Dysarthria and severe hemiparesis Valentin Held

Part II. Uncommon Cases of Stroke: Case 8. Stroke in a 12-year-old girl Manuel Bolognese
Case 9. Woman with headache, arthritis and nausea Johannes Binder and Kristina Szabo
Case 10. Woman with transient sensory disturbance Kristina Szabo
Case 11. A severe attack of migraine Marc Wolf
Case 12. An acute loss of vision Tillmann Menzel
Case 13. Angiography with complications Alex Förster and Kristina Szabo
Case 14. 'I can still write' Caroline Ottomeyer
Case 15. Old lady with sudden confusion Kristina Szabo
Case 16. Neck pain and upper arm paresis Ralph Werner, Miriam Pfeiffer and Johannes C. Wöhrle
Case 17. Aphasia during pregnancy Ralph Werner and Johannes C. Wöhrle
Case 18. Hemiparesis in a man treated for prostate carcinoma James A. Adams
Case 19. Horner syndrome and headache Paolo Costa and Alessandro Pezzini
Case 20. Involuntary shaking of the arm and leg Sefanja Achterberg, Suzanne Persoon and L. Jaap Kappelle
Case 21. A young woman with infertility Patricia Martínez-Sánchez, Blanca Fuentes and Exuperio Díez-Tejedor
Case 22. Acute weakness of the right lower limb Angelika Alonso
Case 23. Recurrent embolic stroke in a 61-year-old man Christopher Schwarzbach
Case 24. Repeated episodes of weakness and visual loss Eva Hornberger and Valentin Held
Case 25. A woman with transient double vision Philipp Eisele
Case 26. Acute myocardial infarction during thrombolysis Ana Patrícia Antunes, Ruth Geraldes and Tiago Teodoro
Case 27. A misleading ca(u)se of cerebral microbleeds Sofie De Blauwe and Katlijn Schotsmans
Case 28. A psychiatrist battled by the sea Louis R. Caplan
Case 29. Severe migraine with double vision Louis R. Caplan
Case 30. Another young woman with infertility Markus Stürmlinger
Case 31. Man with bilateral hypoglossal palsy Bettina Anders
Case 32. Thoracic pain and right-hemispheric syndrome Nadja Meyer
Case 33. Severe gait disorder in a 38-year-old man Tillmann Menzel
Case 34. Visual field loss and memory disturbance Marc Wolf

Part III. Stroke Mimics: Case 35. Right hemiparesis with behavioural changes Kristina Szabo
Case 36. Acute stroke symptoms in a 23-year-old man Björn Reuter and Marc Wolf
Case 37. Acute onset of expressive speech disturbance Martin Griebe
Case 38. Complete loss of vision in a 44-year-old woman Philipp Eisele
Case 39. Spells of numbness in a biochemical graduate Louis R. Caplan
Case 40. Recurrent episodes of disturbed speech Tillmann Menzel
Case 41. Acute aphasia and hemiparesis Marc Wolf
Case 42. Man with gait disturbance and urinary retention Valentin Held

Index.

About the Authors

Michael G. Hennerici, Ruprecht-Karls-Universität Heidelberg, Germany
Michael G. Hennerici MD is Professor of Neurology and Chairman, Department of Neurology, UniversitätsMedizin Mannheim, University of Heidelberg, Germany.

Rolf Kern, Ruprecht-Karls-Universität Heidelberg, Germany
Rolf Kern is Professor of Neurology, Department of Neurology, UniversitätsMedizin Mannheim, University of Heidelberg, Heidelberg, Germany.

Louis R. Caplan, Department of Neurology, Harvard University Medical School, Boston
Louis R. Caplan is Senior Neurologist, Beth Israel Deaconess Medical Center, Boston, Massachusetts, and Professor of Neurology, Harvard Medical School.

Kristina Szabo, Ruprecht-Karls-Universität Heidelberg, Germany
Kristina Szabo is Professor of Neurology, Department of Neurology, UniversitätsMedizin Mannheim, University of Heidelberg, Germany.

Contributors

Kristina Szabo, Martin Griebe, Angelika Alonso, Micha Kablau, Valentin Held, Manuel Bolognese, Johannes Binder, Marc Wolf, Tillmann Menzel, Alex Frster, Caroline Ottomeyer, Ralph Werner, Miriam Pfeiffer, Johannes C. Whrle, James A. Adams, Paolo Costa, Alessandro Pezzini, Sefanja Achterberg, Suzanne Persoon, L. Jaap Kappelle, Patricia Martnez-Snchez, Blanca Fuentes, Exuperio Dez-Tejedor, Christopher Schwarzbach, Eva Hornberger, Philipp Eisele, Ana Patrcia Antunes, Ruth Geraldes, Tiago Teodoro, Sofie De Blauwe, Katlijn Schotsmans, Louis R. Caplan, Markus Strmlinger, Bettina Anders, Nadja Meyer, Bjrn Reuter