Ralf W. Baumgartner Livres

Neurovascular ultrasound increases the reliability of assessing occlusive cerebrovascular disease, including the detection of instable carotid plaques, the delineation of cerebral perfusion and therapeutic options such as ultrasound-enhanced sonothrombolysis. Written by international experts, this publication provides the reader with the present knowledge and future research directions of diagnostic and therapeutic neurovascular ultrasound. The first chapters deal with physical and technical principles of ultrasound, arterial wall imaging, endothelial function testing and modern assessment of atherosclerotic obstruction of the carotid and vertebro-basilar systems. Subsequently, typical ultrasound findings in cervical artery dissection, dural fistula, glomus tumor and vasculitis are reported. The book concludes with the description of diagnostic and therapeutic transcranial ultrasound and clinical applications of transcranial Doppler monitoring as well as the presentation of future developments. Neurologists, angiologists and radiologists will find a valuable source of up-to-date information on this fascinating, essentially non-invasive technique, which allows real-time assessment of the human cerebral vessels.

Leading international experts summarize up-to-date findings on the presentation, diagnosis, pathogenesis and therapy of cerebral artery dissection. Several topics, such as the first animal model of cervical artery dissection, the epidemiology and its association with connective tissue abnormalities in skin and arteries, genetic approaches in the study of risk factors as well as the main etiologies of spontaneous and traumatic cervical artery dissection are discussed. The book also gives an insight into the clinical manifestations of carotid and vertebral artery dissection and to the possibilities and limitations of the main diagnostic tools, ultrasound, CT and MR imaging, and angiography. The last part of the publication presents the prognosis, thrombolysis and antithrombotic therapy of cervical artery dissection and concludes with an overview of intracranical dissection. Specialists in neurology, neuroradiology, neurosurgery, internal medicine as well as general practitioners will find this publication a useful and unique review of the present knowledge and future research directions of this still poorly understood disease.