By Louis R. Caplan (Editor) Julien Bogousslavsky (Editor)
This compendium is exclusive since it presents authoritative discussions at the much less universal factors of stroke. mentioned inside of are quite a few varieties of angiitis, coagulation problems, infective, paraneoplastic and metabolic problems that could be linked to stroke, and a couple of infrequent syndromes resembling Eales illness and Fabry's disorder. This new version comprises designated, updated information regarding the character, prognosis, and therapy of these fairly unusual varieties of cerebrovascular illness that reason strokes. New chapters comprise stroke in sufferers with Lyme disorder, scleroderma, Cogan's syndrome, Chagas' affliction, and HIV. it really is consequently a distinct medical and medical source that gives a crucial connection with support physicians diagnose and deal with stroke sufferers who don't healthy good into the standard medical different types.
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This compendium is exclusive since it offers authoritative discussions at the much less universal explanations of stroke. mentioned inside are a number of kinds of angiitis, coagulation issues, infective, paraneoplastic and metabolic problems that could be linked to stroke, and a few infrequent syndromes corresponding to Eales disorder and Fabry's disorder.
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Additional info for Uncommon Causes of Stroke, 2nd edition
Cerebral granulomatous angiitis with atypical features. J Neurol, 231, 38–42. , Wijdicks, E. F. , Brown, R. D. , Parisis, J. , and Hammond, C. A. 1997. Isolated angiitis of the CNS presenting as subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry, 62, 649–51. , and de Veber, G. 2001. Isolated angiitis of the CNS in children. Neurology, 56, 837–42. Lie, J. T. 1992. Primary (granulomatous) angiitis of the central nervous system: a clinical pathologic analysis of 15 new cases and a review of the literature.
13 Uncommon Causes of Stroke For those who remain steroid dependant, the use of other immunosuppressants as “steroid sparers” has been advocated. The addition of methotrexate to steroid therapy for the treatment of temporal arteritis has been assessed in 3 randomised, doubleblinded, placebo-controlled trials. , 2001). , 2003). , 2003). Properly treated, the prognosis for most patients with temporal arteritis is very good. , 2001). REFERENCES Albert, D. , Ruchman, M. , and Keltner, J. L. 1976. Skip lesions in temporal arteritis.
Hemodynamic stroke has also been described. Bogousslavsky et al. (1985) reported a case with severe bilateral internal carotid artery stenosis due to temporal arteritis and progressive infarction in the vertebrobasilar territory, suggesting a “steal phenomena” from the posterior to the anterior circulations. More proximally, another feared cardiovascular complication is aortic aneurysm formation and dissection. , 2004). , 1995). , 2002). 4). , 2001), it is rare under the age of 60. The clinical features found to have the greatest specificity are jaw claudication and prominent, enlarged temporal arteries (Smetana and Schmerling, 2002).