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The Vertebral Artery

The Vertebral Artery PDF Author: Bernard George
Publisher: Springer Science & Business Media
ISBN: 3709169674
Category : Medical
Languages : en
Pages : 260

Book Description
Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.

The Vertebral Artery

The Vertebral Artery PDF Author: Bernard George
Publisher: Springer Science & Business Media
ISBN: 3709169674
Category : Medical
Languages : en
Pages : 260

Book Description
Our common interest in surgery of the vertebral artery was born in 1976, when as residents in the same hospital, we attended an attempt by two senior surgeons to treat an aneurysm of the vertebral artery at the C 3 level. Long discussions had preceded this unsuccessful trial, to decide if surgery was indicated and to choose the surgical route. Finally a direct lateral approach was performed, but access was difficult and correct treatment was impossible, resulting in only partial reduction of the aneurysmal pouch. Following this experience, we decided to seek a regular and well defined approach for exposition of the vertebral artery. Review of the literature indicated some surgical attempts, but the descriptions did not give the impression of safety and reproducibility. No landmark on the described surgical route appeared sufficiently reliable. Henry's anatomical work (1917) gave the only accurate description on vertebral artery anatomy, and it became the basis for our work. When the same patient was referred again one year later, after a new stroke in the vertebro-basilar system, we had behind us repetitive experience on cadavers of an original approach to the distal vertebral artery.

Carotid Artery

Carotid Artery PDF Author: Rita Rezzani
Publisher: BoD – Books on Demand
ISBN: 1789849810
Category : Medical
Languages : en
Pages : 128

Book Description
This book collects recent experimental and clinical studies on gender influence in carotid artery compliance in health and pathological states, discussing also the usefulness and appropriateness of specific and personal medical therapy. Additionally, it provides an overview of the growing importance of ongoing studies on the benefit and risk of gender-specific therapy.

Carotid and Vertebral Artery Dissection

Carotid and Vertebral Artery Dissection PDF Author: Jodi Dodds
Publisher: Createspace Independent Publishing Platform
ISBN: 9781540808370
Category :
Languages : en
Pages : 270

Book Description
Carotid and vertebral artery dissections are responsible for one-quarter of strokes in young adults. Despite this fact, there is very little awareness and understanding of these vascular injuries by the public, and even by healthcare providers. This book answers the common questions that patients with carotid and vertebral artery dissections have with easy-to-understand explanations. Also included are stories from patients who have persevered after their dissections. Their tales personalize dissection and stroke in young adults in an undeniable way, and illustrate the existence of the lingering effects dissections can have on patients for years. Jodi A. Dodds, MD, a vascular neurologist at Duke University, and Amanda P. Anderson, MS, CCC-SLP, a speech-language pathologist and a survivor of a severe carotid artery dissection, have created an important and needed resource for patients and their families as they navigate through the aftermath of this life-changing event.

Pathology and surgery around the vertebral artery

Pathology and surgery around the vertebral artery PDF Author: Bernard George
Publisher: Springer Science & Business Media
ISBN: 2287897879
Category : Medical
Languages : en
Pages : 670

Book Description
This is the first comprehensive book about surgery on and around the vertebral artery all along its cervical and intracranial course. This vessel has been considered for long as out of surgical reach leaving many different pathologies not or incompletely treated. The surgical exposure and control of the vertebral artery not only permit to treat lesions of the vertebral artery wall or developed in contact to it but also to improve the access to the intervertebral foramen (tumors, osteophytes), to the anterior aspect of the spinal cord (tumors, spondylotic spurs), to the foramen magnum and to the jugular foramen. This book written by leading experts includes all aspects of vertebral artery surgery from anatomy to imaging, surgical techniques and pathologies; it is illustrated by many figures especially operative views and schematic drawings so that the beginner as well as the experienced surgeon find useful information. One of the editors of this book (B. GEORGE) was recently awarded the Olivecrona award for his work on the surgery of the vertebral artery.

Neurovascular Imaging

Neurovascular Imaging PDF Author: Luca Saba
Publisher: Springer
ISBN: 9781461490289
Category : Medical
Languages : en
Pages : 0

Book Description
Vascular Neurology, Vascular Neurosurgery and Interventional Neuroradiology are independent fields with dedicated Training Programs. Neuroimaging, and in particular what we call "Neurovascular Imaging" is a unifying factor which can be considered the intersection of these three medical specialties. With this book we aim to cover thoroughly the imaging techniques, potentialities, and present and future applications as applied to all the vascular diseases of the central nervous system from the imaging point of view. This book will comprise eight main sections: (1) The Basics, (2) Arteries of the Head and Neck (3) The basics of Intracranial Arteries (4) Diseases of the vessels (5) Stroke Imaging (6) Veins Imaging (7) Spine Imaging (8) Pediatrics.

Vertebrobasilar Ischemia and Hemorrhage

Vertebrobasilar Ischemia and Hemorrhage PDF Author: Louis R. Caplan
Publisher: Cambridge University Press
ISBN: 0521763061
Category : Medical
Languages : en
Pages : 609

Book Description
A comprehensive review of vascular disease in the vertebrobasilar circulation by one of the world's leading authorities, fully updated throughout.

Whiplash, Headache, and Neck Pain

Whiplash, Headache, and Neck Pain PDF Author: Gwendolen Jull
Publisher: Elsevier Health Sciences
ISBN: 0443100470
Category : Medical
Languages : en
Pages : 257

Book Description
A textbook and practical clinical handbook for all students and practitioners concerned with the evaluation, diagnosis, assessment and management of neck pain and cervical headache particularly in relation to whiplash. It is likely to become essential study for final year physiotherapy and chiropractic students, for all manipulative physiotherapy MSc students and a widely used clinical ref text for all involved in the assessment and management of whiplash and related neck and head pain. ? This book presents the applied sciences, clinical assessment methods and rehabilitation protocols for the management of persons with neck pain. ? The material presented in this book represents the translation of research into clinical practice and provides a systematic approach to assessment and an evidence base for conservative clinical management strategies for neck pain. ? Unique topics in this book include: . Provides an understanding of the pathophysiological processes in the sensory, motor and sensorimotor systems and how they present in patients with neck pain disorders. . Presents multimodal approaches to management of neck pain guided by the evidence of presenting dysfunctions . Presents a comprehensive description of a therapeutic exercise approach based on motor control which has proven efficacy.

Vascular Medicine: A Companion to Braunwald's Heart Disease

Vascular Medicine: A Companion to Braunwald's Heart Disease PDF Author: Mark Creager
Publisher: Elsevier Health Sciences
ISBN: 0323636012
Category : Medical
Languages : en
Pages : 963

Book Description
With authoritative coverage of everything from recent discoveries in the field of vascular biology to recent clinical trials and evidence-based treatment strategies, Vascular Medicine, 3rd Edition, is your go-to resource for improving your patients’ cardiovascular health. Part of the Braunwald family of renowned cardiology references, this updated volume integrates a contemporary understanding of vascular biology with a thorough review of clinical vascular diseases, making it an ideal reference for vascular medicine specialists, general cardiologists, interventional cardiologists, vascular surgeons, and interventional radiologists. Incorporates technologic advances in vascular imaging – including ultrasound, MRI, CTA, and catheter-based angiography – along with more than 230 new figures, providing an up-to-date and complete view of the vascular system and vascular diseases. Covers novel antithrombotic therapies for peripheral artery disease and venous thromboemboism, advances in endovascular interventions for aortic aneurysms, and today’s best surgical treatments for vascular diseases. Includes seven new chapters: Pathobiology of Aortic Aneurysms; Pathobiology and Assessment of Cardiovascular Fibrosis; Large Vessel Vasculitis; Medium and Small Vessel Vasculitis; Epidemiology and Prognosis of Venous Thromboembolic Disease; Fibromuscular Dysplasia; and Dermatologic Manifestations of Vascular Disease. Discusses methods for aggressive patient management and disease prevention to ensure minimal risk of further cardiovascular problems. Keeps you current with ACC/AHA and ECC guidelines and the best ways to implement them in clinical practice.

Manual of Neurosonology

Manual of Neurosonology PDF Author: László Csiba
Publisher: Cambridge University Press
ISBN: 1107659159
Category : Medical
Languages : en
Pages : 333

Book Description
Neurosonology is non-invasive, portable, and has excellent temporal resolution, making it a valuable and increasingly popular tool for the diagnosis and monitoring of neurological conditions when compared to other imaging techniques. This guide looks beyond the use of neurovascular ultrasound in stroke to encompass a wide range of other neurological diseases and emergencies. It offers a practical approach to the examination of patients, interpretation of ultrasound studies, and the application of neurosonology to the development of management and treatment strategies. Each chapter incorporates a thorough and clear procedural methodology alongside scanning tips for trainees; this step-by-step approach is further enhanced by example images and focused diagnostic questions. Authored and edited by international experts, this practical manual of neurosonology is an invaluable resource for neurologists, neurosurgeons, intensivists, radiologists, and ultrasonographers.

The Cerebral Circulation

The Cerebral Circulation PDF Author: Marilyn J. Cipolla
Publisher: Biota Publishing
ISBN: 1615047239
Category : Medical
Languages : en
Pages : 82

Book Description
This e-book will review special features of the cerebral circulation and how they contribute to the physiology of the brain. It describes structural and functional properties of the cerebral circulation that are unique to the brain, an organ with high metabolic demands and the need for tight water and ion homeostasis. Autoregulation is pronounced in the brain, with myogenic, metabolic and neurogenic mechanisms contributing to maintain relatively constant blood flow during both increases and decreases in pressure. In addition, unlike peripheral organs where the majority of vascular resistance resides in small arteries and arterioles, large extracranial and intracranial arteries contribute significantly to vascular resistance in the brain. The prominent role of large arteries in cerebrovascular resistance helps maintain blood flow and protect downstream vessels during changes in perfusion pressure. The cerebral endothelium is also unique in that its barrier properties are in some way more like epithelium than endothelium in the periphery. The cerebral endothelium, known as the blood-brain barrier, has specialized tight junctions that do not allow ions to pass freely and has very low hydraulic conductivity and transcellular transport. This special configuration modifies Starling's forces in the brain microcirculation such that ions retained in the vascular lumen oppose water movement due to hydrostatic pressure. Tight water regulation is necessary in the brain because it has limited capacity for expansion within the skull. Increased intracranial pressure due to vasogenic edema can cause severe neurologic complications and death.