Verfügbarkeit: Neurosonology and neuroimaging of stroke

Neurosonology and neuroimaging of stroke: a comprehensive reference

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Bibliographische Detailangaben
Hauptverfasser:	Valdueza, José M. 1958- (VerfasserIn), Schreiber, Stephan 1968- (VerfasserIn), Roehl, Jens-Eric (VerfasserIn), Connolly, Florian (VerfasserIn), Klingebiel, Randolf (VerfasserIn)
Format:	Buch
Sprache:	English
Veröffentlicht:	Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme 2017
Ausgabe:	2nd edition
Schlagworte:	Ultraschalldiagnostik Hirngefäßkrankheit Fallstudiensammlung
Online-Zugang:	Inhaltsverzeichnis
Beschreibung:	xx, 610 Seiten 1305 Illustrationen 27 cm x 19.5 cm
ISBN:	9783131418722

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MARC


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245	1	0	\|a Neurosonology and neuroimaging of stroke \|b a comprehensive reference \|c José M. Valdueza, MD (Professor of Neurology), Stephan J. Schreiber, MD (Professor of Neurology), Jens-Eric Roehl, MD (Senior Neurologist), Florian Connolly, MD (Senior Neurologist), Randolf Klingebiel, MD (Professor of Neuroradiology)
250			\|a 2nd edition
264		1	\|a Stuttgart ; New York ; Delhi ; Rio de Janeiro \|b Thieme \|c 2017
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Datensatz im Suchindex

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adam_text	CONTENTS PREFACE................................... VIDEOS .................................... ABBREVIATIONS....................... PART A PRINCIPLES AND RULES 1 FLOW AND ULTRASOUND BASICS .................................... 2 FLOW DYNAMICS......................................................... 2 PHYSICS OF FLO W ..................................................... 2 FLOW PATTERN AND FLOW VELOCITY......................... 2 ULTRASOUND PRINCIPLES.............................................. 3 DOPPLER EFFECT....................................................... 3 DOPPLER SHIFT AND FLOW VELOCITY......................... 4 ULTRASOUND SYSTEMS ................................................. 6 ULTRASOUND TRANSDUCER........................................ 7 IMAGING MODALITIES, PARAMETERS, AND SETTINGS . . . 8 IMAGING MODALITIES ............................................... 8 PARAMETERS AND SETTINGS ...................................... 12 ARTIFACTS...................................................................... 15 ARTIFACTS IN GRAY-SCALE IMAGING........................... 15 REFRACTION AND MIRROR ARTIFACTS........................... 16 ARTIFACTS IN COLOR-MODE IMAGING ....................... 17 ARTIFACTS IN DOPPLER SPECTRUM ANALYSIS ........... 17 SAFETY CONSIDERATIONS ............................................. 17 2 VASCULAR ANATOMY AND STRUCTURE OF ULTRASOUND EXAMINATION............................................................... 18 GENERAL ARTERIAL ANATOMY........................................ 18 EXTRACRANIAL ARTERIAL ANATOMY ............................ 18 INTRACRANIAL ARTERIAL ANATOMY ............................ 21 GENERAL STRUCTURE OF ARTERIAL ULTRASOUND EXAMINATION.......................................... 24 SPECIAL ARTERIAL ANATOMY AND ULTRASOUND ANATOMY ............................................... 25 EXTRACRANIAL ARTERIES ........................................... 25 INTRACRANIAL ARTERIES ............................................. 34 GENERAL VENOUS ANATOMY........................................ 61 INTRACRANIAL VENOUS ANATOMY ............................ 62 EXTRACRANIAL VENOUS ANATOMY ............................ 62 GENERAL STRUCTURE OF VENOUS ULTRASOUND EXAMINATION.......................................... 64 SPECIAL VENOUS ANATOMY AND ULTRASOUND ANATOM Y.................................................................... 64 INTRACRANIAL VEINS AND SINUSES........................... 64 EXTRACRANIAL VEINS ................................................. 71 3 INTRACRANIAL HEMODYNAMICS AND FUNCTIONAL TESTS .. 79 ANALYSIS OF CEREBRAL BLOOD F LO W ............................ 79 AUTOREGULATION............................................................ 80 TESTING OF AUTO REGULATION .................................... 81 NEUROVASCULAR COUPLING.......................................... 82 TESTING OF NEUROVASCULAR COUPLING ..................... 82 METABOLIC COUPLING ................................................. 83 TESTING OF METABOLIC COUPLING ............................ 83 V XIV XIX OTHER TESTS TO ASSESS DIFFERENCES BETWEEN THE RIGHT AND LEFT SIDES AS MARKERS OF IMPAIRED COLLATERAL FUNCTION .............................. 84 PARAMETERS OF CEREBRAL HEMODYNAMICS ............... 86 CEREBRAL BLOOD FLOW VELOCITY............................... 86 RESISTANCE INDICES.................................................. 86 CEREBRAL BLOOD FLOW VOLUME............................... 86 CEREBRAL CIRCULATION TIME .................................... 87 CEREBRAL BLOOD VOLUME ........................................ 88 4 PATHOGENESIS OF STROKE ............................................ 90 ARTERIAL ISCHEMIA ....................................................... 90 PATHOPHYSIOLOGY ................................................... 90 CLASSIFICATION OF ARTERIAL STROKE........................... 91 MICROEMBOLIC SIGNALS................................................ 100 SPONTANEOUS MICROEMBOLI .................................. 100 DETECTION OF MICROEMBOLI IN PATENT FORAMEN O VA LE ..................................................... 102 VENOUS ISCHEMIA....................................................... 103 5 VASCULAR PATHOLOGY .................................................. 106 ARTERIAL PATHOLOGY ..................................................... 106 VESSEL WALL PATHOLOGY.......................................... 106 TORTUOSITY........................................................... 107 INTIMA-MEDIA THICKNESS .................................. 108 ATHEROSCLEROTIC PLAQUES .................................. 108 ARTERIAL STIFFNESS ............................................... 113 DISSECTION........................................................... 113 FIBROMUSCULAR DYSPLASIA (FM D) ..................... 114 VASCULITIS/ARTERITIS............................................ 115 CAROTIDYNIA AND CAROTID ARTERY VASOSPASM . 115 STENOSES AND OCCLUSIONS ...................................... 118 ULTRASOUND CRITERIA OF STENOSES ..................... 118 ULTRASOUND CRITERIA OF OCCLUSIONS ................. 125 EXTRACRANIAL PATHOLOGY ........................................ 125 EXTRACRANIAL ANTERIOR CIRCULATION ................... 125 EXTRACRANIAL POSTERIOR CIRCULATION ................. 133 INTRACRANIAL PATHOLOGY.......................................... 138 STENOSES............................................................. 138 OCCLUSIONS......................................................... 144 INTRACRANIAL ANTERIOR CIRCULATION ................... 145 INTRACRANIAL POSTERIOR CIRCULATION ................... 153 COLLATERAL PATHWAYS.............................................. 161 INTRACRANIAL COLLATERAL PATHWAYS ..................... 162 INTRACRANIAL COLLATERAL PATHWAYS IN ICA OCCLUSIVE PROCESSES.......................................... 167 INTRACRANIAL COLLATERAL PATHWAYS IN VA OCCLUSIVE PROCESSES.......................................... 172 EXTRACRANIAL COLLATERAL PATHWAYS IN VA OCCLUSIVE PROCESSES .......................................... 173 CLINICAL RELEVANCE OF COLLATERAL PATHWAYS . . . 173 VENOUS PATHOLOGY ..................................................... 175 CEREBRAL VENOUS THROMBOSIS............................... 175 SUPERIOR SAGITTAL SINUS OCCLUSION ................. 175 DEEP CEREBRAL VENOUS SYSTEM OCCLUSION ___ 176 LATERAL SINUS (TRANSVERSE AND SIGMOID SINUS) OCCLUSION ........................................................... 176 FLOW ABNORMALITIES IN CEREBRAL VENOUS THROMBOSIS .......................................... 176 ULTRASONOGRAPHY OF THE INTERNAL JUGULAR VEIN IN INTENSIVE CARE PATIENTS ........................... 178 CENTRAL VENOUS CANNULATION ........................... 178 INDIRECT ASSESSMENT OF CENTRAL VENOUS PRESSURE (CVP).................................................... 178 INTRACRANIAL STROKE-RELATED 8-MODE PATHOLOGY............................................................... 178 VENTRICLES............................................................... 178 HYDROCEPHALUS ..................................................... 179 PAPILLEDEMA AND OPTIC NERVE SHEATH DIAMETER... 179 PART B CASE HISTORIES CASE 1 RIGHT EXTRACRANIAL INTERNAL CAROTID ARTERY STENOSIS............................................................... 197 CLINICAL PRESENTATION ....................................................... 197 INITIAL NEURORADIOLOGIC FINDINGS .................................... 197 SUSPECTED DIAGNOSIS ....................................................... 197 QUESTIONS TO ANSWER USING ULTRASOUND TECHNIQUES. .. 197 INITIAL NEUROSONOLOGIC FINDINGS .................................... 197 MRI .................................................................................. 197 CT ANGIOGRAPHY............................................................... 197 CLINICAL COURSE................................................................. 198 FINAL DIAGNOSIS................................................................. 198 DISCUSSION ........................................................................ 199 CASE 2 FREE-FLOATING THROMBUS OF THE LEFT INTERNAL CAROTID ARTERY.................................................... 205 CLINICAL PRESENTATION ....................................................... 205 INITIAL NEURORADIOLOGIC FINDINGS .................................... 205 DIAGNOSIS .......................................................................... 205 QUESTION TO ANSWER BY ULTRASOUND TECHNIQUES .......... 205 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 205 CLINICAL COURSE................................................................. 205 NEUROSONOLOGIC FINDINGS (DAY 20)................................. 206 FINAL DIAGNOSIS................................................................. 206 DISCUSSION ........................................................................ 206 CASE 3 LEFT COMMON CAROTID ARTERY OCCLUSION ........ 210 CLINICAL PRESENTATION ....................................................... 210 INITIAL NEURORADIOLOGIC FINDINGS .................................... 210 SUSPECTED DIAGNOSIS ....................................................... 210 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 210 INITIAL NEUROSONOLOGIC FINDINGS .................................... 210 CLINICAL COURSE................................................................. 210 FINAL DIAGNOSIS................................................................. 211 DISCUSSION ........................................................................ 211 MIDLINE AND MIDLINE S H IFT .................................. 180 INTRACRANIAL HEMORRHAGE .................................... 180 PARENCHYMAL HEMORRHAGE............................... 180 SUBDURAL AND EPIDURAL HEMATOMA ..................... 182 6 ANGIOGRAPHIC TECHNIQUES IN NEURORADIOLOGY ........ 183 CHOICE OF IMAGING TECHNIQUES................................. 183 DIGITAL SUBTRACTION ANGIOGRAPHY (DSA) ................. 183 HISTORICAL DEVELOPMENT ...................................... 183 TECHNICAL ASPECTS OF DIAGNOSTIC ANGIOGRAPHY... 184 TECHNICAL ASPECTS OF MECHANICAL THROMBECTOMY ..................................................... 185 ADVANTAGES AND DISADVANTAGES........................... 185 MAGNETIC RESONANCE ANGIOGRAPHY (M R A )............ 187 HISTORICAL DEVELOPMENT ...................................... 187 TECHNICAL ASPECTS.................................................. 187 ADVANTAGES AND DISADVANTAGES........................... 190 COMPUTED TOMOGRAPHIC ANGIOGRAPHY (CTA) ........ 191 HISTORICAL DEVELOPMENT ...................................... 191 TECHNICAL ASPECTS.................................................. 192 ADVANTAGES AND DISADVANTAGES........................... 192 CASE 4 LEFT TEMPORAL ARTERIOVENOUS M ALFORM ATION ................................................... 215 CLINICAL PRESENTATION ....................................................... 215 INITIAL NEURORADIOLOGIC FINDINGS .................................... 215 SUSPECTED DIAGNOSIS ....................................................... 215 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 215 INITIAL NEUROSONOLOGIC FINDINGS .................................... 215 CONVENTIONAL ANGIOGRAPHY............................................ 215 CLINICAL COURSE................................................................. 216 FINAL DIAGNOSIS................................................................. 216 DISCUSSION ........................................................................ 218 CASE 5 LEFT M L MIDDLE CEREBRAL ARTERY STENOSIS ___ 222 CLINICAL PRESENTATION ....................................................... 222 INITIAL NEURORADIOLOGIC FINDINGS .................................... 222 SUSPECTED DIAGNOSIS ....................................................... 222 CONVENTIONAL ANGIOGRAPHY (DAY 2 ) ............................... 222 CLINICAL COURSE................................................................. 222 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 222 INITIAL NEUROSONOLOGIC FINDINGS .................................... 222 FINAL DIAGNOSIS................................................................. 224 DISCUSSION........................................................................ 224 CASE 6 LEFT P2 POSTERIOR CEREBRAL ARTERY STENOSIS... 230 CLINICAL PRESENTATION ....................................................... 230 INITIAL NEURORADIOLOGIC FINDINGS .................................... 230 SUSPECTED DIAGNOSIS ....................................................... 230 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 230 INITIAL NEUROSONOLOGIC FINDINGS (DAY 2 ) ....................... 230 CLINICAL COURSE................................................................. 230 FINAL DIAGNOSIS................................................................. 232 DISCUSSION........................................................................ 232 CASE 7 CEREBRAL CIRCULATORY A RREST ............................ CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... CLINICAL COURSE ( 1 ) ........................................................... CEREBRAL CT........................................................................ QUESTION TO ANSWER BY ULTRASOUND TECHNIQUES.......... INITIAL NEUROSONOLOGIC FINDINGS .................................... CLINICAL COURSE ( 2 ) ........................................................... FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 8 BASILAR ARTERY OCCLUSION IN BILATERAL INTRACRANIAL V4 VERTEBRAL ARTERY STENOSIS . . . CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... CONVENTIONAL ANGIOGRAPHY (DAY 1 ) .............................. CLINICAL COURSE ( 1 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 42) ..................... NEURORADIOLOGIC FINDINGS ............................................... CLINICAL COURSE ( 2 ) ........................................................... FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 9 MOYAMOYA DISEASE.......................................... CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... CONVENTIONAL ANGIOGRAPHY (DAY 3 ) .............................. CLINICAL COURSE ( 1 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (WEEK 6 ) ................... CLINICAL COURSE ( 2 ) ........................................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS (3 MONTHS) ........ FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 10 THROMBOLYSIS OF M1 MIDDLE CEREBRAL ARTERY OCCLUSION ............................................. CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... CLINICAL COURSE ( 1 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS .................................... CLINICAL COURSE ( 2 ) ........................................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS (1 HOUR) ............. CLINICAL COURSE ( 3 ) ........................................................... FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 11 SECONDARY OCCLUSION IN LEFT-SIDED EXTRACRANIAL INTERNAL CAROTID ARTERY DISSECTION......................................................... CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 )....................... CLINICAL COURSE ( 1 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 2 ) ............... CLINICAL COURSE ( 2 ) ........................................................... 270 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 7 ) ............... 270 CLINICAL COURSE ( 3 ) ........................................................... 270 FOLLOW-UP NEUROSONOLOGIC FINDINGS (6 M ONTHS) ........ 270 FINAL DIAGNOSIS................................................................. 271 DISCUSSION........................................................................ 276 CASE 12 EXTRACRANIAL BILATERAL INTERNAL CAROTID ARTERY AND RIGHT VERTEBRAL ARTERY OCCLUSION, AND LEFT VERTEBRAL ARTERY STENOSIS............................................................. 281 CLINICAL PRESENTATION ....................................................... 281 INITIAL NEURORADIOLOGIC FINDINGS .................................... 281 SUSPECTED DIAGNOSIS ....................................................... 281 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 281 INITIAL NEUROSONOLOGIC FINDINGS .................................... 281 CLINICAL COURSE................................................................. 282 FINAL DIAGNOSIS................................................................. 285 DISCUSSION........................................................................ 285 CASE 13 RIGHT INTERNAL CAROTID ARTERY STENOSIS IN FIBROMUSCULAR DYSPLASIA AND GRANULOMATOSIS WITH POLYANGIITIS (FORMERLY WEGENER S GRANULOMATOSIS) ........ 288 CLINICAL PRESENTATION....................................................... 288 INITIAL NEURORADIOLOGIC FINDINGS .................................... 288 SUSPECTED DIAGNOSIS....................................................... 288 QUESTION TO ANSWER BY ULTRASOUND TECHNIQUES.......... 288 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 288 CLINICAL COURSE ( 1 ) ........................................................... 288 CONVENTIONAL ANGIOGRAPHY (DAY 5 ) .............................. 289 CLINICAL COURSE ( 2 ) ........................................................... 289 FOLLOW-UP NEUROSONOLOGIC FINDINGS (5 YEARS)............................................................. 289 FINAL DIAGNOSIS ................................................................ 290 DISCUSSION........................................................................ 291 CASE 14 ISOLATED LEFT CAROTID SIPHON STENOSIS.......... 295 CLINICAL PRESENTATION....................................................... 295 INITIAL NEURORADIOLOGIC FINDINGS .................................... 295 SUSPECTED DIAGNOSIS....................................................... 295 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 295 INITIAL NEUROSONOLOGIC FINDINGS .................................... 295 CLINICAL COURSE ................................................................ 295 FINAL DIAGNOSIS ................................................................ 297 DISCUSSION........................................................................ 297 CASE 15 NEAR-OCCLUSION OF THE RIGHT AND HIGH-GRADE STENOSIS OF THE LEFT EXTRACRANIAL INTERNAL CAROTID ARTERY ................................................. 300 CLINICAL PRESENTATION....................................................... 300 INITIAL NEURORADIOLOGIC FINDINGS .................................... 300 SUSPECTED DIAGNOSIS....................................................... 300 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 300 INITIAL NEUROSONOLOGIC FINDINGS .................................... 300 CONVENTIONAL ANGIOGRAPHY (DAY 3 ) .............................. 301 CLINICAL COURSE ( 1 ) ........................................................... 301 FOLLOW-UP NEUROSONOLOGIC FINDINGS (6 W EEKS).......... 301 CLINICAL COURSE ( 2 ) ........................................................... 301 FOLLOW-UP NEURORADIOLOGIC FINDINGS (2 MONTHS) ........ 301 FOLLOW-UP NEUROSONOLOGIC FINDINGS (3 M ONTHS) ........ 301 FINAL DIAGNOSIS ................................................................ 310 DISCUSSION........................................................................ 310 235 235 235 235 235 235 235 235 235 236 236 244 244 244 244 244 244 244 244 247 247 247 247 251 251 251 251 251 251 251 251 255 256 256 256 260 260 260 260 260 260 260 260 260 261 261 262 269 269 269 269 269 269 269 270 270 CASE 16 GIANT CELL ARTERITIS WITH BILATERAL INTRACRANIAL V4 VERTEBRAL ARTERY STENOSIS __ CLINICAL PRESENTATION ....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS ....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... CLINICAL COURSE ( 1 ) ........................................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS (6 W EEKS) .......... CLINICAL COURSE ( 2 ) ........................................................... FINAL DIAGNOSIS................................................................. DISCUSSION ........................................................................ CASE 17 ASCENDING LEFT MIDDLE CEREBRAL ARTERY OCCLUSION IN AN HIV-POSITIVE PATIENT ........... CLINICAL PRESENTATION ....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS ....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... CONVENTIONAL ANGIOGRAPHY (DAY 3 ) .............................. CLINICAL COURSE................................................................. FINAL DIAGNOSIS................................................................. DISCUSSION ........................................................................ CASE 18 TRAUMATIC BILATERAL INTERNAL CAROTID AND VERTEBRAL ARTERY DISSECTION WITH RIGHT-SIDED EMBOLIC MIDDLE CEREBRAL ARTERY OCCLUSION.............................................. CLINICAL PRESENTATION ....................................................... NEURORADIOLOGIC FINDINGS (DAY 2 ) ................................ SUSPECTED DIAGNOSIS ....................................................... CONVENTIONAL ANGIOGRAPHY WITH ENDOVASCULAR THROMBECTOMY (DAY 2 ) ................................................... CLINICAL COURSE ( 1 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 3 ) ....................... CLINICAL COURSE ( 2 ) ........................................................... SECOND CONVENTIONAL ANGIOGRAPHY (DAY 4 ) ................. CLINICAL COURSE ( 3 ) ........................................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 21) ............. FOLLOW-UP MRI AND MR ANGIOGRAPHY (8 M ONTHS) ___ FOLLOW-UP NEUROSONOLOGIC FINDINGS (AFTER 1 YEAR). . . CLINICAL COURSE ( 4 ) ........................................................... FINAL DIAGNOSIS................................................................. DISCUSSION ........................................................................ CASE 19 BILATERAL EXTRACRANIAL VERTEBRAL ARTERY DISSECTION WITH DISTAL OCCLUSION OF THE RIGHT VERTEBRAL A RTE RY .................................. CLINICAL PRESENTATION ....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS ....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS .................................... CONVENTIONAL ANGIOGRAPHY............................................ CLINICAL COURSE................................................................. FINAL DIAGNOSIS................................................................. DISCUSSION........................................................................ CASE 20 RIGHT INTERNAL CAROTID ARTERY DISSECTION WITH FAST RECANALIZATION ................................ 345 CLINICAL PRESENTATION ....................................................... 345 INITIAL NEURORADIOLOGIC FINDINGS .................................... 345 SUSPECTED DIAGNOSIS ....................................................... 345 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 345 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 345 EVALUATION OF COLLATERAL FUNCTION .................................. 345 CONVENTIONAL ANGIOGRAPHY............................................ 346 CLINICAL COURSE ( 1 ) ........................................................... 346 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 20) ............. 347 CLINICAL COURSE ( 2 ) ........................................................... 347 FINAL DIAGNOSIS................................................................. 348 DISCUSSION ........................................................................ 348 CASE 21 MID-BASILAR ARTERY OCCLUSION DUE TO INTRACRANIAL DISSECTION .................................. 354 CLINICAL PRESENTATION ....................................................... 354 INITIAL NEURORADIOLOGIC FINDINGS .................................... 354 SUSPECTED DIAGNOSIS ....................................................... 354 CLINICAL COURSE ( 1 ) ........................................................... 354 FOLLOW-UP NEURORADIOLOGIC FINDINGS (DAY 3 ) ............. 354 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 354 INITIAL NEUROSONOLOGIC FINDINGS (DAY 3 ) ....................... 354 CONVENTIONAL ANGIOGRAPHY (DAY 4 ) ............................... 355 CLINICAL COURSE ( 2 ) ........................................................... 355 FINAL DIAGNOSIS................................................................. 356 DISCUSSION........................................................................ 356 CASE 22 RIGHT MID-PART M L MIDDLE CEREBRAL ARTERY OCCLUSION WITH PROMINENT EARLY TEMPORAL BRANCH AND PATENT FORAMEN O VALE ............. 362 CLINICAL PRESENTATION ....................................................... 362 INITIAL NEURORADIOLOGIC FINDINGS .................................... 362 SUSPECTED DIAGNOSIS ....................................................... 362 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 362 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 362 CLINICAL COURSE ( 1 ) ........................................................... 362 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 363 NEUROSONOLOGIC FINDINGS (DAY 10) ................................ 363 NEURORADIOLOGIC FINDINGS (DAY 1 1 ) ............................... 364 CLINICAL COURSE ( 2 ) ........................................................... 364 FINAL DIAGNOSIS................................................................. 365 DISCUSSION........................................................................ 366 CASE 23 TAKAYASUS ARTERITIS WITH RIGHT-SIDED SUBCLAVIAN STEAL.............................................. 372 CLINICAL PRESENTATION....................................................... 372 INITIAL NEURORADIOLOGIC FINDINGS .................................... 372 SUSPECTED DIAGNOSIS ....................................................... 372 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 372 INITIAL NEUROSONOLOGIC FINDINGS .................................... 372 CONVENTIONAL ANGIOGRAPHY............................................ 372 CLINICAL COURSE ( 1 ) ........................................................... 373 QUESTION TO ANSWER BY ULTRASOUND TECHNIQUES (6 M ONTHS)........................................................................ 373 NEUROSONOLOGIC FINDINGS (6 M ONTHS)........................... 373 CLINICAL COURSE ( 2 ) ........................................................... 374 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES (8 M ONTHS)........................................................................ 376 313 313 313 313 313 313 313 314 315 315 315 320 320 320 320 320 320 320 321 322 322 327 327 327 327 327 327 327 328 330 330 331 331 332 332 334 334 334 339 339 339 339 339 339 339 340 340 340 NEUROSONOLOGIC FINDINGS (8 M ONTHS)........................... FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 24 DISSECTION OF THE RIGHT EXTRACRANIAL INTERNAL CAROTID ARTERY AND LEFT M L MIDDLE CEREBRAL ARTERY................................................. CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... CLINICAL COURSE ( 1 ) ........................................................... MRI AND MR ANGIOGRAPHY (10:00 HOURS) ..................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ NEUROSONOLOGIC FINDINGS (12:00 H O U RS) ..................... CONVENTIONAL ANGIOGRAPHY (16:00 HOURS) ................... CLINICAL COURSE ( 2 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ FOLLOW-UP NEUROSONOLOGIC FINDINGS (6 M ONTHS) ........ CONVENTIONAL ANGIOGRAPHY............................................ CLINICAL COURSE ( 3 ) ........................................................... FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 25 PROGRESSIVE RIGHT M L MIDDLE CEREBRAL ARTERY OCCLUSION TREATED WITH EXTRACRANIAL-INTRACRANIAL BYPASS SURGERY............................................................. CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 2 )....................... CONVENTIONAL ANGIOGRAPHY (DAY 4 ) .............................. CLINICAL COURSE ( 1 ) ........................................................... CLINICAL COURSE (2) AND FOLLOW-UP NEURORADIOLOGIC FINDINGS ............................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS (10 MONTHS) ___ CLINICAL COURSE ( 3 ) ........................................................... FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 26 EXTRACRANIAL LEFT VERTEBRAL ARTERY DISSECTING ANEURYSM FOLLOWING BASILAR ARTERY STENTING ............................................... CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS.................................... SUSPECTED DIAGNOSIS....................................................... CONVENTIONAL ANGIOGRAPHY ........................................... CLINICAL COURSE ( 1 ) ........................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 )....................... CRANIAL CT AND CT ANGIOGRAPHY (DAY 1 ) ....................... CLINICAL COURSE ( 2 ) .......................................................... FINAL DIAGNOSIS................................................................ DISCUSSION........................................................................ CASE 27 DIFFUSE CEREBRAL ANGIOMATOSIS ..................... CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS.................................... CONVENTIONAL ANGIOGRAPHY............................................ 403 CLINICAL COURSE................................................................. 403 FINAL DIAGNOSIS................................................................. 403 DISCUSSION........................................................................ 406 CASE 28 SUBCLAVIAN STEAL IN LEFT SUBCLAVIAN ARTERY AND RIGHT INTERNAL CAROTID ARTERY OCCLUSION LEADING TO EXTRACRANIAL- INTRACRANIAL BYPASS SURGERY........................... 409 CLINICAL PRESENTATION....................................................... 409 INITIAL NEURORADIOLOGIC FINDINGS .................................... 409 SUSPECTED DIAGNOSIS....................................................... 409 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 409 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 409 CONVENTIONAL ANGIOGRAPHY (DAY 2 ) .............................. 410 CLINICAL COURSE ( 1 ) ........................................................... 410 FOLLOW-UP NEUROSONOLOGIC FINDINGS (4 W EEKS).......................................................................... 410 CLINICAL COURSE ( 2 ) ........................................................... 410 FINAL DIAGNOSIS................................................................. 410 DISCUSSION........................................................................ 415 CASE 29 CEREBRAL VENOUS THROMBOSIS ....................... 420 CLINICAL PRESENTATION....................................................... 420 INITIAL NEURORADIOLOGIC FINDINGS .................................... 420 SUSPECTED DIAGNOSIS....................................................... 420 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 420 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 420 CT ANGIOGRAPHY (CTA) (DAY 1)........................................ 420 CLINICAL COURSE ( 1 ) ........................................................... 420 QUESTION TO ANSWER BY ULTRASOUND TECHNIQUES.......... 420 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 90) ............. 420 QUESTION TO ANSWER BY ULTRASOUND TECHNIQUES.......... 421 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 1 8 0 ) .......... 421 CLINICAL COURSE ( 2 ) ........................................................... 421 FINAL DIAGNOSIS ................................................................ 421 DISCUSSION........................................................................ 424 CASE 30 MULTILOCULAR EXTRA- AND INTRACRANIAL STENOSES AND OCCLUSIONS .............................. 427 CLINICAL PRESENTATION....................................................... 427 INITIAL NEURORADIOLOGIC FINDINGS (DAY 1 ) ..................... 427 SUSPECTED DIAGNOSIS....................................................... 427 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 427 INITIAL NEUROSONOLOGIC FINDINGS (DAY 20) ..................... 427 CONVENTIONAL ANGIOGRAPHY (DAY 2 2 ) ............................ 428 CLINICAL COURSE ( 1 ) ........................................................... 428 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 428 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 29) ............. 428 CLINICAL COURSE ( 2 ) ........................................................... 429 FOLLOW-UP NEUROSONOLOGIC FINDINGS (3 MONTHS) ........ 429 FINAL DIAGNOSIS ................................................................ 429 DISCUSSION........................................................................ 437 CASE 31 DISSECTION OF THE LEFT INTERNAL CAROTID ARTERY C6 SEGMENT ........................................ 440 CLINICAL PRESENTATION....................................................... 440 INITIAL NEURORADIOLOGIC FINDINGS .................................... 440 SUSPECTED DIAGNOSIS....................................................... 440 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 440 INITIAL NEUROSONOLOGIC FINDINGS (DAY 2 ) ....................... 440 FOLLOW-UP NEURORADIOLOGIC FINDINGS (DAY 2 ) ............. 440 376 376 376 380 380 380 380 380 380 380 380 381 382 383 383 384 384 384 384 388 388 388 388 388 388 388 389 391 391 392 392 392 396 396 396 396 396 396 396 396 397 397 397 399 402 402 402 402 402 402 CLINICAL COURSE ( 1 ) ......................................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 1 2 0 ) ........ FOLLOW-UP NEURORADIOLOGIC FINDINGS (DAY 1 2 0) ........ CLINICAL COURSE ( 2 ) ......................................................... FINAL DIAGNOSIS............................................................... DISCUSSION ...................................................................... CASE 32 RIGHT TEMPORAL HEMORRHAGE IN RIAL ARTERIOVENOUS M ALFORM ATION ..................... CLINICAL PRESENTATION ..................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................. SUSPECTED DIAGNOSIS ..................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ___ INITIAL NEUROSONOLOGIC FINDINGS .................................. MRI, MR ANGIOGRAPHY, AND DYNAMIC MR ANGIOGRAPHY................................................................... CONVENTIONAL ANGIOGRAPHY.......................................... CLINICAL COURSE............................................................... FINAL DIAGNOSIS............................................................... DISCUSSION ...................................................................... CASE 33 SUBARACHNOID HEMORRHAGE AFTER RUPTURE OF LEFT SUPRAOPHTHALMIC INTERNAL CAROTID ARTERY ANEURYSM.......................................... CLINICAL PRESENTATION ..................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................. CONVENTIONAL ANGIOGRAPHY.......................................... DIAGNOSIS........................................................................ CLINICAL COURSE ( 1 ) ......................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ___ INITIAL NEUROSONOLOGIC FINDINGS (DAY 2 ) ..................... NEUROSONOLOGIC FINDINGS (DAY 3 TO DAY 5) ................. NEUROSONOLOGIC FINDINGS (DAY 6 ) ................................ CT (DAY 6 )........................................................................ CONVENTIONAL ANGIOGRAPHY (DAY 9 ) ............................. NEUROSONOLOGIC FINDINGS (DAY 9 ) ................................ NEUROSONOLOGIC FINDINGS (DAY 10 TO DAY 1 7 ) ........... CT AND CTA(DAY 1 6 ) ..................................................... NEUROSONOLOGIC FINDINGS (DAY 18 TO DAY 4 0 ) ............ CLINICAL COURSE ( 2 ) ......................................................... DISCUSSION ...................................................................... CASE 34 RIGHT-SIDED OCCIPITAL DURAL ARTERIOVENOUS FISTULA............................................................. CLINICAL PRESENTATION ..................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................. SUSPECTED DIAGNOSIS ..................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ___ INITIAL NEUROSONOLOGIC FINDINGS .................................. CONVENTIONAL ANGIOGRAPHY.......................................... CLINICAL COURSE ( 1 ) ......................................................... CLINICAL COURSE ( 2 ) ......................................................... FINAL DIAGNOSIS............................................................... DISCUSSION ...................................................................... CASE 35 LEFT DISTAL VERTEBRAL ARTERY OCCLUSION AND RIGHT VERTEBRAL ARTERY HYPOPLASIA WITH RETROGRADE BASILAR ARTERY F LO W ........ CLINICAL PRESENTATION ..................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................. SUSPECTED DIAGNOSIS ..................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES NEUROSONOLOGIC FINDINGS (DAY 3 ) ................................ CLINICAL COURSE............................................................... FINAL DIAGNOSIS................................................................. 474 DISCUSSION........................................................................ 474 CASE 36 POSTPARTUM ANGIOPATHY (REVERSIBLE CEREBRAL VASOCONSTRICTION SYNDROME) ........ 476 CLINICAL PRESENTATION ....................................................... 476 INITIAL NEURORADIOLOGIC FINDINGS .................................... 476 CONVENTIONAL ANGIOGRAPHY (DAY 2 ) ............................... 476 SUSPECTED DIAGNOSIS ....................................................... 476 CLINICAL COURSE ( 1 ) ........................................................... 476 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 476 INITIAL NEUROSONOLOGIC FINDINGS (DAY 5 ) ....................... 476 NEURORADIOLOGIC FINDINGS (DAY 6 ) ................................ 478 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAY 6 ) ............... 478 FOLLOW-UP NEUROSONOLOGIC FINDINGS (DAYS 7 - 1 7 ) ___ 478 CLINICAL COURSE ( 2 ) ........................................................... 478 FOLLOW-UP NEUROSONOLOGIC FINDINGS (6 M ONTHS) ........ 479 FINAL DIAGNOSIS................................................................. 479 DISCUSSION........................................................................ 479 CASE 37 LEFT ANTERIOR CHOROIDAL ARTERY INFARCTION IN LEFT SUPRAOPHTHALMIC INTERNAL CAROTID ARTERY OCCLUSION.............................................. 483 CLINICAL PRESENTATION ....................................................... 483 INITIAL NEURORADIOLOGIC FINDINGS .................................... 483 SUSPECTED DIAGNOSIS ....................................................... 483 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 483 NEUROSONOLOGIC FINDINGS (DAY 3 ) .................................. 483 DIGITAL SUBTRACTION ANGIOGRAPHY (DAY 5 ) ..................... 483 CLINICAL COURSE ................................................................ 487 FINAL DIAGNOSIS ................................................................ 487 DISCUSSION........................................................................ 487 CASE 38 LEFT-SIDED AMAUROSIS IN LEFT CENTRAL RETINAL ARTERY OCCLUSION ................................ 489 CLINICAL PRESENTATION....................................................... 489 INITIAL NEURORADIOLOGIC FINDINGS .................................... 489 SUSPECTED DIAGNOSIS....................................................... 489 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 489 INITIAL NEUROSONOLOGIC FINDINGS .................................... 489 CLINICAL COURSE ( 1 ) ........................................................... 489 FOLLOW-UP NEURORADIOLOGIC FINDINGS (DAY 3 ) ............. 489 CLINICAL COURSE ( 2 ) ........................................................... 490 FOLLOW-UP NEUROSONOLOGIC FINDINGS (3 M ONTHS) ........ 490 FINAL DIAGNOSIS ................................................................ 490 DISCUSSION........................................................................ 490 CASE 39 COMBINED CHRONIC RIGHT-SIDED EXTRACRANIAL INTERNAL CAROTID ARTERY AND MIDDLE CEREBRAL ARTERY OCCLUSION ............................................. 494 CLINICAL PRESENTATION....................................................... 494 INITIAL NEURORADIOLOGIC FINDINGS .................................... 494 SUSPECTED DIAGNOSIS....................................................... 494 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 494 NEUROSONOLOGIC FINDINGS (DAY 2 ) .................................. 494 CLINICAL COURSE ................................................................ 495 FINAL DIAGNOSIS ................................................................ 496 DISCUSSION........................................................................ 496 CASE 40 LEFT INTERNAL CAROTID ARTERY OCCLUSION AND IPSILATERAL ARTERIOVENOUS MALFORMATION IN INFLAMMATORY BOWEL DISEASE ....................... 500 CLINICAL PRESENTATION....................................................... 500 INITIAL NEURORADIOLOGIC FINDINGS .................................... 500 440 440 442 442 442 442 444 444 444 444 444 444 444 444 446 446 446 448 448 448 448 448 448 448 448 448 449 450 451 451 452 452 454 454 454 460 460 460 460 460 460 464 464 465 465 465 470 470 470 470 470 470 474 SUSPECTED DIAGNOSIS....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS .................................... MRI, MR ANGIOGRAPHY, AND DYNAMIC MR ANGIOGRAPHY.................................................................... CLINICAL COURSE ................................................................ FOLLOW-UP NEUROSONOLOGIC FINDINGS (10 MONTHS) ___ FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 41 RIGHT INTERNAL CAROTID ARTERY AS THE REMAINING PATENT BRAIN-SUPPLYING A RTERY .............................................................. CLINICAL PRESENTATION....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... SUSPECTED DIAGNOSIS....................................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ NEUROSONOLOGIC FINDINGS (DAY 2 ) .................................. CLINICAL COURSE ................................................................ FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 42 LEFT INTERNAL CAROTID ARTERY APLASIA AS AN INCIDENTAL DIAGNOSIS IN OPTIC NEURITIS IN LUPUS ERYTHEMATOSUS .................................... CLINICAL PRESENTATION....................................................... SUSPECTED DIAGNOSIS....................................................... INITIAL NEURORADIOLOGIC FINDINGS .................................... QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ INITIAL NEUROSONOLOGIC FINDINGS .................................... CLINICAL COURSE ................................................................ FINAL DIAGNOSIS ................................................................ DISCUSSION........................................................................ CASE 43 SICKLE CELL DISEASE.......................................... CLINICAL PRESENTATION....................................................... QUESTIONS TO ANSWER BY ULTRASOUND ............................ INITIAL NEUROSONOLOGIC FINDINGS.................................... REFERENCES ......................................... FOLLOW-UP NEUROSONOLOGIC FINDINGS OVER 4 YEARS ___ 524 CLINICAL COURSE ................................................................ 524 NEURORADIOLOGIC FINDINGS ............................................... 524 NEUROSONOLOGIC FINDINGS AFTER BONE MARROW TRANSPLANTATION ................................................................ 524 DISCUSSION........................................................................ 525 CASE 44 TRANSIENT GLOBAL AMNESIA WITH LEFT HIPPOCAMPAL DIFFUSION-WEIGHTED LESION AND ASYMPTOMATIC RIGHT MIDDLE CEREBRAL ARTERY INFARCTION IN HIGH-GRADE RIGHT M L STENOSIS ............................................................ 529 CLINICAL PRESENTATION....................................................... 529 INITIAL NEURORADIOLOGIC FINDINGS .................................... 529 SUSPECTED DIAGNOSIS....................................................... 529 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 529 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 529 CLINICAL COURSE ................................................................ 530 FINAL DIAGNOSIS ................................................................ 530 DISCUSSION........................................................................ 530 CASE 45 BILATERAL PROXIMAL VERTEBRAL ARTERY STENOSIS AND BILATERAL MIDDLE CEREBRAL ARTERY ANEURYSM............................................ 535 CLINICAL PRESENTATION....................................................... 535 INITIAL NEURORADIOLOGIC FINDINGS .................................... 535 SUSPECTED DIAGNOSIS....................................................... 535 QUESTIONS TO ANSWER BY ULTRASOUND TECHNIQUES ........ 535 INITIAL NEUROSONOLOGIC FINDINGS (DAY 1 ) ....................... 535 CLINICAL COURSE ( 1 ) ........................................................... 535 FOLLOW-UP NEUROSONOLOGIC FINDINGS ............................ 539 MRI ................................................................................. 539 CLINICAL COURSE ( 2 ) ........................................................... 539 CONVENTIONAL ANGIOGRAPHY............................................ 539 FOLLOW-UP NEUROSONOLOGIC FINDINGS............................. 539 CLINICAL COURSE ( 3 ) ........................................................... 539 FINAL DIAGNOSIS ................................................................ 539 DISCUSSION........................................................................ 539 545 500 500 500 502 502 502 506 506 509 509 509 509 509 509 512 515 515 517 517 517 517 517 517 521 521 521 524 524 524 524 INDEX 599
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author	Valdueza, José M. 1958- Schreiber, Stephan 1968- Roehl, Jens-Eric Connolly, Florian Klingebiel, Randolf
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spelling	Valdueza, José M. 1958- (DE-588)120513129 aut Neurosonology and neuroimaging of stroke a comprehensive reference José M. Valdueza, MD (Professor of Neurology), Stephan J. Schreiber, MD (Professor of Neurology), Jens-Eric Roehl, MD (Senior Neurologist), Florian Connolly, MD (Senior Neurologist), Randolf Klingebiel, MD (Professor of Neuroradiology) 2nd edition Stuttgart ; New York ; Delhi ; Rio de Janeiro Thieme 2017 xx, 610 Seiten 1305 Illustrationen 27 cm x 19.5 cm txt rdacontent n rdamedia nc rdacarrier Ultraschalldiagnostik (DE-588)4061557-1 gnd rswk-swf Hirngefäßkrankheit (DE-588)4025015-5 gnd rswk-swf Fallstudiensammlung gnd rswk-swf Hirngefäßkrankheit (DE-588)4025015-5 s Ultraschalldiagnostik (DE-588)4061557-1 s Fallstudiensammlung f DE-604 Schreiber, Stephan 1968- (DE-588)115384960 aut Roehl, Jens-Eric (DE-588)1128344688 aut Connolly, Florian (DE-588)1122134657 aut Klingebiel, Randolf (DE-588)112213505X aut Erscheint auch als Online-Ausgabe, e-book 978-3-13-176022-7 DNB Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029631163&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis
spellingShingle	Valdueza, José M. 1958- Schreiber, Stephan 1968- Roehl, Jens-Eric Connolly, Florian Klingebiel, Randolf Neurosonology and neuroimaging of stroke a comprehensive reference Ultraschalldiagnostik (DE-588)4061557-1 gnd Hirngefäßkrankheit (DE-588)4025015-5 gnd
subject_GND	(DE-588)4061557-1 (DE-588)4025015-5
title	Neurosonology and neuroimaging of stroke a comprehensive reference
title_auth	Neurosonology and neuroimaging of stroke a comprehensive reference
title_exact_search	Neurosonology and neuroimaging of stroke a comprehensive reference
title_full	Neurosonology and neuroimaging of stroke a comprehensive reference José M. Valdueza, MD (Professor of Neurology), Stephan J. Schreiber, MD (Professor of Neurology), Jens-Eric Roehl, MD (Senior Neurologist), Florian Connolly, MD (Senior Neurologist), Randolf Klingebiel, MD (Professor of Neuroradiology)
title_fullStr	Neurosonology and neuroimaging of stroke a comprehensive reference José M. Valdueza, MD (Professor of Neurology), Stephan J. Schreiber, MD (Professor of Neurology), Jens-Eric Roehl, MD (Senior Neurologist), Florian Connolly, MD (Senior Neurologist), Randolf Klingebiel, MD (Professor of Neuroradiology)
title_full_unstemmed	Neurosonology and neuroimaging of stroke a comprehensive reference José M. Valdueza, MD (Professor of Neurology), Stephan J. Schreiber, MD (Professor of Neurology), Jens-Eric Roehl, MD (Senior Neurologist), Florian Connolly, MD (Senior Neurologist), Randolf Klingebiel, MD (Professor of Neuroradiology)
title_short	Neurosonology and neuroimaging of stroke
title_sort	neurosonology and neuroimaging of stroke a comprehensive reference
title_sub	a comprehensive reference
topic	Ultraschalldiagnostik (DE-588)4061557-1 gnd Hirngefäßkrankheit (DE-588)4025015-5 gnd
topic_facet	Ultraschalldiagnostik Hirngefäßkrankheit Fallstudiensammlung
url	http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029631163&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA
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