Stroke in Children and Young Adults is the second edition of the book first published in 1994. Since the publication of the original book there has been considerable growth in interest in this field and this is reflected by a large expansion in the number of publications focusing on stroke in the young. Indeed, it is noted in the foreword that a third edition may become necessary after a much shorter interval than that between the first and second editions. It is, therefore, reassuring to find that the second edition has over 100 more pages than the first edition and that the majority of references are to articles published after 1994, with an appreciable number less than 5 years old. The second edition has drawn upon a wider range of contributors for the 17 chapters including neurologists (both adult and paediatric), neonatologists, neuroradiologists, neurosurgeons, and neuroanatomists.
Dr. Biller states in the preface that the book should address the practical needs of clinicians and in many ways this aim is met. The text is eminently readable with good use of clear subheadings making navigation easy. There is an abundance of radiographs and many tables, diagrams and clinical photographs which are almost invariably excellent and complement the text well. The tables, in particular, are likely to prove helpful to the aforementioned busy clinician. For example, tables detailing investigations for suspected vasculitis or for haemorrhagic stroke are useful aide-mémoires.
The first chapter gives a concise overview and highlights the considerable differences in stroke occurring in children and adults younger than 45 years old (this book’s definition of young adult) compared to stroke in older people. It also touches upon ...
... middle of paper ...
...oung Adults” have limited relevance to paediatric neurology practice. For the most part the diverse ages that this book covers are not dealt with in separate chapters and adult specific content is sometimes present at the apparent expense of paediatric material. For example, the chapter on nonartherosclerotic vasculopathies has more than a page on fibromuscular dysplasia (a very rare cause of childhood stroke) but only 3 sentences about the role of varicella in stroke and no discussion of so-called transient cerebral arteriopathy or focal cerebral arteriopathy of childhood which many authorities feel is one of the most frequent causes of arterial ischaemic stroke in childhood. If the reader with a paediatric practice can find a similarly high quality book but with a more focussed age range then this may ultimately be a more worthwhile addition to their bookshelf.
...th recurrent stroke. Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society. 2009;29(2):111-8. Epub 2009/06/06.
Stroke occurs when the blood supply to the brain is blocked or condensed. Blood works to transport oxygen and other beneficial substances to the body’s cells and organs, as well as the brain. There are two main types of strokes that are known as Ischemic strokes and Hemorrhagic strokes. When the blood vessels that provides for the brain becomes congested, is it referred to as ischemic stroke, the most common stroke within adults. Blood clots, a cluster of blood that sticks together, are the cause of Ischemic strokes. Ischemic strokes also takes place when arteries become backed up with plague, leaving less blood to flow. Plague is cholesterol, calcium and fibrous and connective tissue that sticks to the walls of blood vessels. Ischemic strokes eternally damage the brain and cause a person's body to no longer function habitually.Some risk factors that may increase stroke are high cholesterol, diabetes, high blood pressure, and obesity. Some stroke factors are also due to old age or having a family that has a history of strokes. Men are more likely to have a stroke but the most st...
It goes without saying that everyone’s health is important and should be taken care carefully. Everyone has heard of strokes before but many people do not really know its meaning, types, and the number of individuals of that dies due to this issue. According to Centers for Disease Control and Prevention (2015), strokes kills an average of 130,000 people a year and it is one of the most common deaths that happen in the United States. An average of 800,000 of people die from cardiovascular disease and strokes and it is also a reason of long-term disability (Centers of Disease Control and Prevention, 2015). Strokes, which can also be called cerebrovascular accident or CVA happen when the blood supply to the brain is interrupted or the blood vessel going towards the brain burst. Then part of the brain dies or become seriously injured because the brain cells do not receive oxygen and they eventually die. People’s lifestyle may also impact seriously on their health and increase the possibility of having a stroke. Some of the risk that can severely increase the cause of stroke would be high blood pressure, heart disease, diabetes, cigarette smoking, as well as strokes that
A stroke is the acute neurologic injury that come as a result of an effect of ischemia or haemorrhage of the encephalon. Ischemia is caused by diminished supply of arterial blood which carries sugar and oxygen to brain tissue. Haemorrhagic stroke is due to intracerebral or subarachnoid bleeding and it damages the brain directly at the site of the bleeding by compressing the encircling tissue. Ischemic strokes can be embolic or thrombotic. Thrombotic stroke consequences from clot formation in the arterial blood vessel that provides blood to the encephalon, and can bear upon either large vessel or small vessel.
A stroke can happen at any age but for patients who are 55 and older, their risk factor will increase due to age and physical activity. “While stroke is common among the elderly, a lot of people under 65 also have strokes”(“About Stroke” page 1). Also at risk are African Americans because of other health issues that can trigger a stroke, for example: high blood pressure, diabetes and obesity. Caucasians and Hispanics are also at. Not only does Ethnicity and age play a factor, but so does other health conditions. Patients who suffer from high blood pressure, diabetes, heart disease, obesity, alcohol and drug
On admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings. J.P. was positive for dyspnea and a productive cough. She also was positive for dysuria and hematuria, but negative for flank pain. After close examination of her integumentary and musculoskeletal system, the examiner discovered a shiny firm shin on the right lower extremity with +2 edema complemented by severe pain. A set of baseline vitals were also performed revealing a blood pressure of 124/80, pulse of 87 beats per minute, oxygen saturation of 99%, temperature of 97.3 degrees Fahrenheit, and respiration of 12 breaths per minute. The blood and metabolic panel exposed several abnormal labs. A red blood cell count of 3.99, white blood cell count of 22.5, hemoglobin of 10.9, hematocrit of 33.7%, sodium level of 13, potassium level of 3.1, carbon dioxide level of 10, creatinine level of 3.24, glucose level of 200, and a BUN level of 33 were the abnormal labs.
Strokes. Generally, whenever we hear about someone who suffered from a stroke, the result is never good. Why is it that strokes are so dangerous and why is it so important for providers to recognize them as early as possible? What do we do when we suspect a patient is currently having an active CVA (cerebral vascular accident)? All of these are excellent questions that medical providers need to affluent in.
In the 1960’s, an Austrian pediatrician, Dr. Andres Rett, recognized a few of his female patients with similar indications of having some type of neurologic disorder but did not fit the cerebral palsy classification (Zoghbi, 2002). Without the knowledge of earlier research, a Swedish physician, Bengt Hagberg, began to openly speak about his observations similarly to Dr. Andres Rett records (Zoghbi, 2002). Bengt Hagberg observed numerous of female patients with this unknown syndrome and was curious in their wringing hand movement that no textbook had information on. In June 1981 Dr. Neil Gordon hosted a board meeting of the European Federations of Child Neurology Societies in Manchester and Bengt Hagberg had the opportunity to share his studies there. The discussion group had other pediatric neurologists that had seen the same behaviors but they all were unable to categorize it into its own identity. As years past, this syndrome has increased and neurologist began to evaluate this syndrome t...
Glen Carver is a 56 year old male who was admitted unto the cardiovascular care unit 48 hours ago with the diagnosis of heart failure. Mr. Carver went to see his primary care provider with complaints of dyspnea on exertion, a nonproduction cough, decreased activity intolerance, and general fatigue all of which have been worsening over the past two months. The primary care provider found Mr. Carver to have lower extremity swelling, profound ...
The aim of this essay is to discuss Mary, a 75 year old retired teacher with a history of obesity and hypertension, who one month previously, suffered an Ischaemic stroke. In line with the Nursing and Midwifery Council (NMC) (2011) confidentiality guidelines, the identity of the service user has been kept anonymous by using the pseudonym ‘Mary’. In relation to Mary, the author will discuss the risk and resilience factors associated with stroke, the vulnerability impact of the disease, and the appropriate level of care which makes a difference to recovery.
The neurological disorder is generally diagnosed in children aged between six and twelve years, the condition affecting boys three times more often than girls (Hamilton, 2002; Gardner, 2008). Despite the fact that DCD affects roughly 6.4 percent of children, few individuals are familiar with the condition (Hamilton, 2002). In fact, a study by Kirby, Davies, & Bryant (2005) revealed that only 54.3% of teachers and 26.7% of general practitioners could accurately define DCD (p. 124). In response, the condition will be briefly outlined here.
Stroke has been classified as the most disabling chronic disease, with deleterious consequences for individuals, families, and society1. Stroke impacts on all domains in the ICF. The body dimension (body functions and structures), the individual dimension (activity), and the social dimension (participation). All domains influence each other2.
1. What is the difference between a. and a. Introduction The main aim of this report is to present and analyse the disease called Cerebrovascular Accident, popularly known as stroke. This disease affects the cerebrovascular system, which is a part of the cardiovascular system.
Stroke is a commonly known disease that is often fatal. This cellular disease occurs when blood flow to the brain is interrupted by either a blood clot halting the progress of blood cells in an artery, called an Ischemic stroke, or a blood vessel in the brain bursting or leaking causing internal bleeding in the brain, called a hemorrhagic stroke. When this happens, brain cells are deprived of oxygen and nutrients because the blood cells carrying these essential things are stopped, causing them to die. When the cells in the brain die, sensation or movement in a limb might be cut off and may limit an organism’s abilities. A person with stroke is affected depending on where in the brain the stroke occurs. In other words, symptoms of a stroke
Stroke is a serious medical condition that affects people of all ages specifically older adults. People suffer from a stroke when there is decreased blood flow to the brain. Blood supply decreases due to a blockage or a rupture of a blood vessel which then leads to brain tissues dying. The two types of stroke are ischemic stroke and hemorrhagic stroke. An ischemic stroke is caused by a blood clot blocking the artery that brings oxygenated blood to the brain. On the other hand, a hemorrhagic stroke is when an artery in the brain leaks or ruptures (“About Stroke,” 2013). According to the Centers for Disease Control and Prevention (CDC), “Stroke is the fourth leading cause of death in the United States and is a major cause of adult disability” (“About Stroke,” 2013). Stroke causes a number of disabilities and also leads to decreased mobility in over half of the victims that are 65 and older. The CDC lists several risk factors of stroke such as heredity, age, gender and ethnicity as well as medical conditions such as high blood pressure, high cholesterol, diabetes and excessive weight gain that in...