Stroke Medicine Case Studies from Queen Square

This collection of case studies is authored by a group of internationally recognised experts in the field of cerebrovascular disease. The cases are carefully selected to provide an insight into the different kinds of stroke syndromes from the common throu

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Stroke Medicine Case Studies from Queen Square

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Stroke Medicine

S.K. Gill • M.M. Brown • F. Robertson N. Losseff Editors

Stroke Medicine Case Studies from Queen Square

Editors S.K. Gill UCL Institute of Neurology Education Unit National Hospital for Neurology and Neurosurgery London UK

F. Robertson Lysholm Department of Neuroradiology National Hospital for Neurology and Neurosurgery London UK

M.M. Brown Brain Repair & Rehabilitation UCL Institute of Neurology, University College London London UK

N. Losseff Department of Stroke National Hospital for Neurology and Neurosurgery London UK

ISBN 978-1-4471-6704-4 ISBN 978-1-4471-6705-1 DOI 10.1007/978-1-4471-6705-1

(eBook)

Library of Congress Control Number: 2015942706 Springer London Heidelberg New York Dordrecht © Springer-Verlag London 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper Springer-Verlag London Ltd. is part of Springer Science+Business Media (www.springer.com)

For our patients. -The Editors

Preface

The details of the case are important: their analysis distinguishes the expert from the journeyman. CM Fisher [1]

Learning through case analysis is a technique that centuries old and used in almost all disciplines. This ‘storytelling’ method of teaching adds layers of richness and a depth that can not be found in the linear structure of a standard textbook. The value of this – and the reason why we have chosen it for this book – is that it allows the reader the ability to view the thought processes involved in clinical decision-making. These ‘grey cases’ are often referred upward through the hierarchies of a specialty and can end up in tertiary centres where the diagnostic processes may be inexplicit. The aim of the book is to allow insight into the process of diagnosis and provide the tools to cut through the complexity inherent in neurovascular medicine to formulate a diagnosis and treatment plan. These are real cases, and it is important to recognise that despite the