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- Perspective and Pathogenesis
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1. Expanding frontiers of cerebrovascular disease
- Prof. Vladimir Hachinski
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2. Basic anatomy, physiology and pathophysiology of the cerebral circulation for the physician
- Prof. Jean-Claude Baron
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3. Pathophysiology of cerebral ischemia
- Prof. Wolf-Dieter Heiss
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4. Intracerebral hemorrhages: causes and clinical findings
- Prof. Louis Caplan
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5. Subarachnoid hemorrhage (SAH)
- Prof. R. Loch Macdonald
- Diagnosis
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6. Clinical diagnosis of stroke and subtypes
- Prof. Louis Caplan
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7. The investigation of stroke
- Dr. Bart Demaerschalk
- Treatment
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8. Acute therapy of stroke and reperfusion treatments
- Prof. Brian Silver
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9. Subarachnoid hemorrhage diagnosis and management
- Prof. Gary K. Steinberg
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10. Stroke-induced heart injury
- Dr. Luciano A. Sposato
- Rehabilitation
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11. Stroke rehabilitation: principles of stroke
- Prof. Robert Teasell
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12. Stroke rehabilitation: therapies and treatments
- Prof. Robert Teasell
- Prevention
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13. Lifestyle and nutrition in stroke prevention
- Prof. J. David Spence
- Special Topics
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15. Pediatric stroke: cerebrovascular injury in the developing brain
- Prof. Adam Kirton
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16. Stroke in women: epidemiology, risk and prevention
- Prof. Cheryl Bushnell
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17. Transient ischemic attack and cognition
- Dr. Jennifer Mandzia
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18. Vascular cognitive impairment
- Prof. Eric E. Smith
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19. Atrial fibrillation, anticoagulation and vitamins for homocysteine
- Prof. J. David Spence
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20. Stroke in the young adult
- Prof. Jeffrey Saver
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21. Stroke in the young
- Dr. Gyan Kumar
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22. Convergence and joint prevention of stroke and dementia
- Prof. Vladimir Hachinski
- Archived Lectures *These may not cover the latest advances in the field
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23. Vascular cognitive impairment
- Dr. John Bowler
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24. Pediatric stroke
- Dr. Gabrielle deVeber
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25. The deteriorating stroke
- Prof. Werner Hacke
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26. General management
- Prof. Bo Norrving
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27. The treatment of stroke: specific management - thrombolysis plus
- Prof. Nils Wahlgren
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28. Rehabilitation: the chronic phase
- Prof. Lalit Kalra
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29. Prevention: management of risk and protective factors
- Prof. Graeme Hankey
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30. Medical therapy for secondary prevention of ischemic stroke
- Prof. Larry Goldstein
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31. Subarachnoid haemorrhage
- Prof. Jan van Gijn
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32. Controversies in stroke
- Prof. Stephen Davies
- Prof. Geoffrey Donnan
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33. Medical and surgical stroke
- Prof. Carlos Kase
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34. The urgency of stroke prevention after TIA
- Prof. S. Claiborne Johnston
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35. Carotid endarterectomy, angioplasty and stenting
- Prof. Martin Brown
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36. The clinical diagnosis of stroke and stroke subtypes
- Prof. Louis Caplan
Printable Handouts
Navigable Slide Index
- Introduction
- Sudden headache
- Three parts of talk
- Features from the history
- SAH - physical signs
- Hospital
- Diagnosis in general practice
- Causes of sudden headache
- EMI scan
- Intracranial venous thrombosis
- Anatomy of cerebral veins
- Venous thrombosis on CT
- CVST on MRI
- Arterial dissection
- Dissection of carotid artery
- Colloid cyst of 3rd ventricle
- Example of colloid cyst of 3rd ventricle
- Meningitis and traumatic brain contusion
- Example of traumatic brain contusion
- Two conditions before discharge - condition 1
- Rapid clearance of blood
- Subtle SAH: MCA and ACoA aneurysm
- Two conditions before discharge - condition 2
- Modern CT scanners may also miss SAH
- Timing of LP is crucial
- Problem: traumatic tap
- Metabolism of haemoglobin
- Xanthochromic CSF
- Part 2: causes
- Ruptured aneurysm: 85%
- Common aneurysm sites
- Suprasellar cisterns
- Ruptured aneurysm of ACoA
- Ruptured aneurysm of internal carotid artery
- Ruptured aneurysm of middle cerebral artery
- Ruptured aneurysm of basilar artery
- Angiogram
- Is catheter angiography still needed?
- CT angiography
- Perimesencephalic haemorrhage: 10%
- Characteristics of perimesencephalic haemorrhage
- CTA is sufficient with PMH
- Rare conditions: 5%
- Arterial dissection
- Part 3: management
- Rebleeding
- Multiple rebleeds
- Norman Dott
- Walter Dandy
- Gazi Yasargil
- Coils
- ISAT trial (coiling vs. clipping)
- Coiling of basilar artery aneurysm
- Impaction of coils
- Delayed cerebral ischaemia
- Example of delayed cerebral ischaemia
- Vasospasm
- Determinants of delayed cerebral ischaemia
- Prevention of cerebral ischaemia after SAH
- Hydrocephalus
- Example of acute hydrocephalus
- Acute hydrocephalus: clinical features
- Parinaud syndrome
- Decreased level of consciousness
- Acute hydrocephalus: management
- Medical complications
- Pulmonary edema
- Cardiac arrhythmias
- Lancet review and reference list
- Acknowledgements
Topics Covered
- Clinical features
- Physical signs
- Investigations, especially by means of computed tomography and lumbar puncture
- Causes
- Re-bleeding and its prevention
- Delayed ischaemia
- Acute hydrocephalus
- Medical complications
Links
Series:
Categories:
Therapeutic Areas:
Talk Citation
van Gijn, J. (2008, October 27). Subarachnoid haemorrhage [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved October 31, 2024, from https://doi.org/10.69645/QKOI7402.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Jan van Gijn has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.