Cerebrovascular Surgery: Volume I

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Considerable impetus was given to the study and understanding of cere- brovascular anatomy by Thomas Willis and his contemporaries in the seventeenth century, yet almost two hundred years were to pass before further significant advances were made in this field. Then, from the mid- nineteenth century onwards, the dark ages of cerebrovascular research gradually lifted through the efforts of such workers as Luschka, Heubner, and Windle, whose pioneering anatomical studies formed the basis of the present-day understanding of the morphology of the cerebral circulation.

The turn of the century saw an increasing influence of the early neurolo- gists in describing anatomy of cerebral vessels in relation to their areas of distribution and to the production of focal deficits through specific vascu- lar lesions and anomalies. Later still, Padget and others made important observations concerning phylogenetic and developmental aspects of the cerebral circulation.

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These anatomical and clinical studies were remarkable enough but the real breakthrough in investigating cerebral pathophysiology and in devis- ing appropriate corrective neurosurgical procedures had to await the re- markable advances in technology of the past fifty years. These began with the advent of cerebral angiography with all its subsequent refinements and progress has been accelerated through establishing noninvasive Doppler and high resolution ultrasound imaging techniques, methods for the accu- rate measurement of cerebral blood flow, CT scanning, PET scanning, and, most recently, imaging and metabolic NMR scanning.

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Stroke and Cerebrovascular Center

The percentage of patients receiving treatment to prevent blood clot formation in the legs or lungs by hospital day two. Patients with stroke can develop blood clots in the legs or lungs as a complication called venous thromboembolism, or VTE , so it's important that they receive treatments to try and prevent these, starting early in their hospitalization.

It is recommended that patient with ischemic stroke who have LDL cholesterol the so-called "bad" cholesterol greater than receive "statin" medications, because this is proven to lower the risk of future stroke and heart attack. The percentage of patients with ischemic stroke receiving medication to prevent blood clot formation antithrombotic therapy by the end of hospital day 2, to lower the risk of stroke in the future.

The percentage of patients with stroke who received education, including education about stroke risk factors, how to recognize stroke, and the importance of calling an ambulance in order to get to the hospital quickly if having a stroke.

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Find a doctor or make an appointment: General Information: Call Us. Find a Doctor or Make an Appointment General Information Find a Doctor. Request an Appointment. Medical Services. Stroke Center. Stroke and Cerebrovascular Volume Metrics. The Number of Patients Admitted with Stroke in For an explanation of the types of stroke, click here. Definitions: Aneurysm : A weak spot in a blood vessel, which may burst, causing a subarachnoid hemorrhage. Definitions: tPA Administered in BJH ED : tPA is a clot-busting drug used to dissolve the blockage in a blood vessel that is causing an ischemic stroke, to restore blood flow, and help prevent disability after a stroke.

go to link Definitions: Endovascular Thrombectomy : Minimally invasive catheter-based angiography procedure to treat stroke by mechanically retrieving a blood clot. Definitions: Endovascular Coiling : A procedure where an angiogram is performed, and a catheter is used to place multiple small soft coils directly into the aneurysm to fill the space and prevent bleeding.

Definitions: Aneurysm Clipping : Surgical procedure in which a clip is placed at the base of the aneurysm to prevent it from rupturing. Antithrombotics at Discharge The percentage of patients with ischemic stroke receiving antithrombotic therapy at the time of discharge.