New trends in diagnosis and management of stroke : International symposium on trends in diagnosis and management of stroke : Papers

It might appear bold to publish the proceedings of yet another sym­ posium on the diagnosis and management of stroke. However, I hope in selecting topics to reflect 'new trends' and in inviting speakers to discuss these trends and the related concepts and results, that we have been suc­ cessful in attaining a high level of scholarship as well as in appealing to a wide readership. The central issues here derive from a new typology of strokes that should replace the obsolete distinction based on purely temporal param­ eters so aptly criticized by Caplan. A classification of strokes on the basis of pathogenesis requires a synopsis of information gained from history, neurological and cardiovascular findings, ultrasound studies (ex­ tracranial as well as transcranial), correctly timed CT scan investigation and, if necessary, from selective angiography. Only the recognition of the role of pathogenetic events for a patient permits the application of a ra­ tional therapy regimen. Front Matter....Pages I-X Front Matter....Pages 1-1 Transcranial Doppler Sonography....Pages 3-28 Indium-111 Platelet-Scintigraphy in Stroke Patients....Pages 29-45 Platelet Scintigraphy of the Carotid Arteries: Comparison with the Histology of Thromboendarterectomy Specimens....Pages 47-57 Thrombosis and Cerebrovascular Disease....Pages 59-74 Computed Tomography Patterns of Brain Infarctions as a Pathogenetic Key....Pages 75-85 Front Matter....Pages 87-87 Platelet Inhibitors and the Prevention of Stroke....Pages 89-95 Anticoagulants in the Treatment of Stroke....Pages 97-101 Risk and Benefit of Anticoagulation in Patients with Acute Hemispheric Infarctions: Preliminary Results of a Prospective Study....Pages 103-113 tPA and scuPA: New Concepts in the Treatment of Acute Stroke....Pages 115-127 Calcium Antagonists and Other Cerebroprotective Drugs....Pages 129-134 Effect of Nimodipine on the Cerebral Circulation and Acute Ischemic Stroke....Pages 135-142 Closing Remarks....Pages 143-144 Back Matter....Pages 145-147