7. Emergent Examination

  1. Andrei V Alexandrov

Published Online: 1 JUL 2013

DOI: 10.1002/9781118583906.ch7

Neurovascular Examination: The Rapid Evaluation of Stroke Patients Using Ultrasound Waveform Interpretation

Neurovascular Examination: The Rapid Evaluation of Stroke Patients Using Ultrasound Waveform Interpretation

How to Cite

Alexandrov, A. V. (ed) (2013) Emergent Examination, in Neurovascular Examination: The Rapid Evaluation of Stroke Patients Using Ultrasound Waveform Interpretation, John Wiley & Sons Ltd, Oxford, UK. doi: 10.1002/9781118583906.ch7

Editor Information

  1. University of Alabama at Birmingham, Birmingham, Alabama, United States

Publication History

  1. Published Online: 1 JUL 2013
  2. Published Print: 22 JUL 2013

ISBN Information

Print ISBN: 9781405185301

Online ISBN: 9781118583906

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Keywords:

  • stroke;
  • neurological examination;
  • ultrasound;
  • occlusion;
  • treatment;
  • outcome

Summary

Like a stethoscope, ultrasound provides a tool to examine the precerebral and intracranial vessels, thus expanding the physical examination. I use ultrasound at the bedside as an extension of my neurological assessment making it a neurovascular examination. This combined neurovascular assessment (in an abbreviated form tailored to a specific stroke patient presentation) can be repeated rapidly and as needed if the patient's condition changes or when a therapy is administered. Practical approaches to an acute stroke patient evaluation are discussed in terms of both neurological findings and arterial lesion localization/ hemodynamic assessment with focused carotid duplex and transcranial Doppler technologies.