Neurologia

Stroke is a common and devastating event, which often results in death or major loss of independence, with immense human and financial costs. In the developed world stroke accounts for around 10 per cent of all deaths and is the most important single cause of severe disability among western people living in their own homes. Furthermore, in the next 30 years, the burden of stroke will grow substantially in most developing nations. There is now substantial evidence that dietary habits not only influence the prevalence of stroke, but also its course and outcome once it has occurred. The author, Salah Gariballa, who has many years' experience working in this area, carefully presents and reviews this information in a user-friendly and accessible manner.The book is divided into three major sections. Section I covers nutrition and ageing and includes chapters on the challenge of stroke, ageing changes and nutrition, macro- and micronutrient intake in elderly people and the diagnosis of protein-energy undernutrition. Section II deals with nutritional factors and the risk of stroke, and includes details of the role of dietary and nutritional factors in stroke prevention, antioxidants and risk from ischaemic stroke, homocysteine and endothelial dysfunction. The final section of the book covers nutrition factors following stroke, including cerebral ischaemia, protein-energy undernutrition and the nutritional status and support of stroke and special stroke patients. A final chapter looks at probable future directions, including important recommendations."Nutrition and Stroke" is essential reading for nutritionists, dietitians and many other groups of health professionals, including general practitioners, gerontologists, occupational therapists and nursing staff. Personnel in pharmaceutical and food companies involved in the formulation of dietary supplements and nutraceuticals will find much of interest within the book's covers. Those dealing with the prevention and treatment of stroke around the world should read this book, and copies should be available in libraries of universities and medical schools worldwide.

This is the first comprehensive textbook on intracranial metastases in over 20 years with an update on current methods for their management, including the use of newer technologies. Each of the various histological types of cancer metastasizing to the brain is presented separately in a detailed analysis and discussion. This volume includes a consideration of the epidemiology of brain metastases and the quality of life in patients who have them. Special topics not previously covered are reviewed, including metastasis to the skull base and strategies for preventing cancer from metastasizing to the brain.In this title, a novel feature is a chapter devoted to the use of recent techniques such as functional magnetic resonance (MR) imaging, MR spectroscopy (metabolite mapping), and dynamic susceptibility contrast imaging (regional cerebral blood volume mapping) to characterize brain metastases in terms of the sensorimotor perturbations they produce, their metabolic response to therapy, and their degree of vascularization, respectively.

This book is unique in linking in vivo 13 C NMR measurements of neuronal activity and energetics with applications to functional imaging and certain disease states It provides a fundamental neurochemical explanation of brain activity applicable to functional imaging, theories of neuronal activity and disease states, e.g. epilepsy, psychiatric diseases and developmental disorders. Novel and potentially controversial Will inspire future research directions

More than half the numbers of children with epilepsy have interrelated language, learning and/or behavior complications. By adulthood, these problems can interfere with socialization and employment. The seizures may be controlled but the developmental distortions can continue to present problems for health and education systems and carers. In this comprehensive and fully referenced book, William Svoboda distils a lifetime of clinical experience with childhood epilepsy into three areas which address each of the main areas of difficulty. In each he looks at why the problems arise and assesses diagnostic and remediative approaches. The focus is on the whole care of the child rather than on diagnosis, classification and medication alone. Clinicians, mental health practitioners, educators and speech-language pathologists will find this book invaluable.