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Tintinalli's Emergency Medicine: A Comprehensive Study Guide, 7e Chapter 161. Stroke, Transient Ischemic Attack, and Cervical Artery Dissection Sections: Stroke, Transient Ischemic Attack, and Cervical Artery Dissection: Introduction, Pathophysiology, Clinical Features, Diagnosis, Treatment of Transient Ischemic Attack and Ischemic Stroke, Treatment of Spontaneous Intracerebral Hemorrhage, Treatment of Subarachnoid Hemorrhage, Treatment of Cervical Artery Dissection, Disposition and Follow-Up, Practice Guidelines and Society Position Statements, Medicolegal Issues, Special Populations, Acknowledgments, References. Topics Discussed: carotid dissection; stroke; transient ischemic attack. Excerpt:"Stroke continues to be a leading cause of morbidity and mortality.
In the U.S., approximately 795,000 persons experience strokes yearly;
of these events, 77% are primary strokes, whereas 23% represent
recurrent strokes.1 In addition to the human costs,
the financial implications of stroke are massivestrokes
are expected to account for an estimated $73.3 billion
total expenditures in the U.S. in 2010.1 Despite
these grim statistics, from 1996 to 2006 the stroke death rate has
fallen 32.7%,1 and with the growing use
of thrombolysis, stroke units, and other new therapies, there is
new hope for patients with acute stroke who present to the ED...."
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