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I can display this created PDF in a separate tab if I use the code below in the view . This assumes that the current view is called "createPDF".

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over weeks and months, and the residual disability is considerable A gradual downhill course over a period of several days or weeks will usually be traced to a nonvascular disease The only exceptions are the additive effects of multiple vascular occlusions (platelet thrombosis, lupus erythematosus, and other arteritides; see Table 34-1) and the progressive brain edema surrounding large infarctions and cerebral hemorrhages The neurologic de cit re ects both the location and the size of the infarct or hemorrhage Hemiplegia stands as the classic sign of all cerebrovascular diseases, whether in the cerebral hemisphere or brainstem, but there are many other manifestations, occurring in large but highly recognizable combinations These include mental confusion, numbness and sensory de cits of many types, aphasia, visual eld defects, diplopia, dizziness, dysarthria, and so forth The neurovascular syndromes that they form enable the physician to localize the lesion sometimes so precisely that even the affected arterial branch can be speci ed and to indicate whether the lesion is an infarct or a hemorrhage These neurovascular syndromes are described in the section that follows It would be incorrect to assume that every cerebrovascular illness expresses itself as a clearly delineated stroke Some lesions are clinically silent or cause disorders of function so mild as to concern the patient little if at all Neither the patient nor the family can then date the onset of the illness Other small incidents may become sources of complaint only when their cumulative effects become manifest Sometimes, stenosis of the common or internal carotid results in a chronic marginally low blood ow, which, by uctuating during physical activity, may diminish vision or induce a defect in sensory or motor function or an abnormality of movement Another problem is that certain dominant hemispheric lesions cause aphasic disturbances, which hamper history taking, and nondominant ones cause anosognosia, in which the patient is unaware of his de cits or denies them hence his descriptions are close to useless Imaging techniques, as already alluded to, continue to enhance the clinical study of stroke patients; they allow the demonstration of both the cerebral lesion and the affected blood vessel CT scanning demonstrates and accurately localizes even small hemorrhages, hemorrhagic infarcts, subarachnoid blood, clots in and around aneurysms, regions of infarct necrosis and arteriovenous malformations Magnetic resonance imaging (MRI) also demonstrates these lesions and, in addition, reveals ow voids in vessels, hemosiderin and iron pigment, and the alterations resulting from ischemic necrosis and gliosis Of the two procedures, MRI is particularly advantageous in demonstrating small lacunar lesions deep in the hemispheres and abnormalities in the brainstem (a region obscured by adjacent bone in CT scans) One of the diagnostic advances in the last decade has been the introduction of the diffusion-weighted technique, which allows the early detection of an infarctive lesion within minutes of the stroke, ie, considerably earlier than CT and MRI scan (Fig 34-1) The various MRI imaging sequences used in the diagnosis and dating of stroke are discussed below and in Chap 2 Other ancillary procedures for the investigation of cerebrovascular disease include Doppler ultrasound ow studies, which demonstrate atheromatous plaques and stenoses of large vessels, particularly of the carotid but also the vertebrobasilar arteries The transcranial Doppler technique has reached a degree of precision whereby occlusion or spasm of the main vessels of the circle of Willis can be seen Arteriography, now enhanced by digital processing of images, most accurately demonstrates stenoses and oc-.

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Figure 34-1 Diffusion-weighted image (DWI) showing a large right middle cerebral artery infarction (left) and the corresponding magentic resonance angiogram (right) demonstrating that the vessel is occluded at its proximal portion The DWI bright signal changes are evident well before alterations are seen in the CT or MRI

FIGURE 2-19

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clusions of the larger vessels as well as aneurysms, vascular malformations, and other blood vessel diseases such as arteritis To a large degree, conventional dye-injection angiography has been supplanted by magnetic resonance angiography (MRA; Fig 34-1) and venography (MRV) for the visualization of large intracranial arteries and veins; these have the advantage of safety but do not yet give re ned images of the smaller vessels and are not as accurate as angiography in measuring the severity of stenosis of a vessel New CT techniques called spiral CT angiography now offer images of better resolution, comparable to conventional arteriograms They have the additional advantage of demonstrating soft tissues and bone adjacent to these vessels, thus providing the surgeon with important anatomic information (see Chap 2) Lumbar puncture indicates whether blood has entered the subarachnoid space (from aneurysm, vascular malformation, hypertensive hemorrhage, and some instances of hemorrhagic infarction) The cerebrospinal uid (CSF) is clear in cases of pale infarction from thrombosis and embolism In most stroke cases, the CT scan or MRI, neither of which entails any risk to the patient, precludes the need for lumbar puncture and conventional angiography The electroencephalogram (EEG) has lost favor in stroke diagnosis but is probably underutilized as a readily available means of detecting cortical infarction in the wake of ischemia of a region of one hemisphere It allows a distinction to be made between occlusion of a small and a large vessel, because focal EEG abnormalities are sparse or absent with a deep lacunar stroke The EEG is most useful soon after the stroke, when the only available alternative is the CT scan, which often does not visualize the infarct until several days have passed

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If you look in the Help system for Windows 98 Backup, you will find instructions for creating ERDs (emergency repair disks) However, if you follow the instructions, you will see that the option to create these disks doesn t exist Microsoft has since released technical documents stating that Windows 98 Backup (created by Seagate Software, Inc) does not support the creation of ERDs You can, create Windows 98 ERDs with the full third-party version of Seagate s Backup utility You can, however make a startup disk using the Add/Remove programs icon in the Control Panel This does not provide recovery as it does in Windows XP, but it is a good place to start

Several factors are known to increase the liability to stroke, and it has been here that large-scale public health measures have had a

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