To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure email@example.com
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
This chapter explores the relationship of stroke with Susac's syndrome. In Susac's syndrome, diagnostic signs involve the retina. Fundoscopic examination shows arteriolar occlusions with narrowing of arterioles, as well as signs of other ischemic changes in the affected vascular area, such as edema and increased vascular permeability. Fluorescein angiography is often helpful in showing the vascular occlusions and leaking into the retina. Magnetic resonace imaging (MRI) is the neuroimaging study of choice and fluid-attenuated inversion recovery (FLAIR) a sensitive sequence for detecting lesions of Susac's syndrome as well as to show their heterogeneity. Small-vessel diseases are responsible for a large amount of ischemic and hemorrhagic strokes as well as encephalopathies including Susac's syndrome. Misdiagnoses include multiple sclerosis, but differential diagnosis must be done with all causes of multifocal neurologic symptoms with hearing and/or visual loss. Calcium channel blockers (nimodipine), anticoagulants, and aspirin may be useful in treatment.
The epidermal nevus syndrome refers to the association of any epidermal nevus with extracutaneous abnormalities. The most common extracutaneous abnormalities are neurologic, skeletal, and ocular, although other organs may also be involved. Widespread use of magnetic resonance imaging (MRI) has resulted in an increasing appreciation of the role of cortical malformations in patients with neurological symptoms. Strokes and vascular abnormalities have been reported in patients with the epidermal nevus syndrome. Arteriovenous malformations and leptomeningeal angiomas have been found in some patients with the epidermal nevus syndrome. Generally, the diagnosis of an epidermal nevus is not in doubt. If there are any doubts, a skin biopsy should be obtained. Treatment of the nevus with dermabrasion, diathermy, laser treatment, and cryotherapy is associated with a fairly high risk of recurrence of the nevus. Focal resection of the epidermal nevus before puberty is advised because of the increased risk of tumor development.
Email your librarian or administrator to recommend adding this to your organisation's collection.