Ischemic Cerebrovascular Disease (Contemporary Neurology) [Hardcover]

Harold P. Adams Jr. (Author), Vladimir C. Hachinski (Author), John W. Norris (Author)

Book Description

Publication Date: August 2, 2001 | ISBN-10: 0195132890 | ISBN-13: 978-0195132892 | Edition: 1

This book provides a comprehensive clinical review of the diagnosis and treatment of patients with ischemic cerebrovascular disease. The book includes chapters on the clinical features of transient ischemic attacks and ischemic stroke, risk factors, and evaluations. Additional chapters discuss causes of stroke including atherosclerosis, cardioembolism, non-atherosclerotic vasculopathies, and pro-thrombotic disorders. The causes of stroke in children and young adults are highlighted. The final section of the book includes chapters on therapies to prevent stroke, acute stroke treatment, general management of the patient with recurrent stroke, and rehabilitation. The volume is heavily referenced with an emphasis on recent publications so that the reader can pursue additional information about a topic. It also includes several tables and algorithms that should aid the clinician treating patients with cerebrovascular disease.

Editorial Reviews

From The New England Journal of Medicine

Major advances in the management of stroke in the past 15 years have substantially altered clinical practice and have lowered the morbidity and mortality associated with cerebrovascular diseases. These advances have involved diagnostic and interventional neuroradiology and neuropharmacology and, in particular, have included the development of specialized units staffed by physicians and others who are committed to the study and care of patients with acute stroke. In this new book, these advances are well documented and analyzed by three distinguished clinical neurologists who head important stroke units. They have written an excellent textbook for neurologists, neurosurgeons, pediatricians, cardiologists, internists, and general physicians who deal with the diagnosis and management of strokes.

The book consists of 14 chapters covering epidemiology, risk factors and their control, differential diagnosis, and the diverse clinical manifestations of cerebral ischemia. There are excellent, brief discussions of the role of diagnostic testing, including magnetic resonance imaging, computed tomography, positron-emission tomography, single-photon-emission computed tomography, conventional angiography, digital-subtraction angiography, ultrasonography, and other noninvasive methods of studying the cerebral circulation. The chapter on cardiac sources of embolism includes a thoughtful analysis of risk factors and covers the management of atrial fibrillation and nonthrombotic causes of embolism. The noninflammatory vasculopathies (including arterial dissection and moyamoya disease) and the inflammatory vasculopathies (including cerebral vasculitis) are well summarized. A chapter on stroke in children and young adults covers genetic factors and is of special interest. A chapter on prothrombotic states concisely covers disorders of plasma proteins, including antiphospholipid antibodies and lupus anticoagulant, and the role of these disorders in inducing the prothrombotic state.

There are detailed discussions of medical and surgical therapy for stroke prevention, and balanced views of the controversial issues involved, such as those surrounding anticoagulation and carotid surgery, are presented. The medical management of acute ischemic stroke is covered particularly well; topics presented include the organization of a stroke service and the outcome of patients so hospitalized. The book ends with a review of rehabilitation services and their role in patients' recovery.

There are more than 4000 references in this book, as well as many tables that summarize recent controlled clinical studies that have changed patient care. This book does not deal with ischemia in terms of experimental pathophysiology and biochemistry; rather, it is a guide for clinical practitioners. I hope the authors will write a companion book on the care of patients with hemorrhagic stroke, one that provides an analogous summary of the recent advances made in this other important population of patients with stroke. This concise, authoritative textbook is strongly recommended to physicians who wish to optimize the care of patients with stroke.

Robert A. Fishman, M.D.
Copyright © 2002 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

Review

"This concise, authoritative textbook is strongly recommended to physicians who wish to optimize the care of patients with stroke."--New England Journal of Medicine, May 2002

"...an excellent textbook for neurologists, neurosurgeons, pediatricians, cardiologists, internists, and general physicians who deal with the diagnosis and management of strokes...strongly recommended"--New England Journal of Medicine, May 2002

"Overall, the authors succeeded very well in condensing a huge amount of information into a hands-on textbook in a rather comprehensive yet still personal way. We recommend it as a basic reference for any (busy or not busy) physician taking care of stroke patients."--European Neurology, Vol. 49, No 3, 2003

See all Editorial Reviews

Product Details

• Hardcover: 598 pages
• Publisher: Oxford University Press, USA; 1 edition (August 2, 2001)
• Language: English
• ISBN-10: 0195132890
• ISBN-13: 978-0195132892
• Product Dimensions: 9.7 x 7.3 x 1.2 inches
• Shipping Weight: 3 pounds (View shipping rates and policies)
• Amazon Best Sellers Rank: #2,456,435 in Books (See Top 100 in Books)

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