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Book and Media Reviews
April 22 2009

Stroke: A Practical Approach

JAMA. 2009;301(16):1716-1720. doi:10.1001/jama.2009.513

In Stroke: A Practical Approach, James Geyer and Camilo Gomez present a valuable textbook on the phenomenon of stroke, focusing on practical recommendations for a disease with a high incidence rate and severe physiological sequelae. The text is written by 54 authors and provides a readable, relevant, and concise summary of diagnosis, acute treatment, and prevention of ischemic and hemorrhagic stroke.

The text is divided into 4 sections. The “Introduction to Stroke” section provides a concise overview of stroke pathology and clinical presentation; this is followed by “Prevention,” which offers diagnostic and therapeutic information for the treatment of risk factors both common (blood pressure, smoking, cholesterol, diabetes, atrial fibrillation) and uncommon (cancer, prothrombotic state). “Prevention” likewise contains chapters on stroke in children and on cerebral vascular lesions that can occur during pregnancy. The former provides an overview of manifestations, causes, and risk factors of pediatric stroke. The chapter on stroke during pregnancy discusses risks and treatment options applicable during pregnancy, including the use of thrombolysis.

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