October 1972

Cerebral Circulation and Stroke.

Author Affiliations

USA San Francisco


By KJ Zülch. Price, $17.50. Pp 222, with 71 illustrations. Springer-Verlag New York Inc, 175 Fifth Ave, New York 10010, 1971.

Arch Intern Med. 1972;130(4):651-652. doi:10.1001/archinte.1972.03650040175022

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Zülch introduces this monograph as an attempt to present trends in research and clinical work in cerebrovascular disease in a brief manner. It is not proposed as comprehensive.

There are 21 papers covering the subject from the standpoint of clinicopathologic studies, angiographic studies, cerebral blood flow studies, relationship of blood pressure to cerebrovascular disease and surgical therapy. The papers are by outstanding investigators from all over the world, and generally are concise, informative, and readable.

The prevailing tone of the book and occasional specific recommendations propose an aggressive approach to evaluation and treatment of cerebrovascular disease. Many of us disagree in light of present knowledge (except perhaps in the context of clinical investigation). It is hoped that those involved in the non-research-oriented clinical management of patients with cerebrovascular disease will temper the natural enthusiasm of these investigators and surgeons with the continuously evolving body of information on conservatively managed extracranial

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