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April 1976

The Diagnosis and Treatment of Cerebral Arterial Disease of Extracranial Origin

Author Affiliations

San Francisco

Arch Neurol. 1976;33(4):312. doi:10.1001/archneur.1976.00500040096033

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This collection of essays by several physicians at a single hospital in Australia attempts to present a multidisciplinary "team" approach to the problems of extracranial vascular disease. There are 15 chapters dealing with the anatomy, physiology, pathology, clinical evaluation, and treatment of cerebrovascular disease, including a chapter each on the role of neuroradiologic investigations, thermography, the neuro-ophthalmologic exam, and the electroencephalogram (EEG) in the diagnosis of stroke. The multiauthor format results in an unevenness of style and occasional redundancies. Several chapters are well-referenced and helpful reviews, but others are excessively anecdotal. The book contains several generalizations on therapy that are unsupported by data, eg, 5% CO2 inhalation, corticosteroids, and osmotic agents are endorsed for use in completed stroke. There are several contradictory statements, eg, the Horner syndrome ipsilateral to a carotid stenosis is said to be postganglionic on page 58, and preganglionic on page 96. Occasionally, the authors disagree

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