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April 1976

Strokes—Natural History, Pathology and Surgical Treatment

Author Affiliations

San Francisco

Arch Neurol. 1976;33(4):312. doi:10.1001/archneur.1976.00500040096034

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This collection of essays provides an excellent overview of the topic of cerebral ischemia and a thorough review of the relevant literature. As may be inferred from its subtitles, the book is divided into three sections. The first deals with the applied anatomy and physiology of the cerebral circulation and serves to clarify subsequent discussion of the natural history and treatment of stroke. This section is followed by a superb chapter by Drs A. J. McCall and P. J. H. Fletcher summarizing current concepts of the pathogenesis of stroke. Succinct chapters on epidemiology and risk factors are included.

The third section includes a short chapter (9 pages) on medical treatment that, unfortunately, does not discuss the role of antiplatelet agents in the treatment of transient ischemic attacks and does not mention the diagnostic value of the computerized tomographic scan. The chapter on surgical treatment is long (39 pages), anecdotal, and

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