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December 1981

Current Concepts in Cerebrovascular Disease

Author Affiliations

Book Review Editor Department of Neurology University Hospitals Iowa City, IA 52242
Box 599 Department of Neurology Medical College of Virginia Hospitals Richmond, VA 23298

Arch Neurol. 1981;38(12):786. doi:10.1001/archneur.1981.00510120086022

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Obviously, a comprehensive review of the current status of cerebrovascular disease is not possible in 100 pages. This book is rather a series of articles, originally published in Progress in Cardiovascular Diseases in 1980; these articles were devoted almost entirely to transient brain ischemia. Facets of the subject are covered well although not always equally. For example, the subject of carotid endarterectomy is covered fully, while the subject of extracranial-intracranial surgical bypass procedures is discussed somewhat sketchily. An especially provocative chapter is one regarding the use of prompt endarterectomy in sudden neurologic deficits, either progressing stroke or "crescendo" transient ischemic attacks. On the other hand, the chapter on the medical management of transient ischemic attacks, while reviewing all of the important investigations in a briskly efficient manner, suffers a little from the lack of a more dogmatic statement of the authors' own recommendations for management. In all of the chapters

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