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Logo of jnnpsycJournal of Neurology, Neurosurgery and PsychiatryVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
 
J Neurol Neurosurg Psychiatry. 2007 November; 78(11): 1290.
PMCID: PMC2117579

Acute stroke care

Reviewed by Didier Leys

Edited by Ken Uchino, Jennifer Pary, James Grotta. New York: Cambridge University Press, 2007, pp 199. ISBN 978 0 521 67494 2

Acute stroke care, a pocket book edited by Ken Uchino, Jennifer Pary and James Grotta in the Cambridge Pocket Series, aims at helping physicians, who have to manage stroke patients, to answer simple but important questions in an emergency situation. What should I do first? How can I be sure that this is a stroke? Is it too late to reverse the cerebral damage? How to do the right things in the right order?

The target audience is all physicians who, in their practice, have to manage stroke patients (ie, a large panel of physicians, and not just neurologists, stroke physicians and emergency physicians). This book is a useful tool that should be recommended to medical students, neurologists and stroke physicians in training and all those who occasionally see these patients.

The content of the book is organised in a chronological order and covers all types of strokes. The description of stroke symptoms is presented in a modern and practical way (ie, without the old fashioned clinical descriptions that can be found in most textbooks, and have less interest in the era of modern imaging). This book emphasises modern clinical descriptions, and particularly stroke mimics, that are clearly presented, explained and discussed. The diagnostic workup starts with a CT scan, which is still the most used procedure in clinical practice. Protocols are clearly presented and useful. It includes not only rt‐PA protocols but also many others that are used in a larger proportion of patients, such as blood pressure management, anticoagulation monitoring, etc. The book is largely evidence based, except for a few recommendations that are reasonable expert opinions. Lastly, there is a comprehensive set of tables and appendices for easy access to stroke scales and conversion factors.

The book could have been shorter and have excluded all domains of stroke care that are not useful during the first few days. The “emergency” part of this book will obviously be the most important, interesting and useful. I highly recommend it to students, neurologists and stroke physicians in training, and all those who, in their clinical practice, may have to manage a stroke patient during the acute stage.


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