Carotid artery surgery

Carotid artery surgery

187 Book re6iews the authors define three dimensions to describe a health condition. In the impairment dimension, the key concepts are speech, langu...

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187

Book re6iews

the authors define three dimensions to describe a health condition. In the impairment dimension, the key concepts are speech, language and swallowing. In the dimension of activity, the key concepts are limitations of communication and of interpersonal behavior. In the participation dimension, finally, contextual factors are implied, and restrictions in social relationships are key concepts. Starting from this general framework, the volume expounds assessment of functional communication in section 1 (six chapters, all well-thought). Section 2 (four chapters) is devoted to functional communication therapy. It addresses issues of employment after stroke or traumatic brain injury, extending therapy by integrating volunteers into the rehabilitation process, scenarios for enhancing real life communication, and the principles of creating authentic, relevant, natural contexts for communicating. Section 3 (six chapters) is dedicated to specific populations with communication problems; assessment and treatment of patients with dementia, dysarthria and dysphagia as well as of patients who suffered brain injury or right hemisphere damage are dealt with. Section 4 (two chapters) is devoted to a socio-environmental approach in hospital- and extended care settings. The final chapter (section five) sets future directions and deals with research needs. This equilibrated volume is a rich source of information, activation and inspiration for speech therapists, but also for others who work with communication-disordered persons.

validate these innovative methods as scientifically superior. Therefore for the time being the gold standard remains surgical carotid endarterectomy. This multi-authored volume harbors the state-of-the-art of contemporary neurosurgical techniques. It consists of six sections, starting with basics and signing off with a view on the future. The first section describes the various methods of visualizing the carotid stenosis, angiography of course standing on top. Interesting is the flowchart, proposing a treatment strategy related to the grade of stenosis, symptomatic or asymptomatic. Based on randomized trials and expert-opinions the second section highlights the preoperative evaluation and management of patients with different antecedents. Session three focuses on the technical aspects of the surgical procedure itself, including the management of trauma and tumors of the cervical carotid. Management of complete carotid occlusion may not be indicated as symptomatic patients usually do not tolerate surgery and asymptomatic patients have a sufficient level of collateral circulation. Perioperative monitoring is dealt with in the 4th section, providing a nice overview, however it doesn’t not correct that the discussion of complications is inserted in this section as well. Complications clearly belong to the technical chapters. Concluding with chapters on the postoperative care and with remarks on the future of carotid endarterectomy this volume offers a thorough overview of the current surgical methods. For those involved in carotid artery surgery the volume is value for money.

Aagje Jennekens-Schinkel Wilhelmina Child Hospital, Uni6ersity Hospital, Huispostnr. F05.126, PO Box 85500, 3508 GA Utrecht, The Netherlands

J.M.C. van Dijk (MD) Department of Neurosurgery, Leiden Uni6ersity Medical Center, PO Box 9600, 2300 RC Leiden, The Netherlands

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Carotid artery surgery Edited by Christopher M. Loftus and Thimothy F. Krezowik, Thieme Verlag, 2000 The 584 paged volume deals with a kind of surgery that in my opinion belongs to the crown-lands of the neurosurgeon. In many countries however this territory is governed by the vascular surgeon, which seems not justified regarding both the neurological indication for surgery and the neurological nature of complications of carotid surgery. Currently also interventional neuroradiologists and even interventional cardiologists perform carotid angioplasty and stenting. Definitely there is a need for a prospective randomized trial in order to

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Encyclopaedia of Paediatric Neurology Edited by Christos P. Panteliadis and Basil T. Darras, 2nd edition, Thessaloniki, 1999. ISBN 960-7425-21-9; DM 268.00 (hardback)

This book covers the whole field of pediatric neurology. The second edition of this 1000-page book contains 50 chapters. More than 40 are dealing with pediatric neurology and the others with general and basic neurology. It has chapters on pediatric CNS and spinal tumors, neurometabolic disorders and neuromuscular-and peroxisomal disorders (containing recent information) etc. as well as chapters which handle neuroimaging and