Book Reviews
Stroke. A Clinical Approach. 2nd Edition. By Louis R. C a p l a n , M . D . 562 pages. $90.00. B o s t o n : B u t t e r w o r t h - H e...
Stroke. A Clinical Approach. 2nd Edition. By Louis R. C a p l a n , M . D . 562 pages. $90.00. B o s t o n : B u t t e r w o r t h - H e i n e m a n n , 1993. I S B N : 0-5706-9181-6.
Stroke--A Clinical Approach, secondedition, is a single authored work by Dr. Louis Caplan. This book is an excellent introductory text about the clinical aspects of stroke. It is carefully crafted and easy to read. Dr. Caplan strongly emphasizes the importance of (1) determining the location of the cerebrovascular lesion, and (2) establishing the most likely cause of the patient's symptoms. H e stresses that evaluation and management are very much directed by the presumed site and etiology of stroke. The book draws upon Dr. Caplan's considerable expertise as a master clinician and teacher. Dr. Caplan uses the technique of case vignettes to augment his points, and this approach works very well. High-quality figures, diagrams, and tables complement the text. The book is well-referenced, including citations as recent as 1991.
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Another strength of this book is the careful description of the clinical features of the many cerebrovascular syndromes. Dr. Caplan emphasizes the nuances in the history and physical examination that will expedite accurate diagnosis. Readers can learn a great deal by his approach to the analysis of the symptoms and signs of stroke. My favorite chapter is the discussion of non-atherosclerotic vasculopathies that lead to brain ischemia. The summaries of a diverse number of vascular diseases were cogent and succinct. The chapter is also very well-referenced. The book can be strongly recommended as an excellent introduction to stroke. A reader can learn a great deal from Dr. Caplan about how to approach a patient whose symptoms and signs suggest stroke. Physicians in training can become more thoughtful clinicians after studying Dr. Caplan's approach to stroke. H A R O L D P. ADAMS, JR. M.D. Iowa City, Iowa