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Brain, Vol. 126, No. 5, 1242-1243, May 2003
© 2003 Guarantors of Brain
doi: 10.1093/brain/awg095

Book Review

LONG-TERM EFFECTS OF STROKE

S. L. Small and A. Solodkin

Neurology and Brain Research Imaging Center, University of Chicago, Chicago, IL, USA

LONG-TERM EFFECTS OF STROKE
Edited by Julien Bogousslavsky
2002. Monticello, NY: Marcel Dekker, Inc.
Price $175. pp. 344. ISBN 0–8247–0624–2.

The first 150 words of the full text of this article appear below.

A serious shortcoming in current neurological practice is the post-acute care we are able to provide to patients with stroke. Whereas tremendous research has recently changed the ways in which neurologists view acute ischaemic stroke, with a number of thrombolytic and neuroprotective approaches now available and others under investigation, little attention is paid to patients following maximal acute care. Progress in the intensive care of such patients in specialised critical care neurology units has also improved outcomes, as has good aetiological diagnosis (e.g. cardiogenic embolism, carotid stenosis) and secondary prevention. However, after discharge from the intensive care unit and the inpatient neurology ward, with maximal acute treatment and perhaps secondary prevention tailored to a specific aetiological diagnosis, patients are sent off to the care of physiatrists and therapists for various re-educational programs that are not motivated by the goals of brain recovery or purposeful neural remodelling. Furthermore, practising neurologists pay . . . [Full Text of this Article]


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