In Practice Series Ronald S MacWalter Stroke Studies Centre, University Department of Medicine, Ninewells Hospital & Medical School, Dundee, UK Colin P Shirley Stroke Studies Centre, University Department of Medicine, Ninewells Hospital & Medical School, Dundee, UK £6.99,  978-1-85315-517-8,  120pp,  Paperback,  September 2003

Stroke and TIAs are often neglected illnesses. They are a major cause of death and disability, and must be treated as an emergency. This is a prac-tical guide for the busy clinician, particularly important in the treatment of patients and in the secondary prevention of stroke. Describing epidemiology and the pathophysiology of stroke, this authoritative guide details stroke risk factors, primary and secondary prevention strategies and gives advice on how to manage a patient in the acute phase. Data from clinical trials are also included, giving current information on therapies and drug treatment.

Managing Strokes and TIAs in Practice will be of great value to general practitioners, hospital doctors, nurses, pharmacists and all members of the multidisciplinary team.

Contents:
Epidemiology:
Incidence,
Prevalence,
Case fatality and mortality,
Types of stroke,
Risk factors for ischaemic stroke,
Risk factors for haemorrhagic stroke,
Conclusion

Stroke services: Hospital - or home-based care? Organization of hospital care, Discharge, Community rehabilitation, Local stroke services - planning and delivery

Appendix I: Useful addresses
Appendix II: Stroke scales
National Institutes of Health stroke scale, Unified neurological stroke scale, Barthel index, Modified Rankin scale, Instrumental activities of daily living, Geriatric depression scale, MRC clinical grading scale.

Rehabilitation after stroke:
General principles,
What services can the multidisciplinary team offer?

Stroke services:
Hospital - or home-based care?
Organization of hospital care,
Discharge,
Community rehabilitation,
Local stroke services - planning and delivery

Pathophysiology:
Atherosclerosis,
Cardiac embolism,
Lipohyalinosis,
Other causes

General preventive measures:
Primary prevention,
High-risk groups

Diagnosis and evaluation of stroke:
Different diagnosis,
Signs and symptoms of stroke,
Classification,
Severity of stroke,
Signs and symptoms of TIAs,
Prognosis in TIA

Imaging
Computerized tomography scanning
Magnetic resonance imaging
Magnetic resonance angiography
Doppler carotoid scans
Intima-media thickness measurement
Other imaging techniques

Further hospital management:
Clinical assessment,
Stroke evaluation,
Investigations

Treatment of acute stroke:
General principles,
Treatment of haemorrhagic stroke,
Treatment of ischaemic stroke

Secondary prevention of ischaemic stroke:
Agents,
Procedures

Complications and avoiding complications:
Immobility,
Falls,
Infection,
Nutrition,
Psychological morbidity,
Central nervous system dysfunction,
Pain after stroke,
Complications of treatment

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