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Caplan's Stroke: A Clinical Approach, 4e, by Louis Caplan MD
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Updated and revised, this new edition of Caplan’s Stroke continues to provide a concise and pragmatic approach to the evaluation, diagnosis, and management of adult and pediatric stroke patients. Dr. Caplan―a highly esteemed stroke authority― shares with you his vast experience and wisdom as a stroke clinician, including his time-tested strategies and unique clinical pearls that you can implement into your own practice. Expanded coverage of imaging and laboratory diagnosis and treatment as well as extensive revisions throughout, brings you the latest advances on prevention, complications, and rehabilitation. The use of case studies illustrates the types of clinical scenarios you may experience in practice. And, its conversational, easy-to-read format make Caplan’s Stroke an ideal resource for general neurologists, non-neurologists, and stroke specialists alike.
- Discusses all cerebrovascular diseases to help you differentiate among all types of stroke so you can treat each patient appropriately.
- Takes a distinctly personal and individual approach to general principles, pathophysiology, diagnosis, treatment, and rehabilitation, offering practical, clinical guidance on stroke and stroke related issues.
- Provides detailed discussions on stroke syndromes in children and adults, including large artery occlusive disease of the anterior circulation, brain embolism, spinal cord stroke, and many, many more, to help you better manage every condition you see.
- Uses case studies to highlight and emphasize clinical points.
- Includes expanded coverage of imaging and laboratory diagnosis and treatment to help you make better informed evaluation and management decisions.
- Presents meticulous revisions and updates throughout, particularly to the chapters on stroke prevention and rehabilitation to keep you current on today’s best practices.
- Features a new two-color design with updated artwork and more images that elucidates key points and enhances visual guidance.
- Sales Rank: #1403991 in Books
- Published on: 2009-06-04
- Original language: English
- Number of items: 1
- Dimensions: 10.50" h x 1.10" w x 7.50" l, 3.17 pounds
- Binding: Hardcover
- 688 pages
From The New England Journal of Medicine
Since nearly all workers in the stroke field know, or know of, Dr. Caplan, he can be forgiven for the somewhat immodest title of his book. But can one person alone write a comprehensive book on stroke in the 21st century? Osler's Principles and Practice of Medicine (New York, D. Appleton), published in 1892, with all its antiquated ideas (such as the role of overwork in the formation of aortic aneurysm), remained in print for decades. Today, there is no less than one to two years between the writing and the marketing of a book, and that is just too long. The publishing industry is currently undergoing its greatest upheaval since the time of Gutenberg, and readers avid for state-of-the-art knowledge can find it on the Web as soon as it appears.
The other problem inherent in attempts to write about stroke is that the epidemiology is changing as a result of changes in lifestyle and stroke-prevention strategies. Data from early stroke registries are now anachronistic, and our ideas of pathogenesis have undergone a sea change over the past decade or so.
Caplan's Stroke is very much a personal perspective (as Caplan states in the preface); the prose is direct and clear, and the tone is at times almost chatty, which certainly makes for easy reading. A monumental amount of work has gone into the reading and evaluation of the seemingly endless publications on all aspects of stroke syndromes. There have been major changes since the second edition was published in 1993; most (if not all) of the grainy photographs have been expunged. Some of the chalk drawings remain, and some of the ultrasonograms are suboptimal and uninformative.
The book is divided into three parts and wisely avoids coverage of neurophysiologic and neurochemical mechanisms, apart from the basics. Part I, "General Principles," is essentially a basic primer of stroke, with a particularly enjoyable historical introduction. There are clear line drawings of basic abnormalities and good descriptions of available laboratory tests. Treatment of acute stroke in its broadest perspective is discussed in this section, including thrombolytic therapy and neuroprotectants -- an approach that is unusual but effective. Part II, "Stroke Syndromes," deals comprehensively with the acute abnormalities of stroke and covers the spectrum from large-artery occlusions to global ischemia as a result of cardiac arrest. It ranges widely over virtually all aspects of ischemic and hemorrhagic brain damage, is well illustrated, and has a balanced style that is possible only in works written by a single author. Part III, which covers prevention, complications, and rehabilitation, is perhaps the least informative and thus appropriately the shortest section. Most of the effective prevention strategies are discussed in part I.
To return to the original question: Caplan's Stroke is certainly a tour de force. It represents the perspective of a seasoned clinician who has a wealth of experience and wisdom. However, future editions, judging by the pace at which the data base is expanding, will have to incorporate an electronic version, in the form of either a CD-ROM or a specific Web site, which can be updated regularly.
Who will find this book most valuable? As the author explains in his preface, the book was originally planned for nonspecialists, but the first edition appealed equally to a great variety of specialists, mostly those in the neurosciences, and also to geriatricians and physiatrists. The index is fairly comprehensive, and the succinct sections should prove more accessible, especially to readers with limited time, than those of the large, more encyclopedic tomes currently available.
John Norris, M.D.
Copyright © 2000 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.
Review
“…Well illustrated…has a balanced style that is possible only in works written by a single author…the prose is direct and clear, which certainly makes for easy reading”―NEJM, rec. of the last ed.
“In Caplan's Stroke, we have a digestible, readable, and sure-handed guide to the care of stroke patients. Medical students, internists, neurologists, and stroke specialists will all benefit from reading this book.”―JAMA, review of the last ed.
[…] Although several texts on cerebrovascular disease are available, none matches Caplan’s Stroke: A Clinical Approach. This is more than a monograph about stroke; it is the main avenue that the neurologist or internist interested in cerebrovascular disease should travel together with the patient who has had a stroke.
The book is a distillation of the personal knowledge and clinical experience of Caplan, one of the world’s leading stroke specialists. The frequent use of the first person results in a patient-oriented, grand-rounds format, with precise, in-depth information about all aspects of cerebrovascular disease. This combination provides the most interesting and comprehensive clinical presentation of stroke I have encountered. One can agree or not with some points of the author’s clinical, diagnostic, or therapeutic approach, but surely any reader who likes to learn about this disease from patients and a master teacher will read it like scripture.
The 19 chapters address all major areas of clinical stroke medicine through review of recent literature, application of
existing knowledge to the practice of vascular neurology, and review of the practical issues relating to investigation and treatment. To effectively help the reader, the volume is well illustrated with high-quality illustrations and tables. The illustrations in the section on arterial territories of the human brain are especially detailed and well produced. The quality of the many computed tomography and magnetic resonance imaging brain images and angiographic images is generally excellent and largely justifies the price of the book […]
[…] All chapters are written from a refreshing patient-centered perspective. The author emphasizes the care of patients with stroke, providing clinical pearls from his own authoritative experience and clear direction in clinical method as applied to stroke. This textbook presents a well-balanced position between evidence-based and experience based medicine, remembering that in daily clinical practice any physician should take a position in response to his or her patient’s condition according to knowledge and ethics. From this standpoint, anyone involved with cerebrovascular disease will find something useful in this book […]
It is difficult to find any major faults with this book. It is not inexpensive, but there is no competition. There are some repetitions in the text, but these are few.
Caplan’s Stroke: A Clinical Approach is the most comprehensive and authoritative text available on the clinical manifestations of stroke. It is a pleasure to read, especially the first chapter on the history of stroke medicine, but it is also an invaluable aid to clinical practice and will likely be the standard reference for many years.
JAMA, December 16, 2009―Vol 302, No. 23
From the Publisher
Dr. Caplan's unique, practical, and classic text on stroke incorporates general principles, pathophysiology, and diagnosis from a "distinctly personal and individual approach." The emphasis is on the care of stroke patients, providing clinical pearls from his own authoritative and extensive experience. The intent is to give clear direction to the problems involved with stroke patients. This new edition maintains the flavor and purpose of the previous editions, presenting up-to-date and contemporary clinical information with the benefit of personal experience and patient cases. EDITORIAL REVIEWS: Praise for the second edition:
"The value of Professor Caplan's work is that it offers a distinctly personal and individual approach to the practical problems of diagnosis and treatment of this disorder. It is a handbook written with great compassion for the patient...Written primarily in the first person, this single-authored book should be required reading for all students and clinicians, particularly surgeons and generalists, who will increasingly encounter the newer, aggressive approaches to this devastating disease." - Neurosurgery
Most helpful customer reviews
8 of 8 people found the following review helpful.
Easy read, not comprehensive
By HH
For a quick and easy read, this is a great book; however, it is not by any means comprehensive. In fact, for a more comprehensive review, I would recommend the J.P. Mohr book, the newest edition of which comes out January 2011. This books is geared more toward the non-vascular neurologist. For fellowship trained vascular neurologists, it is too general and doesn't offer much in the way of management.
3 of 3 people found the following review helpful.
Excellent stroke book!
By Claudio
Excellently written, really in-depth and personalized advice from Dr. Caplan. It feels as if you have a teacher just beside the book, and it reads like a novel. It has been an invaluable resource as I go through residency, definetely reccomended!
0 of 0 people found the following review helpful.
I highly recommend that all specialists
By ed
Many Vertebral Artery Patients are misdiagnosed. I was lucky to be correctly diagnosed within 3 hours. I highly recommend that all specialists, especially neurology students read this book. It might help you to correctly diagnose in the future.
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