Cerebral Ischemia and Dementia.

Cerebral Ischemia and Dementia. – book reviews

Alistair Burns

Edited by A. Hartmann, W. Kushchinsky and S. Hoyer

Heidelberg: Springer-Verlag. 1992 472 pp. Price 99.50[pound]

This book promises to deal with a very important area and one of increasing importance to geriatricians, psychogeriatricians and neurologists. It consists of the proceedings of a symposium held in Prien in June 1990. The aim of the symposium was |to stimulate discussion between experts working in the field of cerebral ischaemia and dealing with different aspects of dementing diseases’. This is a laudable aim but one which may not have been completely realized by the representation of the symposium.

The layout is somewhat peculiar and the individual contributions obviously vary widely in terms of subject matter and the relevance of some contributions to dementia and ischaemia are somewhat tenuous. It is unclear how the papers were selected and it may be that these represent the |best of the bunch’. There are some curious contributions, e.g. the chapter on the Epidemiology of Vascular Dementia, a potentially fascinating topic at the interface between the epidemiology of dementia and vascular disease, is confined to a discussion of the diagnostic criteria for dementia, with only the briefest mention of epidemiology and then a large section about dementia of the Binswanger type. Particularly good contributions are the thoughtful introduction by O’Brien, and the views on the neuropathology of vascular dementia by Brun Gustafson.

All in all it is rather a mixed bag of presentations on a very important subject. The absence of a drawing together of the ideas expressed is a disappointment. At 100[pound] it cannot really be said to represent value for money. However, individual contributions are excellent and, in view of the lack of competitors, it is a valuable compendium.

COPYRIGHT 1993 Oxford University Press

COPYRIGHT 2004 Gale Group