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A Modern Approach to Posterior Circulation Ischemic Stroke
Arch Neurol. 2002;59:359-360.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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NEUROLOGISTS OF the 19th and first half of the 20th centuries were masters
of scrupulous neurological examination. Based on the exactitudes of an exquisitely
detailed physical examination, neurologists attempted the precise location
of a deficit. The apparent location of the lesion, in association with its
mode of temporal development and patient characteristics such as age, sex,
race, and history, produced a differential diagnosis. Imaging methods, crude
by modern standards, and relatively primitive laboratory testing were directed
by the history and physical signs. These techniques provided provisional diagnoses.
In stroke neurology, this process was more often an exercise in linking
anatomical localization to the evolving knowledge of function than creating
a template for defining treatment strategy. Prognostications could be made
and, as a rule, could be altered only by general supportive measures. To many,
the specialty of neurology was considered a rewarding intellectual and academic
pursuit.
Posterior circulation was especially fascinating . . . [Full Text of this Article]
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ABSTRACT
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