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The Elderly pp 127–145Cite as

Disorders of the Nervous System

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Part of the book series: Treatment in Clinical Medicine ((TC MEDICINE))

Abstract

In cerebrovascular disease a high serum cholesterol and cigarette smoking only have a marginal effect on the incidence of atherothrombotic brain infarction. Glucose intolerance is more important, and it is likely that effective control of blood glucose concentrations would reduce substantially the incidence of strokes in elderly diabetics. The influence of hypertension, however, predominates, and increases with the age of the patient (Fig. 10.1). It would appear reasonable, therefore, that treatment aimed at reducing hypertension would reduce the risk of a stroke. Long-term studies are in progress at present to confirm or refute this hypothesis. In the meantime, most clinicians feel justified in treating a high blood pressure in old age (Chap. 4).

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References

  • Acheson J, Danta G, Hutchinson EC (1969) Controlled trial of dipyridamole in cerebral vascular disease. Br Med J 1: 614-615

    Article  PubMed  CAS  Google Scholar 

  • Admani AK (1978) New approach to treatment of recent stroke. Br Med J 2: 1678–1679

    Article  PubMed  CAS  Google Scholar 

  • Calne DB, Stern GM, Spiers ASD, Lawrence DR, Armitage P (1969) L-dopa in idiopathic Parkinsonism. Lancet 2: 973–976

    Article  PubMed  CAS  Google Scholar 

  • Canadian Cooperative Study Group (1978) A randomised trial of aspirin and sulphinpyrazone in threatened stroke. New Engl J Med 299: 54–59

    Google Scholar 

  • Crick RP (1980) Glaucoma-the present situation. Practitioner 224: 621–632

    PubMed  CAS  Google Scholar 

  • Fields WS (1979) Role of antiplatelet agents in cerebrovascular disease. Drugs 18: 150–155

    Article  PubMed  CAS  Google Scholar 

  • Hildick-Smith M (1974) Epilepsy in the elderly. Age Ageing 3: 203–208

    Article  PubMed  CAS  Google Scholar 

  • Kannel WB, Wolf P, Dawber TR (1978) Hypertension and cardiac impairments increase stroke risk. Geriatrics 33: 71–83

    PubMed  CAS  Google Scholar 

  • Marshall J (1976) The management of cerebrovascular disease. Churchill Livingstone, London

    Google Scholar 

  • Millikan CH (1979) Anticoagulant therapy for prevention of stroke. Med Clin North Am 63: 897–904

    PubMed  CAS  Google Scholar 

  • Mitchell JRA (1979) Does aspirin prevent stroke? Practitioner 223: 668–674

    PubMed  CAS  Google Scholar 

  • Parkes JD (1981) Adverse effects of antiparkinsonian drugs. Drugs 21: 341–353

    Article  PubMed  CAS  Google Scholar 

  • Reynolds EH (1978) Drug treatment of epilepsy. Lancet 2: 721–725

    Article  PubMed  CAS  Google Scholar 

  • Shaw KM, Lees AJ, Stern GM (1980) The impact of treatment with levodopa on Parkinson’s disease. Q J Med 49: 283–293

    PubMed  CAS  Google Scholar 

  • White NJ, Barnes TRE (1981) Senile Parkinsonism, a survey of current treatment. Age Ageing 10: 105–109

    Article  Google Scholar 

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© 1984 Springer-Verlag Berlin Heidelberg

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MacLennan, W.J., Shepherd, A.N., Stevenson, I.H. (1984). Disorders of the Nervous System. In: The Elderly. Treatment in Clinical Medicine. Springer, London. https://doi.org/10.1007/978-1-4471-3115-1_10

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  • DOI: https://doi.org/10.1007/978-1-4471-3115-1_10

  • Publisher Name: Springer, London

  • Print ISBN: 978-3-540-13236-3

  • Online ISBN: 978-1-4471-3115-1

  • eBook Packages: Springer Book Archive

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