Stroke in Children and Young Adults is the second edition of the book first published in 1994. Since the publication of the original book there has been a notable growth of interest in this field and this is reflected in a large expansion in the number of publications focusing on stroke in young people. Indeed, in the preface it is noted that a third edition may become necessary after a much shorter interval than that between the first and second editions. It is therefore reassuring to find that the second edition has over 100 pages more than the first edition and that most of the references concern articles published after 1994, with an appreciable number less than 5 years old. The second edition drew on a wider range wide range of contributors for the 17 chapters including neurologists (both adult and pediatric), neonatologists, neuroradiologists, neurosurgeons and neuroanatomists. Dr. Biller states in the preface that the book should address the practical needs of physicians and in many ways this goal is achieved . The text is extremely readable with good use of clear subheadings making it easy to navigate. There is an abundance of radiographs and many tables, diagrams and clinical photographs which are almost always excellent and complement the text well. The tables, in particular, will likely prove useful to the aforementioned busy doctor. For example, tables detailing investigations for suspected vasculitis or hemorrhagic stroke are useful reminders. The first chapter provides a concise overview and highlights the notable differences in stroke occurring in children and adults younger than 45 (this book's definition of young adult) versus stroke in older people. It also touches on… half of the article… “young adults” have limited relevance to pediatric neurological practice. For the most part, the different ages covered in this book are not covered in separate chapters, and there is sometimes adult-specific content at the obvious expense of pediatric material. For example, the chapter on nonarteriosclerotic vasculopathies contains more than a page on fibromuscular dysplasia (a very rare cause of childhood stroke) but only 3 sentences on the role of chickenpox in stroke and no discussion of so-called transient cerebral arteriopathy or focal cerebral arteriopathy. of childhood, which according to many experts is one of the most frequent causes of arterial ischemic stroke in childhood. If the reader with a pediatric practice can find a book of equally high quality but with a more targeted age range, this may ultimately be a more useful addition to their library..