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Paediatric neurology ed 2 Edited by Edward M. Brett New York Churchill Livingstone 1991 5pp illustrated $135

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Pediatric Neurology, ed 2
Edited by Edward M. Brett
New York: Churchill Livingstone, 1991
895 pp, illustrated, $135 .OO
Divided into 27 concise chapters, this text of pediatric neurology could be easily read during a house officer rotation
on the child neurology service. Although there are multiple
contributors, more than half of the chapters are authored or
coauthored by the editor, and his writing style is a major
strength of the work. From this perspective it is a good addition to the more detailed texts in the field and the shorter
data-rich house officer handbooks.
Physicians outside of Britain will find that many of the
drug recommendations are not applicable to their practice.
In addition, I found it strange that some unproven therapies,
such as administration of thyrotropin-releasing hormone for
infantile spasms, were advocated for wider use rather than
for further study.
Many C T images are illustrated throughout the text and
the imaging chapter is new for this edition. Unfortunately,
the reproductions are of poor quality so that a number of
described lesions are not visible. Although the importance of
MR imaging is acknowledged in the preface to the book and
the introduction to the imaging chapter, MR images were
rarely used even to illustrate leukodystrophies and minor
anomalies where this technique makes the difference in appreciating an abnormality. References to the literature were
limited compared to other texts and I found no references
after 1989 and few between 1984 and 1988. Because of
these shortcomings and the high cost of the book, I cannot
recommend it as a first choice for the field. For example, the
latest edition of Menkes’ Textbook of Child Neurology, although a year older, has many more recent references, better
reproductions of C T and MR images, and costs one third
Gavy W . Goldstein, M D
Comprehensive Neurology
Edited by Roger N . Rosenberg, M D
New York, Raven Press, 1991
936 pp, ilbstrated, $220
Roger Rosenberg is one of my best friends. He has edited a
textbook of neurology; so have I. Arthur Asbury, editor of
Annals, is also a personal friend and textbook editor. W e are
amicable competitors. This review is limited to 200 words.
Can I be objective?
Rosenberg is a prodigious editor. His high-quality productions flow almost annually. Now he probes new territory, a
question of numbers. Neurology texts come in many sizes;
sales are inversely related to heft because price is determined
by words, weight, and cover.
The most popular books are small and flexible enough for
a medical student to carry o n rounds. House officers keep
theirs at bedside; experienced neurologists, the office. They
use a larger book with hard cover, the standard size. The
extreme is the Handbook, nearing 60 volumes. Publishers are
now exploring the size-gap; two-volume and 5-volume texts
have appeared. Rosenberg now provides an excellent cast of
5 1 authorities for an oversized single volume, larger than the
standards (and thrice as expensive). Will it succeed? I hope
so (but not at the expense of Mevritt’s). H o w will the large
texts fare against Medline and review articles? Time will tell.
h i s P. Rowland, M D
Brain Fluids and Metabolism
By Gary A. Rosenberg
New York, Oxford University Press, 1990
207 pp, illustrated, $39.95
This concise monograph is based on a series of lectures given
by Dr Rosenberg to medical students and housestaff dealing
with brain fluids and metabolism. It includes discussions of
the physiology of the cerebrospinal fluid, the biochemistry
and pathophysiology of brain edema, the theoretical bases
of PET scanning, magnetic resonance imaging and nuclear
magnetic resonance spectroscopy, as well as the application
of radioisotopes to the study of brain metabolism. A very
lucid chapter deals with the mathematics of transport, which
helps demystify the assessment of blood-brain barrier permeability and the techniques used for measuring cerebral blood
flow and metabolism. Summaries of the relevant literature
are included as well as thoughtful figures and tables. The
book is not intended for the investigator but rather as an
introduction for the interested clinician reader. The book
is recommended for residents and others interested in an
overview of these fundamental issues which are relevant to
the understanding of the pathophysiology of many diseases
of the nervous system and the imaging techniques used in
clinical practice.
Robert A. Fishman, M D
Copyright 0 1992 by the American Neurological Association
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livingstone, churchill, edward, illustrated, neurology, new, 1991, brett, york, 135, edited, paediatrics, 5pp
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