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Cancer in the nervous system. Edited by Victor A. Levin New York Churchill Livingstone 1996 474 pp illustrated $99

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Reviews
Intracranial and Intralabyrinthine Fluids: Basic Aspects
and Clinical Applications
Edited by Arne E r s t , Robert Marchbanks, and Ma&d Samii
Berlin, Springer, 1996
300 pp, illustrated
This concise book is the product of an international meeting held in Seeheim, Germany, in September 1995. I singled
it out for review from the plethora of such monographs because it summarizes a great deal of new information that is
not readily available elsewhere and is relevant to neurology,
specifically to the field of neuro-otology. The 41 participants,
largely European investigators, represent a spectrum of otologists, neurologists, neurosurgeons, and basic scientists. They
have focused on research and clinical aspects of the intracranial
and intralabyrinthine fluids and their physiology, pressures,
chemistry, and close interrelationships. New technologies are
discussed that promise to be useful in monitoring the intracranial pressure noninvasively via tympanic membrane displacement and otoacoustic emissions. New conditions (at least
to me) are described: the large vestibular aqueduct syndrome
and the perilymphatic fistula syndrome as a manifestation of
pseudotumor cerebri. The mechanisms of labyrinthine vertigo,
tinnitus, and intracochlear pressure changes are elucidated by
several authors. I enthusiastically recommend this volume to
those interested in neuro-otology, to keep abreast of recent advances in this field. This book is an eye-opener!
Robert A. Fishman, M D
San Francisco, CA
Neurological Disorders: Course and Treatment
Edited by Thomas Brandt, Louis R. Caplan, Johannes
Dichgans, H. Christoph Diener, and Christopher Kennard
San Diego, Academic Press, 1996
1150 pp, illustrated, $139.95
This l,IOO-page, multiauthored reference work focuses on
the clinical aspects and “natural course” of neurological disorders, the principles of therapy, the practical management,
and finally, the “treatments no longer recommended.”
More than 150 international contributors have provided
the text, a large number of tables, and extensive references.
The volume has a somewhat unusual topical organization; for
example, “Increased Intracranial Pressure,” “Normal Pressure
Hydrocephalus,” and “Pseudotumor Cerebri” are in three different sections. This is not limiting, however, because the index makes the text easily accessible. The appendix provides a
very useful list of drugs and their various proprietary names.
Most of the authors are European, largely from Germany
and the United Kingdom; some contributors are from the
United States and elsewhere. I fear that the medical literature
generally tends to be all too chauvinistic. This volume will
allow American readers to gain insight into an extensive European literature that is often not emphasized in our reference works. This is an important new reference work that
will be a valuable resource for diverse readers.
Robert A. Fishman, M D
San Francisco, CA
AIDS and the Nervous System, ed 2
Edited by joseph R. Berger and Robert M. Levy
Philadelphia, Lippincott-Raven, 1996
778 pp, illustrated, $1 15.00
The second edition of this important book on the neurology
of acquired immunodeficiency syndrome (AIDS), first published in 1988, has been extensively revised and expanded by
the editors and their 62 collaborators. It covers the epidemiology, neuropathogenesis, diverse clinical syndromes and
their diagnosis, neuropathology, the specific diseases affecting
the nervous system, opportunistic infections and neoplasms,
and patient care issues, including management. Neuromuscular disorders, myelopathies, psychological and psychiatric
aspects, neuroradiology and neuro-ophthalmology of neuroAIDS are included. Algorithms for the treatment of the various categories of nervous system involvement are provided.
It is essentially a new book rather than a revised second edition. The striking advances in the field in the last eight years,
well summarized in this volume, make it an excellent resource for the clinical neurologist.
Robert A. Fishman, M D
San Francisco, CA
Cancer in the Nervous System
Edited by Victor A. Levin
New York, Churchill Livingstone, I996
474 pp, illustrated, $99.00
This is a multiauthored comprehensive text of neurooncology. It begins with two introductory chapters dealing
with genetics and diagnostic imaging; these chapters are not
useful. The heart of the book is seven very good chapters
dealing with primary brain, spinal cord, and pituitary tumors
organized around anatomic compartments (eg, tumors of the
fourth ventricle). Next are three sections dealing with nervous system metastases that provide a good review of current
management of metastatic nervous system tumors. Finally,
there are sections treating altered consciousness, neurologic
toxicity of cancer treatment, paraneoplastic diseases, cerebrovascular diseases, psychiatric issues, pain, and rehabilitation.
Among the recent outpouring of neuro-oncology texts,
this is the most comprehensive. It summarizes the entire field
of neuro-oncology. Its overall quality is good. The writing
style is uneven but generally readable. The illustrations of
neuropathology are of adequate quality, the magnetic resonance images are less successful. The index is excellent.
This book would be a wise purchase for small medical
libraries that can afford only one or two neuro-oncology
texts and for practicing neurologists who see substantial
numbers of cancer patients. It is also a good choice for neurology house staff libraries. It does not provide the depth of
coverage of more specialized texts, but it is the best overview
of the field of neuro-oncology in print,
Stephen M. Sagar, M D
San Francisco, CA
Copyright 0 1997 by the American Neurological Association
285
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livingstone, 1996, churchill, illustrated, victory, 474, system, new, york, cancer, nervous, edited, levin
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