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Carpal Tunnel syndrome and other disorders of the median nerve. By Richard B. Rosenbaum and Jos L. Ochoa Boston Butterworth-Heinemann 1993 358 pp illustrated $95

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writing style from chapter to chapter and there are many
awkward phrases and errors in syntax. The print is small and
many of the electroencephalograms are of marginal quality.
The annoying decision to include many one-sentence paragraphs coupled with the failure to indent paragraphs makes
for difficult reading. Inexplicably, the excellent summaries of
the critical components of the syndromes, included in the
first edition, are no longer included.
Should neurologists purchase this book? For the neurologist seeing large numbers of children with epilepsy, definitely
yes. Is the second edition better than the first? Somewhat.
Could it have been even better? Certainly. Will I use it as
much as the first edition? Absolutely!
Gregoty L. Holmes, M D
Carpal Tunnel Syndrome and Other Disorders of the
Median Nerve
By Ricbard B. Rosenbaum and Jose* L. Ocboa
Boston, Butteworth-Heinemam. 1993
358 pp, illustrated, $9S5.00
Carpal tunnel syndrome is one of the most important neurological syndromes. It has a high frequency in the population,
is a frequent reason for neurological consultation, and is very
responsive to treatment. Carpal tunnel syndrome is often in
the news as one of the best known occupational disorders.
The American Academy of Neurology and the American
Association of Electrodiagnostic Medicine have chosen carpal
tunnel syndrome as one of the early topics for establishment
of practice parameters. It is appropriate to have a book that
focuses primarily on this syndrome, collating most of the
world's literature and organizing knowledge in a logical and
comprehensive fashion.
All aspects of the syndrome are covered, from anatomy
and pathophysiology to clinical and laboratory assessment, to
medical and surgical treatment. In the review of epidemiology, many of the clinical series have been pooled to produce
a large data base. Particularly valuable is the discussion of
the thorny question of whether occupational activities really
produce the disorder. All views seem quite sensible.
The range of the book is wide and includes interesting
discussions about mechanisms of nerve injury, methods for
study of unmyelinated fibers, and reasons for radically revising the concept of reflex sympathetic dystrophy. It is a valuable book for all neurologists.
Mark Hallett, M D
Lumbar Disc Disease, Second Edition
Edited by Russell W. Hardy. J r
New York, Raven Press, 1993
362 pp, illustrated, $125.00
This multiauthored monograph covers the subject of lumbar
disc disease thoroughly and concisely. The extensively revised and expanded second edition includes the striking
changes in diagnosis and treatment that have occurred in
recent years with the rapid development of magnetic resonance imaging and new surgical techniques, including percutaneous and microdiscectomy. The 3 1 chapters cover epidemiology, clinical diagnosis, imaging, electrodiagnosis,
nonoperative treatment and manipulations, spinal fusion,
complications of surgery, lumbar stenosis, back pain in children, arachnoiditis, and medicolegal aspects of lumbar disc
disease. Controversial issues regarding management of lumbar disc disease are well aired although not always resolved.
The neurologist is often the conduit in referring patients to
neurosurgeons and orthopedic surgeons. This volume will
prove very valuable in keeping the clinical neurologist abreast
of the management of the commonplace, controversial, and
often vexing clinical problems associated with lumbar disc
disease. The book is well illustrated and referenced and
highly recommended for neurological residents and consultants.
Robert A. Fisbman, M D
Annals of Neurology
Vol 34
No 1 July 1993
119
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jos, rosenbaum, butterworth, syndrome, illustrated, nerve, disorder, ochoa, richards, 358, heinemann, carpa, 1993, media, tunnel, boston
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