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Clinical autonomic disorders Evaluation and management. Edited by Phillip A. Low Boston Little Brown 1993 832 pp illustrated $165

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Clinical Autonomic Disorders: Evaluation and
Edited by Phillip A. Lou,
Boston, Little, Brown, 199.3
832 pp* illustrated, $165.00
This comprehensive volume is an understandable and practical presentation of clinical autonomic disorders.
The book is divided into three sections: scientific basis,
clinical evaluation, and clinical disorders of autonomic function. The chapters on evaluation of autonomic function provide a useful description of the value and pitfalls of currently
available clinical tests. The 26 chapters on clinical disorders
cover a wide range of topics including autonomic neuropathies, central autonomic disorders, extrapyramidal disorders,
neurologic dysfunction of the bladder and gastrointestinal
tract, syncope, hyperthermia and hypothermia, sleep apnea,
male sexual dysfunction, autonomic emergencies, pain, reflex
sympathetic dystrophy, and disorders of sweating. The practical organization of topics will appeal to the clinical neurologist.
Each chapter begins with a useful summary of the main
points and ends with an adequate bibliography. The multiauthored format results in some repetition of information, but
the repetition allows each chapter to stand alone when the
book is used as a general reference. The index is user-friendly
and the diagrams are informative. This authoritative reference on clinical autonomic disorders is highly recommended
for all neurologists.
John W. Engstrom, M D
San Francisco. CA
Clinical Neurology, 1!992
Edited by Robert J . Joynt
Philadelphia, Lippincott, I 992
4.500 pp, illujtrated, $485.00
The 1992 edition continues the looseleaf arrangement that
permits replacement of individual chapters with periodically
updated versions. This format is designed to meet the competing demands of keeping the volume both comprehensive
and current. Each chapter addresses a specific class of neurological disease such as headache (Dewey K. Ziegler and Rchard W. Murrow) or a diagnostic modality like evoked potentials (Keith H. Chiappa and Prasanna Jayakarj. The breadth
of the volume is exemplified by chapters on neurological
rehabilitation (Joel S. Feigenson) and ethical issues in neurology (James L. Bernat), subjeccs that are often neglected in
less comprehensive works. The text falls short of being encyclopedic, however, as little attention is paid to some topics
like sleep disorders or sequelae of radiation therapy that do
not fit cleanly into one of the chapter headings. Other topics,
such as acquired immunodeficiency syndrome, are mentioned in several different chapters but do not receive a cohesive discussion.
The majority of the 66 chapters have been revised since
1988. Eleven of these were updated in 1992, including “Clinical Electromyography” by Bhagwan T. Shahani and Didier
Cros, “Drug Dependence” by John C. M. Brust, “Inborn
Metabolic Errors Affecting the Nervous System” by Kenneth
F. Swaiman and Glen Breningstall, “Neurologic Aspects of
Endocrine Disturbances” by A. Bernard Pleet and David J.
Saphier, and “Neuroepidemiology” by John F. Kurtzke. Each
chapter presents a thorough review of the topic with exhaustive literature citations. For example, “Ischemic Cerebrovascular Disease” (Martin K. Robinson and James F. OToole,
1787) opens with concise reviews of stroke epidemiology
and cerebrovascular anatomy. Clinical syndromes affecting
the carotid and vertebrobasilar territories are addressed in
turn and include discussions of management options for patients with TIAs or carotid stenoses. The chapter briefly covers the use of magnetic resonance imaging (MRIj, ultrasound,
and angiography and closes with discussions of stroke rehabilitation and prophylaxis.
As m g h t be expected in a volume of this nature, some of
the oldest chapters are less useful. “Intracranial Neoplasms
(1974)”does not describe modern classification ofgliomas or
focused cranial irradiation. Neither “Intracranial Neoplasms”
nor “Spinal Cord Tumors and Disks (1975)” discuss the use
of computed tomography or MRI in the evaluation of these
disorders. These omissions are addressed in part in a separate
chapter on neuroradiology (William A. Wagle, 1990),which
includes several dozen excellent quality reproductions of
high-resolution MRI and digital subtraction angiography. The
neuroradiology chapter also largely supersedes an earlier
chapter on MRI (1788), which suffers from images that are
of inferior quality by present standards. Like previous editions, the 1972 edition opens with a current therapy chapter,
which briefly describes the prevailing approaches to a wide
range of clinical problems. Although this chapter is perhaps
overambitious in scope, it does provide the reader with an
extensive and up-to-date reading list for each topic.
The volume generally succeeds as a current and comprehensive reference. Practitioners will find the text useful and
convenient as a first source. The extensive literature citations
make the volume particularly valuable to residents and students, for whom the reviews presented by each chapter provide a valuable context for assessment of the primary literature. With the annual chapter updates, Clinical Neurology can
serve as a comprehensive reference that stays abreast of advances in the field.
Raymond A. Swanson. MD
San Francisco, CA
Post-viral Fatigue Syndrome
Edited by Rachel Jenkins and James F . Mowbray
Chicbester,John Wiley, 1991
463 pp, $137.50
Chronic Fatigue Syndrome
Edited by David M . Dawson and Thomas D. Sabin
Boston. Little, Brown, 1993
240 pp, illustrated, $65.00
Copyright Q 1994 by the American Neurological Association
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low, illustrated, evaluation, disorder, management, 832, little, 1993, 165, phillip, clinical, autonomic, edited, brown, boston
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