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Companion to clinical neurology. By William Pryse-Phillips Boston Little Brown. 1995 1024 pp illustrated $99

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Evaluation and Treatment of Myopathies
By R. C. GriggJ. M D . J . R. Mettdell. M D .
and R. G. Miller. M D
Philade(phia. PA. F . A. Datis Co.. 1995
$ I35 .OO
This compact book, authored by experts in the field, presents
a valuable and up-to-date guide to the diagnosis and treatment of myopathies. Part I conta.ins chapters on the structure
and function of normal muscle a.nd on evaluation of patients
with myopathies. Part I1 considers the major categories of
muscle disease, and Part I1 deals with general strategies of
clinical management. The book is easy to read, the chapters
are elegantly illustrated with high-quality micrographs, many
in color, and the references provide good entry points into
the larger literature. The recent remarkable advances in myopathies are faithfully recorded. One cannot help but notice,
however, that these advances have not yet increased the ther;
apeutic repertoire for many categories of muscle disease. The
book will be appreciated by anyone in clinical practice, seeing
patients with muscle diseases.
Andreu, G. Engel>M D
Rochester. M N
chapters cover generalized and focal dystonic disorders and
discuss disorders of different etiologies. Unfortunately, however. the balance is often uneven. Of the eight chapters concerned especially with therapy, for example, five are focused
solely on botulinum toxin, the remaining three providing
some discussion of medical, surgical, and supportive aspects
of treatment. Again, dystonia caused by drugs is covered in
only 14 pages, whereas that caused by toxins receives almost
double this coverage even though it is encountered much
less often by the clinicians for whom this book is intended.
There are also some disappointing omissions that would
have enhanced the utility of the volume. For example, the
excellent chapter on secondary dystonias would be of even
more use to the busy clinician if complemented by a succinct
algorithm for the evaluation of dystonic patients of different
ages to identify any underlying primary pathology. Moreover, given its medicolegal implications, a critical analysis of
the possible relation of dystonia to preceding trauma should
surely have merited a chapter of its own in a work of this
sort. A more comprehensive account of the indications, role,
and morbidity of surgery using modern imaging and recording techniques would also have been helpful.
Despite these limitations, this book provides in-depth multifaceted coverage of an important topic by many recognized
authorities in the field, and a convenient summary from a
clinical perspective of recent advances in knowledge of dystonia. It will be a valuable reference source for anyone concerned with the diagnosis and management of patients with
dystonic disorders.
Companion to Clinical Neurology
By Wrlhani Pose-Phillips
Borton. Little. Rroum. 1995
1024 pp, illustrated, $99.95
Michael J . Amino#. M D . FRCP
San Francisco. C A
This extraordinary new work is a compendium of neurological information including definitions, terminology, eponyms,
classifications, and many clinical scales and tables. Dr PrysePhillips single-handedly (and with the aid of WordPerfect
and Reference Manager programs) has provided over 15,000
entries and 5,000 references! Both the common and obscure
topics of neurology are covered encompassing “some science,
some art, some history, some practical experience!” This
unique book serves as a ready and readable reference that
will be a great help to its readers. It has earned well a place
on the neurologist’s reference shelf. Moreover, it is both
interesting and fun to browse. Thank you Dr Pryse-Phillips!
Ethical Issues in Neurology
By James L. Bernat
Stoneham. MA, Butte~uorth-HeineTnann, 1995
364 p p
Robert A. Fishman, M D
San Francisco. CA
Handbook of Dystonia. Neurological Disease
and Therapy Series, No 39
Edited bj J . K . C . Tsui and D. B. Cahe
Neu’ I’ork. Marcel Dekker. 1995
469 p p , ilIustraIed. d 165 .OO
This volume, which consists of 25 chapters by 39 authors,
provides a review of all aspects of dystonia. The individual
Modern intensive care management of critically ill patients
has produced a unique set of ethical dilemmas. Frequently,
the question of if and when to withdraw medical treatment
is framed with a perceived lack of significant neurologic outcome. These questions fall squarely on the neurologist who
must provide quantitative or qualitative prognostic data to
help guide future delivery of patient care. More and more
the decision to withdraw support is based on medical futility,
a concept that is difficult to define and is often misused.
James Bernat provides the first comprehensive text of ethical concepts germane and specific to the practicing neurologist. This single-authored text achieves an excellent balance
by discussing and defining ethical concepts, by reviewing important case law, and by providing specific examples of ethical dilemmas. Dr Bernat draws upon his own clinical experience and contributes his own opinion on controversial areas.
Neurologists will find this book an important reference.
For example, the text includes concise definitions of brain
death and its determination, and the persistent vegetative
state. It reviews relevant ethical concepts pertaining to the
withdrawal of nutrition, hydration, and foregoing resuscita-
484 Copyright 0 1995 by the American Neurological Association
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1995, little, william, phillip, clinical, 1024, illustrated, neurology, pryse, brown, companion, boston
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