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Differential approaches in microsurgery of the brain. By Wolfgang Seeger New York Springer-Verlag 1985 414 pp illustrated $98

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September 1984. From the standpoint of an outside observer, one senses that the frequency of the problem, rather
than the incidence of new o r therapeutically valuable findings, stimulates the large number of symposia and colloquia
devoted to headache. Those working directly in the field
undoubtedly will find items of usefulness in this proceeding
which is divided into Clinical Neurophysiology, Pathogenesis, Cluster Headache, Nondrug Therapy, and Drug Therapy. Time will tell whether either the fundamental pathogenesis or any new dimension of treatment can be derived
from the data contained in these pages, although the volume
obviously will hold interest for those working in the field.
Orthostatic Hypotension
By Irwin J . Schatz
Philadelphia, F. A . Davis, 1986
146 pp, illustrated, $30.00
This is a predominantly clinical monograph, with most of the
material derived from observations drawn from the literature
to supplement the author’s bedside observations. Most neurologists will already be familiar with the contents of the
Differential Approaches in Microsurgery of the Brain
By WolfgangSeeger
New York, Springer-Verkzg, 1985
414 pp, illustrated, $98.00
The volume consists of a series of black-and-white line drawings illustrating how surgeons, using microsurgical instruments, can search for and identify structures lying deep in
the brain without producing considerable damage to overlying tissue in the approach. It will be attractive to the neurosurgical community.
Microneurosurgical Atlas
By Kenichiro Sugita
New York, Springer-Verlag, 1985
274 pp* ilhstrated, $245.00
Like Dr Ito’s volume, this is a beautifully presented atlas
of neurosurgical techniques, priced at a level that only
neurosurgeons can afford. I confess to having found Ito’s
illustrations somewhat more pleasing aesthetically and more
quickly understood than the artwork in this volume, but it
may be different in the eyes of those who have been there
288 Annals of Neurology
Vol 22
No 2
August 1987
before and seek to refresh their road maps and guides to
local changes.
Vascular Aphasia
ByJoseph M . Tonkonogy
Boston, The M I T Press, 1986
320 pp, illustrated, $30.00
D r Tonkonogy is a Soviet-trained behavioral neurologist
who was Chairman of the Department of Neurology at the
Bechterev Psychoneurological Institute in Leningrad before
coming to the United :States. He is now located at the VA
Medical Center in Northampton, Massachusetts. The volume provides descriptions of the classic aphasia syndromes,
anchored in a meticulous study of the ensuing neuropathology.
Stroke: A Critical Approach to Diagnosis, Treatment
and Management
By D . T . Wade, R. L. h!ewer, C. E. Skiibeck, and R. M . David
Chicago, Year Book Meh?icalPublishers, I985
3 77 pp, illustrated, $44.95
The authors are from Bristol, Newcastle-upon-Tyne, and
London, all in the United Kingdom. The book, as is often
true of British textboohs, is written in a declarative style with
a pleasing quality of getting directly to the point. The material also avoids a narrow view, is well referenced, and is
properly skeptical about present approaches to treatment as
well as the worthiness of the risks of excessive efforts at
diagnosis for its own sake. I found particularly useful chapters on topics that are seldom encountered in American textbooks. These comprise the largest part of the book and are
devoted to, respectively, Assessment of Stroke Patients, Recovery and Rehabilitation after Stroke, and Organizational
and Economic Aspects of Stroke Care. The information differs somewhat from that which applies in the United States
because of social and economic differences between our societies. Nevertheless, a wealth of dispassionately presented information is available, covering stroke outcome and management in many areas of the world. Furthermore, the text goes
on to make excellent concrete recommendations as to the
value of specific kinds of retraining, when to employ particular kinds of physical therapy, the relative value, if any, of
specific stroke units, and the quality and effectiveness of
aftercare. The volume deserves perusal by anyone responsible for the care of patients during the acute, convalescent,
and chronic phase of cerebrovascular disease. It well deserves the adjective “critical” in its title.
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414, wolfgang, approach, illustrated, brain, new, seeger, york, springer, microsurgery, differential, verlag, 1985
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