Diagnosis and Management of Peripheral Nerve Disorders, 2001 by Jerry R. Mendell, John T. Kissel, David R. Cornblath,

Diagnosis and Management of Peripheral Nerve Disorders, 2001



Download Diagnosis and Management of Peripheral Nerve Disorders, 2001




Diagnosis and Management of Peripheral Nerve Disorders, 2001 Jerry R. Mendell, John T. Kissel, David R. Cornblath,
Language: English
Page: 720
Format: chm
ISBN: 0195133013, 9780198030485
Publisher:

From The New England Journal of Medicine

Diagnosis and Management of Peripheral Nerve Disorders is the latest in the valuable Contemporary Neurology Series from Oxford University Press. Although multiple experts contributed to the book, the three editors helped to write all but 5 of its 31 chapters. Their stated purpose is ``to create a book that could be easily read from cover to cover [and] that touched on all the important aspects of individual neuropathies.'' In general, they have succeeded.

Part 1, which comprises the first eight chapters, describes the general approach to the patient with neuropathy, emphasizing the importance of history taking and physical examination, providing a general classification, and citing useful laboratory techniques. The limited applicability of nerve biopsy is appropriately emphasized. Chapter 3, which focuses on electrodiagnostic testing, is surprisingly brief, perhaps to avoid overlap with later chapters. Despite its brevity, a detailed case report is inserted. Here, and in many subsequent chapters, the space could have been better used for other purposes. Chapter 4 describes quantitative sensory and autonomic testing. Although the authors state that such testing provides ``an objective measure supporting a neuropathy,'' it is more apt to be useful in clinical trials than in clinical practice. Chapter 6, which describes testing for autoantibodies, is particularly helpful for its critique of the wasteful practice of ordering a battery of expensive antibody titers without appropriate rationale. Chapter 7 clearly delineates the value of nerve biopsy. The histologic images here, as elsewhere in the book, are well reproduced (whereas the few magnetic resonance images scattered throughout are less well rendered). The last chapter in this section, on painful peripheral neuropathies, is quite useful and made me wonder whether chapters on other general aspects of peripheral neuropathy (e.g., the management of trophic ulcers and the role of rehabilitation) should also have been included.

Part 2, which comprises the remaining three quarters of the book, deals with specific categories of neuropathy. The quality of individual chapters in most cases is very good. Particularly strong are the chapters on acute and chronic idiopathic polyneuropathies, peripheral neuropathies associated with connective-tissue diseases, neuropathies associated with monoclonal gammopathies, toxic neuropathies, diabetic neuropathies, neuropathies associated with human immunodeficiency virus infection, leprous neuropathy, and entrapment neuropathy.

A few choices of presentation were not optimal. For example, giant axonal neuropathy is grouped with hereditary motor and sensory neuropathies. The discussion of Dejerine-Sottas disease is too brief, leaving out, for example, the occurrence of pupillary abnormalities in some children. The discussion of radiculopathy is not as detailed as is justified by the frequency of its involvement at this level of the peripheral nervous system. Disorders of enteric function, motor neurons, and motor axon terminals are neglected, even though some understanding of these disorders is important in the assessment of a patient with suspected neuropathy. The reference lists for the chapters are, in general, voluminous and useful, but in some instances they lack citations of the most recent literature.

Other, multivolume works on peripheral neuropathy are more definitive than this one, and the reader will need to look elsewhere to learn about diseases affecting other components of the neuromuscular system and to acquire a full understanding of electrodiagnosis. However, this book can certainly be read from cover to cover, as the authors hoped, and should prove very useful to neurologists who do not focus specifically on neuromuscular diseases, to trainees in neurology, and to internists and pediatricians.

David Pleasure, M.D.
Copyright © 2001 Massachusetts Medical Society. All rights reserved. The New England Journal of Medicine is a registered trademark of the MMS.

Review


"This book can certainly be read cover to cover, as the authors hoped, and should prove very useful to neurologists who do not focus specifically on neuromuscular diseases, to trainees in neurology, and to internists and pediatricians."--New England Journal of Medicine


"...the present volume, with its emphasis on a practical approach to the evaluation and management of patients with peripheral neuropathy should fill an important role and can be strongly recommended.--Muscle & NerveFebruary 2002


"...a useful reference...the additional clinical insight gained will fortify one's skill as a neurologist and provide ample maerial with which to teach students."--Journal of Neurosurgery


"...the stated purpose of this work is to fill the pressing need for a thorough yet accessible source on peripheral neuropathies. It succeeded splendidly...This comprehensive, readable text should prove to be the primary peripheral nerve resource employed by residents, fellows, and general neurologists, in addition to experts in neuromuscular diseases...a wonderful book."-- Neurology


"Another excellent text in the Contemporary Neurology series. The contributors and editors are to be congratulated on producing a comprehensive and up-to-date textbook which is eminently readable. The text is interspersed with informative tables, good quality clinical and histological photographs and exceptionally clear line drawings and illustrations...a definite must for the neurology departmental library...the most up-to-date text on peripheral neuropathies. It will be well used."--"Brain, December 2002


"In summary, this is an excellent monograph which highlights the many advances that have been made in understanding, diagnosis and management of peripheral nerve disease in the past decade. When asked by neurology residents or non-subspecialist colleagues what single book they should read cover to cover on the topic of peripheral neruropathy, I will indicate that this is the one."--The Canadian Journal of Neurological Sciences


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