This illustrated textbook combines neurology and neurosurgery and is designed for the clinical undergraduate and junior postgraduate student. It has an integrated approach presenting the medical and surgical aspects to neurological disease and problem solving. There is strong emphasis on presentation of specific problems in clinical practice. An ELBS/LPBB edition is available
Part 1 General approach to history and examination: nervous system;
concious level and assessment; higher cerebal function; cranial nerve
examination; upper limbs; trunk; lower limbs; posture and gait; the
unconcious patient. Part 2 Investigation of the central and peripheral
nervous system: skull X-ray; computerized tomography (CT) scanning; magnetic
resonance imaging (MRI); ultrasound; digital subtraction angiography (DSA);
radionuclide imaging; electroencephalography (EEG); intracranial pressure
monitoring; invoked potentials - visual, auditory and somatosensory; lumbar
puncture; electromyography/nerve conduction studies; neuro-otological tests.
Part 3 Clinical presentation, anatomical concepts and diagnostic approach:
headache; raised intracranial pressure; coma and impaired concious level;
transient loss of conciousness; confusional states and delirium; epilepsy;
disorders of sleep; higher cortical dysfunction; disorders of speech and
language; dementias; impairment of vision; disorders of smell; pupillary
disorders; diplopia - impaired ocular movement; disorders of gaze; facial
pain and sensory loss; deafness, tinnitus and vertigo; disorders of the lower
cranial nerves; cerebellar dysfunction; nystagmus; tremor; myoclonus;
disorders of stance and gait; limb weakness; sensory impairment; pain; muscle
pain; brain death. Part 4 Localized neurological disease and its management:
intracranial - head injury, chronic subdural haematoma, cerebrovascular
disease; intracranial tumours; intracranial abscess; movement disorders,
extrapyramidal system; hydrocephalus; benign intracranial hypertension;
developmental anomalies; stereotactic and psychosurgery; spinal cord and
roots - spinal cord and root compression, disc prolapse and spondylosis,
spinal trauma, vascular disease, spinal dysraphism; peripheral nerve and
muscle - polyneuropathies; plexus syndromes and mononeuropathies; the
autonomic nervous system; diseases of skeletal muscle; myasthenia gravis.
Part 5 Multifocal neurological disease and its management; infections;
demyelinating diseases; neurological complications of drugs and toxins;
metabolic encephalopathies; nutritional disorders; non-metastatic
manifestations of malignant disease; degenerative disorders; motor neuron
disease; the neurocutaneous syndromes.
