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November 23, 1970

The Diagnosis and Treatment of Diseases Affecting the Nervous System

Author Affiliations

Temple University Philadelphia

JAMA. 1970;214(8):1567. doi:10.1001/jama.1970.03180080147042

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There is no dearth of textbooks on neurology, and the author of a new text must attempt a specific approach, in order to make his opus palatable.

Dr. Frederick Lees, consultant neurologist to the Chelmsford and Colchester Hospitals, in Essex, England, hopes to address himself in his two-volume work to "general practitioners, students and other nonspecialists." He believes that "the rarefied atmosphere of an academic department" is "a far cry from the rough and tumble of the diagnosis of unselected or only partly selected patients." His approach is indeed novel: Part 1 of the work comprises a list of more than 120 symptoms, such as "tender scalp" or "painful muscle cramps," and in each instance the differential diagnosis is elaborated. Part 2 discusses physical signs, and supplements part 1. It also considers investigative approaches to patients with neurological disorders.

Part 3 is a description of neurological disease entities, and is