by Roger P. Simon, MD, Michael J. Aminoff, MD, FRCP, and David A. Greenberg, MD, PhD, 384 pp, with illus, $39.95, East Norwalk, Conn, Appleton & Lange, 1999.
The clinical practice of neurology retains a hands-on, patient-oriented character, even with the tremendous advances in neurobiology and neurodiagnostics. The fourth edition of Clinical Neurology is a useful guide for the practicing neurologist and a wonderful teaching tool for medical students and neurology residents. The authors have updated the chapters with new data on the neurobiology and treatments of neurologic diseases.
The chapters are structured according to main clinical neurologic syndromes, and the authors integrate the clinical presentation, neuroanatomy and pathophysiology, neurobiology and genetics, diagnostic approach, and therapy in a concise, yet comprehensive, manner. The chapters 9 ("Seizures and Syncope") and 11 ("Coma") could have been discussed under the heading "Disorders of Consciousness" (as in chapters 1 and 2); however, these are important syndromes, and this distinction is probably the reason for the separate chapters. The illustrations are well done, and the neuroimaging photographs are easy to view. The tables are more difficult to read because of the blue background; however, their content is appropriate and informative. The appendices are extremely useful, and they are a wonderful review of the neurologic examination.
Clinical Neurology, 4th ed. Arch Neurol. 2000;57(3):421-422. doi: