July 1980

Pediatric Neurosurgery

Author Affiliations



by Thomas H. Milhorat, 398 pp, Philadelphia, FA Davis Co, 1979.

Arch Surg. 1980;115(7):892. doi:10.1001/archsurg.1980.01380070078024

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In his preface, Dr Milhorat states that this book is intended to "provide an introduction to the neurosurgery of infancy and childhood for medical students, residents and clinicians involved with the care of pediatric patients." The author succeeds admirably in this purpose and particularly in the first several chapters, which cover neurological diagnosis, the diagnosis of increased intracranial pressure, trauma, and hydrocephalus. Dr Milhorat has made excellent use of case histories to illustrate some of the common pitfalls of diagnosis in these areas. In the section on trauma, he stressed the unreliability of normal skull roentgenograms in the diagnosis of extradural hematoma and properly emphasized the need in urgent situations to act on clinical rather than radiological criteria. If these two points alone are carried home to the pediatriciansand residents who see so many of these children either in the emergency room or in their offices, the author will be

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