Computed tomography of the head and spine

Computed tomography of the head and spine

564 Surg Neurol 1983;19:563-5 overwhelming majority of readers in this country. It is hoped that the authors will take the time to translate this bo...

105KB Sizes 2 Downloads 158 Views

564

Surg Neurol 1983;19:563-5

overwhelming majority of readers in this country. It is hoped that the authors will take the time to translate this book into English. I V A N CIRIC, M.D. Evanston, Illinois

Computed Tomography of the Head and Spine.

Book Reviews

Overall, most of the material is logically presented and most chapters are well-written. The concepts presented are imaginative and thought-provoking. The book contains useful information for both the basic scientist and the clinician. It will be especially helpful for those having particular interest in developmental neurology and the genetics of neurological disorders. E. STEVE R O A C H , M.D. Winston-Salem, N.C.

By H . N . Schnitzlein, P h . D . , E.W. H a r t l e y , P h . D . , F.R. M u r t a g h , M . D . , L. G r u n d y , M . D . , and J.T. F a r g h e r , M . D . 117 pp., $59.00. B a l t i m o r e and M u n i c h : U r b a n & S c h w a r z e n b e r g , 1982.

Head Injury. The idea which gave rise to this book may have been an acceptable one. It was designed to correlate anatomy and CT scans for the uninformed. For the medical student, resident, and young clinician a book of good quality designed along these lines might well have been useful. This book, however, is a disappointment. This is unfortunate at a time when comPuted tomography (CT) scanning is still expanding and is being used for new purposes such as stereotactic surgery. The aim of the authors was to present sections of the brain made in the same plane as the CT scans. Unfortunately, the reproductions of the CT scans are, for the most part, of such poor quality as to be almost useless. Many of them are so dark as to make the structures which should be seen difficult to distinguish. The title of the book is misleading. It is much more of an anatomical atlas than an atlas of CT scans. PAUL C. BUCY, M.D., Editor

Genetics of Neurological and Psychiatric Disorders. Association for Research in Nervous and Mental Disease Research Publications, Volume 60. S e y m o u r S. K e t y , Lewis P. R o w l a n d , R i c h a r d L. S i d m a n , and S t e v e n W . M a t t h y s s e , editors. 300 pp., $45.15. N e w Y o r k : R a v e n Press, 1983. The current knowledge of the genetic aspects of various neurological and psychiatric disorders is detailed in this book. Containing 18 chapters, the first third of the book details the genetics of nervous system development, while the last part of the book emphasizes the genetic aspects of specific clinical disorders. Included is the adoption studies which compare the incidence of various psychiatric disorders in adoptive and biological families. There is an excellent review of population genetics and a brief update of the current status of enzyme replacement therapy for inherited enzymatic defects. The first of the chapters on neuronal development is excellent and subsequent chapters on the dominafit ataxias and familial encephalopathies are quite interesting. A number of animal models for human genetic diseases are described. Most of the chapters are well-referenced and the book is well-indexed.

Paul R. C o o p e r , M . D . , e d i t o r . 412 pp., $49.00. B a l t i m o r e - L o n d o n : W i l l i a m and W i l k i n s , 1982. The importance of this subject matter to the health field is clearly evident in the first chapter. As stated by the editor, accidents are the fourth leading cause of death in the United States and the leading cause in those persons from 1 to 34 years of age. Head injury is responsible for 40% of these in general, and 6 2 % - 7 4 % of automobile-related deaths in particular, to say nothing of the countless persons disabled or the billions of dollars involved each year. The editor and his 24 contributors have endeavored to thoroughly cover this topic beginning with its epidemiology, and concluding with the prognosis and outcome of the survivors. In comprehensively detailing the subject matter, there are chapters very clinically oriented such as those dealing with the multiple-injury patient, his emergency care, and his radiographic evaluation. Subsequent chapters focus more on specific neurological lesions involving the neural tissue and its protective coverings. A balance of more research-oriented material is seen in the treatises on intracranial pressure and brain swelling. The discussion on gunshot wounds is made interesting with a review of some basic equations of energy transfer. Well-chosen photographs and concise graphics succinctly relay the important points to the reader whom the editor admits should primarily be the practicing neurosurgeon. The neurosurgeon, whether in general practice or in the academic field, will find some of the more recent information furnished in this book especially useful. None is better exemplified than the similarities and the differences in the approach to civilian versus military high-velocity gunshot wounds to the head. An example would concern the contemporary role of the computed tomography scan in the vigil for brain-abscess development in an area deep in the brain where a remote bone fragment might have originally been appropriately considered inaccessible. Other topics indispensable to the practice of neurosurgery in this decade include: an up-to-date discussion of the newer antibiotics probably unfamiliar to many physicians and their relevance to life-threatening central nervous system infections; differences between the pathologic anatomy and treatment in the pediatric and adult head injury populations; and current data regarding behavioral sequelae in the head-injured patient. Many neurosurgeons get caught up in the day-to-day, rather