Movement Disorders

Movement Disorders

Mayo Clin Proc, August 1992, Vol 67 BOOK REVIEWS 815 clinicians keep the value of laboratory testing in perspective. Chapters on electroencephalogr...

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Mayo Clin Proc, August 1992, Vol 67

BOOK REVIEWS

815

clinicians keep the value of laboratory testing in perspective. Chapters on electroencephalography, evoked potentials, electromyography, neuropsychology, and neuroimaging provide basic introductory material on these disciplines. The related clinical neurosciences of neuroepidemiology, neurogenetics, neuroimmunology, neurovirology, neuroendocrinology, neuro-ophthalmology, neuro-otology, and neurourology are reviewed in the third part. These chapters offer practicing physicians superb background information for interpreting articles in journals of neurology or related fields. The fourth part of the text, "The Principles of Neurologic Management," contains chapters on neuropharmacology, neurosurgery, neurologic disability, and special problems of newborns, pregnant patients, and elderly persons. Because of the geriatric emphasis in most adult-patient neurologic practices, the well-written chapter on the neurologic problems in elderly persons should be especially helpful. The final part, entitled "The Neurologic Diseases," could be an independent textbook on neurology. This section retains the traditional method of dividing neurologic diseases into etiologic categories. Each chapter, written by an acknowledged expert in the field, contains a state-of-the-art review. The concern of the editors for practicing neurologists is evident in the fact that vascular disease, anoxic encephalopathy, and dementia receive heavy emphasis, a reflection of their importance in a general neurologic practice. The material on regional neurology provides an international scope. Residents in neurology will find that this book is an essential companion to their training. Practicing neurologists will want to refer to .these volumes often. Any group of physicians who encounter numerous patients with neurologic problems should have this text in their library. Priced at $225, the book necessitates a substantial investment but, like good wine, should age well through the years.

The text appropriately begins with basic coverage of the normal anatomic and physiologic features of movement and the pharmacologic influence on movement. Pathogenic mechanisms are addressed, and the clinical and electrophysiologic phenomena of disordered movement are defined. Then the book rapidly proceeds to scientifically oriented topics, such as positron emission tomography, other neuroimaging methods, and electrophysiologic measures. Regrettably, the clinical usefulness of these methods is unclear. A transition is then made from focused clinical concerns, such as ocular motor disturbances and movement disorders of sleep, to topics of wide clinical appeal. This material includes discussions of parkinsonism, myoclonus, dystonia, essential tremor, progressive supranuclear palsy, paroxysmal movement disorders, Gilles de la Tourette' s syndrome, drug-induced dyskinesias, and hemiballismus. In somewhat circular fashion, the book ends with an unavoidably tedious although undoubtedly important review of ventilatory disturbances in movement disorders. Overall, the text fulfills its ambitious purpose. It addresses a wide audience; thus, few readers will be satisfied with all the material. For generalists, a videotape supplement of the various phenomena and disorders covered would have been invaluable. Several illustrations are of marginal quality, and a few are poorly reproduced. Some discussions are not current, and the exciting new contributions of molecular biology, for example, received only scant mention. Other reviews were perhaps premature; they focused on clinical entities with inadequately defined nosology. Overall, the chapters are well written, and extensive and useful references are provided. I commend Chokroverty and colleagues for their efforts. In general, this book is informative and would be an excellent addition to medical reference libraries.

Joseph Y. Matsumoto, M.D. Department of Neurology

Demetrius M. Maraganore, M.D. Department of Neurology

Movement Disorders, edited by Sudhansu Chokroverty, 398 pp, with illus, $75, 3176 Pullman Street, Suite 104, Costa Mesa, CA 92626, PMA Publishing, 1990

Bone Tumors: Diagnosis, Treatment, and Prognosis, 2nd ed, by Andrew G. Huvos, 784 pp, with illus, $125, Philadelphia, W. B. Saunders Company, 1991

In this book, the editor and contributing authors attempt to clarify movement disorders, a subject that has baffled, fascinated, and perhaps intimidated readers in all medical fields. The intended purpose is stated clearly-not to be a comprehensive textbook but rather to be a review of selected subjects of current interest and new understanding. The editor hopes to appeal to both subspecialists and generalists. Therefore, chapters range from highly technical discussions of relatively obscure topics to basic reviews of common clinical problems.

This book addresses the clinical manifestations, imaging, biopsy, and definitive treatment of common bone tumors, including benign and malignant primary tumors, as well as bone tumor simulators. It is written by a pathologist who has extensive experience in musculoskeletal pathology, and specifically oncology, at Memorial Sloan-Kettering Cancer Center in New York. Because Dr. Huvos recognizes the need for a multidisciplinary approach in the diagnostic and therapeutic aspects of