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Neurological Clinics
BOOK NOTICES
one of prime importance for purposes of treatment. This function can only be taught on the living. It is largely a question of comparison between the normal and paralytic; and, especially in the latter case, the knowledge of the action of the opponent muscles is particularly necessary. True paralysis of the muscular tissue is very rare, a loss of a part of the function of a muscle is on the other hand, common. There is only one true test of muscular function, the volitional test scientifically applied. In this book, 47 pages are given to the principles of muscular action; and the balance, up to 249 pages, to their practical application, with an extensive index of 18 pages in addition. Not only the diagnosis is well entered into, but the treatment with apparatus development and methods of reeducation, both of the injured muscles and of their assistants, are thoroughly discussed. This book is of great value to the general surgeon. H. V. W . NEUROLOGICAL CLINICS. Exercises in the Diagnosis of Diseases of the Nervous System, given at the Neurological Institute, New York, by the Staff of the First Division. Edited by Joseph Collins, M. D. New York. Paul B. Hoeber, 1918. Price $3.00. No longer is neurology practically limited, as it was at first, to the consideration of mental diseases and the paralyses. But it is now so closely associated with not only general medicine, but also with the specialties of ophthalmology and otology, that it behooves not only the general practitioner, but the eye and ear man to make himself thoroughly familiar with anything that may occur within the cranium, as well as those lesions and symptoms which are associated with the organs of special sense and with the body. This book is a collection of essays by a number of authors, being case histories selected from those presented by the First Division of the Neurological Institute at the biweekly conference,
693
care being taken to select those most likely to be encountered by the practitioner, but which he finds difficult to interpret and diagnosticate satisfactorily. In the 41 essays it is particularly interesting to the ophthalmologist to note that in a very large proportion of them, the diagnosis has been markedly assisted by the ocular findings. Even in certain cases of brain tumor where there has not been a choked disc, the other findings, of the pupillary reactions, the visual fields, the ocular muscles, etc., have been of diagnostic value. Of great interest is the essay on Myasthenia Gravis with photographs of patients showing their facial expression. All the essays are well written and make very interesting reading. H . V. W . I N T E R N A T I O N A L CLINICS, Series 28, Vol. 2. Edited by R. H. M. Landis, M. D., Philadelphia. 286 pages. Illustrated. Philadelphia and London, J. B. Lippincott Company; 1918. The sections of this volume of especial interest to the ophthalmologist a r e ' the Clinic by E. V. L. Brown, of Chicago, on "Focal Infection as a Cause of Keratitis and Iritis"; and "Primary Tuberculosis of the Conjunctiva," by Gaston E. Ayraud, surgeon to the Maritime Health Department, France. Brown's lecture is based on three cases of keratitis, two interstitial, one phlyctenular, and two of iritis. In four of them improvement had followed removal of the tonsils. H e also mentions another case in which unilateral interstitial keratitis occurred in a girl with a four plus Wassermann reaction. No improvement followed a month of inunctions and iodid. The tonsils were removed and in 2 or 3 days the eye had "improved marvelously," and was white and quiet in a week. Ayraud reports a case in which giant cells and tubercle bacilli were found, a few of the latter in the conjunctival tissue and many in the cheesy pus from an enlarged gland, altho the inoculation of a guinea pig gave a negative result. The patient was a boy of 8 who seemed
one of prime importance for purposes of treatment. This function can only be taught on the living. It is largely a question of comparison between the normal and paralytic; and, especially in the latter case, the knowledge of the action of the opponent muscles is particularly necessary. True paralysis of the muscular tissue is very rare, a loss of a part of the function of a muscle is on the other hand, common. There is only one true test of muscular function, the volitional test scientifically applied. In this book, 47 pages are given to the principles of muscular action; and the balance, up to 249 pages, to their practical application, with an extensive index of 18 pages in addition. Not only the diagnosis is well entered into, but the treatment with apparatus development and methods of reeducation, both of the injured muscles and of their assistants, are thoroughly discussed. This book is of great value to the general surgeon. H. V. W . NEUROLOGICAL CLINICS. Exercises in the Diagnosis of Diseases of the Nervous System, given at the Neurological Institute, New York, by the Staff of the First Division. Edited by Joseph Collins, M. D. New York. Paul B. Hoeber, 1918. Price $3.00. No longer is neurology practically limited, as it was at first, to the consideration of mental diseases and the paralyses. But it is now so closely associated with not only general medicine, but also with the specialties of ophthalmology and otology, that it behooves not only the general practitioner, but the eye and ear man to make himself thoroughly familiar with anything that may occur within the cranium, as well as those lesions and symptoms which are associated with the organs of special sense and with the body. This book is a collection of essays by a number of authors, being case histories selected from those presented by the First Division of the Neurological Institute at the biweekly conference,
693
care being taken to select those most likely to be encountered by the practitioner, but which he finds difficult to interpret and diagnosticate satisfactorily. In the 41 essays it is particularly interesting to the ophthalmologist to note that in a very large proportion of them, the diagnosis has been markedly assisted by the ocular findings. Even in certain cases of brain tumor where there has not been a choked disc, the other findings, of the pupillary reactions, the visual fields, the ocular muscles, etc., have been of diagnostic value. Of great interest is the essay on Myasthenia Gravis with photographs of patients showing their facial expression. All the essays are well written and make very interesting reading. H . V. W . I N T E R N A T I O N A L CLINICS, Series 28, Vol. 2. Edited by R. H. M. Landis, M. D., Philadelphia. 286 pages. Illustrated. Philadelphia and London, J. B. Lippincott Company; 1918. The sections of this volume of especial interest to the ophthalmologist a r e ' the Clinic by E. V. L. Brown, of Chicago, on "Focal Infection as a Cause of Keratitis and Iritis"; and "Primary Tuberculosis of the Conjunctiva," by Gaston E. Ayraud, surgeon to the Maritime Health Department, France. Brown's lecture is based on three cases of keratitis, two interstitial, one phlyctenular, and two of iritis. In four of them improvement had followed removal of the tonsils. H e also mentions another case in which unilateral interstitial keratitis occurred in a girl with a four plus Wassermann reaction. No improvement followed a month of inunctions and iodid. The tonsils were removed and in 2 or 3 days the eye had "improved marvelously," and was white and quiet in a week. Ayraud reports a case in which giant cells and tubercle bacilli were found, a few of the latter in the conjunctival tissue and many in the cheesy pus from an enlarged gland, altho the inoculation of a guinea pig gave a negative result. The patient was a boy of 8 who seemed