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Pathology of perinatal brain injury
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Disorders of the Facial Nerve: Anatomy, Diagnosis, and Management. M a l c o l m D. G r a h a m , W i l l i a m F. H o u s e , editors. 552 pp., 254 illustrations, $63.00. N e w Y o r k : R a v e n Press, 1982.
This volume contains the reports of "Eminent clinicians and basic researchers from around the world . . . . " who gathered at the Fourth International Symposium on Surgery of the Facial Nerve hosted by the House Ear Institute, Los Angeles, California, in September 1980. The 143 authors of 81 articles (including 21 abstracts) represent a cross section of disciplines concerned with pathology of the facial nerve with an emphasis on the otologic viewpoint. As in any multiauthored collection, the articles vary in style, content, and depth. The editors have grouped the papers into 11 broad chapters, which helps direct the reader to individual articles of interest. A complete, cross-referenced subject index further adds to the volume's value as a reference work. Most bibliographies are current to 1980. In addition to a major section on Bell's palsy, a large proportion of the other clinical, basic research, and anatomic papers also deal with that entity. The etiology remains elusive, quantitation of deficit remains nonuniform, and treatment remains controversial. Numerous articles deal with specific diseases and surgical procedures that place the facial nerve at risk for injury. The evidence presented indicates that an intraoperative nerve transection should be repaired primarily to achieve the best result. Combined neurosurgical and otologic expertise may be necessary in some instances. Numerous cases of major facial paralysis still present to the surgeon for late reconstruction. The first effort should include a major facial reneurotization. This usually means a facial-tohypoglossal nerve anastomosis, which reliably restores resting symmetry and mid-facial voluntary motion at the cost of a tolerable deficit. A variety of adjunctive procedures, when applied in a timely, stepwise fashion, can substantially diminish both the degree and duration of disability. In summary, Disorders of the Facial Nerve will be of most interest to otolaryngologists, especially those treating pathology of the temporal bone and facial nerve. As hemifacial spasm receives little attention in this volume, those seeking a detailed discussion of that topic will have to look elsewhere. Though only those neurosurgeons with a special interest in this area will purchase this book, it contains valuable information on the subjects of surgical anatomy, diagnostic testing and reconstructive surgery related to the common problem of dysfunction of the facial nerve. Every medical center where otologic and neurosurgical procedures are performed should add this volume to its library. ROBERT COFFEY, M.D. ALBERT L. R H O T O N , JR., M.D. University of Florida Department of Neurosurgery
Book Reviews
Pathology of Perinatal Brain Injury. Lucy Balian R o r k e . 146 pp., $15.00. N e w Y o r k : R a v e n Press, 1982. This small, well-written, and excellently illustrated volume deals comprehensively with injuries to the brain acquired in utero and in the neonatal period. Overwhelming emphasis is on anoxic-ischemic factors in the pathogenesis of these lesions, but the author is at least aware that other mechanisms and agents may play a role in the genesis of the morphologic changes. She emphasizes that in many instances the cause of the injuries can only be surmised for want of supporting clinical and physiologic data. Neurosurgeons may perhaps find this book less relevant to their practice than will pathologists and pediatricians, but all who are involved with neuroscience can benefit from its study. H.M.. Z I M M E R M A N , M.D. Bronx, New York
Electroencephalography. Basic Principles, Clinical Applications and Related Fields. E. N i e d e r m e y e r , F. L o p e s da Silva. $88.00. B a l t i m o r e : U r b a n & S c h w a r z e n b e r g , 1982. The authors have undertaken the difficult task of providing an in-depth comprehensive text of electroencephalography and related areas. With the aid of a large group of international contributors they were able to systematically cover every area of this discipline in 49 clearly written, well-referenced chapters. The structure of the text is impeccable, allowing specific information to be easily retrieved with the aid of well-chosen chapters and a complete index. The numerous illustrations are well placed, of good quality, and clearly explained. The initial chapters deal extensively with the basic principles and technical aspects of electroencephalography. The section on clinical electroencephalography is organized in a classical fashion beginning with the normal electroencephalogram followed by individual chapters on each of the multiple clinical entities known to affect the electroencephalogram. The number of chapters in this section is rather extensive, at times resulting in some overlap of information. Other times the need for a separate chapter seems hardly justified in view of the rather limited specific information that can be extracted strictly from the point of view of the electroencephalogram. The final portion of the text provides separate reviews of the different related areas of clinical electroencephalography such as depth electroencephalography, electrocorticography, polygraphy and sleep recordings, event-related potentials, and the different computer-assisted techniques for electroencephalogram diagnosis. The most remarkable aspect of this book is the completeness with which it covers the field of electroencephalography, practically no area has been left out. In contrast to this corn-
Disorders of the Facial Nerve: Anatomy, Diagnosis, and Management. M a l c o l m D. G r a h a m , W i l l i a m F. H o u s e , editors. 552 pp., 254 illustrations, $63.00. N e w Y o r k : R a v e n Press, 1982.
This volume contains the reports of "Eminent clinicians and basic researchers from around the world . . . . " who gathered at the Fourth International Symposium on Surgery of the Facial Nerve hosted by the House Ear Institute, Los Angeles, California, in September 1980. The 143 authors of 81 articles (including 21 abstracts) represent a cross section of disciplines concerned with pathology of the facial nerve with an emphasis on the otologic viewpoint. As in any multiauthored collection, the articles vary in style, content, and depth. The editors have grouped the papers into 11 broad chapters, which helps direct the reader to individual articles of interest. A complete, cross-referenced subject index further adds to the volume's value as a reference work. Most bibliographies are current to 1980. In addition to a major section on Bell's palsy, a large proportion of the other clinical, basic research, and anatomic papers also deal with that entity. The etiology remains elusive, quantitation of deficit remains nonuniform, and treatment remains controversial. Numerous articles deal with specific diseases and surgical procedures that place the facial nerve at risk for injury. The evidence presented indicates that an intraoperative nerve transection should be repaired primarily to achieve the best result. Combined neurosurgical and otologic expertise may be necessary in some instances. Numerous cases of major facial paralysis still present to the surgeon for late reconstruction. The first effort should include a major facial reneurotization. This usually means a facial-tohypoglossal nerve anastomosis, which reliably restores resting symmetry and mid-facial voluntary motion at the cost of a tolerable deficit. A variety of adjunctive procedures, when applied in a timely, stepwise fashion, can substantially diminish both the degree and duration of disability. In summary, Disorders of the Facial Nerve will be of most interest to otolaryngologists, especially those treating pathology of the temporal bone and facial nerve. As hemifacial spasm receives little attention in this volume, those seeking a detailed discussion of that topic will have to look elsewhere. Though only those neurosurgeons with a special interest in this area will purchase this book, it contains valuable information on the subjects of surgical anatomy, diagnostic testing and reconstructive surgery related to the common problem of dysfunction of the facial nerve. Every medical center where otologic and neurosurgical procedures are performed should add this volume to its library. ROBERT COFFEY, M.D. ALBERT L. R H O T O N , JR., M.D. University of Florida Department of Neurosurgery
Book Reviews
Pathology of Perinatal Brain Injury. Lucy Balian R o r k e . 146 pp., $15.00. N e w Y o r k : R a v e n Press, 1982. This small, well-written, and excellently illustrated volume deals comprehensively with injuries to the brain acquired in utero and in the neonatal period. Overwhelming emphasis is on anoxic-ischemic factors in the pathogenesis of these lesions, but the author is at least aware that other mechanisms and agents may play a role in the genesis of the morphologic changes. She emphasizes that in many instances the cause of the injuries can only be surmised for want of supporting clinical and physiologic data. Neurosurgeons may perhaps find this book less relevant to their practice than will pathologists and pediatricians, but all who are involved with neuroscience can benefit from its study. H.M.. Z I M M E R M A N , M.D. Bronx, New York
Electroencephalography. Basic Principles, Clinical Applications and Related Fields. E. N i e d e r m e y e r , F. L o p e s da Silva. $88.00. B a l t i m o r e : U r b a n & S c h w a r z e n b e r g , 1982. The authors have undertaken the difficult task of providing an in-depth comprehensive text of electroencephalography and related areas. With the aid of a large group of international contributors they were able to systematically cover every area of this discipline in 49 clearly written, well-referenced chapters. The structure of the text is impeccable, allowing specific information to be easily retrieved with the aid of well-chosen chapters and a complete index. The numerous illustrations are well placed, of good quality, and clearly explained. The initial chapters deal extensively with the basic principles and technical aspects of electroencephalography. The section on clinical electroencephalography is organized in a classical fashion beginning with the normal electroencephalogram followed by individual chapters on each of the multiple clinical entities known to affect the electroencephalogram. The number of chapters in this section is rather extensive, at times resulting in some overlap of information. Other times the need for a separate chapter seems hardly justified in view of the rather limited specific information that can be extracted strictly from the point of view of the electroencephalogram. The final portion of the text provides separate reviews of the different related areas of clinical electroencephalography such as depth electroencephalography, electrocorticography, polygraphy and sleep recordings, event-related potentials, and the different computer-assisted techniques for electroencephalogram diagnosis. The most remarkable aspect of this book is the completeness with which it covers the field of electroencephalography, practically no area has been left out. In contrast to this corn-