English | 2023 | Converted PDF | 520 MB | 614 Pages
Peter C Gates
ISBNs: 0645515604, 9780645515619, 9780645515602, 978-0645515619, 978-0645515602, B0CKYB7YF9
This
is the second edition of an introductory clinical neurology textbook
written for students, hospital medical officers, neurologists in
training, non-neurologist's and those that teach them. It contains the
principles of clinical neurology that were relevant 100 years ago and
will still be relevant in 100 years. It contains novel approaches to
clinical neurology. The nervous system is likened to a map grid with
meridians of longitude (the two ascending sensory and the one descending
motor pathways) and the parallels of latitude, (the dermatomes,
myotomes, reflexes, brainstem cranial nerves and the cortical signs).
This enables accurate localisation.
It contains 3
rules that enable the diagnosis of brainstem strokes (the rule of 4) and
every peripheral nerve or nerve root problem in the upper (the 5*3*5*
rule) and the lower limbs (the 2*2*4 rule) without the need for detailed
knowledge of neuroanatomy.
There are numerous illustrations and tables that complement the text.
The
first 5 chapters cover neuroanatomy, the neurological history,
examination of the limbs, the brainstem and cranial nerves, and the
cerebral hemispheres. There is a unique chapter (6) that explains the
diagnostic approach once the history and neurological examination have
been performed. Subsequent chapters cover intermittent disturbances of
neurological function (with a very unique approach dividing disturbances
into those that call falls and those that do not cause falls either
with and without impairment of consciousness), seizures and epilepsy,
headache and facial pain, cerebral vascular, disease, common neck and
arm problems, back pain and common leg problems, abnormal movements and
difficulty walking and miscellaneous neurological disorders. The last
chapter discusses retrieving information and keeping up to date.
The
appendices discuss the bedside assessment of cognitive function, benign
focal seizures of childhood, new nomenclature and drugs for epilepsy,
treatment of migraine, epidemiology and prevention of stroke, tissue
plasminogen activator and clot retrieval, dysphagia screen, nerve
conduction studies and EMG, diagnostic criteria for multiple sclerosis
and treatment of Parkinson's.
Finally, Professor
Gates reprints his 3 hypothesis papers. Firstly, that hypertension is
secondary to, not the cause of arteriorsclerosis with superimposed
atherosclerosis. Secondly, that Meniere's disease is a sodium dependant
potassium channelopathy and has nothing to do with endolymphatic
hydrops. Thirdly, his insights into the management of Idiopathic
Intracranial Hypertension (IIH), in particular the potential use of
short-term drainage of CSF at very low pressure and resolution of IIH.
