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Tanagho, EA. and Schmidt, R.A. (1982b) Bladder pacemaker. scientific

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E. MARAN, MD

~ep~l~~~~t of Physiology Leiden University Hospital

Leiden. The Netherlands

~~i~n~~~ ~e~i~~e~~r Nerven: ~i~gn~stik uad T~~~~~~~, 6th edition (in German), by Marco Mumenthaier and Hans Schliack (editors), (with contributions by Heinz Goerke, Hans-Peter Ludin, Claus Meier, Hermann Miller-Vah~, Marco ~umenthaler, Algimentas Narakas, Robert Schenk and Hans Schliack), 1993, Georg Thieme Verlag, Stuttgart-New York, 432 pages, DM 198.00, ISBN 3-13-380206-Z.

A period of 6 years has elapsed since the 5th (German) edition of ~urnen~al~r’s and Schliack’s “Peripheral Nerve Lesions” (trans-

lated into English in 1991) appeared. This authoritative text en- compasses all aspects of peripheral nerve disease and constitutes

an update of the subject, and new chapters have been inclttded, such as HIV infection. The book is essentially divided into 2 sections. The general section deals with ~lllb~oiogy, al~atoll3y of

the peripheral nerve, histopatholo~y, physiology of nerve and muscle, electrodiagnosis, pathogenesis of isolated lesions of peripheral nerves and therapeutic guidelines. In the special section chapters on lesions of the cervicobrachial plexus, lumbosacral plexus, individual nerves in shoulder/arm and leg are superbly described, starting with the anatomy, then depicting the cliaicai features, causes of lesions, and, where possible, tr~~neI~t. The sections are very well illustrated with handy schematic drawings,

surveyable tables, clarifying the neurological problem at a glance.

Many chapters are absorbing reading and, in my opinion, this book is con1pu1sory reading and belongs in all teaching hospital libraries for medicai students and residents. It is also an extremely useful text for those running a busy out-pat~eI~t practice, and all neurologists should have a copy on their desk.

The book is of high quality, and the price is reasonable. Many

R.I!M. I~KI;YN. MI) Department of Neurology.

Oudenrytr Hospital,

Utrecht, I‘he Netherlands

13eftavioral ~eu~of~~, by Orrin Devinsky. 1993. Edward Arnold, Sevenoaks, UK, f24.50

The driving force of &his first volume of the “100 Maxims in Ne~ology” series is “localisatton of the lesion“. The book has been written for the practising physician. It is Intended to be an Introduction into behavloral neurology. Its orgamsiny prlnclples are the issues of diagnosis and therapy. In order to write tiu?. review, 1 tried the practicality of’ the ti)rmulu and 01‘ the Infonnatlon

presented on topics such as amnesia, dementia, epilepsy and mute- ment disorders. The volume gloriously stood the test. F;ctctwl

Ili~onnatioI~ IS presented succinctly, ~(~Iitroversiality ol’concepts Ifpresent is discussed clearly and the arrangement ofthr maxnns IS well thought out.

On a few-- .more spectlically neuropsychologrcal. ponns 1 would advocate a more carefully balanced apprarsal. It is not only the training and bias of the psy~llologist, nor the setting or reason for referral, that explains discrepancy of interpretations based 01) one and the same test score (p. 12). One of the Intrrguing aspects of neuropsychology is the Intrinsic variability of the expression 01’ brain damage Into cogtnt~ve brhav~our. Hence, one and the same neuropsychologist, for exactly smular re~sonb rxaminmg two patients having exactly snnilarly caused and tcient~cltlly localrsed cerebral damage, and findmg exactly snnilar raw scores in one and the saint: test. may be obliged to &air ~~~~~tr~st~~l~ inferences li)l

the IWO patlents. depending on UTerences III thetr nrdivldual

biographies. Also, 111 the tuble tndtcatmg rletlrup~Ycholvgrca1 ,~ncl behavioural tests @. i 3- 16), st%fstIi\ ttics of SOIIIC tests ttr fi.ont;i~

lobe dys~n~tlo1~ are specified; it is il~stI~~clent1~ known thar these

tests (the Wjs~oi~s1~1 Card Sorttn, 1% and the Woirt f3uency test ilre examples) are sensitive IO nonfrontal brain damage .IS well and that

they may result ni entnely rlorn~~l stoles 0~11 111 iionrall! damaged pntlents. l~t1rIhermore. 111 Ihe Jl;rgnoslic stage. Ilit’ clinlclan should be aware of the bcr thar test pr~fonnarus nq

reflect other variables than cerebral damage. such ;th tlztict~tlt coping.