Neurology is the broad field of clinical study of the nervous system. As a profession, it is a highly enjoyable endeavor that is a constant source of professional and personal enrichment. Through Principles of Neurology we have the privilege of continuing a tradition established 35 years ago by our esteemed teachers Dr. Raymond D. Adams and Dr. Maurice Victor. Our friend and colleague, Dr. Robert Brown, ably participated in the eighth edition, adding his expertise in the neurosciences, much to our benefit and that of the book.
Principles of Neurology originated from the chapters on neurological diseases in the first several editions of Harrison's Principles of Internal Medicine. The continued expansion of these sections by Adams and Victor, despite repeated commitments to shortening them, led an exasperated Tinsley Harrison to exclaim to Dr. Adams “....we'll have to change the name of the book to Principles of Internal Medicine and Details of Neurology.” Ray Adams wrote the entire first edition of the book in longhand during his summer vacation of 1975 in Lausanne and asked his highly regarded young colleague Maurice Victor to round out the manuscript over the following year. Adams and Victor attracted considerable attention by initiating a new style of pedagogy that emphasized the basic principles of neurology before introducing the disease entities.
While the enormous advances in imaging, genetics, molecular biology, and pharmacology have improved our capacity to diagnose and treat disorders of the nervous system, they have not reduced the necessity to understand certain basic principles of anatomy and physiology, to obtain the correct history, perform a capable neurological examination and to cohere them based on a body of clinical knowledge and experience. We continue the original structure of the book, re-affirming that comprehensive knowledge of clinical neurology is required to meet the challenge of this sophisticated specialty. We have also maintained personal authorship with the hope that a single voice will allow the reader to enjoy the experience of learning the field from two longtime practitioners in a manner similar to the way we learned it from the original authors and their colleagues.
In taking the responsibility of revising this book, we acknowledge that pedagogy in medicine has changed enormously to accommodate technical advances, particularly those in imaging. However, certain principles seem immutable and they derive from the traditional principles, virtues, and logic of medicine that dominate neurological thinking. Clinical neurology, being an applied science, depends on a set of heuristics that direct the clinician to the best diagnosis and therapeutic plan. This book provides an exposition of clinical material in an order that should allow the reader to obtain a comprehensive view of the field and at the same time appreciate the full breadth and depth of each disease of the nervous tissue. At the same time we have written the chapters on major diseases in a manner that allows the book to be used as a reference in depth.
Certainly, advances in neuroscience inform one's perspective on the nature of disease and produce a fuller appreciation of the manifestations in each patient. A case in point is the large number of previously inexplicable degenerative diseases that have yielded to scientific understanding on the levels of pathology, genetics, subcellular mechanisms, and neurochemistry. At the same time, therapeutic advances often precede basic understanding of disease and the neurologist has the duty to provide the best possible treatment at the time, even if science has not provided a full explanation or mechanism. Examples abound; we have an incomplete understanding of epilepsy, Parkinson disease and multiple sclerosis but many reasonably effective treatments have been devised. While the neurosciences are the instruments of advance in understanding disease, the work of clinical neurology is more pragmatic, yet it retains its own form of scholarship. Neurology is not simply a trade in relation to the sciences. Difficulty in mastering neurology derives from a need to combine considerable knowledge and personal experience with special skills of observation and disciplined thinking. Our goal is to present an assemblage of clinical knowledge, and we hope wisdom, rather than disembodied facts. The book contains information that should be the property of the well-educated physician at all levels, including the medical student, resident, practitioner and academic physician. The neurologist stands at the nexus of the study of the nervous system and includes many aspects of general medicine, psychiatry, neurosurgery, pain management, rehabilitation, ophthalmology, otolaryngology, anesthesiology, critical care and emergency medicine and Neurology serves as Medicine's spokesperson to society on matters such as mental capability, learning and teaching, aging and the brain, death, and disability. Therefore the breadth of Neurology has directed the liberal inclusion of material in the book.
Neurology, like internal medicine, has become increasingly subspecialized. Modern departments of neurology include divisions of stroke, epilepsy, movement disorders, sleep, neuromuscular disease, multiple sclerosis, pain and headache, otoneurology, neuro-ophthalmology, cognitive and behavioral neurology, critical care neurology, spinal disorders, neuro-infectious diseases, cancer neurology, and pediatric neurology. Yet, there is a need for all clinicians, including the subspecialist, to maintain a comprehensive understanding of the major categories of neurological diseases.
Principles of Neurology originated from the chapters on neurological diseases in the first several editions of Harrison's Principles of Internal Medicine. The continued expansion of these sections by Adams and Victor, despite repeated commitments to shortening them, led an exasperated Tinsley Harrison to exclaim to Dr. Adams “....we'll have to change the name of the book to Principles of Internal Medicine and Details of Neurology.” Ray Adams wrote the entire first edition of the book in longhand during his summer vacation of 1975 in Lausanne and asked his highly regarded young colleague Maurice Victor to round out the manuscript over the following year. Adams and Victor attracted considerable attention by initiating a new style of pedagogy that emphasized the basic principles of neurology before introducing the disease entities.
While the enormous advances in imaging, genetics, molecular biology, and pharmacology have improved our capacity to diagnose and treat disorders of the nervous system, they have not reduced the necessity to understand certain basic principles of anatomy and physiology, to obtain the correct history, perform a capable neurological examination and to cohere them based on a body of clinical knowledge and experience. We continue the original structure of the book, re-affirming that comprehensive knowledge of clinical neurology is required to meet the challenge of this sophisticated specialty. We have also maintained personal authorship with the hope that a single voice will allow the reader to enjoy the experience of learning the field from two longtime practitioners in a manner similar to the way we learned it from the original authors and their colleagues.In taking the responsibility of revising this book, we acknowledge that pedagogy in medicine has changed enormously to accommodate technical advances, particularly those in imaging. However, certain principles seem immutable and they derive from the traditional principles, virtues, and logic of medicine that dominate neurological thinking. Clinical neurology, being an applied science, depends on a set of heuristics that direct the clinician to the best diagnosis and therapeutic plan. This book provides an exposition of clinical material in an order that should allow the reader to obtain a comprehensive view of the field and at the same time appreciate the full breadth and depth of each disease of the nervous tissue. At the same time we have written the chapters on major diseases in a manner that allows the book to be used as a reference in depth.
Certainly, advances in neuroscience inform one's perspective on the nature of disease and produce a fuller appreciation of the manifestations in each patient. A case in point is the large number of previously inexplicable degenerative diseases that have yielded to scientific understanding on the levels of pathology, genetics, subcellular mechanisms, and neurochemistry. At the same time, therapeutic advances often precede basic understanding of disease and the neurologist has the duty to provide the best possible treatment at the time, even if science has not provided a full explanation or mechanism. Examples abound; we have an incomplete understanding of epilepsy, Parkinson disease and multiple sclerosis but many reasonably effective treatments have been devised. While the neurosciences are the instruments of advance in understanding disease, the work of clinical neurology is more pragmatic, yet it retains its own form of scholarship. Neurology is not simply a trade in relation to the sciences. Difficulty in mastering neurology derives from a need to combine considerable knowledge and personal experience with special skills of observation and disciplined thinking. Our goal is to present an assemblage of clinical knowledge, and we hope wisdom, rather than disembodied facts. The book contains information that should be the property of the well-educated physician at all levels, including the medical student, resident, practitioner and academic physician. The neurologist stands at the nexus of the study of the nervous system and includes many aspects of general medicine, psychiatry, neurosurgery, pain management, rehabilitation, ophthalmology, otolaryngology, anesthesiology, critical care and emergency medicine and Neurology serves as Medicine's spokesperson to society on matters such as mental capability, learning and teaching, aging and the brain, death, and disability. Therefore the breadth of Neurology has directed the liberal inclusion of material in the book.
Neurology, like internal medicine, has become increasingly subspecialized. Modern departments of neurology include divisions of stroke, epilepsy, movement disorders, sleep, neuromuscular disease, multiple sclerosis, pain and headache, otoneurology, neuro-ophthalmology, cognitive and behavioral neurology, critical care neurology, spinal disorders, neuro-infectious diseases, cancer neurology, and pediatric neurology. Yet, there is a need for all clinicians, including the subspecialist, to maintain a comprehensive understanding of the major categories of neurological diseases.
Adams and Victor's Principles of Neurology provides all the information you will need to confidently handle any neurologic problem, from disorders of motility, and derangements of intellect, behavior, and language, to the degenerative and neuromuscular diseases. Having this gold standard text on your reference shelf is like being able to consult with skilled clinicians on a daily basis. More than a compilation of facts, Adams and Victor's delivers expert insights not found in any other resource that help you understand every aspect of neurological disease.
Written in a conversational style, the text offers practical, yet in-depth, coverage of both common and rare illnesses. Adams and Victor's Principles of Neurology also includes timely, complete, and accessible treatment and clinical management strategies.
Book Features
- Balanced presentation of evidence-based research coupled with the perspectives and experience of world-renowned expert neurologists.
- Logical six-part organization reviews the clinical method, cardinal presentations, diseases of the central nervous system, diseases of the peripheral nervous system, and psychiatric disorders.
- A-to-Z coverage of cardinal manifestations, including disorders of the special senses; epilepsy and disorders of consciousness; disorders of energy, mood, autonomic, and endocrine functions; and neuromuscular, spinal cord, and psychiatric disease.
- Focus on symptoms, etiology, diagnosis, and treatment offers complete, practical guidance in clinical practice.
- Special section on growth, development, and aging related to neurologic disease presents the latest, cutting-edge research in this integral area.
Contents
Part 1 The clinical method of neurology
- Approach to the patient with neurologic disease
- Special techniques for neurologic diagnosis
Part 2 Cardinal manifestations of neurologic disease
- Motor paralysis
- Abnormalities of movement and posture due to disease of the basal ganglia
- Incoordination and other disorders of cerebellar function
- Tremor, myoclonus, focal dystonias, and tics
- Disorders of stance and gait
- Pain
- Other somatic sensation
- Headache and other craniofacial pains
- Pain in the back, neck, and extremities
- Disorders of smell and taste
- Disturbances of vision
- Disorders of ocular movement and pupillary function
- Deafness, dizziness, and disorders of equilibrium
- Epilepsy and other seizure disorders
- Coma and related disorders of consciousness
- Faintness and syncope
- Sleep and its abnormalities
- Delirium and other acute confusional states
- Dementia and the amnesic (Korsakoff) syndrome with comments on the neurology of intelligence and memory
- Neurologic disorders caused by lesions in particular parts of the cerebrum
- Disorders of speech and language
- Fatigue, asthenia, anxiety, and depressive reactions
- Limbic lobes and the neurology of emotion
- Disorders of the autonomic nervous system, respiration, and swallowing
- The hypothalamus and neuroendocrine disorders
Part 3 Growth and development of the nervous system and the neurology of aging
- Normal development and deviations in development of the nervous system
- The neurology of aging
Part 4 Major categories of neurologic disease
- Disturbances of cerebrospinal fluid and its circulation, including hydrocephalus, pseudotumor cerebri, and low-pressure syndromes
- Intracranial neoplasms and paraneoplastic disorders
- Infections of the nervous system (bacterial, fungal, spirochetal, parasitic) and sarcoidosis
- Viral infections of the nervous system, chronic meningitis, and prion diseases
- Cerebrovascular diseases
- Craniocerebral trauma
- Multiple sclerosis and allied demyelinative diseases
- The inherited metabolic diseases of the nervous system
- Developmental diseases of the nervous system
- Degenerative diseases of the nervous system
- The acquired metabolic disorders of the nervous system
- Diseases of the nervous system due to nutritional deficiency
- Alcohol and alcoholism
- Disorders of the nervous system due to drugs, toxins, and other chemical agents
Part 5 Diseases of spinal cord, peripheral nerve, and muscle
- Diseases of the spinal cord
- Electrophysiologic and laboratory aids in the diagnosis of neuromuscular disease
- Diseases of the peripheral nerves
- Diseases of the cranial nerves
- Principles of clinical myology : diagnosis and classification of diseases of muscle and neuromuscular junction
- The inflammatory myopathies
- The muscular dystrophies
- The metabolic and toxic myopathies
- The congenital neuromuscular disorders
- Myasthenia gravis and related disorders of the neuromuscular junction
- The periodic paralyses and hereditary, nondystrophic myotonias
- Disorders of muscle characterized by cramp, spasm, pain, and localized masses
Part 6 Psychiatric disorders
- The neuroses and personality disorders
- Reactive depression, endogenous depression, and manic-depressive disease
- The schizophrenias and paranoid states
Product Details
- Hardcover: 1572 pages
- Publisher: McGraw-Hill Professional; 9 edition (March 12, 2009)
- Language: English
- ISBN-10: 007149992X
- ISBN-13: 978-0071499927
- Product Dimensions: 11.1 x 8.8 x 2.4 inches
- Author: Allan Ropper, Martin Samuels
List Price: $165.00