About the Book
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The Manual of Neurologic Signs comprises of nearly 1000 videos demonstrating a wide variety of neurological signs including features such as abnormal eye movements, reflex changes, speech impairment, and disorders of movement and gait. These are the signs that one might expect to see in patients in the wards and clinics of a major teaching hospital. They were filmed in the main by two neurologists, one adult the other pediatric, so patients of all ages are included. The videos were made over a period of about 25 years and some cases capture the changes in signs as a disease progresses over the years. The reader is invited to view the video as though she or he were in the room observing the features that are demonstrated. There is no commentary, so readers can form their own opinion of what is going on. In case they miss something, there is a full written description of each video.
In addition to the videos, there is a description of the sign demonstrated, and a section on associated signs which should be looked for based in many cases on the anatomical features underlying the sign. In the Beware section, signs which might be confused with the one being demonstrated are discussed. There are extensive footnotes where historical aspects including the great clinicians of the past are discussed.
Manual of Neurologic Signs provides a unique opportunity to expand one's clinical experience and enhance one's ability to elicit and recognize most of the common neurological signs, as well as a few rarities.
Table of Contents:
· Introduction
· Higher Functions
o Apraxia
o Amnesia
o Frontal release
o Perseveration
o Speech disorders
o Cortical visual disorders
o Disconnection syndromes
· Movement Disorders
o Tremor
o Stereotypy
o Dystonia
o Parkinsonism (adult)
o Parkinsonism (paediatric)
o Chorea
o Myoclonus, Asterixis
o Restless Legs
o Tics
o Hemiballismus
o Associated movements
o Stiff man syndrome
o Paroxysmal movement disorders
o Athetosis
o Psychogenic jerks
· Eyes/Eye Movement
o Ptosis
o Eye movement disorders
o Nystagmus
o Vestibulo-ocular reflex
o Pupillary abnormalities
o Jaw winking
o Psychogenic disorders of vision
· Head and Neck
o Facial Weakness
o Tongue
o Palate
o Hemifacial Spasm
o Sternomastoid / Trapezius
o Voice
o Mixed cranial nerve lesions
· Epilepsy
o Seizures
o Introduction
o Overview
· Reflexes
o Babinski response
o Slow relaxing reflexes
o Hyper-reflexia
o Inverted supinator reflex
o Jaw jerk
o Developmental (primitive) reflexes
o Introduction
· Gait
o Introduction
o Gait in dystonia
o Gait in chorea
o Ataxic gaits
o Waddling gait
o Hemiparetic gait
o High stepping gait
o Spastic gait
o Frontal gait disorder
o Gait in Parkinsonism
o Childhood variants
o Toe walking
o Antalgic gait
o Psychogenic gait
· Cerebellar Disorders
o Cerebellar disorders
· Upper Motor Neurone Disorders
o Introduction
o Facial weakness
o Reflexes
o Spasticity
o Spastic gait
o Spastic dysarthria
o Clonus
o Hemiparesis
o Spastic ataxic gait
· Lower Motor Neurone Disorders
o Peripheral neuropathies
o Myopathies and dystrophies
o Introduction
o Anterior horn cell disorders
o Radiculopathies
o Plexopathies
o Mononeuropathies
o Neuromuscular junction disorders
o Tick paralysis
o Myotonia
o Fasciculations
o Myokymia
· Faces
o Faces
· Miscellaneous Signs
o Swollen uvula
o Tongue disorders
o Myoedema
o Swimming movements
o Parry-Romberg syndrome
o Synkinesis
o Narcolepsy / cataplexy
· Psychogenic Disorders
o Psychogenic gait
o Psychogenic tremor
o Psychogenic jerks
o Psychogenic seizures
o Psychogenic dystonia
o Psychogenic speech
o Introduction
o Psychogenic disorders of vision
· Skin Disorders
o Skin Disorders
About the Author :
John G. Morris, DM(Oxon), FRACP, FRCP, AM (Order of Australia), Emeritus Consultant, Westmead Hospital, and Clinical Professor, University of Sydney, Australia.
Padraic J. Grattan-Smith, MB, BS, MRCP (UK), FRACP, Clinical Associate Professor, Department of Neurology, University of Sydney, Australia.
Review :
"The material covered in this Manual is comprehensive and particularly rich...[and] the digital format allows readers to study a specific section in its entirety or to jump from one area to another for contrast and comparison. The authors state in their own introduction that they attempt to "demystify" the neurological examination, but in my view, their success is quite different, as their work in fact magnifies the wonderful mystery of neurology and
allows readers to enter into this mystifying world with comfort...In its unique format and breadth, it is a modern educational tool that provides information not otherwise available on the ever-evolving nuances
of phenomenology and the authors' personal and special techniques to use clinical signs to advance diagnostic accuracy. The authors provide archetypal examples, but also show much more complicated cases with difficult diagnoses."
-- Christopher G. Goetz, MD, Department of Neurology, Rush University Medical Center, Chicago, IL
"This monumental work on neurological signs...[is a] truly extraordinary addition to the neurological literature...The star turn is of course the 950 video clips, with descriptions of signs, tips, cases and footnotes...As a rule I am sparing in my use of superlatives, but this comprehensive work is quite remarkable - well-constructed and cross-referenced, and easy to navigate. It really is essential reading, watching and owning for every neurologist, whether
trainee or senior Professor. How I wish that such a guidebook had been available when I started my neurological career in the 1970s, but how delighted I am that I can use it to feast on the rich
semiology and history of our chosen speciality. Amazing! Bravo!"
-- Niall Quinn MA, MD, FRCP, FAAN, FANA, Emeritus Professor of Clinical Neurology, UCL Institute of Neurology and, Honorary Consultant Neurologist, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK
"The Manual of Neurological Signs is a real tour de force developed by the team of experienced clinicians and educators John Morris and Paddy Grattan Smith. The clinical histories have been accumulated during their distinguished careers encompassing the full range of neurological presentations. Their novel use of patient video format is easy to navigate, with a clear and logical layout. The Manual is a refreshing aid to complement standard
textbook presentations of neurological disease, and will be highly valued by clinicians deciphering neurological disease at the coal face."
-- Matthew Kiernan PhD, DSc, FRACP, Professor of Neurology, Prince of Wales Clinical School, Randwick, Sydney, NSW 2031, Australia; Senior Scientist, Neuroscience Research Australia; and Editor-in-Chief Journal of Neurology, Neurosurgery and Psychiatry
"Drs. John Morris and Paddy Gratton-Smith have produced a unique offering in their Manual of Neurological Signs. In recent years it has become commonplace for videotapes to be included on CDs published with textbooks and some publishers offer access to this type of material on their websites. However, none have provided such an extensive display of extremely well documented case material in such an easily accessible, intuitive format... In the
Manual of Neurologic Signs, Drs. Morris and Gratton-Smith have provided us with the next important advance in the long history of graphic depiction of neurology."
-- Anthony E. Lang OC, MD, FRCPC, FAAN, FCAHS, FRSC, Director, Division of Neurology and the Jack Clark Chair for Parkinson's Disease Research, University of Toronto; and Director of the Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital
