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Doody's Review ServiceReviewer: David O. Staats, MD (University of Oklahoma Health Sciences Center)
Description: This is the third edition of a multiauthored textbook of neurology in old age. It replaces the second edition of 1994.
Purpose: Its purpose is to provide a strong clinical guide for neurologists treating older persons. This is a worthy goal and the authors accomplish it handily.
Audience: The audience is primarily neurologists and neurological trainees, but geriatricians and internists who encounter neurological disease in older persons will find much of use in this book. Physicians in home care and long-term care also will appreciate this book.
Features: The 55 chapters are divided into eight sections, including an introduction, neurological assessment, cognitive disorders, motor disorders, sensory disorders, peripheral neurology in aging, disease states (seizures, stoke, head injury, a subtle chapter on language in the elderly, tumors, sleep, headache, shingles, normal pressure hydrocephalus, and others), and therapeutics. End-of-life issues have been added to this edition, and extensive updates on cognition and dementia have been incorporated.
Assessment: This is an excellent book from start to finish. Some diseases are discussed in more than one chapter — that's okay. For example, the clinical description may be in one and the EEG findings in another, but the index makes both easy to find. The chapters on language and how exercise enhances cognition are very forward looking. The intellectual tone is refined and elegant (quoting Longfellow and Charcot) and always adds to the understanding. The new material in this third edition is well thought through. You will derive much from using this excellent book.