Description: When confronted with patients, we clinicians in clinical neurology or neurosurgery or any other specialty ask ourselves three questions: What is the diagnosis? What is the treatment medical or surgical? What is the prognosis? We deal with prognosis on a daily basis our patients and colleagues frequently request prognostic information. Prognostic information is also necessary for developing treatment protocols, for finding out the most cost-effective treatment, and for medical legal cases, where experts are asked to predict the future with reasonable medical probability. This book is a welcome compendium of neurological disorders discussed from the viewpoint of prognosis. This is an updated edition; the first edition was published in 1992.
Purpose: Information about prognosis is scattered among various sources. It is addressed to some extent in textbooks on neurology and neurosurgery. However, coverage is not always complete or well-referenced. Indeed for many diseases, it is difficult to find any systematic, comprehensive discussions of prognosis anywhere. Since there is no single reference on neurological disorders from this standpoint, the editors hope that the information contained in this book will help neurologists and neurosurgeons in their day-to-day practice. These are worthy objectives and the editors definitely meet them in this book.
Audience: According to the editors, this book is intended as a practical guide for neurologists and neurosurgeons who can use it on a daily basis as a reference source when discussing prognosis with patients and their families, colleagues, and other interested parties. I feel that it can be of interest to psychiatrists, internists, physiatrists, neuropsychologists, and attorneys as well.
Features: In the initial chapters, contributors discuss the ethical implications of prognosis and the psychological effects of different prognoses on patients. In subsequent chapters contributors deal with the natural history of a given disease and its subgroups. Clinical prediction rules and prognostic factors, as appropriate, are reviewed. The impact of medical and/or surgical therapy on the natural history of the disease are also discussed. The references at the end of each chapter are exhaustive and recent and the important literature is covered in the area being discussed. Prognosis of diseases encompassing all of neurology and neurosurgery are covered cerebrovascular, infectious, inflammatory, degenerative, traumatic, neoplastic, toxic-metabolic, neuromuscular, congenital, pain, cranial nerve and brainstem disorders to name a few.
Assessment: This is an excellent, single reference book on neurological disorders from the viewpoint of prognosis. The second edition is necessary, considering the significant improvements in the management of diseases and the publication of numerous outcome studies since 1992, when the first edition was published. This book is a definite must-read not only for all neurologists and neurosurgeons but also all clinicians who deal with prognosis in patients with neurologic disorders.