Samuels and Ropper's Neurological CPCs from the New England Journal of Medicine

Overview

Samuels and Ropper's Neurological CPCs from the New England Journal of Medicine is a collection of clinicopathological cases (CPCs) authored by two of the most frequent discussors of the storied "Clinical Pathologic Conference" first introduced by Richard Cabot in the early 1900s and published in the "New England Journal of Medicine."

In one concise volume, the authors present 18 cases, assembled chronologically, that encompass the wider variety of neurologic conditions ...

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Overview

Samuels and Ropper's Neurological CPCs from the New England Journal of Medicine is a collection of clinicopathological cases (CPCs) authored by two of the most frequent discussors of the storied "Clinical Pathologic Conference" first introduced by Richard Cabot in the early 1900s and published in the "New England Journal of Medicine."

In one concise volume, the authors present 18 cases, assembled chronologically, that encompass the wider variety of neurologic conditions encountered by every resident and practicing clinician. Each case concludes with a modern perspective to bring the classic case in to a modern setting. These cases exemplify the traditional method of neurologic diagnosis and are the perfect catalyst with which to stimulate discussions with students and residents as well as a supplement to standardized course material.

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Editorial Reviews

From the Publisher
"Given the technological advances in neuroimaging, skillful history-taking and the importance of the neurological exam are becoming a lost art. Reflecting on the importance of these components in the process of evaluating a difficult clinical case is valuable to modern-day clinicians. The authors present an outstanding compilation of cases that effectively focus on their intended objectives."
— Maisha Robinson, MD, Doody's
From The Critics
Reviewer: Maisha Robinson, MD (Mayo Clinic Florida)
Description: Dr. Martin Samuels and Dr. Allan Ropper present 18 neurological clinicopathological cases (CPCs) that cover a broad range of neurological diagnoses. The presentations focus on the systematic process by which a final clinical diagnosis is determined, by analyzing the histories, neuroimaging, and laboratory results. Although this is a first edition, the authors state that it was inspired by a previous compilation of neurological CPCs by Dr. Edward Richardson.
Purpose: The purpose is to highlight the systematic approach by which clinicians use the history, laboratory studies, and neuroimaging to make a clinical diagnosis in a challenging case. Given the technological advances in neuroimaging, skillful history-taking and the importance of the neurological exam are becoming a lost art. Reflecting on the importance of these components in the process of evaluating a difficult clinical case is valuable to modern-day clinicians. The authors present an outstanding compilation of cases that effectively focus on their intended objectives.
Audience: The authors do not specify their intended audience, but the book should appeal to a wide range of readers, from medical students to senior faculty. The authors are world-renowned neurologists and among the most frequent discussants of neurological CPCs in The New England Journal of Medicine. They are authorities on the CPC format.
Features: Each chapter focuses on the process two great minds use to analyze subtle points of the history and exam, which lead them to systematically arrive at a final clinical diagnosis. The variety of cases and the masterful manner in which they discuss them is unparalleled. With a focus on the history, each case is arranged in a similar format, typical of the traditional NEJM style. The case presentation is followed by the writers' detailed discussion of the differential diagnoses, which often incorporates neuroimaging, didactic diagrams, summaries of the specific diseases considered, and the rationales supporting or arguing against their inclusion in the final clinical diagnosis. The pathological discussion follows, yielding an anatomical diagnosis. One of the unique features of the book is the "perspectives and updates" section that follows each case. In it, the commenting neurologist retrospectively reviews certain aspects of the case, often referring to the technological advances that have occurred since the case was initially written, and the knowledge that has accrued in the interim. The writers provide new insights as well as direct readers to references. There are a few typos in the book.
Assessment: I thoroughly enjoyed this book, and the authors' expertise certainly enhances it. Another case-based book, Fifty Neurological Cases From the Mayo Clinic, Noseworthy (Oxford University Press, 2004), is similar to this one in that it presents complex and challenging cases. However, its history, physical examination, and investigation sections are limited and there is no pathological correlation or multidisciplinary approach as there is in this one.
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Product Details

  • ISBN-13: 9780199927517
  • Publisher: Oxford University Press
  • Publication date: 11/16/2012
  • Pages: 354
  • Sales rank: 1,053,358
  • Product dimensions: 6.10 (w) x 9.20 (h) x 0.70 (d)

Meet the Author

Martin A. Samuels, MD, is the Founding Chair of the Department of Neurology at the Brigham and Women's Hospital and Professor of Neurology at Harvard Medical School in Boston, MA. He is board certified in both Internal Medicine and Neurology and his special interested is the interface between general medicine and neurology. Dr Samuels is the 2007 recipient of the H. Houston Merritt Award given by the American Academy of Neurology (AAN) for clinically relevant research and the 2006 recipient of the AB Baker Award for Lifetime Achievement in Neurologic Education.

Allan H. Ropper, MD, is one of the most well-known and respected clinical neurologists in the world. He is a Raymond D. Adams Distinguished Clinician and is the founder of modern neurological intensive care and the former Chair of Neurology at Tufts University Medical School. He has been the Executive Vice Chair of the Department of Neurology at Brigham and Women's Hospital since 2007. He serves as the associate editor for neurology for the New England Journal of Medicine, principal author of Principles of Neurology, and is the co-author of four editions of Adams and Victor's Principles of Neurology.

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Table of Contents

A 51 Year Old Man with Neck Pain (foramen magnum meningioma): CPC 19-1979

A 68 Year Old Man with a Gait Disorder (Paget disease with extramedullary hematopoiesis): CPC 23-1981

A 16 Year Old Boy with Confusion (parainfectious encephalopathy from mycoplasma): CPC 35-1981

A 63 Year Old Woman with Agitation and an Extrapyramidal Syndrome (multisystem atrophy): CPC 23-1983

A 29 Year Old Woman with Myalgia and Muscle Weakness (porphyria): CPC 39-1984

A 62 Year Old Man with Progressive Polyneuropathy (amyloidosis): CPC 26-1986

A 26 Year Old Woman with Dilated Cardiomyopathy and a Stroke (pheochromocytoma): CPC 15-1988

A 35 Year Old Man with Changed Mental Status and Multiple Intracerebral Lesions (neurosyphilis): CPC 32-1991

A 71 Year Old Man with a Rash, Muscle Weakness and Respiratory Failure (paraproteinemic neuropathy): CPC 21-1993

A 49 Year Old Man with an Intracranial Mass (primary central nervous system lymphoma): CPC 36-1994

An 18 Year Old Man with Headache, Ataxia and Slurred Speech (Q fever cellulitis): CPC 38-1996

A 43 Year Old Woman with Adult Respiratory Distress Syndrome (Rocky Mountain spotted fever): CPC 32-1997

A 74 Year Old Woman with Diarrhea and Fever Followed by Multiple Cranial Nerve Palsies (Campylobacter related Guillain-Barre syndrome): CPC 39-1999

A 31 Year Old Man with an Apparent Seizure and A Cerebral Lesion (schistosomiasis): CPC 21-2001

A 61 Year Old Man with Headache and Multiple Infarcts (Trousseau syndrome): CPC 31-2002

A 77 Year Old Man With Ear Pain, Difficulty Speaking and Altered Mental Status (otic bacterial meningitis): CPC 34-2007

A 49 Year Old Man with Peripheral Neuropathy and Ascites (POEMS syndrome): CPC 7-2010

A 54 Year Old Woman with Dizziness and Falls (pheochromocytoma): CPC 14-2010

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