E-Book Overview
A brand new edition of Essential Neurology brings the text fully up–to–date. This book is a core text for medical students and junior doctors, who want a comprehensive yet concise practical guide to clinical neurology.To make the book more readable and digestible, we have introduced colour into the text. This text provides clear explanations of the most common neurological and neurosurgical disorders. The most up–to–date clinical methods are covered to ensure students are learning the newest techniques. To enhance the readers’ understanding of this subject more illustrations, line drawings and scans are incorporated into the text.Another new addition is the inclusion of clinical cases with self–assessment questions at the end of every chapter. These help to clearly illustrate the clinical presentations of key neurological disorders.
E-Book Content
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Essential Neurology
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Dedication To both Biddies with love
FOURTH EDITION
Essential Neurology Iain Wilkinson BSc, MD, MA, FRCP Formerly Consultant Neurologist Addenbrooke’s Hospital Cambridge and Fellow of Wolfson College and Associate Lecturer University of Cambridge Medical School
Graham Lennox BA FRCP Consultant Neurologist Addenbrooke’s Hospital Cambridge and West Suffolk Hospital Bury St Edmunds
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© 2005 by Blackwell Publishing Ltd Blackwell Publishing, Inc., 350 Main Street, Malden, Massachusetts 02148-5020, USA Blackwell Publishing Ltd, 9600 Garsington Road, Oxford OX4 2DQ, UK Blackwell Publishing Asia Pty Ltd, 550 Swanston Street, Carlton, Victoria 3053, Australia The right of the Author to be identified as the Author of this Work has been asserted in accordance with the Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. First published 1988 Reprinted 1989, 1992 Four Dragons edition 1989 Reprinted 1992 Second edition 1993 Reprinted 1994, 1995, 1996
Four Dragons edition 1993 Reprinted 1994, 1997, 1998 Third edition 1999 Reprinted 2000, 2001, 2002, 2004 Fourth edition 2005
Library of Congress Cataloging-in-Publication Data Wilkinson, I.M.S. Essential neurology / Iain Wilkinson, Graham Lennox.—4th ed. p. ; cm. Includes bibliographical references and index. ISBN-13: 978-1-4051-1867-5 ISBN-10: 1-4051-1867-9 1. Neurology. 2. Nervous system—Diseases. [DNLM: 1. Nervous System Diseases. WL 140 W686e 2005] I. Lennox, Graham. II. Title. RC346.W55 2005 616.8—dc22
2004019636
ISBN-13: 978-1-4051-1867-5 ISBN-10: 1-4051-1867-9 A catalogue record for this title is available from the British Library Set in 9.25 on 12 pt Palatino by SNP Best-set Typesetter Ltd., Hong Kong Printed and bound in India by Replika Press Pvt, Ltd, Kundli Commissioning Editor: Vicki Noyes Editorial Assistant: Nicola Ulyatt Development Editor: Lorna Hind Production Controller: Kate Charman For further information on Blackwell Publishing, visit our website: http://www.blackwellpublishing.com The publisher’s policy is to use permanent paper from mills that operate a sustainable forestry policy, and which has been manufactured from pulp processed using acid-free and elementary chlorine-free practices. Furthermore, the publisher ensures that the text paper and cover board used have met acceptable environmental accreditation standards.
Contents
Preface to the fourth edition, vii Preface to the first edition, viii Acknowledgements, ix Abbreviations, x 1 Clinical skills, physical signs and anatomy, 1 2 Stroke, 25 3 Brain tumour, 40 4 Head injury, 55 5 Parkinsonism, invol