Overview

This is the second edition of an introductory clinical neurology textbook written for students, hospital medical officers, neurologists in training, non-neurologist's and those that teach them. It contains the principles of clinical neurology that were relevant 100 years ago and will still be relevant in 100 years. It contains novel approaches to clinical neurology. The nervous system is likened to a map grid with meridians of longitude (the two ascending sensory and the one descending motor pathways) and the parallels of latitude, (the dermatomes, myotomes, reflexes, brainstem cranial nerves and the cortical signs). This enables accurate localisation. It contains 3 rules that enable the diagnosis of brainstem strokes (the rule of 4) and every peripheral nerve or nerve root problem in the upper (the 5*3*5* rule) and the lower limbs (the 2*2*4 rule) without the need for detailed knowledge of neuroanatomy. There are numerous illustrations and tables that complement the text. The first 5 chapters cover neuroanatomy, the neurological history, examination of the limbs, the brainstem and cranial nerves, and the cerebral hemispheres. There is a unique chapter (6) that explains the diagnostic approach once the history and neurological examination have been performed. Subsequent chapters cover intermittent disturbances of neurological function (with a very unique approach dividing disturbances into those that call falls and those that do not cause falls either with and without impairment of consciousness), seizures and epilepsy, headache and facial pain, cerebral vascular, disease, common neck and arm problems, back pain and common leg problems, abnormal movements and difficulty walking and miscellaneous neurological disorders. The last chapter discusses retrieving information and keeping up to date. The appendices discuss the bedside assessment of cognitive function, benign focal seizures of childhood, new nomenclature and drugs for epilepsy, treatment of migraine, epidemiology and prevention of stroke, tissue plasminogen activator and clot retrieval, dysphagia screen, nerve conduction studies and EMG, diagnostic criteria for multiple sclerosis and treatment of Parkinson's. Finally, Professor Gates reprints his 3 hypothesis papers. Firstly, that hypertension is secondary to, not the cause of arteriorsclerosis with superimposed atherosclerosis. Secondly, that Meniere's disease is a sodium dependant potassium channelopathy and has nothing to do with endolymphatic hydrops. Thirdly, his insights into the management of Idiopathic Intracranial Hypertension (IIH), in particular the potential use of short-term drainage of CSF at very low pressure and resolution of IIH.

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9780645515602

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Reviews

"""..the next chapter entitled 'After the history and examination, what next?' ...I have not seen such an account before, and I strongly suspect it would have made a great difference to my own early years in neurology, and could do so for current and future generations ...l enjoyed this book, unexpectedly but thoroughly. lt is a joy to use, is I think genuinely useful. ...indeed I hesitantly suggest we may be seeing the birth of a new classic educational and training neurology textbook. I recommend it highly."" Professor Neil Scalding, Bristol UK ""A cure for neurophobia"" I have been looking for a good clinical neurology textbook to recommend to my students for several years now, Professor Peter Gates...has come up with a gem."" A/Professor Tissa Wijeratne Neurologist Melbourne Australia ""Clinical neurology: a primer by Peter Gates is a unique educational text. The chapter on neurological history presents one of the most cogent and useful discussions on diagnosis and clinical reasoning ...Dr Gates has somehow deconstructed what a neurologist does and laid this bare for us to see. The result is a text of enormous utility to medical students, post graduate students and importantly teachers of those students. Non-neurology clinicians would also find this text illuminating. lt makes neurology highly accessible"". A/Professor Michele Leech Rheumatologist Monash Medical School ""This book is the ultimate guide to neurology for people like me - who don't understand it, but need to know it! ... Chapters 1-3 really stood out for me, and, unlike other similar textbooks, these chapters were extremely well presented packed full of visual prompts and handy hints with a text that is easy to follow, read and understand."" Kane Guthrie, Nurse, Perth Australia ""I can confidently state that this is one of the brilliant books available about neurology, for everyone ranging from medical students to Neurologists and Neurosurgeons for higher studies as well for everyday reference."" Dr Ravi Ganepola, General Practitioner Perth Australia"

Author Information

Born 7th November 1951Graduated MBBS Melbourne University Victoria Australia 1975FRACP 1983FAAN 2001OAM 2022

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