|Year : 2018 | Volume
| Issue : 4 | Page : 349
Clinical Neurology - Made Easy
Professor and Head, KIMS Hospital, Secundarabad, Telangana, India
|Date of Web Publication||2-Nov-2018|
Prof. Mohandas Surath
Professor and Head, KIMS Hospital, Secundarabad, Telangana
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Surath M. Clinical Neurology - Made Easy. Ann Indian Acad Neurol 2018;21:349
Editors : HV Srinivas
Language : English
Edition : First Edition-2018
Published by : Jaypee Brothers Medical Publishers (P) Ltd
Price : Rs 390
Pages : 199
ISBN-10 : 978-93-5270-251-0
“Tell me who your friends are and I will tell you who you are,” an often used sentence in the book, summarizes it fully. This book encourages to ask clinical questions and finds the answers by examination.
This book written by Dr. HV Srinivas, a good clinician and a passionate teacher for the past 35 years, has tried to simplify and methodically approach neurological problems.
In the introduction chapter, the author reiterates the fact to treat the patient as a whole, take relevant history, avoid investigations, and prescribe BARE ESSENTIAL DRUGS.
History taking is an art and its proper elicitation helps in diagnosis. Weakness should be described as the disability caused such as difficulty in mixing food rather than mentioning 2/5 power. Watching a disease unfold is a striptease show, a daring but apt comment. In difficult cases, we should reserve our judgment and wait as the disease unfolds.
Neurological examination can be finished in 10 min by being methodical and focused according to complaints. The author repeatedly uses the following sentence in the book, “Neurological examination needs 4 frontal lobes (two of examiner's and two of patient's),” so correct.
A step-wise diagnosis, neurological–anatomical–pathological–etiological, is helpful in solving even the toughest of the clinical cases.
Few cases are discussed which emphasizes the point.
The investigations should be done only if it helps in diagnosis and management.
One of the common problems is magnetic resonance imaging done showing small-vessel ischemic changes for which antiplatelets are initiated. Further proper requisition during investigation is needed to help the radiologist to give proper differential diagnosis.
From chapter 12–18, the author analysis common neurological problems starting from difficulty to talk and pins and needles, and continuously reminds the reader to have a broad differential diagnosis and not to forget nonneurological causes. In the 20th chapter, the author takes pains and suggests not to use the terms cervical and lumbar spondylosis and he equates them to balding of hair as a man ages. In the next chapter, the doctor has a brilliant analogy of dementia; he explains that dementia is a brain failure and is last to occur akin to a captain of a sinking ship. Especially in the history of dementia, take the history from a caretaker, not from a son living abroad. Finally, he suggests the brain is an APP, use it to keep it active.
The last three chapters are devoted to acute neurology with simple descriptive tables which will help a physician on any given day. We have many books on neurological diseases, but this simple book deals with outpatient department cases and various questions which crop up on managing patients. It is a valuable addition to physicians and neurology residents armamentarium.