Wilkinson. Essential Neurology 2005

© 2005 by Blackwell Publishing Ltd

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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.

ISBN-13: 978-1-4051-1867-5

ISBN-10: 1-4051-1867-9

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Contents

Preface to the fourth edition, vii

Preface to the first edition, viii

Acknowledgements, ix

Abbreviations, x

1Clinical skills, physical signs and anatomy, 1

2Stroke, 25

3Brain tumour, 40

4Head injury, 55

5Parkinsonism, involuntary movements and ataxia, 67

6Paraplegia, 83

7Multiple sclerosis, 99

8Cranial nerve disorders, 111

9Nerve root, nerve plexus and peripheral nerve lesions, 137

10Motor neurone disease, peripheral neuropathy, myasthenia gravis and muscle disease, 155

11Unconsciousness, 175

12Epilepsy, 192

13Headache and facial pain, 213

14Dementia, 224

15Infections of the nervous system, 238 Answers to case histories, 255 Index, 269

v

Preface to

the fourth edition

The three previous editions of this book were written by only one of us. The addition of a younger and enthusiastic second author has undoubtedly improved the book. It is more accurate and thoroughly modern. Both authors have been singleminded in their intention to present, clearly and concisely, that neurology and neurosurgery which is required by medical students at the time of graduation.

The revision of diagrams, use of colour, clarification of text, and inclusion of illustrative case histories have all helped, but it is the authors’ discipline to adhere closely to the title of the book, Essential Neurology, which makes them hope that the textbook remains helpful to its readers.

I.W. and G.L.

vii

Preface to

the first edition

Excellent textbooks of neurology already exist, which deal with the subject in a detailed and comprehensive manner. This is not what the majority of clinical medical students require.

In writing this textbook, I have been preoccupied with the following questions:

•Have I kept to basic principles?

•Have I made each topic as easy as possible to understand, both in the text and in the diagrams?

•Have I omitted all unnecessary detail?

There is no section in the book specifically dedicated to ‘How

to examine the nervous system’. I believe each student has to learn this by apprenticeship to clinical neurologists in the ward and in the clinic.

Every effort has been made to ensure that this book lives up to its name, in setting out clearly all that the student needs to know about the common neurological and neurosurgical conditions.

I.W.

viii

Acknowledgements

We both want to acknowledge the very great help of Drs N. Antoun and J. Gillard in preparation of the neuroradiological images.

ix