Arbinda Mukherjee: IAN Textbook of Neurology
Correspondence Address: Source of Support: None, Conflict of Interest: None DOI: 10.4103/0028-3886.241396
Source of Support: None, Conflict of Interest: None
Editor : Arabinda Mukherjee
Associate Editors : Kalyan B. Bhattacharyya, Gagandeep Singh
Publishers : Jaypee Brothers Medical Publishers (P) Ltd
Year of publication : July, 2018
Total number of pages : 902
Cost : Rs. 3245
ISBN : 978.93.5270.179.7
Neurology as a subject has fascinated clinicians with its varied spectrum of symptoms and disorders, many of which remain treatable. With the advancement of science and technology, there is an information overload, with new avenues being explored constantly. Keeping in touch with changing information becomes a herculean task, and this is where an updated textbook of neurology finds a place on the desk of practicing neurologists.
The IAN Textbook of Neurology has been written by 190 Indian authors, all of whom are experts in their respective fields. They hail from all over the Indian subcontinent, with some settled overseas. This hard-bound book has 111 chapters, which have been divided into 12 sections, each dealing with a major sub-specialization of neurology and edited by prominent Indian neurologists.
Section 1: Headache
It starts with a lucid approach to a patient with headache. It has self-explanatory tables and an elaborate diagnostic algorithm for primary headaches. Primary and secondary headaches have been extensively described, as have facial pain, neuralgias and the current headache classification.
Section 2: Neuroinfections
In India, meningoencephalitis is still a major cause of mortality and morbidity. Central nervous system tuberculosis, as well as viral, fungal and bacterial infections have been extensively described, and a rational syndromic approach to encephalitis management has been proposed in the 13th chapter, which could bring down management costs by 70% (erroneously printed as 90%). The discussion on meningoencephalitis remains incomplete without mention of parasitic diseases like malaria, spirochetal, rickettsial and retroviral diseases. Spinal tuberculosis should have been elucidated in greater detail, as it remains common even today.
Section 3: Stroke
This section is informative with regard to the approach to the diagnosis and management of ischemic and hemorrhagic stroke, and venous sinus thrombosis. However, cardioembolic stroke and newer oral anticoagulants have not been covered.
Section 4: Epilepsy
This section has been dealt with extensively and most topics of importance have been well covered. The approach to a patient presenting with seizure-like episodes and seizure semiology has been elucidated beautifully and would be of great use to new and practicing neurologists alike. Psychosocial issues in epilepsy patients is of prime importance, especially in a country like India. A chapter each on anti-epileptic drugs and epilepsy surgery completes the gamut.
Section 5: Movement disorders
This section has been written up extensively and is the only section which has devoted an entire chapter to the five “high priests” of movement disorders. The epidemiology of movement disorders in India is informative. Parkinson's disease and its management has been systematically approached. The hyperkinetic movement disorders have been given due importance as has stiff person syndrome and psychogenic movement disorders. The role of botulinum toxin and deep brain stimulation have also been elucidated.
Section 6: Central nervous system demyelination
This section has focused on neuromyelitis optica spectrum disorders and also contains a lucid chapter on secondary demyelinating disorders. Multiple sclerosis, however, has been approached only based on its Indian perspective and lacks neuroimages, which are the back-bone of its diagnosis. The focus on the pitfalls in the diagnosis of demyelinating diseases is refreshing.
Section 7: Dementia and Cognitive Disorders
The clinical approach to patients with dementia, delirium and aphasia is comprehensive. The neurobiology of aging has been elucidated very well. Alzheimer's disease, frontotemporal dementia, dementia with Lewy bodies, and inherited metabolic and vascular dementia have been extensively covered. The chapter on rapidly progressive dementias is elaborate and contains the oft-talked about autoimmune encephalitis.
Section 8: Neuromuscular disorders
This section begins with a comprehensive overview on peripheral neuropathy. The chapters on hereditary and acquired neuropathies, autonomic neuropathies and neuromuscular junction disorders have been well written. The approach to myopathy and muscular dystrophy is elaborate yet illuminating, with many clinical images which enhance comprehension. Anterior horn cell diseases have been dealt with in detail. Entire pictorial chapters on the interpretation of muscle and nerve histopathology, a chapter each on clinical electrophysiology and genetic testing completes the gamut of this extensive section on neuromuscular disorders.
Section 9: Neurotoxicology
This section is well written and begins with a comprehensive approach and has separate chapters devoted to encephalopathies, neuropathies, myelopathy and myopathies due to toxins.
Section 10: Neurorehabilitation
This section is extremely important for a neurologist, as modern medicine often saves lives without a care for dignity, and many of our patients have residual deficits, which hamper activities of daily living. The goals and outcomes of neurorehabilitation have been dealt with comprehensively, and the management of spasticity has been elucidated in prose and pictorially.
Section 11: Recent advances
This section covers burning issues like epigenetics and epigenomics, stem cells in neurology, novel drug delivery systems and the influence of gut microbiota on the brain. Newer modalities in neuroimaging have been elucidated.
Section 12: Miscellaneous
This section contains an important topic of iatrogenic neurological disorders, which is well written. The use of transcranial magnetic stimulation and biofeedback in neurology has been dealt with here.
Understandably, it is impossible to cover the entire spectrum of neurology within the span of a single book, but certain areas remain untouched. Sleep disorders, neurocutaneous syndromes, cerebral palsy and evaluation of mental retardation in children could have been included, as well as a chapter on brain death and its diagnostic criteria.
This book has many strengths. Though written by myriad clinicians, the editors have done a commendable job in maintaining its simple and lucid style, allowing easy reading. The accompanying figures, tables, boxes and flow-charts enhance reader comprehension. The paper quality is good and the colour coding at the beginning of chapters and the bottom of the pages makes it easy to differentiate between sections.
This book has combined the expertise of eminent neurologists from the Indian subcontinent with extensive information and is highly recommended reading for practicing neurologists as well as residents courting the nuances of this fascinating subject called neurology.