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Show f. Clin. Neuw-ophth.l1nwl. 2: 270, 10~2. Neuro-ophthalmology 1982-Volume 2, Edited by 5. Lessell ,md I.T.W. Y,m 1),1 len. NCIV Yl1rJ.., E/~C\'jt'r Nl1rth-HolI.1l7d, Inc, [08:!.. $88.25. This bllll" is the sel"l'nd vl,lun1l' in ,I sVrles dl'si~l1('d tll prllVide tlw re,lder with ,1n llVerview of the n('url)-llphth,llnll,ll'~ic,ll liter,ltun' in one vl,lunH'. The h\'ll edilllr" h,lVe el11ployed 35 Cl'ntributllrs Il' pr"duce .1 bl'l'" I,f 27 ch.lpters .1Ild ,1 tot.ll llf JJS p.l~es. Ithin" it is .1 useful bllll" to h,lve in one's libr,lry, p.lrticul.Hlv If 11Ile is interested in nl'uro-llphthaln1l1! l1~v. There .1IT, llllVillusly, points with which .1n\'I)I1\' \\'Iluld ,I~ree .1I1d ,1bo those with which one \\',~uld dis,l~ree. 511l11e useful points emph.lsized in the bllll" with which I ,1gree ,He helpful to the c1inici,1I1 l11i~ht be em ph.lsized here: I. Un p.lge 7, it is pllinted llut th,lt the trial of !llng-st.lnding pllor visilln, .:Icquired optociliary shunt vessels, .lnd optic .ltrophy with blurred disc margins is not specific for optic nerve sheath meningiom. ls. but c.:ln be the end result of long-standing papilledema as well. 2. A good update on papillophlebitis is seen on pages Sand Q. 3. In a somewhat aCJdemic chapter on optic neuritis (page 20), it is indicJted that some pJtients with demyelinJting optic neuropJthy state they can see more clearly in a dimly lit environment than in bright sunlight: Several patients volunteered this, and found that thei I' vision in strong sunlight was improved by tinted spectacles. Dr. John Costin told me of a patient with optic neuritis who thought their vision was improved by wearing red-tinted glasses' 4. I certainly agree with the statement on page 22 that in visual field testing, "Frequently, the longer the testing period, the more anom.:llous the results." 5. Dr. Kennerdell has had two central retinal artery occlusions in operating on eight patients with optic nerve sheath meningiom.l, alld this loss of all vision in 25% of these operations is ,Ill important figure to have available whell con"idering this form of surgery, evcn in the be"t h.1I1d" (page 36). 6. I agree with Dr. Behrens recommend.ltion of getting a CT scan in all cases of optic nerve hypt>plasia, particularly when bilater.ll (p.:lge 43). 7. The proponents of vertical cupping .IS ,1 disc sign of glaucoma appear to have b.lcked down .1 bit in its significance or at least frequency of llCcurrence, as noted on page 54. 8. An important question to ,15k p.ltients whcll testing their vision is, "Which end of the linc is December 1982 Book Review clc.Her, l'r ,1rl' they both about the same'" (page N~). This is ,I good W,ly to pick up patients who prefer only thl' n.ls.11 letters on the line (as seen in bitempor.11 field defect", for example). q. I .Igree with Dr. UlenbergE'r'" comment on p.lges 83 and 84, th.lt t'lIlgE'nt screE'n visual fields ,Ire often vpry helpful. I havl' SE'en over six cases recE'ntly, with field defects the significance of which W.:lS missl'd on rE'peated Coldmann kinetic perimetry th<1t was evident on a careful tangE'nt SUl'l'n examination. It certainly is true that central fiE'ld defects are easier to find at ] and 2 meters (or morel) than at I;. of a meter' 10. I think the statement that "sparing of the (temporal) crescent results in very incongruous visual field defects which contrast with the usual congruous hemianopias resulting from posterior lesions" deserves clarification (page 97). A few reports of "incongruity" in occipital lobe lesions are explained, to my mind, as "pseudo-incongruity" due to the sparing of the monocular temporal crescent (or some portion of it) in one eye, plus the perimetric artefact due to the Riddoch phenomenon. ] 1. I didn't know that schizophrenics have abnormal smooth-pursuit eye movements (page 104)-03 gem picked up from this volume' Rather than go on and on, it should be fair to point out some points on the other side of the fence. The chapter on cerebral asymmetries (Chapter 8) really left me unimpressed with anatomic differences between the left .md right hemispheres. Such statements that "gross morphological asymmetries in the region of the anterior speech area have also been sought, but the results have been conflicting." and "Indeed, another more recent study, which took into ,lCcount the extent of the buri~d cortex, finds the opposite result" (p.lge 110), le.lYe me with thl' impressil)n th,lt this point has not bel'n fin.llly C'st.lblished. The st.ltement l)n p.lge 114, "It shouid be notl'd, hOlVever, th.ll recent stud iE'S of computerized tonwgr.ll11s in ,1dults .md childrE'n ... f.liled to disck)se ,my Cllrrel.1tion betweE'n thl' r,ldiologil'.ll asymmetry .lnd handedness... " is .1 furtlll'r point in this reg.Hd. There .He (wt .my pictures in the bl)O" (there are fivc figures in Ch,lpter 2l) th,lt must be cited), but th,lt prl1b,lbly is ll",ly fllr .1 liter,lturE' review sitU.ltion. In the 1.lst .m.llysis, (thin" this is .1 gOl)d book, .1I1d I wl'ldd rl'l'lll11n~end it hlr till' libr.lry of doctors inll'restl'd in neuro-llphth.llmology. I certainly wlluld Illlt s,ly ,1I1ything tl)O b.ld .lbout it .1Ilyway; .If!er .111, Dr. Lessell is such .1 dose friend of mine' Th,lt LId nlltwithst.1I1ding, it really is worthwhile' I L. Sl11ith, M.D. 279 |
