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Walsh and Hoyt's Clinical Neuro-Ophthalmology
http://www.100md.com 《新英格兰医药杂志》
     Nearly every neuro-ophthalmolgist owns at least one edition of Walsh and Hoyt's Clinical Neuro-Ophthalmology. Throughout the years, appropriate descriptors have included encyclopedic, exhaustive, authoritative, comprehensive, and up to date. The editors and more than 60 contributing authors continue this tradition with the sixth edition of this book.

    Written and edited by some of the leading authorities in neuro-ophthalmology, each section provides a historical perspective, an extensive exposition of clinical features including personal observations about the topic under discussion, diagnostic approaches, and suggestions for treatment. Volume I covers disorders of the visual system, eye movements, pupils, eyelids, and headache. The scope of this volume extends beyond topics related only to the eye. Volume II is devoted to tumors of the nervous system, the phacomatoses (multiple hamartomas of the central and peripheral nervous system, eye, skin, and viscera), and vascular disorders. Volume III encompasses degenerative, metabolic, inflammatory, and demyelinating diseases. The section on infections of neuro-ophthalmic significance is outstanding. It alone could serve as a separate book.

    The editors have reduced the size of the book from the five volumes of the fifth edition to a more manageable three, trimming approximately 2000 pages without a noticeable decline in quality. They eliminated 11 chapters by incorporating their content into related chapters. The number of references at the end of each chapter is staggering. The list for most chapters consists of 400 to 700 references, but the lists for the chapters on viruses and bacteria have more than 2000 each. Although computerized search engines easily identify articles from 1950 to the present, Walsh and Hoyt's Clinical Neuro-Ophthalmology includes references to older, pertinent literature, and the value cannot be overstated.

    No book or set of books is perfect. Unfortunately, this book has only black-and-white figures, but they include an impressive collection illustrating even the rarest of disorders. For a book consisting of such a prodigious number of topics, I feel that a more extensive, cross-referenced index would have been more helpful. For instance, the index lists oculopharyngeal muscular dystrophy under "muscular dystrophies." If readers choose to search under "oculopharyngeal muscular dystrophy," they will not find a listing or cross-reference. A minor irritation is that the page numbers are not listed on the outside of each volume. When I tried to look at page 2430, I initially pulled Volume III, which begins at page 2469.

    At 3573 pages, Walsh and Hoyt's Clinical Neuro-Ophthalmology represents an outstanding book and an essential reference for anyone interested in the field. It covers every aspect of neuro-ophthalmology that I chose to look up. Neurologists, neurosurgeons, and ophthalmologists will definitely benefit from this book. I hope that one day the publisher will issue an electronic version on CD-ROM to facilitate searching this vast resource of neuro-ophthalmology.

    Michael S. Lee, M.D.

    Cleveland Clinic Foundation

    Cleveland, OH 44195

    leem4@ccf.org(Sixth edition. Edited by )