Focal Peripheral Neuropathies.The author presents a practical and functional approach to the clinical assessment of focal peripheral neuropathies Peripheral Neuropathy Definition The term peripheral neuropathy encompasses a wide range of disorders in which the nerves outside of the brain and spinal cord—peripheral nerves—have been damaged. . He emphasizes the value of correlating the physical assessment with the results of an electrophysiologic evaluation. The first chapter contains a well-organized description of peripheral neuroanatomy neuroanatomy /neu·ro·anat·o·my/ (-ah-nat´ah-me) anatomy of the nervous system. neu·ro·a·nat·o·my n. 1. The branch of anatomy that deals with the nervous system. 2. . In Chapters 2 through 4, the author presents an overview of the suspected mechanisms that cause focal peripheral neuropathies. The clinical value of the electrophysiologic evaluation in localizing or defining the extent of the lesion is emphasized and supported. The remaining 19 chapters systematically review common peripheral neuropathies such as nerve root, brachial plexus brachial plexus n. A network of nerves located in the neck and axilla, composed of the anterior branches of the lower four cervical and first two thoracic spinal nerves and supplying the chest, shoulder, and arm. , lumbosacral plexus Noun 1. lumbosacral plexus - a nerve plexus formed by the ventral divisions of the coccygeal and sacral and lumbar nerves; supplies the lower limbs and perineum and coccygeal area nerve plexus - a network of intersecting nerves , and focal peripheral neuropathies. The standard outline approach used in each chapter includes a review of neuroanatomy, neuropathology neuropathology /neu·ro·pa·thol·o·gy/ (-pah-thol´ah-je) pathology of diseases of the nervous system. neu·ro·pa·thol·o·gy n. The study of diseases of the nervous system. , clinical features of the neuropathy neuropathy Disorder of the peripheral nervous system. It may be genetic or acquired, progress quickly or slowly, involve motor, sensory, and/or autonomic (see autonomic nervous system) nerves, and affect only certain nerves or all of them. , clinical electrophysiologic evaluation procedures, clinical correlates, and clinical management. The brachial plexus chapter is especially noteworthy for its content and presentation. The author combines a tremendous amount of information on trauma, malignant invasion of the plexus, and radiation-induced plexopathy. The accompanying illustrations and figures are clear and concise. The clinical assessment techniques are presented in an intuitive and insightful way that illustrates the depth and breadth of the author's knowledge. His comments are consistently clear. The author does not present his broad-based clinical experiences and opinions consistently throughout the entire book, but he does provide abundant recent references on the issues--both pro and con PRO AND CON. For and against. For example, affidavits are taken pro and con. . Many chapters contain patient assessment algorithms. These algorithms lead the reader through a series of procedures to follow when evaluating a patient who has a suspected focal peripheral neuropathy. Both beginning and experienced electro-myographers will find this book to be an excellent resource. Clinicians who want to correlate physical examination findings with electromyographic results would find the book a worthwhile addition to their libraries. |
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