The Approach to Diagnosis in Modern Neurology.

Arnold H. Greenhouse, MD
Arch Intern Med. 1968;121(2):196. doi:10.1001/archinte.1968.03640020084024.
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This book, a multiauthored effort by the Neurology Department of Mt. Sinai Hospital in New York and originally published in the Journal of the Mt. Sinai Hospital, was written with the aim of presenting modern neurological diagnostic techniques to internists, general practitioners, and residents in neurology. Unfortunately, much of this objective was not met.

Many of the chapters on physical examination and diagnostic procedures lack the detailed, specific information required by the resident physician; they are confusing and incomplete for the nonneurologist. Certain dogmatic and controversial statements, such as those made in the introduction implying that brain tumors and subdural hematomas do not require surgery, should have been deleted from a book primarily written for an unsophisticated audience.

The same criticism applies to the pronouncement that there are no contraindications to performing a lumbar puncture. The author of that statement has fortunately not witnessed sudden death in patients with increased


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