For the past month I have kept this sixth edition of Alpers and Mancall within reach. I have called upon it when problems in clinical neurology (at all levels of sophistication) occurred in my practice, and I perused sections of it almost every evening. I am obliged to conclude that it is a laudable book in all aspects, except in the area of current treatment.
I began to keep a diary of the patients I saw and a box score of helpfulness derived from the book. The first person presented a most peculiar problem of progressive bulbar paralysis—which he had acquired over the preceding two years. On page 602 I found a crisp, clear description providing pathologic symptoms (and signs), diagnosis, prognosis, and treatment (such as it is). It was a concise summary. The same format is used in each section in which a clinical subject is discussed.