This book is a GEM! It is most useful for a medical student, intern, physician assistant, nurse practitioner or neuro nurse. What it does best is take away the intimidation associated with doing a Neuro exam and not missing something important on a "normal" patient when time is short.
The opening statement of the preface says it best... "NEURO WNL" (the neuro exam is within normal limits" is commonly the last notation on a physical exam report".... [This means] the patient looked OK to all superficial appearances and had no particular neuro complaints. The physician can be trapped into this [superficial] approach, when there is inadequate time [for] the 20 minute exam suggested for patients with no neurological complaints".
This book is for the nonneurologist. It focuses on how to cover everything WHEN TIME IS LIMITED. Chapter 1 covers principles of neurological localization. It discusses clinically relevant anatomic points in neuroanatomy that are important in localizing a lesion. It also discusses how to determine if symptoms are malingering or psychogenic or real based on whether the physical exam fits the symptoms... ie. whether it makes neuroanatomical sense. What is suggested in this book is not a substitute for a more formal neuro exam found in other textbooks. It is intended to be the answer to the "Neuro WNL" problem.
It is so simple in it's approach which I have not seen elsewhere. It also has simple diagrams. The chapters include: Principles of neurological localization, the history, the neuro examination, lab tests. The last page of the book is a one page summary that is pocket sized from the days when we carried it all in our pocket instead of a PDA ;)
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