Neurologic Complications in Organ Transplant Recipients

Neurologic Complications in Organ Transplant Recipients

Grading Key =outstanding; =good; =fair; ***** *** **** =excellent; * =poor. Scope of Book: The text has a wide focus and briefly reviews most aspe...

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Grading Key =outstanding; =good; =fair;

***** ***

**** =excellent;

* =poor.

Scope of Book: The text has a wide focus and briefly reviews most aspects of sports medicine. Contents: The book contains 41 relatively short chapters (each written by I to 3 authors) and is divided into 3 sections. The first section discusses medical injuries in 14 chapters devoted to specific body parts. In the second section, individual chapters focus on 18 different sports, with an overview of the sport as well as associated injuries. The third section discusses a variety of sports medicine principles, including endurance training, heat and cold injuries, drugs, and ergogenic aids. Because each sport-specific chapter discusses injuries that can occur in that sport, there is considerable repetition of injury information. For example, spondylolysis is discussed in at least 5 chapters. Strengths: This small book covers many topics, including information that is not routinely offered in most sports medicine books, such as eye injuries and eye protection, dental injuries, and dermatology. Deficiencies: Although the book reviews many topics, several important sports medicine issues are not addressed adequately, including exercise-induced asthma, the female athlete triad, and information on athletic shoes. Locating specific information is somewhat difficult because it is spread throughout the book and the index is incomplete. Much of the information in the book is the authors' personal recommendations, unsupported by references and occasionally contrary to most information. Recommended Readership: This text may be useful to primary care physicians, physiatrists, physical therapists, and orthopedists who want a brief overview of a particular sports medicine topic. Overall Grading:

Neurologic Complications in Organ Transplant Recipients, edited by Eelco F. M. Wijdicks, 248 pp, with illus, $95, Newton, Mass, Butterworth-Heinemann (telephone: 800-366-2554),1999, ISBN 0-7506-7066-5

Type ofBook: A multiauthored overview of neurologic disorders associated with organ transplantation. Scope ofBook: The text provides basic descriptions of 4 common transplantation procedures and systematically reviews 10 categories of neurologic disorders that can affect transplant recipients. Contents: This book fills a void in the existing literature by providing ready access to a relatively specialized body of knowledge. Neurologists who assess transplant patients sometimes encounter unusual neurotoxicity syndromes related to immunosuppressant agents (cyclosporine, tacrolimus, and OKT3) with which they are only marginally familiar. Readers who have faced this situation will appreciate this book. Written by transplantation physicians, part I provides succinct, well-illustrated descriptions of surgical procedures and perioperative management. Part 2 includes 2 chapters (both written by the editor) that are indispensable to consulting neurologists: I provides a "bird's-eye view" of transplantation pharmacotherapy and the role of the transplant neurologist, and the other is an excellent review of the pathophysiology and clinical syndromes of neurotoxicity associated with specific immunosuppressant agents. Other chapters, such as those devoted to cerebrovascular complications related to cardiac transplantation and to immunosuppressant-related central nervous system malignancies and opportunistic infections, are useful but not unique. Some chapters that presumably were included for completeness contain standard information that can be found in most neurologic texts, with almost no information specifically related to transplantation. Strengths: Dr Wijdicks has assembled a succinct, well-written synopsis of the neurologic aspects of organ transplantation in a single volume. Deficiencies: More emphasis on immunosuppressant-related neurotoxicity would enhance the presentation. Recommended Readership: This book should be on the bookshelves of all consultation or critical care neurologists who care for organ transplant recipients. It may also be of value to surgeons, internists, intensivists, or other health care professionals involved in the care of these patients. Overall Grading:

***

Karen Newcomer Aney, MD, Department of Physical Medicine and Rehabilitation, Mayo Clinic Rochester, Rochester, Minn

Functional Disorders of the Gut, edited by Sidney F. Phillips and David L. Wingate, 370 pp, with illus, $50, New York, NY, Churchill Livingstone (telephone: 800-545-2522), 1998, ISBN 04430-5420-7 Type of Book: A multi authored textbook on the physiology, pathophysiology, and clinical management of functional gastrointestinal disorders, edited by 2 internationally respected authorities on the subject. Scope of Book: The volume logically reviews the entire broad, poorly understood field of functional gastrointestinal disorders, from basic science to management. Contents: The book is divided into 2 sections. The first covers the biology of functional disorders, including relevant anatomy, neurophysiology, psychopathology, and the difficult topic of food intolerance. Section 2 reviews the clinical physiology and management of regional syndromes, from the esophagus to the rectum (including the biliary tract). Strengths: This text provides a comprehensive, yet concise account of the problems commonly encountered in gastrointestinal

****

Stephan A. Mayer, MD, Division of Critical Care Neurology, Columbia University College of Physicians and Surgeons, New York, NY

Handbook of Sports Injuries, edited by R. Charles Bull, 865 pp, with illus, $32.95, New York, NY, McGraw-Hill (telephone: 800722-4726),1999, ISBN 0-07-008993-0

Type of Book: A multiauthored book written primarily by Canadian physicians. Mayo Clin Proc. 1999;74:1307-1311

**

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© 1999 Mayo Foundation for Medical Education and Research

For personal use. Mass reproduce only with permission from Mayo Clinic Proceedings.