Atlas of Neuro-Ophthalmology
Thomas C. Spoor, MD, FRCS. Taylor & Francis Group, London, 2004. ISBN: 1-85317-773-3, $225.00.
Scope: This is a color atlas covering a wide range of common and uncommon neuro-ophthalmic and orbital disorders. In this revised and updated edition, the author has compiled clinical photographs spanning greater than 20 years of his career experience. These photographs are accompanied by explanatory text, neuroimaging, anatomic illustrations, and intra-operative images.
The book is divided into two parts. The first is dedicated to the afferent visual system and covers the pupil, visual loss from both neuro-ophthalmic and non-neuro-ophthalmic causes, optic nerve disorders, and trauma. The second part focuses on the efferent visual system and includes sections on ptosis, horizontal and vertical motility dysfunction, parasellar syndromes, and orbital disorders.
Strengths: The author has strived to show the reader clinical presentations ranging from the very obvious to the very subtle. The color photographs are of high quality as is the neuroimaging. There are excellent sections on retinal disease causing unexplained visual loss as well as on papilledema and pseudotumor cerebri. The author has also included detailed surgical techniques on temporal artery biopsy, optic nerve sheath fenestration, and select strabismus procedures with accompanying diagrams. The last section on the orbit gives an extensive overview of mass lesions and inflammatory diseases which can present in both pediatric and adult populations.
Weaknesses: Numerous figures are mislabeled. The laterality seen in the clinical photograph often does not match the neuroimaging. Fundus photographs or visual fields are often reversed. There are multiple errors in the text of the legends. The pathology seen on neuroimaging and intra-operative photographs is not selectively labeled. The illustrations of cranial nerve anatomy are small and difficult to follow. The first section on the pupil is neither well-written nor well-organized. Most of the text is written freestyle with interspersed case studies and few references. The author often interjects his opinions and comments intended to be humorous clinical pearls. They are distracting.
Recommended audience: Residents as well as neurologists and ophthalmologists will find this book helpful, particularly when reviewing for board examinations. It is not intended to be a basic text for medical students or to serve as an in-depth reference for neuro-ophthalmology.
Critical appraisal: This book is a valuable atlas for those wishing to become familiar with a variety of neuro-ophthalmic disorders, with the caveat that some of the figures are mislabeled.
Rudrani Banik, MD
Albert Einstein College of Medicine Montefiore Medical Center Bronx, New York