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Multiple Sclerosis in Clinical Practice
edited by Nancy J. Holland and Stanley van den Noort, 234 pp, with
illus, $34.95. ISBN 1-888799-25-0, New York, NY, Demos Medical Publishing
Inc, 1999.
Arch Neurol. 2001;58:141.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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This small textbook is multiauthored and supported by the National Multiple
Sclerosis Society. The book is directed toward generalists who deal with patients
with multiple sclerosis. It is not a pretentious book, with an emphasis on
practical management using algorithms in most chapters.
However, some of the illustrations are quite poor, particularly the
magnetic resonance images. In addition, it could probably use more practical
tables, such as Table 5.1, which lists the drugs useful in pain management,
along with doses, adverse events, and indications.
The practical management chapters are clear and to the point. Fatigue
is covered, as are spasticity and motor problems. Pain is clearly described,
and suggestions are made as to drug therapy for pain, which is usually not
very effective. There is a complex algorithm for bladder symptoms, but it
makes sense, indicating that the postvoid residual is the key to the type
of medication to be . . . [Full Text of this Article]
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