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edited by S. M. Rao, 271 pp, with illus, $39.95, New York, NY, Oxford University Press Inc, 1990.

George C. Ebers, MD, Reviewer
London, Ontario

Arch Neurol. 1991;48(9):897.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

This small monograph, with contributions by 28 authors, focuses on cognitive and affective alterations in multiple sclerosis (MS). It is divided into four parts: clinicopathological features (84 pages), cognitive dysfunction (91 pages), affective disturbance in MS (35 pages), and management of neurobehavioral dysfunction (52 pages). It is correctly pointed out in the introduction that cognitive dysfunction in MS tends to be overlooked or discounted by physicians. On the other hand, this is often less because of lack of awareness and disinterest and more because of the desire to lighten the already burdensome knowledge of having a disabling neurological disorder. There are situations in which the identification of cognitive impairment in MS is not necessarily to the patient's advantage (eg, custody battles for children). However, the innate variability of human behavior requires a considerable latitude in determining what and how patients should be told about cognitive dysfunction. Furthermore, health professionals need . . . [Full Text PDF of this Article]

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