Case Studies in Neurological Rehabilitation

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Cambridge University Press, Mar 27, 2008 - Medical
2 Reviews
Rehabilitation medicine is one of the fastest growing specialities in medicine. The largest sub-set of this field is neurological rehabilitation. This timely book, presented as a series of case studies, describes the wide range of clinical scenarios encountered by the rehabilitation medicine team and advises on management issues and options. Areas covered include ethical, medico-legal and social factors, touching on issues such as service organisation and patient reintegration. The book concludes with a set of multiple choice questions to test understanding and as the basis for preparation for professional examinations. This will be essential reading for all trainees in rehabilitation medicine, specialists from fields such as neurology where an understanding of the principles is important, and professionals from supportive allied health disciplines including physiotherapy, occupational therapy, speech therapy and nursing.

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Advances in Clinical Neurosciences and Rehabilitation 2009; vol 9 (3): 18
This innovative new book provides current, highly
practical and enjoyable text to refer to when dealing
with the usual mix
of cases seen in a typical
neurological rehabilitation service. The material is
presented as case histories to set the scene for a discussion
of a complex neurological rehabilitation
issue. Almost all similar book titles present clinical
cases as diagnostic challenges. What is unique
about this book’s approach is its presentation of
cases as management challenges. Most cases seen
in neurological rehabilitation services are already
diagnosed but nonetheless difficult because of their
complexities. The cortical blindness case is a good
example. The patient’s visual impairment is probably
the least of his problems as the cognitive, behavioural,
sleep etc are the prime causes of disability
and handicap. The author presents the cases in an
uncomplicated way, allowing non-medically trained
clinicians to follow the arguments with ease.
There are three parts. The first part is on the
basic principles of service delivery. This part is
short and presents a relatively narrow view. Readers
from overseas may find the material useful but it
lacks originality.
The second part is based on case studies and is
subdivided into thirteen sub- sections to cover all
the major issues that neurological rehabilitation clinicians
face routinely. There are forty-five case histories
with different types of management problems.
Each section consists of brief case histories followed
by a well-written commentary highlighting
all the must-know points. This extremely useful section
contains explanations, classifications, criteria
for diagnosis and proposed guidelines and management
options. Most of the topics use tables,
which aid understanding and recall. All topics end
with a brief but relevant further reading suggestion
list. The second part is the real strength of this book
as it provides clear practical advice about day-today
complex neuro-rehabilitation cases in a simple
and easy way.
The quality of the commentaries varies with
good, insightful cases such as aphasias, thromboprophylaxis
and pontine myelinolysis and other
cases with relatively limited scope, such as lockedin
syndrome (ignoring low consciousness states as
differential diagnosis!) or ataxia. I could not understand
the absence of a case dealing with memory
impairment despite the excellent coverage of the
other main cognitive rehabilitation issues.
This weakness is probably common to all similar
books with a single authorship as the author only
feels comfortable dealing with the areas of his specialist
The book concludes with 50 multiple-choice
questions covering issues, which are probably too
brief to warrant a full case discussion. This part is
very helpful for trainees preparing for European/
North American board examinations.
Overall this is a well-written, interesting and
handy practical guide that would be useful for
any clinician dealing with long-term neurological
conditions whether s/he is a doctor, therapist or nurses
Journal of Rehabilitation Medicine 2009; 2009;41:94
'' awakens your interest in the speciality...cover the major areas of neurological rehabilitation as well as ethical and medico-legal controversies and "prescriptions for independence", including exercise prescription, vocational rehabilitation and driving assessment.......this book will be of value to young doctors undergoing specialist training in rehabilitation medicine or neurology. It will also be valuable in the continuous professional development of specialists active in this area''
--Journal of Rehabilitation Medicine.

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Doody Review Services
Reviewer:Alan Samuel Anschel, MD(Rehabilitation Institute of Chicago)
Description:This collection of case studies reviews the medical management of
common pathology found in
patients on a neurologic rehabilitation floor.
Purpose:The purpose is to provide for all team members a comprehensive
multidisciplinary resource that reviews the medical management of patients on a
neurologic rehabilitation floor. The author captures common difficult issues and
presents them in a straightforward, case history style.
Audience:This book would benefit both medical and nursing students throughout
their medical education. It helps medical students understand key neurologic
pathology that they will come across on the medical ward, and residents with
solutions to these problems. In addition, it is a study aid for fellows and senior
residents for the oral boards.
Features:The book is broadly broken down into three parts. Part II provides detailed
case histories of patients with common neurologic problems found on the
rehabilitation floor such as medical issues in brain injury, progressive neurologic
disorders, and difficulties in immobility. One of the best features of this book is part
III, with multiple choice questions that reinforce key concepts in the book.
Assessment:This is a useful study resource and overview of common neurologic
problems that arise in patients on the rehabilitation floor. Not intended as an
exhaustive resource, the book accomplishes its goal of capturing key common critical

Selected pages


Part II Case studies
Part III Exercises in neurological rehabilitation

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About the author (2008)

Tarek A-Z K Gaber is a Consultant in Rehabilitation Medicine for Wrightington, Wigan and Leigh NHS Trust.

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