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Care of the Neurologically Handicapped Child

The fourth edition of Sir John Walton’s Disorders of Voluntary Muscle has several improvements over the excellent previous edition of 1974, affecting both form and substance. The book has a completely different format: The pages are larger in size and the text, in two columns, remains easy to read. More important, all figures (and particularly light and electron micrographs) are larger and reproduced better than in the previous edition. Many new illustrations have been added. Two new sections have been included, one on myopathies due to parasites and the other on drug-induced neuromuscular disorders. While both topics are important, the second will be particularly useful to the practicing neurologist. Several chapters have been completely rewritten by new contributors. This has resulted in more complete, comprehensive, and current reviews than simply updating old presentations would have allowed, particularly in areas where progress has been rapid, as in the metabolic myopathies. Revision of chapters by previous authors has, as inevitable, varied in extent. Some chapters have been thoroughly updated and critically reviewed, while others have been changed little from the previous edition. This much improved version of the “Walton,” as the book is familiarly known among students of muscle diseases, remains the classical reference textbook on neuromuscular disorders-a precious source of information for both the practicing neurologist and the research-oriented myologist. what questions they will be asked and how to answer them. The chapters on psychological assessment, counseling, behavioral management, and the role of the educator bring out clearly and in a well-organized fashion many ideas that concern parents of mentally retarded children. One unique chapter is dedicated to acquainting parents with important legal “issues that have relevance for them and their child . . . .” It provides pertinent information about state and federal laws and regulations. Here the discussions on the legal aspects of education, vocational training, employment, parental obligation, guardianship proceedings, and financial assistance for handicapped children are very clear and of much practical value. This is a welcome source of information on legal aspects the busy physician may not have had time to learn. The final chapters deal with specific entities such as epilepsy, cerebral palsy, and neuromuscular disorders. They are illustrated with brief case histories, a few tables and photographs, and are accompanied by a list of relevant references. In a day when parents want to be better informed about their children’s shortcomings and disabilities, this book should be most useful. It can also facilitate the role of professionals when talking to parents of handicapped children. The book follows a reasonable multidisciplinary approach although it is not a proposal to relegate responsibilities. As taught for centuries, “the physician must be ready, not only to do his duty himself, but also to secure the cooperation of the patient, of the attendants and of externals” (Hippocrates, Aphorisms I, English translation by W. H. S. Jones, London: William Heinemann, Ltd., 1931).