Contents
Guide
Pages
DeJongs
The Neurologic Examination
E I G H T H E D I T I O N
William W. Campbell , MD, MSHA, COL, MC, USA (Ret)
Professor Emeritus
Department of Neurology
Uniformed Services University of Health Sciences
Bethesda, Maryland
Richard J. Barohn , MD, Lt Col, USAFR, MC (Ret)
Gertrude and Dewey Ziegler Professor of Neurology
University Distinguished Professor
Vice Chancellor for Research
University of Kansas Medical Center
Kansas City, Kansas
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Eighth edition
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Copyright 2013 by Lippincott Williams & Wilkins, a Wolters Kluwer business. Copyright 2005 by Lippincott Williams & Wilkins. Copyright 1992 by JB Lippincott Co. All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, including photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, except for brief quotations embodied in critical articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright.
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Library of Congress Cataloging-in-Publication Data
Names: Campbell, William W., Jr. (William Wesley), author. | Barohn, Richard J., author.
Title: DeJongs the neurologic examination / William W. Campbell, Richard J. Barohn.
Other titles: Neurologic examination
Description: Eighth edition. | Philadelphia : Wolters Kluwer, [2020] | Includes bibliographical references and index.
Identifiers: LCCN 2018059855 | ISBN 9781496386168 (hardback)
Subjects: | MESH: Neurologic Examinationmethods | Nervous System Diseasesdiagnosis
Classification: LCC RC348 | NLM WL 141 | DDC 616.8/0475dc23 LC record available at https://lccn.loc.gov/2018059855
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Dedication
To Rhonda, Robbie, Wes, Matt, Shannon, Ella,
and Will. And to all our former residents
and fellows, for all they taught us.
F O R E W O R D
Standard textbooks of neurology commonly include an introductory chapter on the clinical examination but otherwise provide little guidance as to how this is best performed. The exception is De Jongs The Neurologic Examination, first published in 1950, which was intended to present in detail the information necessary to perform a complete and clinically useful examination, accompanied by limited descriptions of the findings in common neurologic entities or disorders. If anything, the need for such an account has increased with the passing years. The art of the neurologic examination is being lost as clinical medicine becomes depersonalized and as new diagnostic and monitoring techniques are used in its place. Moreover, little time is left to learn the intricacies of the physical examination in todays crowded medical school curriculum. The publication of this new (eighth) edition of De Jongs classic text, authored by William Campbell and Richard Barohn, is therefore timely and to be welcomed. It is a pleasure to introduce the book and its authors to another generation of readers.
Dr. Campbell is professor emeritus and former chair of the neurology department at the Uniformed Services University of the Health Sciences in Bethesda, Maryland. I have known him since he was a resident in San Francisco more than 40 years ago. He has had an illustrious career and is well known for his clinical skills and diagnostic acumen. He has authored a number of clinical studies on different aspects of neuromuscular disorders and received the Distinguished Physician Award of the American Association of Neuromuscular and Electrodiagnostic Medicine in 2011. Almost 20 years ago, he took over DeJongs bookthe fortunes of which had declined as technologic advances came to influence the practice of neurologyand single-handedly rewrote and revived it. The sixth edition, the first that he authored, was published in 2005 and soon restored the reputation of the book, earning for it a well-deserved place on the bookshelf of many neurologists. He remained the sole author for the seventh edition, published in 2012, but now has been joined by Richard Barohn in preparing this eighth edition.
Dr. Barohn, professor and former chair of the department of neurology at University of Kansas Medical Center, is another accomplished neuromuscular clinician and investigator. In 2013, he received the Distinguished Researcher Award of the American Association of Neuromuscular and Electrodiagnostic Medicine and was named a University Distinguished Professor at the University of Kansas for his achievements.
The book that Campbell and Barohn have authored serves an important need as a guide to both trainees and established physicians. The neurologic examination can be lengthy, often requires much attention to detail, is sometimes performed in difficult or unpleasant circumstances, and may be overwhelming to trainees. Its importance, however, cannot be overemphasized. The findings obtained thereby help to confirm a suspected diagnosis, determine whether any further investigations are needed, indicate the clinical relevance of any laboratory or imaging abnormalities, and suggest the extent and prognosis of many disorders. The competently performed examination also helps to establish a bond between patient and physician that is essential to the welfare of the former and professionally satisfying to the latter.