754 AMERICAN JOURNAL OF OPHTHALMOLOGY
The book opens with an introduction
containing anatomic, physiologic, and
pathophysiologic information. The first
chapter is a brief historical survey, fol-
lowed by three chapters on methodology
and epidemiology, symptoms and visual
signs, respectively. Four chapters deal
with differential diagnosis. Succeeding
chapters cover cerebrospinal fluid in
multiple sclerosis treatment, Uhthoffs
syndrome, subsequent visual signs, prog-
nosis for development of multiple sclero-
sis, methods for detecting optic nerve
demyelinization, and the relationship of
optic neuritis to multiple sclerosis.
In the discussion on the relationship
between optic neuritis and multiple scle-
rosis in Chapter 13, the authors attempt
to delineate the criteria for identifying
a demyelinizing process affecting the
nerve. They properly point out that in
many cases the diagnosis of optic neuritis
is one of exclusion. They tend toward the
definition of Nettleship that optic neuri-
tis is "a failure of sight limited to one eye,
often accompanied by neuralgic pain
about the temple and orbit and by pain
on moving the eye." They express doubt
that bilateral involvement within a short
span of time should be included, or that
retrobulbar neuritis, without edema of
the optic disk should be equated with
optic neuritis.
The terms, "atrophy and pallor," as
applied to the appearance of the optic
disks, are used interchangeably through-
out the book. However, considerable
degrees of pallor may remain after an
attack of neuritis even with no demon-
strable residual optic atrophy as deter-
mined by sophisticated analysis of visual
function.
Many of the figures are poorly la-
belled, lack titles, or have incomplete or
absent legends, necessitating reference
ti, the text to determine their signifi-
cance. Nonetheless, the authors have ex-
pended much time and effort in the
MAY, 1980
compilation of the data recorded in this
text.
ROBERT W. HELLENHORST
Eduard Pernkopf Atlas of Topographical
and Applied Human Anatomy, Volume
1. Edited by Helmut Ferner. Translat-
ed by Harry Monsen. Baltimore, Ur-
ban and Schwartzenberg, Inc., 1980.
Hardcover, 302 pages, preface, table of
contents, index, 108 black and white
figures and 231 full color figures.
This is Volume 1 of a three-volume
atlas. The second concerns the thorax,
abdomen and extremities, and the third
contains the index. This atlas beautifully
illustrates the structures of the skull,
brain, eye and orbit, and other major
sections of the face, the perinasal sinus-
es, oral cavity, ear, neck, pharynx, and
larynx. The section on the skull is well
done. It provides valuable correlations
between roentgenograms of the skull
and their anatomic landmarks. Addition-
ally there are arteriograms of the exter-
nal carotid artery and its branches and
internal carotid angiograms, vertebral
angiography, phlebograms, and pneu-
moencephalograms. Many of the plates
are exquisitely diagrammed and labeled
and are a joy to study.
Unfortunately, not all of the plates
dealing with the eye are accurate. One
plate shows the inferior oblique muscle
inserting superior to the equator. In
another the superior oblique muscle
appears to be inserting on the nasal side
of the superior rectus muscle. An illus-
tration of the lymph channels of the head
shows tractus lymphaticus orbitalis, with
anterior as well as posterior orbital
lymph drainage. These, however, are
but minor points, and they do not sub-
tract from the overall value of the atlas
with its fine correlation of radiology and
anatomy.
FRANK W. NEWELL