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THE LIMBIC SYSTEM

NEUROLOGICAL AND SENSORY DISORDERS IN THE ELDERLY Edited by William S. Fields. (Pp. 244; illustrated; $19.50.) Stratton: New York. 1975. Proceedings of symposia, with verbatim accounts of discussion following individual papers, have advantages and disadvantages. In this book there are good formal papers by well-known American neurologists, and glimpses of informality and humour in discussion so often lacking in original presentations. On the other hand, such a book takes a long time to compile, and by its publication there is much that is out of date. It is not clear when the symposium was held but some clue comes from speakers saying they were looking forward to the time when the combination of L-dopa with decarboxylase inhibitors became generally available, and that computerised axial tomography might hold promise for the future. How much value is there in using expensive space to describe in discussion an interesting case that the speaker rather inaccurately remembers? The main papers are excellent, with notable contributions on the neurological complications of skeletal disease in the aged, and the degree to which strokes should be investigated, and the potential for prevention and treatment. It is good to see aspirin recommended in selected patients in place of conventional anticoagulants, but astonishing to read that a physician of one's own vintage considered that before penicillin very few people lived beyond 60 (and not surprising that several pages are taken up disputing this!) It is a very interesting book, and well worth reading, and perhaps it is unfair that the best remembered paragraph defines a 'rich' (as opposed to a well-to-do) American as one with a place in Florida, a Caribbean island, at least one Lear Jet aircraft, and enough Cadillacs to stand on while washing it.