This book was written in the earliest days of modern imaging techniques when diagnosis of neurological emergencies required a systematic clinical approach. These clinical principles remain just as sound today, and are vital for anyone involved in the emergency assessment of an unconscious patient.
Plum and Posner have produced an exhaustive and excellently written volume on all aspects of clinical assessment and diagnosis of altered conscious levels. The causes and significance of physical signs are considered first, followed by a detailed discussion of supratentorial, subtentorial and diffuse pathologies. There are also chapters on brain death, prognosis and approach to the unconscious patient. Throughout the book, ideas in the text are illustrated by excellent case studies and diagrams.
The book can be approached equally on a sign/symptom basis or with a particular condition in mind.
Of particular note to anyone involved in emergency care are lucid explanations of such topics as herniation syndromes, respiratory abnormalities and assessment of eye signs.
The book is acknowledged as one of THE texts in this subspecialty. It has stood the test of time and will continue to do so.