Pediatric Neurology Kamalendu Chakrabarti
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Pediatric Neurology2
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Pediatric Neurology
Kamalendu Chakrabarti MBBS DCH MD Child Specialist Kolkata
4 Published by
Jitendar P Vij
Jaypee Brothers Medical Publishers (P) Ltd
EMCA House, 23/23B Ansari Road, Daryaganj
New Delhi 110 002, India
Phones: +91-11-23272143, +91-11-23272703, +91-11-23282021, +91-11-23245672
Fax: +91-11-23276490, +91-11-23245683
Visit our website: www.jaypeebrothers.com
Branches
Pediatric Neurology
© 2005, Kamalendu Chakrabarti
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the author and the publisher.
This book has been published in good faith that the material provided by author is original. Every effort is made to ensure accuracy of material, but the publisher, printer and author will not be held responsible for any inadvertent error(s). In case of any dispute, all legal matters are to be settled under Delhi jurisdiction only.
First Edition : 2005
9788180614736
Typeset at JPBMP typesetting unit
Printed at Gopsons Papers Ltd., A-14, Sector 60, Noida
5Dedicated to
Keya and Kappa
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7Foreword
Dr Dilip Mukherjee MD DCH PhD FIAP FAMS
Dean & Professor of Paediatrics
Vivekananda Institute of Medical Sciences, Kolkata
President
Indian Academy of Paediatrics
Secretary General Paediatric
Association of SAARC
Recipient of Dr BC Roy
National Award as Eminent Medical Teacher
9/1, Ramanath Pal Road
Kolkata 700023, Ph: 24596345, 24590252
Fax: 91-33-475-4351
I have gone through the book entitled Pediatric Neurology by Dr Kamalendu Chakrabarti, MD. Dr Chakrabarti deserves appreciation for the hard labour putting by him in making this volume. This book is very informative and exhausting in nature. I have no hesitation to recommend this book. I am confident that this book will be immense help to undergraduates, postgraduates and practicing paediatricians.
Prof. Dilip Mukherjee
National President
IAP, 2002
Dean, Vivekananda Institute of
Medical Sciences, Kolkata
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9Preface
Since the beginning of my Medical Career I have been hearing that the subject of Nervous System is very difficult to grasp. Understanding, learning, retaining, getting through examinations, application of the acquired knowledge during diagnosis and treatment of patients related to this subject is always horrifying for students of any stand and that it is beyond ones capacity to deal with the subject has come down to the medical fraternity like a myth through ages, especially of it is related to newborn and small infants.
It cannot be denied that Mother—Nature has created human brain and its attachments in a very intricate manner. On top of that if a medical personnel during his study and later during practice at bedside gets entangled in a web of confusion, as such complicated subject, becomes more complicated.
With no intention to be philosophical, I would like to state a few general facts of life. The reality behind anything difficult is that we initiate it with intricacy and carry on with this attitude down the ages without giving a second thought to it. But we should keep in mind that nothing on this earth remains undone if human intelligence and rational thinking is combined with knowledge. To achieve the desired goal what is required is love for the subject, the care to learn and perseverance. This truth is applicable not only in Pediatric Neurology but in every sphere of life. In medicine, there are certain subjects which are apparently easy and certain subjects which are apparently difficult. Leaving aside specialization, the doctor needs to carry the knowledge in every subject, even if minimum, deal with any kind of clinical situation he faces since a patient seeks help from a doctor for any kind of suffering.
I have written this book with the intention to make things ‘simple’, but not ‘the simplest’. Because too much simplification may dilute the importance of the subject and minimize the facts. 10While writing this book I have kept in mind to make it useful for undergraduates, postgraduates and Paediatricians in general. I have tried my best to being here together all the knowledge and experiences I have gathered on the subject during my medical career. I have refrained myself from stuffing the book with too much of theoretical information. For those who want to gather more information they can well consult the books of renowned authors. As a clinician, I feel one should know that much of facts which he can retain in any situation and able to apply effectively as and when required is certain to be successful in knowing the important facts, but handling that (however little it may be) is more important. It may appear to the reader that some information is repeated. It has been done purposely so that the reader can get complete information on the topic easily.
I have written this book almost single handed but it would not have been possible without the inspiration and help of a few generous people. While expressing my gratitude to them I must mention the names of Dr Jayanti Bhattacharjee, Dr Kalipada Soren, Dr Soma Mitra, Samit and Sanhita. I owe my gratitude to Dr Manik Ch. Pratihar for allowing me to use his flat, telephone, etc., without any personal interest during the writing of the book. I am especially grateful to (Prof) Dr Dilip Mukherjee for writing the Foreword of the book in spite of his busy schedule. Dr PK Mitra, Sonologist has helped me by contributing the USG plate of Hydrocephalus, Fig. 4, and of course my wife Smt Keya Chakrabarti’s contribution has always been an inspiration to me. My son Kaparindu Chakrabarti has greatly helped me in the computer works of the book.
I am obliged to Jaypee Brothers Medical Publishers for taking keen interest in publicity this book.
Kamalendu Chakrabarti
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