I was very hesitant about using this book for the neurology shelf exam because it is so new (2008). I wondered if it would be foolish to not use something more "tried and true." However, after reading three chapters of Blueprints (which I found to be too simplistic) and not having the energy to trudge through the depths of the Lange neurology book, I decided to take a gamble on Case Files and use it as my "main text" for the shelf. After all, you only live once, right?It was a very good decision. Yes, some of the cases are too straightforward. However, I found the value of this book to be in the text, not in the cases themselves. Each chapter is organized in a similar way. It starts out with a case presentation and some thought questions (what is the next diagnostic step, how would you treat the patient, etc.). This is followed by a summary paragraph, key terminology, and extensive discussion of the disease pathophysiology, diagnostic workup, treatment, and prognosis. Few textbooks are so clearly organized! Each chapter is roughly 6 to 10 pages long, and it is easy reading, so you can feasibly cover a few cases each night. The main downsides of this book, in my opinion, are the number of typos (which were usually grammatical and rarely affected the content itself) and the inability to look up a particular topic in the book without "spoiling" the case. Overall, though, I think the benefit far outweighs these drawbacks. Also, I agree with what another person said --- this book allows for easy learning.The combination of Case Files and PreTest Neurology earned me a 95th percentile on the shelf. I attribute most of my score to this book. Keep in mind that some people do not like the Case Files format, so you'll need to tailor your studying to what best suits you. Good luck!