How an experienced neurologist uses the history of the patient’s illness, the neurological examination, and investigations to diagnose neurological disease is discussed in Chapter 1, Chapter 33 . This chapter presents some general principles guiding the management of neurological disease.…
The history and examination are key to making the diagnosis in a patient with neurological disease (see Chapter 1 ). However, ancillary testing is very important in diagnosis and management. Testing for specific disorders is addressed in detail in later…
Neurological diagnosis is sometimes easy, sometimes quite challenging, and specialized skills are required. If a patient shuffles into the physician’s office, demonstrating a pill-rolling tremor of the hands and loss of facial expression, Parkinson disease comes readily to mind. Although…
The hereditary optic neuropathies comprise a group of disorders in which the cause of optic nerve dysfunction appears to be hereditary, based on familial expression or genetic analysis. Clinical variability, both within and among families with the same disease, often…