A practical guide to common and important problems in clinical neurology
It has been a long-held perception that neurology is a descriptive discipline, limited to careful diagnostic assessment but offering few therapeutic options for the care of patients, who are generally the responsibility of other medical practitioners. To some extent, these testaments hold true today: there has been distressingly little progress in the treatment of common and disabling neurodegenerative diseases — in particular, Alzheimer’s disease and motor neurone disease — despite tantalising clues to their aetiology. Major gaps remain in the availability of comprehensive specialist services, such as acute-care stroke units, despite nearly two decades of evidence from randomised trials supporting the benefit of such models of service delivery.
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