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Neurology and the clinical anatomist
1is a Consultant Stroke Physician and Neurologist in the University Hospital of Wales, Honorary Senior Lecturer (Teaching) at Cardiff University, and Clinical Director of Medical Neurosciences in Cardiff and Vale Health Board, UK. He trained in medicine at the Royal London Hospital, and in Neurology and Stroke in London, Cardiff and Edinburgh. He completed an MD thesis describing indices of swallowing in health and in motor neurone disease. Competing interests: none declared.
Neurological clinical examination is crucial for testing hypotheses and forming differential diagnoses. It helps assess nervous system function, guiding diagnosis and patient care.
Area of Science:
- Neurology
- Clinical Neuroscience
Background:
- The patient's history is interpreted to generate hypotheses.
- Clinical signs are elicited to refine these hypotheses.
Purpose of the Study:
- To highlight the importance of clinical examination in neurology.
- To outline the diagnostic process involving clinical examination.
Main Methods:
- Neurological examination to elicit signs.
- Integration of clinical history and examination findings.
- Formulation of differential diagnoses for nervous system parts and pathologies.
Main Results:
- Clinical examination aids in differential diagnosis of affected nervous system parts and pathologies.
- It allows for observation and quantification of function.
- It provides opportunities to gather more patient information and offer reassurance.
Conclusions:
- Clinical examination is a vital tool for neurologists.
- The examination's focus should be tailored to the clinical context.
- It remains the primary index of overall nervous system function.
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