Neurology has always been a discipline in which careful physical
examination is paramount. The rich vocabulary of neurology replete
with eponyms attests to this historically. The decline in the
importance of the examination has long been predicted with the
advent of more detailed neuroimaging. However, neuroimaging has
often provided a surfeit of information from which salient features
have to be identified, dependent upon the neurological examination.
A dictionary of neurological signs has a secure future. A
dictionary should be informative but unless it is unwieldy, it
cannot be comprehensive, nor is that claimed here. Andrew Larner
has decided sensibly to include key features of the history as well
as the examination. There is no doubt that some features of the
history can strike one with the force of a physical sign. There are
entries for "palinopsia" and "environmental tilt" both of which can
only be elicited from the history and yet which have considerable
significance. There is also an entry for the "head turning sign"
observed during the history taking itself as well as the majority
of entries relating to details of the physical examination. This
book is directed to students and will be valuable to medical
students, trainee neurologists, and professions allied to medicine.
Neurologists often speak in shorthand and so entries such as
"absence" and "freezing" are sensible and helpful.
General
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