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The Neurology of the Elderly (Paperback, Softcover reprint of the original 1st ed. 1990)
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The Neurology of the Elderly (Paperback, Softcover reprint of the original 1st ed. 1990)
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Traditional methods in the clinical practice of neurology have
dominated clinical teaching in this specialty for about 100 years.
Essentially these methods involve meticulous attention to detail
and the recording of clinical facts. Thus the clinical history must
be recorded chronologically, preferably in the patient's own words,
and of the nervous sys followed by a carefully structured
examination tem set out in such a way as to allow the precise
localisation of the lesion or system involved. Clinical neurology
taught and practised in this way has bred generations of
neurologists throughout the world and raised the standards in the
specialty to a level where clinical skills are probably unexcelled
in any other specialty. With increasing availability and reliance
upon non-invasive imaging techniques, the need for these skills in
large areas of neurological practice has diminished. But perhaps
more importantly, the classical clinical methods in neurology were
developed when the elderly population was much smaller and when the
specialty of geriatrics did not exist. As a result, much of the
methodology is irrelevant or unreliable in of geriatrics will
frequently the elderly population and the student find himself
searching in vain in the textbooks of neurology for help in
assessing an elderly patient with an atypical presentation (for
example disturbance of balance or recurrent confusional episodes)
of some common neurological disorder."
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