Abstract

In recent history, the demise of the clinical neurologist was first predicted in the early 1970s with the advent of the CT scan.[1] Questions about localization and presence or absence of structural abnormalities, including ischemic stroke and hemorrhage, could now be answered by direct visualization of the brain, thereby rendering the clinician's input ancillary at best. Instead, clinicians incorporated available modalities into their repertoire and enabled major treatment advances. A stellar example would be in stroke care, where such an approach led to eventual use of thrombolysis to minimize disability in the mid-90s and, eventually, incorporation of endovascular treatments to reverse deficit in the last few years.[2]

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