Abstract

Is the neurologic examination becoming extinct?1 Possibly. There are not many formal teaching conferences dedicated exclusively to this topic in neurology residency training programs. Books describe examinations that would take hours to perform. To be useful, an examination has to be brief but sensitive to neurologic disease. Its interpretation has to be based in an adequate knowledge of neuroanatomy,2 which makes our specialty somewhat daunting but also enjoyable. Having recently edited 2 neuroimaging volumes,3 I cannot be accused of lack of interest in ancillary diagnostic techniques. However, even more than when I began to practice clinical neurology 44 years ago, before the CT and MRI era, I find the history and the physical examination essential to orient my ordering of ancillary procedures and to interpret their results.

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