TY - CHAP M1 - Book, Section TI - Introduction to Hospital Neurology A1 - Salardini, Arash A1 - Whelan, Chad A2 - Salardini, Arash A2 - Biller, José Y1 - 2016 N1 - T2 - The Hospital Neurology Book AB - All subspecialties are a product of their history, and Neurology and Internal Medicine are no exceptions. Classical Neurology evolved in Europe on the bedrock of clinical semiology and postmortem neuropathological correlation in places such as Pitié-Salpêtrière and Queen Square hospitals. The pioneers of Clinical Neurology in the United States and indeed other countries looked to these beginnings when they set up departments and training programs during the last century. From their point of view, a study of the brain and its meager relevant therapeutics had little in common with the wider Internal Medicine. Knowledge of Internal Medicine was not as crucial to the training of a neurologist at that time as neuropathology and repeated exposure to the intricacies of neurological examination. It is in this environment that the neurological method evolved in the image of neuropathological correlation studies: a lesion is localized by detailed neurological examination, differential diagnoses are generated, and individual hypotheses are tested. Apart from the intellectual elegance of this approach, any delay caused by the meticulousness and deliberate pace of progress hardly mattered. There were few time-sensitive therapies to be offered to the neurological patient, and for a long time, Neurology was seen as the very definition of therapeutic nihilism by other subspecialties.1,2,3 SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - neurology.mhmedical.com/content.aspx?aid=1127043010 ER -