RT Book, Section
A1 Salardini, Arash
A1 Whelan, Chad
A2 Salardini, Arash
A2 Biller, José
SR Print(0)
ID 1127043010
T1 Introduction to Hospital Neurology
T2 The Hospital Neurology Book
YR 2016
FD 2016
PB McGraw-Hill Education
PP New York, NY
SN 9780071845830
LK neurology.mhmedical.com/content.aspx?aid=1127043010
RD 2024/04/20
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