Contemporary Neurological Dilemmas
نویسنده
چکیده
© 2004 Blackwell Publishing Ltd INTRODUCTION Many patients present to neurology outpatient clinics without serious pathology – the classic example is the patient with chronic headache who believes he has a brain tumour. After a history and examination the neurologist is confi dent of the diagnosis of chronic tension-type headache, but is left not knowing whether to send the patient for a brain scan ‘for reassurance’. Do investigations reassure patients, or do they make them suspect that the doctor is uncertain of the diagnosis, so leading to increased anxiety about an underlying disease?
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