BMJ 2002;324:656-660 ( 16 March )

Clinical review

Recent developments

Recent developments in neurology

Samuel Wiebe, associate professor in neurology, Michael W Nicolle, associate professor in neurology. 

Department of Clinical Neurological Sciences, University of Western Ontario, London, ON, Canada

Correspondence to: S Wiebe, London Health Sciences Centre, University Campus, 339 Windermere Road, London, ON, Canada N6A 5A5 swiebe@uwo.ca

The first 150 words of the full text of this article appear below.

Neurology has evolved from a rich, descriptive discipline to one with many diagnostic and therapeutic options supported by an increasingly robust evidence base. This review looks at new evidence on the management of temporal lobe epilepsy, which shows that surgery can now prevent years of ineffective drug treatment and unnecessary disability. In stroke, simple clinical scales can accurately identify patients who will benefit most from evidence based treatments, although interventions of proved efficacy and safety continue to be underused. In dementia, while the promise of early preventive measures looms on the horizon, the clinical importance of available antidementia drugs continues to be investigated. Finally, the usefulness of the clinical neurological examination is being systematically analysed in specific conditions, such as migraine and carpal tunnel syndrome.
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    Methods

We identified important neurological advances by canvassing subspecialty neurologists, performing hierarchical literature searches with SUMSearch (SUMSearch.UTHSCSA.edu/searchform4.htm), and reviewing medical collections such as bmj.com . . . [Full text of this article]
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