Recent advances: Neurology

BMJ 1999;319:362-366 ( 7 August )

Clinical review

Recent advances

Neurology

A J Larner, senior registrar, S F Farmer, consultant.

Department of Neurology, St Mary's Hospital, London W2 1NY

Correspondence to: S F Farmer, National Hospital for Neurology and Neurosurgery, Queen Square, London WC1N 3BG s.farmer@ion.ucl.ac.uk

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

Most neurological problems are dealt with by general practitioners and hospital physicians, not by neurologists.¹ Neurologicaldisorders account for 10%-20% of acute hospital admissions. Around10% of the adult population consult their general practitionereach year with neurological symptoms, but of these less than 10%are referred to hospital clinics. Developments in the managementof neurological disorders are therefore relevant to doctors withoutspecialist neurologicaltraining.

Methods

We identified references by regular reading of general medical and neurological journals, from searching the electronic literature(Medline, BIDS), and through discussion with general practitionersand neurological colleagues with specialist interests. The finalselection of papers was partlysubjective.

Cerebrovascular disease

The international stroke trial and the Chinese acute stroke trial, each concerning around 20 000 patients, examined antithrombotictherapy (aspirin, heparin) given within 48 hours of acute ischaemicstroke. ² ³ Both found aspirin to be associated with about10 fewer deaths or recurrent strokes in the first 4 weeks for. . . [Full text of this article]

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