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Pract Neurol 2009;9:15 doi:10.1136/jnnp.2008.165910
  • Commentary

Commentary

  1. J Stone
  1. Consultant Neurologist, Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK; Jon.Stone@ed.ac.uk

    I don’t know about you, but I often find myself telling medical students that neurologists are prouder of their history taking skills, and less sure of the connections of the red nucleus than the students might imagine. I tell them that history taking is (nearly) everything in headache and blackout assessment. But when the students ask me how to do it, I can find it quite difficult to explain. If I’m honest I tend to end up advocating a rather tenacious style: be forensic, don’t give up with the questions, phone the witness. I don’t mention the clinical “hunch” but I do probably use it more than I …

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