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Rare neurological diseases: a practical approach to management
  1. Krishna A Dani1,
  2. Lesley J Murray2,
  3. Saif Razvi1
  1. 1Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, Glasgow, UK
  2. 2Pharmacy and Prescribing Support Unit, Southern General Hospital, Glasgow, UK
  1. Correspondence to Dr Krishna A Dani, Department of Neurology, Institute of Neurological Sciences, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF, UK; krishna.dani{at}


Although neurologists are frequently faced with the management of rare diseases, there is little generic guidance for the approach to management. There are complexities with respect to diagnosis, counselling, treatment and monitoring which are idiosyncratic to rare diseases. Here we use a case report as the basis for discussion of the management of rare neurological diseases. We discuss current issues, guidance from regulatory bodies, and offer practical tips for diagnosis, treatment and monitoring, including the use of decision tree analysis. We offer a generic algorithm to aid neurologists when facing rare conditions.

  • Rare Diseases
  • Superficial siderosis
  • Ethics
  • Diagnosis
  • Medication

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