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There is an increasing vogue for fast access disease-based clinics—TIA clinics or first fit clinics—where a major role is to make the diagnosis. It is easy to see the potential benefits of organising clinics in this way: ensuring speedy access for patients to expertise and as a way to streamline the organisation of investigations. However, in their article on TIA mimics and chameleons (see page 23), David Werring and colleagues explore presentations that are transient, vascular and frequently not TIAs, once again highlighting the importance of careful history in neurological evaluation. Perhaps, given the high proportion of patients with alternative diagnoses, we should rename them ‘Possible TIA clinics’ or ‘Suspected first seizure clinics’ to maintain diagnostic equipoise? The theme of cerebrovascular differential diagnosis is further developed by Anisha Doshi describing an unusual stroke mimic (see page 39), Negar Ashaghi reporting a …
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