Vuillier F, Medeiros-De Bustos E, Moulin T
Service de Neurologie, Unité Neurovasculaire, CHU, 25000 Besançon, France.
J Neuroradiol. 2004 Sep;31(4):252-61. doi: 10.1016/s0150-9861(04)97004-6.
The first step in the evaluation of patients with neurological deficit is to obtain expert clinical evaluation to achieve accurate and complete characterization. The type of neurological deficit, its mode of onset, the presence or absence of associated signs and symptoms, and a differential diagnosis must first be described. This will allow identification of the probable site of CNS involvement and appropriate imaging evaluation to be performed. A multi-disciplinary approach with constant correlation between clinical, imaging and pathological findings will enable clinicians to provide patients accurate diagnoses, appropriate prognostic evaluation and optimal management.