Regli F, Radziwill A
Service de Neurologie, Centre Hospitalier Universitaire Vaudois, Lausanne.
Praxis (Bern 1994). 1995 Dec 5;84(49):1459-64.
In the controversial field of a continuously changing neurology with the problem of rising medical costs, the perspectives of modern neurology at the beginning of a new century are described by four aspects: 1. Relatively new are the studies of neuropsychiatric symptoms in neurologic diseases. An immediate diagnosis and treatment of these symptoms can improve the outcome of the neurologic disease. 2. An example for the progress in investigative methods by medical technology is magnetic resonance imaging which allows a more refined diagnosis and which improves and reevaluates the importance of the clinical examination. There is a warning on the other hand about unnecessary and badly planned examinations. 3. Advances in clinical neurology are mentioned by describing neurogenetic diseases, infectious neurologic diseases and new forms of dementia. 4. Some therapeutical aspects concerning neuroprotection and neurologic intensive care are discussed. Finally, the aims for the training of future neurologists are briefly outlined.
在不断变化且存在医疗成本上升问题的有争议的神经学领域,新世纪伊始现代神经学的观点从四个方面进行了阐述:1. 神经疾病中神经精神症状的研究相对较新。对这些症状的及时诊断和治疗可改善神经疾病的预后。2. 医学技术在研究方法上取得进展的一个例子是磁共振成像,它能实现更精确的诊断,并提升和重新评估临床检查的重要性。另一方面,也有人警告不要进行不必要且计划不当的检查。3. 通过描述神经遗传疾病、感染性神经疾病和新型痴呆症提及了临床神经学的进展。4. 讨论了一些与神经保护和神经重症监护有关的治疗方面。最后,简要概述了未来神经科医生的培训目标。