Ferri-de-Barros J E, Nitrini R
Divisão de Neurologia do Hospital das Clínicas (HC) da Faculdade de Medicina da Universidade de São Paulo (FMUSP), Brasil.
Arq Neuropsiquiatr. 1996 Dec;54(4):637-44. doi: 10.1590/s0004-282x1996000400013.
To present the most frequent diagnosis of patients referred to a neurologist and to discuss the importance of this finding for the definition of the curriculum in Neurology.
The development of subspecialties of Neurology is interfering in the definition of what should be taught to train a physician or a neurologist. The knowledge of which are the most common neurological diseases may contribute to construct these curricula.
The initial diagnosis in 1815 outpatients referred to the neurologic service of an university-affiliated public hospital in São Paulo, Brazil, were analyzed.
The most common diagnosis, in decreasing order of frequency were: headache, epilepsy, mental disorders, cerebrovascular disease, head injury, polyneuropathy, vestibular syndrome, spastic crural paraparesis, extrapyramidal syndrome, dementia, intracranial hypertension and facial palsy.
The importance of the subspecialties in the curriculum should be related to the frequency of the neurologic diseases in the community.
介绍转诊至神经科医生处的患者最常见的诊断情况，并讨论这一发现对于神经病学课程定义的重要性。
神经病学亚专业的发展正在影响培养一名医生或神经科医生应教授内容的定义。了解哪些是最常见的神经系统疾病可能有助于构建这些课程。
对转诊至巴西圣保罗一家大学附属医院神经科的1815名门诊患者的初始诊断进行了分析。
最常见的诊断，按频率递减顺序为：头痛、癫痫、精神障碍、脑血管疾病、头部损伤、多发性神经病、前庭综合征、痉挛性小腿轻瘫、锥体外系综合征、痴呆、颅内高压和面瘫。
课程中亚专业的重要性应与社区中神经系统疾病的发生率相关。
