The hallmark of the insecure diagnostician is the overly frequent ordering of unnecessary diagnostic tests. In these, the days of "acute remunerative neurology,"1 the selection of a particular neurodiagnostic test is influenced by a variety of factors, not the least of which is to generate income for the practitioner. This puts an undue burden on the busy clinician who is also worried about missing a diagnosis or being involved in litigation.
In a companion book to Fits and Faints, Stephenson and King have compiled an excellent monograph on the appropriate use of neurodiagnostic tests.
The paperback is divided into two parts. Part 1 reviews the various tests themselves. Part 2 is devoted to a problem-oriented approach in appropriately selecting a particular diagnostic study in a specific clinical situation.
The authors stress that no tests should be "routine." They review electroencephalography, electromyography and nerve conduction studies, evoked potentials, diagnostic imaging,
FERRY PC. Handbook of Neurological Investigations in Children. Am J Dis Child. 1992;146(3):310. doi:10.1001/archpedi.1992.02160150050019