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March 1992

Handbook of Neurological Investigations in Children

Author Affiliations

University of Arizona Health Sciences Center Department of Pediatrics 1501 N Campbell Tucson, AZ 85724

Am J Dis Child. 1992;146(3):310. doi:10.1001/archpedi.1992.02160150050019

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,

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