The editors of Practical Neurology ask a reasonable question: who is best placed to oversee the neurophysiological investigation of patients presenting with neurological symptoms? Before considering the complexities of this seemingly straightforward question, it is accepted at the outset that any physician or technician could be trained to follow a testing proforma based on a symptom, or constellation of symptoms. So, the question does not relate to an issue of capability, nor should it relate to capacity. Rather, it would seem logical to consider how the best outcome can be achieved—that is, to diagnose the cause that underlies a patient’s symptoms. Clinical neurophysiology forms part of a neurologist’s array of instruments and tests that, carefully coordinated, yields the most rewarding and sometimes surprising results. At its simplest level, it represents a technology platform that aids the diagnosis and management of patients with neurological disease. More fundamentally, however, it is indispensable for differentiating myopathic from neuropathic causes of weakness; and for determining the pattern of neurogenic abnormality.1 Critically, clinical neurophysiology can assist in the diagnosis and localisation of a lesion, and in staging the development or recovery from neurological diseases. In the presence of neurogenic …

中文翻译：

---

神经病学和临床神经生理学：人工划分

Practical Neurology 的编辑提出了一个合理的问题：谁最适合监督出现神经系统症状的患者的神经生理学调查？在考虑这个看似简单的问题的复杂性之前，首先接受的是，任何医生或技术人员都可以接受培训，以遵循基于症状或症状群的测试形式。所以，这个问题与能力问题无关，也不应该与能力有关。相反，考虑如何实现最佳结果似乎是合乎逻辑的——即诊断患者症状背后的原因。临床神经生理学构成了神经科医生的一系列仪器和测试的一部分，经过精心协调，可以产生最有益的，有时甚至是令人惊讶的结果。在最简单的层面上，它代表了一个技术平台，可帮助诊断和管理神经系统疾病患者。然而，更重要的是，它对于区分肌病和神经病性无力是必不可少的。1 重要的是，临床神经生理学可以帮助诊断和定位病变，以及分期神经系统疾病的发展或恢复。在神经源性... 临床神经生理学可以帮助诊断和定位病变，以及分期神经系统疾病的发展或恢复。在神经源性... 临床神经生理学可以帮助诊断和定位病变，以及分期神经系统疾病的发展或恢复。在神经源性...