[The importance of neurological examinations in the age of the technological revolution].
BACKGROUND
Neurologic practice and care have been modified in many important ways during the past ten years, to adapt to the explosion of new information and new technology. Students, residents and practicing physicians have been continuing programs to a model that focuses almost exclusively on the applications to neurologic disorders of the new knowledge obtained from biomedical research. On the other hand high demand for outpatient neurologic care prevents adequate patient's evaluation.


METHODS
Case 1: 65 years old female. Occipital headache diagnosed of tensional origin (normal computerized tomography). Two months later is re-evaluated due to intractable pain and hypoglossal lesion. An amplified computerized tomography revealed a occipital condyle metastasis. Case 2: 21 years old female. Clinical suspicion of demyelinating disease due to repeated facial paresis and sensitive disorder. General exploration and computerized tomography revealed temporo-mandibular joint. Case 3: 60 years old female. Valuation of anticoagulant therapy due to repeated transient ischemic attacks. She suffered from peripheral facial palsy related to auditory cholesteatoma.


CONCLUSIONS
Neurologic education is nowadays orientated to new technologies. On the other hand, excessive demand prevents adequate valuation and a minute exploration is substituted by complementary evaluations. These situations generate diagnostic mistakes or iatrogenic. It would be important a consideration of the neurologic education profiles and fulfillment of consultations time recommendations for outpatients care.
Berbel-García
A
A
Servicio de Neurología, Hospital Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain. aberbel@yahoo.com
González-Spínola
J
J
Martínez-Salio
A
A
Porta-Etessam
J
J
Pérez-Martínez
D A
DA
de Toledo
M
M
Sáiz-Díaz
R A
RA
D000328:Adult; D000368:Aged; D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D009422:Nervous System Diseases / Q000175:diagnosis* / Q000503:physiopathology; D009460:Neurologic Examination / Q000379:methods*