
CT Scan and the Practice of Neurology
C. M. Poser, MD
Dept of Neurology Med Center Hospital of Vermont Univ of Vermont Burlington, VT 05401
Arch Neurol. 1977;34(2):132.
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To the Editor.—
The introduction of the computerized tomographic (CT) scan in neurologic practice has added an important and valuable diagnostic tool to our armamentarium. Numerous papers are appearing in its praise; indeed a new journal entirely devoted to this new procedure is being published. No one doubts that the CT will revolutionize our diagnostic approach to intracranial pathology.
In all this enthusiasm, very few have called attention to the very serious threat posed by the uncontrolled utilization of this procedure to the education and training aspects of neurology, as well as to the health and welfare of patients. How frequently does the family practitioner get a sense of false security about his headache or seizure patient when told that the CT scan is normal? How often is the CT substituted for a history and neurologic examination? How many patients are told that the CT scan will save them the
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