Patten emphasizes that most neurological diseases are either focal (stroke, tumor) or diffuse (metabolic, toxic). A patient with stepwise deterioration suggests vascular. A patient with waxing and waning symptoms suggests metabolic.
Whether you find a yellowed paperback in a hospital library or a clean PDF on your tablet, read it. Annotate it. Memorize the tables. Your patients—especially those with normal scans but disabling symptoms—will thank you. neurological differential diagnosis john patten pdf
Understanding Neurological Differential Diagnosis: A Guide to John Patten’s Classic Approach Patten emphasizes that most neurological diseases are either