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,