1 - Introduction—why restorative neurology?
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Publisher SummaryThis chapter discusses the importance of restorative neurology. Restorative neurology is a subspecialty of neurology, and it deals with techniques and strategies used to restore a disordered nervous system to a state of optimal function. Restorative neurology is characterized by a pathophysiological approach to nervous system disease and, as such, differs from neurosurgery, which is primarily an anatomical discipline, and from pharmacology, which relies essentially on neurochemistry. In addition to being multidisciplinary, restorative neurology is uniquely dependent upon the two endeavors. The first endeavor is quantitative evaluation of neurologic deficits, which is the cornerstone of restorative neurology. Proposed therapeutic efforts must prove their efficacy on an objective basis, and quantitative assessment is mandatory if one is to be able to compare results and outcomes. This goal is difficult to achieve because tools of assessment are in development and rarely incorporated into the routine practice of most neurology departments. The second essential endeavor is clinical neurophysiology. In addition to providing objective data to contribute to assessment, clinical neurophysiology also permits pathophysiological analyses of the consequences of nervous system lesions.

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