Look Once, Think Twice: A Neurologist's Guide to Recognizing Subtle Neurologic Signs
By
Ayushi Chugh, MD
Summary
Neurologist Dr. Ayushi Chugh addresses the challenge of "neurophobia" and provides guidance for non-neurologists on recognizing subtle signs of neurologic conditions. She emphasizes the principle "look once, think twice" — urging clinicians to pause and reconsider when symptoms don't fully add up, even when scans appear normal or vital signs are reassuring. The article highlights how neurologic and neuromuscular conditions often present with subtle signs that can be easily dismissed, and offers practical diagnostic wisdom for primary care providers, emergency physicians, and other non-neurology clinicians.
Source
Key quotes
· 3 pulledAs a neurologist, one principle that I recommend to my neurology learners and non-neurology colleagues is 'look once, think twice,' because many neurologic and neuromuscular conditions initially hide behind subtle signs that appear straightforward.
A normal scan, reassuring vital signs, or a familiar symptom label may make us comfortable in...
Neurophobia is real. Patients with neurologic symptoms often first present to primary care clinics, emergency departments, or even ICUs long before they ever meet a neurologist.
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