And the Rest…

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I would like to thank Dr Zollinger and the many content-expert authors of this issue who so successfully ensured that the unsung disorders (the Professors and Mary Anns of neurologic clinical syndromes) are now included in our curriculum and given the top billing they deserve.
From the theme song to
Gilligan’s Island, 1964:
The ship set ground on the shore of this Uncharted desert isle, With Gilligan,
The Skipper too, The Millionaire and his Wife, The Movie Star, And the rest, Here on Gilligan’s Isle.
From the theme song to
Gilligan’s Island, 1965:
The ship set ground on the shore of this Uncharted desert isle, With Gilligan, The Skipper too, The Millionaire and his Wife, The Movie Star, The Professor and Mary Ann, Here on Gilligan’s Isle.
This issue of Continuum has been in the making since the beginning of my now more than 3-year tour as Editor-in-Chief, when I recognized the need to address disorders that we commonly encounter but that don’t quite fit into the usual disease-category–based theme of a typical Continuum issue. Hence, the current potpourri-style set of topics you will find in this issue, built around the unifying theme of outpatient neurology that Continuum Associate Editor Dr Charles A. Zollinger so kindly agreed to take the helm of as guest editor. Although many primarily outpatient-based disorders and syndromes are covered throughout the Continuum curriculum (eg, headache, movement disorders, neuromuscular diseases), the objective of this issue was to ensure that no important clinical neurologic disorder is “cast away” from our curriculum.
The issue begins with the article by Dr William P. Cheshire Jr, who provides a clear and important framework to use when we see patients with syncope or presyncope, whether of neurally mediated, cardiac, or other origin. In his encyclopedic article on dizziness, Dr Terry D. Fife then reviews with depth and clarity the clinical syndromes, differential diagnosis, and management options for the many causes of dizziness we encounter.
Dr Giorgio Cruccu next discusses the most current nosology, pathophysiology, and treatment of trigeminal neuralgia. Dr Ronald DeVere then provides an overview of the disorders of taste and smell, which, although relatively uncommon presenting symptoms in some of our practices, are a group of disorders that we nonetheless may take ownership of in assessing and managing. In the next article, which formed the seed of the idea for this issue when I realized that Bell’s palsy could be otherwise “missed” entirely in the topic-based Continuum curriculum, Dr Stephen G. Reich discusses the diagnosis, differential diagnosis, and management of this common syndrome.
Drs Jinny O. Tavee and Kerry H. Levin provide an evidence-based approach to the diagnosis and management of low back pain, with an emphasis on neurologic (radicular) causes of pain. Drs Lisa D. Hobson-Webb and Vern C. Juel then delineate the anatomy, diagnosis, and management of the many common entrapment neuropathies we encounter, which represent another set of disorders that we all need expertise in and yet have not been previously covered as a group in Continuum. Staying in the peripheral nervous system, Dr Lindsay A. Zilliox tackles the current management considerations regarding neuropathic pain. In the final review article of the issue, Dr Jalesh N. Panicker provides his neurourologic expertise to assist us in our evaluation and management of the urogenital symptoms that affect so many of our patients with neurologic disease.
In the Ethical and Medicolegal Issues section, Ms Rachel V. Rose and Dr Joseph S. Kass use an example from a neurology practice to illustrate how to mitigate cybersecurity risks.
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