Practical Neurology Podcast Prudent scanning, masquerade syndromes, and spotting the tadpole - Editors' Highlights December 2025
Nov 15, 2025
Delve into the conversation about the risks and nuances of medical imaging, especially with over 50 CT scans in one life. Discover new insights on selective MRI use for Parkinson's and how brutal scrutiny can improve healthcare resource management. Explore the intriguing world of masquerade syndromes and the potential connections between the gut microbiome and neurological disorders. Plus, enjoy some lighthearted festive fun with a book club update and a cryptic crossword!
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Limit Repeat CTs For High-Use Patients
- Identify high-frequency users who receive repeated CTs and create pathways to reduce unnecessary scanning.
- Engage trust-wide case management to limit radiation exposure, conserve resources, and reduce carbon footprint.
Prudence Links Radiation Risk And Resource Stewardship
- Prudence balances patient benefit, harm avoidance, and reducing unwarranted variation in care.
- Cumulative radiation and carbon costs make thoughtful resource use both ethical and practical.
When To Consider MRI In Parkinsonism
- Consider one-time brain MRI in apparently classical Parkinson's when non-motor features are absent or unreliable.
- Use absence of REM sleep behaviour disorder or anosmia as a trigger to image rather than waiting for red flags to evolve.
