The diagnosis and management of a patient with motor neurone disease (MND) is, in my opinion, the hardest task in clinical neurology. The patient and family often want an early diagnosis at a time when it is not wise to be too dogmatic. When the diagnosis is finally given and the prognosis discussed, there is an understandable period of despair, which the neurologist tries to ease with regular follow-up visits. Despite the lack of a truly effective therapy, there have been significant advances in the ongoing care of patients with MND, which have been greatly facilitated by the concept of the multidisciplinary team.
Publication of your online response is subject to the Medical Journal of Australia's editorial discretion. You will be notified by email within five working days should your response be accepted.