Motor neuron disease.

For neurologists, the management of motor neuron disease (MND) involves prompt and accurate diagnosis; an understanding of nat- ural history, prognosis, and of the physical and psychological consequences of the dis- ease for the individual and for carers; famil- iarity with the techniques, philosophies, and ethical aspects of symptomatic treatment, rehabilitation medicine and palliative care; and awareness of the new opportunities for research into the causes and treatment of MND and other motor neuron disorders. Because MND is a relatively rare condition for most health workers, the neurologist can make an important contribution to effective multidisciplinary management. Underpro- vision of neurology services militates against this in the United Kingdom. Nevertheless, an argument can be made that MND be treated as a "special case" and that health districts should develop appropriate models of inter- disciplinary care, not necessarily led, but advised and supported by, local neurologists.