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Contents: Nov/Dec 2015 issue

Posted in Editor's introduction on 21st Nov 2015

Full-PDF-ACNR-ND15-4This issue of ACNR is focused on the interface between Neurology and Psychiatry. Consisting of often fascinating patients, unresolved aetiologies and intense research, there are frequent areas of overlap between the two specialisms where once there was the mind: brain divide. The e-newsletter for this issue of ACNR is being distributed to about 4000 members of the Faculty of Neuropsychiatry in addition our own 2900 e-readers and we hope you enjoy it.

As evidenced by articles in this issue, psychiatric issues often affect patients seen in neurological practice. Patrick Williams describes the psychological impact of terrible pain in the form of trigeminal neuralgia and the relief achieved from neurosurgery. Marco Mula discusses neuropsychiatric symptoms in epilepsy. Individuals with epilepsy frequently report psychiatric symptoms, particularly mood disturbance, and psychotic symptoms may also be part of the epilepsy syndrome. Regina Katzenschlager provides a highly practical review of apomorphine in Parkinson’s disease.

Camilla Nord and Jonathan Roiser review some heartening evidence for transcranial direct current stimulation applied to the dorsolateral prefrontal cortex as a new treatment for depression. If effective, this ‘neurally administered’ treatment would explicitly bind our understanding of disordered mood to neural function, and potentially enrich our understanding of the biological basis of affective disorders.

David Werring and Steven Greenberg present a thoughtful account of a life well lived: Dr Miller Fisher. I admit to knowing nothing about this impressive neurologist before reading this article beyond the Guillain Barre Syndrome variant that bears his name. I am captivated by the wisdom of Fisher’s Rules, his many achievements, and his enthusiasm for practicing clinical neurology even when nearly ninety years old. His advice to ‘study the patient seriously’ is grounding advice for those of us in clinical training and clinical research alike.

There are two CBE awards to mention from earlier in the year: Jeremy Hughes, Chief Executive of Alzheimer’s Society, and Tony Holland, Professor of the Psychiatry of Learning Disabilities, University of Cambridge. Appropriately enough, the work of both individuals is of a neuropsychiatric flavour: congratulations to you both.

And for anyone wondering about the new face at the top of the Introduction: fear not, Mike will return to his usual place in the next issue!

Sian Alexander, Co- Editor


  1. Fisher CM. The Origin of Miller Fisher Syndrome. ACNR 2005;5(5):12.

ACNR 2015;15(5):4.  Online 13/11/2015