A "neurological assessment" is a medical examination in which a neurologist examines whether you have limitations associated with a neurological condition or disorder. In case of symptoms, an estimate of the prognosis and a recommendation regarding treatment are often also given (1). A neurological expertise can be requested by an insurance physician, company doctor, attorney or by the court. It is always done in writing and is accompanied by a number of questions that the neurologist tries to answer after his examination. The examination is independent, meaning that the neurologist has no interest in any particular outcome. The neurologist makes no pronouncement on the degree of disability; this is beyond his expertise.
What does the research involve?
The examination will begin with an explanation of the examination, what happens to your data and the rights you have in this regard. After this we will discuss your complaints, the course of the complaints and the situation in which the complaints arose. You will be asked about previous treatments, use of medication and use of stimulants. Then there will be a physical examination in which the higher cerebral functions (thinking, memory, planning), the cranial nerves (functions in the face), motor functions (movement, strength), coordination, reflexes and sensibility (feeling) will be tested.
The total duration of the examination is about 1.5 to 2 hours.
If there is still uncertainty about the cause of the symptoms after the examination, the neurologist may choose to request additional testing, such as an ultrasound, CT scan, MRI scan or EMG examination. It may also be important to request additional data, for example from your primary care physician. All this is only possible with your prior written consent.
What happens to the data from the survey?
The data from the examination are presented in a written report. The neurologist reports mainly on what is necessary to answer the question. At the end of the report, the data are summarized in a conclusion or reflection. The questions are then answered. The report is then sent to the applicant. In case of a combination of investigations by different specialists, your data will, where necessary, be seen by several specialists. In the context of quality control, it is also possible that a supervising specialist may view your data.
Medical confidentiality
Like any physician, the neurologist, as a medical specialist, is bound by professional secrecy. However, in the case of a neurological expertise, this professional secrecy is not unlimited. If the applicant is your employer, the report will be sent to the occupational physician involved, not to your employer.
Right of inspection and correction
At the end of the investigation, the findings will be discussed with you in general terms. In addition, the so-called "right of inspection and correction" applies to the report. This means that, if you wish, you will receive a copy of the draft report and can indicate whether there is an incorrect representation of facts. Interpretations, such as observations, diagnosis and conclusion, obviously fall outside the right of correction. N.B. you have no blocking rights in the context of this investigation.
1.Medical specialty reporting guideline in administrative and civil law, KNMG, April 2016.
