{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T15:40:57Z","timestamp":1774971657098,"version":"3.50.1"},"reference-count":33,"publisher":"BMJ","issue":"4","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Pract Neurol"],"accepted":{"date-parts":[[2019,1,28]]},"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:p>The neurological examination should always begin before the patient enters the doctor\u2019s office. Movement disorders in particular lend themselves to a spot diagnosis. In today\u2019s busy buzzing world, it seems wasteful not to make use of the various diagnostic clues that can be picked up readily while the patient is still in the waiting room. We present several illustrative examples, drawn from the literature and from our own experience. These are divided according to the different waiting room \u2018stages\u2019: the patient sitting in the waiting room, the response on being summoned to enter the consulting room\u2014including rising from the chair, exchanging initial pleasantries and the way of walking. We also discuss the importance of paying attention to the patient\u2019s behaviour, clothing, posture, breathing patterns, facial expression and major gait abnormalities.<\/jats:p>","DOI":"10.1136\/practneurol-2018-002110","type":"journal-article","created":{"date-parts":[[2019,3,14]],"date-time":"2019-03-14T17:15:34Z","timestamp":1552583734000},"page":"295-301","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":11,"title":["The Waiting Room: neurological observations made outside the movement disorder specialist\u2019s consulting office"],"prefix":"10.1136","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3610-3437","authenticated-orcid":false,"given":"Rui","family":"Ara\u00fajo","sequence":"first","affiliation":[{"name":"Neurology, Centro Hospitalar e Universitario de Coimbra EPE, Coimbra, Portugal"}]},{"given":"Bart","family":"van de Warrenburg","sequence":"additional","affiliation":[{"name":"Neurology, Radboud University Medical Centre, Nijmegen, The Netherlands"}]},{"given":"Anthony","family":"Lang","sequence":"additional","affiliation":[{"name":"Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J Safra Program in Parkinson's Disease, Toronto Western Hospital, Toronto, Ontario, Canada"}]},{"given":"Andrew","family":"Lees","sequence":"additional","affiliation":[{"name":"Reta Lila Weston Institute of Neurological Studies, University College London, London, UK"}]},{"given":"Bastiaan R","family":"Bloem","sequence":"additional","affiliation":[{"name":"Neurology, Radboud University Medical Centre, Nijmegen, The Netherlands"}]}],"member":"239","published-online":{"date-parts":[[2019,3,14]]},"reference":[{"key":"2025090411595400000_19.4.295.1","first-page":"235","article-title":"Medical examination of immigrants at Ellis island","volume":"10","author":"Bateman-House","year":"2008","journal-title":"Virtual Mentor"},{"key":"2025090411595400000_19.4.295.2","doi-asserted-by":"publisher","DOI":"10.1177\/014107688908200114"},{"key":"2025090411595400000_19.4.295.3","unstructured":"Verghese . 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