Patients with neurological disorders are frequently admitted by non-neurologist; hence neurological
consultations are commonly requested for. Whether these consultation services are beneficial to
patients’ diagnostic and management process is yet to be determined in our environment in Nigeria. We
audited the neurological ward consultation and its influence on patients’ diagnostic and management
process at the Olabisi Onabanjo University Teaching Hospital, Sagamu, Ogun state, Nigeria.
Neurological hand written consults received between December 1, 2008 and February 28, 2009(13
weeks) were prospectively collated and analyzed. Case records of the patients were then
retrospectively reviewed to determine the influence of each consultation. Fifty-four neurological
consultations were reviewed during this period. Consultation rate was about 4-5/week. Cerebrovascular
disease was the most common diagnostic category in 26 consults (48%), followed by infections in 10
(18.5 %). Complete takeover of patients’ management was the most common reason for the
consultations (82.4%).These consultations were beneficial in 35 patients (64.8%). This study augments
the evidence for the continuous development of neurology workforce in Nigeria. Neurological
consultation was largely beneficial but indiscriminate takeover of patient is a concern as it possibly
indicates a low affinity for management of neurological cases by the general physician. There is a need
to further access this service and for continuous neurological education of the general physician.