Diagnostic peer-agreement
Diagnostic peer-agreement by disease area is reported in Figure 1. All four consultants agreed on diagnosis in 99/200 cases. Three consultants agreed in 56/200 cases and two in 39/200 cases. There were 6 cases of complete disagreement: a case of ill-defined widespread sensory-motor disturbance (diagnoses of enhanced physiological tremor/cramp-fasciculation syndrome, uncertain, possible cervical spinal pathology and health anxiety were offered); an atypical blackout (diagnoses: uncertain, transient ischemic attack, focal seizure, fugue state); a case of non-specific dizziness (uncertain/exclude multiple sclerosis, possible cerebellar ischemic inflammatory/neoplastic pathology, possible vestibular dysequilibrium, functional disorder); and three headache disorders: (1: atypical migraine, stress-related headache, atypical cluster headache, tension headache; 2: chronic pain/neurological cause unlikely, uncertain, mastoiditis, somatisation disorder; 3: idiopathic stabbing headache; primary headache; tension headache; migraine).