Ordering genetic testing by neurologists: points to consider

J Neurol. 2023 Aug;270(8):3714-3722. doi: 10.1007/s00415-023-11758-3. Epub 2023 May 8.

Abstract

A significant challenge limiting the comprehensive utilization of genomic medicine is the lack of timely access to genetics specialists. Although neurologists see patients for whom genetic testing should be considered, the knowledge regarding the choice of the optimal genetic test for each case and the management of the test results are out of the scope of their everyday practice. In this review, we provide a step-by-step guide for non-geneticist physicians through the decision-making process when ordering diagnostic genetic testing for monogenic neurological diseases and when dealing with their results.

Keywords: Exome sequencing; Gene panel; Genetic testing; Genome sequencing; Neurogenetics; Variant of uncertain significance.

Publication types

  • Review

MeSH terms

  • Genetic Testing / methods
  • Humans
  • Nervous System Diseases* / diagnosis
  • Nervous System Diseases* / genetics
  • Neurologists
  • Physicians*