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Evidence-based neurology We have too easily accepted the lack of trial evidence for so much of current practice, for example, idiopathic intracranial hypertension, carotid artery dissection or ulnar neuropathy surgery. All chronic neuropathy patients in whom intravenous immunoglobulin is considered (expensive and with limited availability) should be treated only if they are part of regional clinics participating in agreed study protocols with long-term assessments.