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Refer urgently adults with recurrent, brief (less than 2 minutes), fixed-pattern disturbances of sensation to have an assessment for epilepsy.
NICE
National Institute for Health and Clinical Excellence (NICE)
Refer adults with persistent, distally predominant altered sensation in the limbs, and brisk deep tendon reflexes, to have an assessment for possible brain or spine disease. Suspect migraine with aura in adults who have sensory symptoms that occur with or without headache For adults with persistent, distally predominant ('stocking' or 'glove and stocking') altered sensation in the limbs and depressed deep tendon reflexes: be alert to the possibility of peripheral neuropathy and consider ...
ver más ... 2019Refer adults with recurrent episodes of dense amnesia to have an assessment for epileptic amnesia.
NICE
The committee thought it important to raise awareness of transient global amnesia, which presents as a single episode of dense amnesia with complete recovery and no features of epilepsy, and has a very low recurrence rate. The committee wanted to help non-specialists differentiate this from transient epileptic amnesia, which is recurrent and needs further investigation.
ver más ... 2019Do not routinely refer adults for neurological assessment if they have concentration difficulties associated with myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome or ...
NICE
National Institute for Health and Clinical Excellence (NICE)
The committee pointed out that difficulties with memory and concentration are common in myalgic encephalomyelitis (or encephalopathy)/chronic fatigue syndrome or fibromyalgia, and that these symptoms can be managed as part of the management of those conditions.
ver más ... 2019Do not routinely refer adults with an uncomplicated episode of Bell's palsy (unilateral lower motor neurone pattern facial weakness affecting all parts of the face and including weakness of eye ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Advise adults with Bell's palsy about eye care, and explain that Bell's palsy improves at different rates and maximum recovery can take several months. Consider referring adults with Bell's palsy who have developed symptoms of aberrant reinnervation (including gustatory sweating or jaw-winking) 5 months or more after the onset of Bell's palsy for neurological assessment and possible treatment. The committee agreed that uncomplicated Bell's palsy can be diagnosed and managed in primary care. ...
ver más ... 2019Refer urgently adults with very rapidly (within hours to days) progressive weakness of a single limb or hemiparesis for investigation, including neuroimaging, in line with the recommendation on brain ...
NICE
National Institute for Health and Clinical Excellence (NICE)
The committee agreed that this symptom can indicate potentially serious neurological disease and needs to be assessed urgently.
ver más ... 2019