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Neurology

Find assessment and management information on Neurology conditions at:

Emergency Immediate transfer to the Emergency Department

Stroke/transient ischaemic attack (TIA)
  • Patient with acute neurological symptoms of a stroke; multiple/crescendo TIA
  • New acute symptoms
Progressive loss of neurological function,including multiple sclerosis (MS), motor neurone disease (MND), myasthenia gravis and othe neuromuscular disorders
  • Acute onset severe:
  • Weakness
  • ataxia
  • vertigo
  • visual loss
  • Acute severe exacerbation of known MS
  • Acute myopathy, severe myasthenia exacerbation,GBS
Seizures/epilepsy
  • Status epilepticus/epilepsy with concerning features:
    • first seizure
    • focal deficit post-ictally
    • seizure associated with recent trauma
    • persistent severe headache > 1 hour post-ictally
    • seizure with fever
Headache/migraine
  • Headache with concerning features:
    • sudden onset/thunderclap headache
    • severe headache with signs of systemic illness (fever, neck stiffness, vomiting, confusion, drowsiness)
    • first severe headache age > 50 years
    • severe headache associated with recent head trauma 
    • headaches with papilloedema
    • >50 years with raised CRP/ESR or if giant cell arteritis or vasculitis suspected
Movement disorders includingParkinson's disease (PD), dystonia and essential tremor
  • Sudden onset of severe,disabling movement disorder

Peripheral Neuropathy

  • Rapid (<2 weeks) progressive neuropathy where Guillain-Barre is suspected
  • Sub-acute painful neuropathy where systemic vasculitis is suspected

Suspected idiopathic intracranial hypertension  (IIH)

  • Papilloedema/suspected papilloedema or rapid onset visual loss  NB: See Headache/migraine CPC
Other referrals to emergency
  • Altered level of consciousness
  • Bilateral limb weakness with or without bladder and/or bowel dysfunction
  • Acute rapidly progressive weakness (Guillain-Barre Syndrome, myelopathy)
  • Delirium/sudden onset confusion with or without fever

Are you referring to the right service?

Urgent referrals Arranging urgent review

To arrange a very urgent outpatient appointment, please phone the relevant hospital’s switchboard and ask to speak to the Registrar of the relevant specialty.

Out of scope services

Find assessment and management information on some out of scope conditions at Brisbane South HealthPathways.

The following are not routinely provided in a public Neurology service.

Notes

  • Please note that where appropriate and where available, the referral may be streamed to an associated public allied health and/or nursing service.  Access to some specific services may include initial assessment and management by associated public allied health and/or nursing, which may either facilitate or negate the need to see the public medical specialist.
  • A change in patient circumstance (such as condition deteriorating, or becoming pregnant) may affect the urgency categorisation and should be communicated as soon as possible.
  • Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

Out of catchment

Metro South Health is responsible for providing public health services to the people who reside within its boundaries. Special consideration is made for patients requiring tertiary care or services that are not provided by their local Hospital and Health Service.  If your patient lives outside the Metro South Health area and you wish to refer them to one of our services, inclusion of information regarding their particular medical and social factors will assist with the triaging of your referral.

Last updated 3 June 2024