| Category A Local Expertise | Category B Clinical review, advice and guidance from MMC | Category C Care led by MMC (UCLH unless stated otherwise) |
|---|---|---|
| Epilepsy managed in a combined clinic including specialist neurology and obstetrics | Cluster headache | All epilepsy without local access to a combined clinic including specialist neurology and obstetrics. |
| Migraine | Idiopathic intracranial hypertension | Symptomatic raised intracranial pressure |
| Stable, small cerebrovascular malformation, reviewed within 2 years of conception, plan for mode of delivery | CVM, not reviewed within 2 years of Conception | Unstable CVM/AVM/cavernoma Intracerebral bleed within 2 years |
| Previous brain tumour | Current brain tumour | Progressive brain tumour |
| Previous cerebral vein thrombosis (CVT) | New cerebral vein thrombosis (CVT) | Acute stroke |
| Meningitis | Previous Guillain Barre Syndrome | New-onset Guillain-Barre syndrome |
| Previous encephalitis | Treated, stable myasthenia gravis | New diagnosis or flare of myasthenia gravis |
| Stable multiple sclerosis managed without disease modifying drugs | Unstable multiple sclerosis or disease modifying drugs | Myotonic dystrophy |
| Mononeuropathy eg: Bell’s palsy carpal tunnel | Progressive or persistent mononeuropathy | |
| Post-dural puncture headache | New encephalitis | |
| Reversible Cerebral Vasoconstriction Syndrome (RCVS) | ||
| PRES | ||
| Spinal cord injury | ||
| Neurofibromatosis | ||
| Neuromuscular dystrophy | ||
| Spinal muscular atrophy | ||
| Motor neurone disease |
NCL maternal medicine protocols for referral and management:
NCL epilepsy guideline link
Epilepsy SOP PDF upload