NeurologicalProblemsBACDCommentsForm

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Neurological problems
NICE would like to hear your views on these questions:
1. Which areas will have the biggest impact on practice and be challenging to implement? Please say for whom and why.
2. What would help users overcome any challenges? (For example, existing practical resources or national initiatives, or examples of
good practice.)
3. The current title of this guideline is Neurological problems: Assessment, diagnosis and referral. There is a need for guidance that
helps non-specialists recognise the symptoms that may indicate a neurological problem, and guides them in assessing people
and making decisions about whether referral to specialist care is appropriate. The diagnosis of neurological conditions should be
carried out or confirmed by neurological specialists, following referral, so including diagnosis within the remit of this guideline is
considered to be of limited practical value. Given the suggested focus of this guideline, the following revised title has been
proposed - Suspected neurological conditions: Recognition and referral. Do you agree with the proposed change to the
guideline title?
4. We are planning to construct our literature searches around these condition groups to identify features, signs and symptoms of
concern - are any important condition groups missing from this list? Please provide a rationale for your response.
4.1 Adults

Movement disorders including tremors, dystonia and gait apraxia

Neuromuscular conditions including myopathies, myasthenia and muscular dystrophies

Functional disorders including non-epileptic dissociative seizures

Neuropathies including entrapment neuropathies and Guillain-Barre syndrome

Radiculopathies
4.2 Children and young people

Movement disorders including dystonia

Neuromuscular conditions including myopathies, myasthenia and muscular dystrophies

Brain tumours

Guillain-Barre syndrome

Neurodegenerative conditions
See section 3.9 of Developing NICE guidance: how to get involved for suggestions of general points to think about when
commenting.
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We are concerned that this recommendation may imply that …………..
Question 1: This recommendation will be a challenging change in
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approach and would be willing to submit its experiences to the NICE
shared learning database. Contact……………….
Neurological problems
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You can see any guidance that NICE has produced on topics related to this guideline by checking NICE Pathways.
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