Neurology Pathways

FAST recognition, thrombolysis and thrombectomy eligibility, and hyperacute stroke unit care

TIA risk stratification with ABCD2 score and urgent secondary prevention

Urgent management of suspected bacterial meningitis — LP timing, antibiotics, steroids

Diagnosis, dopaminergic therapy initiation, and motor/non-motor complication management

Systematic evaluation of peripheral neuropathy — pattern recognition, investigation, and common causes

Red flag headache identification and management of common headache disorders

NICE NG217 / RCEM — staged escalation: benzodiazepine, second benzodiazepine, levetiracetam/phenytoin, anaesthesia.

Recognise red flags, urgent MRI whole spine, dexamethasone, oncological / surgical management.

Ascending weakness with areflexia, NCS + LP, IVIG / plasma exchange, monitor respiratory function (FVC).

Respiratory failure in myasthenia gravis — distinguish from cholinergic crisis, IVIG / PLEX, ITU support, identify trigger.

Empirical aciclovir, autoimmune workup (anti-NMDA, LGI1, etc.), MRI, EEG, ITU monitoring, immunotherapy.

Define relapse, exclude pseudo-relapse, IV/oral methylprednisolone, plasma exchange in refractory, disease-modifying therapy review.

Acute treatment (triptans, NSAIDs, antiemetics), preventive options (propranolol, topiramate, candesartan, CGRP), red flags, MOH.

Positive diagnosis (Hoover's, give-way, distractibility), exclude organic, transparent diagnosis, FND-specific physiotherapy / CBT.

Modified Dandy criteria, MRI/MRV, LP for opening pressure, weight loss, acetazolamide, surgical options for refractory vision loss.

NICE NG97 — cognitive assessment, exclude reversible causes, sub-type identification, support + medication, advance planning.

Common cause of stroke in young adults — neck pain, Horner's, ischaemic stroke; CTA/MRA, antiplatelet vs anticoagulation.

Identify CSF leak (β2-transferrin), distinguish traumatic vs spontaneous, conservative vs surgical repair, antibiotic role.