| Category A Local Expertise | Category B Consider discussion with Maternal Medicine Centre (MMC) | Category C Care led by Maternal Medicine Centre |
|---|---|---|
| Epilepsy managed jointly with neurology and obstetrics | Epilepsy without local access to joint neurology and obstetrics input | |
| Migraine | Migraine not responding to oral preventative agents Cluster headache | |
| Asymptomatic idiopathic intracranial hvpertension | Symptomatic idiopathic intracranial hypertension | Symptomatic raised intracranial pressure |
| Staure, small cerebrovascular malformation (CVM), reviewed within 2 years of conception & plan for mode of delivery | CVM, not reviewed within 2 years of conception +/- no mode of delivery plan • Untreated or partially treated CVM that has bled previously Aneurysm ≥7 mm or an aneurysm with other high-risk features as defined by a neuroradiologist • Complex arteriovenous • Cavernoma with high-risk featuresmalformation | Unstable CVM/ arteriovenous malformation/ cavernoma Intracerebral bleed within 2 years |
| Previous brain tumour | Current brain tumour | Progressive brain tumour |
| Previous cerebral vein thrombosis | New cerebral vein thrombosis | |
| Previous stroke | Acute stroke (see pan-London pathway) | |
| Meningitis | Previous Guillain-Barre Syndrome | New-onset Guillain-Barre syndrome |
| Stable myasthenia gravis (MG) | New diagnosis or flare of MG | |
| Stable multiple sclerosis (MS) managed without disease modifying drugs | Unstable MS or on disease modifying drugs • Secondary progressive MS • Highly active relapsing remitting MS | |
| Mononeuropathy including Bell's palsy | Progressive or persistent mononeuropathy | |
| Previous encephalitis | New encephalitis | Autoimmune encephalitis on treatment |
| Post-dural puncture headache | Reversible Cerebral Vasoconstriction Syndrome | |
| Spinal cord pathology e.g. Inflammation (myelitis), tumour, Chiari malformation/Syrinx | ||
| Neurofibromatosis | ||
| Neuromuscular dystrophy | Myotonic dystrophy | |
| Spinal muscular atrophy | ||
| Motor neurone disease |
