If clinical concerns, but doesn't appear to fit criteria, consider using A&G through ERS.
Related to the CNS in whom a brain tumour is suspected including:
- Progressive neurological deficit (e.g. Hemiparesis)
- New onset seizures
- Headaches with vomiting and papilledema
- Mental changes
- Cranial nerve palsy
Early morning headaches of recent onset accompanied by features suggestive of raised intracranial pressure, e.g:
- Vomiting
- Drowsiness
- Posture related headache (worse when lying down)
- Focal/non focal neurological symptoms (eg blackout, change in personality or memory)
New, qualitatively different, unexplained headache that becomes progressively worse and of up to two weeks duration.
NICE advice is that adults with progressive, sub-acute loss of central neurological function should be referred for urgent direct access MRI rather than referral to Neurology.
Urgent findings on the MRI scan which require rapid action/referral will be escalated to the referring clinician and to the Neuro-oncology MDT (by the reporting radiologist).
Significant Weight Loss Only?