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GEM - Curriculum statement 15.7 neurological problems

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

Authoring team

Knowledge Base for the nMRCGP

Curriculum Statement 15.7 Neurological Problems

Symptoms:

Headache
- headache section on GPnotebook
Vertigo/dizziness (neurological, otological, psychological and cardiovascular causes)
- vertigo section on GPnotebook
Tremor
- tremor section on GPnotebook
Neuropathies
- neuropathies section on GPnotebook
Abnormal movements/chorea
- abnormal movements section on GPnotebook
Seizures
- seizures section on GPnotebook
Drowsiness
Loss of consciousness and coma
- loss of consciousness section on GPnotebook
- coma section on GPnotebook

Common and/or important conditions:

Epilepsy
- epilepsy section on GPnotebook
Common causes of headache – tension headache, migraine, cluster headache, cervical neuralgia, sinusitis, dental pain, drug rebound headache
Important causes of headache – raised intracranial pressure, thunderclap headache (subarachnoid haemorrhage, enlarging aneurism or migraine), temporal arteritis, trigeminal neuralgia, herpes zoster, cancers
Brain infections – meningitis, encephalitis, brain abscess, tuberculosis, HIV
Neurological causes of vertigo – stroke (brainstem and cerebellar haemorrhage/infarction), multiple sclerosis, trauma and concussion, acoustic neuroma, brain tumours
Mononeuropathies – trigeminal neuralgia, Bell’s palsy, carpal tunnel syndrome, nerve entrapments, e.g. ulnar, sciatic and femoral nerves
Polyneuropathies – metabolic causes (diabetes, alcohol, vitamin B12 and folate, porphyria, uraemia, infectious causes (e.g. Guillain-Barré, post viral, HIV), drugs induced neuropathy
- polyneuropathies section on GPnotebook
- drug-induced polyneuropathies on GPnotebook
Multiple sclerosis
- multiple sclerosis section on GPnotebook
Amyotrophic lateral sclerosis
- amyotrophic lateral sclerosis section on GPnotebook
Essential tremor
- essential tremor section on GPnotebook
Parkinson’s disease
- Parkinson's disease section on GPnotebook
Congenital conditions, e.g. cerebral palsy, spina bifida
- cerebral palsy section on GPnotebook
- spina bifida section on GPnotebook
Genetic conditions, e.g. Huntingdon’s disease.
- Huntingdon's disease section on GPnotebook

Investigation:

Knowledge of secondary care investigations and treatment including: electroencephalography (EEG), computerised tomography (CT) and magnetic resonance imaging (MRI), nerve conduction studies.

Treatment:

Understand principles of treatment for common conditions managed largely in primary care – epilepsy, headaches, vertigo, neuropathic pain, mononeuropathies, essential tremor and Parkinson’s disease

Emergency care:

Acute management of meningitis and meningococcal septicaemia
- meningitis section on GPnotebook
Acute management of people presenting with collapse, loss of consciousness or coma
Understand indications for emergency referral of people with stroke, intra-cranial haemorrhage, raised intracranial pressure and temporal arteritis
- stroke section on GPnotebook
- temporal arteritis section on GPnotebook

Prevention:

Health education and accident prevention advice for people with epilepsy
Vaccination for meningococcal disease
Understand avoidance of triggers and prophylaxis for migraine
Investigation of people with family history of genetic neurological disease, e.g. Berry aneurysm.

Related GPnotebook Educational Modules (GEMs):

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GEM - Curriculum statement 15.7 neurological problems

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