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Neurological Symptoms

Questions?

  • When did the problem start?
  • Is it continuous?
  • Is it getting worse?
  • Is it affecting mobility/function?
  • Any constipation or urinary or faecal incontinence?
  • Does the patient have back pain? Consider spinal cord compression.

Grade 1 (Amber)

  • Mild parasthesia
  • Subjective weakness with no objective findings or back pain

Advice

Contact the Acute Oncology Helpline immediately:

(Mon-Fri 9-5): 07831 147653
Out of hours: 0208 672 1255 ask for the oncology out of hours service

Grade 2 (Red)

  • Mild or moderate sensory loss
  • Moderate parasthesia
  • Mild weakness with no loss of function (with or without back pain).

Advice

Contact the Acute Oncology Helpline immediately:

(Mon-Fri 9-5): 07831 147653
Out of hours: 0208 672 1255 ask for the oncology out of hours service

Grade 3 (Red)

  • Severe sensory loss
  • Parasthesia or weakness that interferes with function (with or without back pain).
  • Any evidence of paralysis.

Advice

Consider 999 – treat as unstable spine.

If not calling 999, contact the Acute Oncology Helpline immediately:

(Mon-Fri 9-5): 07831 147653
Out of hours: 0208 672 1255 ask for the oncology out of hours service