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