{"id":186,"date":"2026-06-10T15:15:55","date_gmt":"2026-06-10T14:15:55","guid":{"rendered":"https:\/\/7c71d11735.nxcli.io\/?page_id=186"},"modified":"2026-06-10T15:25:07","modified_gmt":"2026-06-10T14:25:07","slug":"neurology-and-neurosurgery","status":"publish","type":"page","link":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/professionals\/neurology-and-neurosurgery\/","title":{"rendered":"Neurology and Neurosurgery"},"content":{"rendered":"<section class=\"l-section wpb_row height_auto width_full\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_middle type_default stacking_default\"><div class=\"wpb_column vc_column_container us_custom_e0bb8d73 has_bg_color\"><div class=\"vc_column-overlay\" style=\"background:rgba(54,188,238,0.55)\"><\/div><div class=\"vc_column-inner\"><h1 class=\"w-post-elm post_title us_custom_20441257 has_text_color align_center color_link_inherit\">Neurology and Neurosurgery<\/h1><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row us_custom_a280f4f5 height_auto width_full\"><div class=\"l-section-overlay\" style=\"background:#36bcee\"><\/div><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container us_custom_3a2383e5\"><div class=\"vc_column-overlay\" style=\"background:#36bcee\"><\/div><div class=\"vc_column-inner\"><div class=\"w-separator size_custom\" style=\"height:15px\"><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_medium\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_2 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h3 style=\"font-weight: 400;\">Referral criteria<\/h3>\n<p style=\"font-weight: 400;\">Neurological conditions for consideration of referral for an opinion, advice or MMC led care.<\/p>\n<p style=\"font-weight: 400;\">For women requiring MMC led care they are managed in the maternal medicine Antenatal clinic that runs on Monday mornings at the RVI. Please see appendix x for the regional epilepsy referral pathway.<\/p>\n<p style=\"font-weight: 400;\">Lead Maternal Medicine Obstetrician- Dr M Pearce<\/p>\n<p style=\"font-weight: 400;\">Lead Obstetric Physician- Dr K Cranfield<\/p>\n<p style=\"font-weight: 400;\">Lead Neurologist- Dr E Akay<\/p>\n<p style=\"font-weight: 400;\">Epilepsy Specialist Nurse- NUTH\/Northumbria\/Gateshead- G Clark<\/p>\n<p style=\"font-weight: 400;\">Epilepsy Specialist Nurse- Sunderland-<\/p>\n<p style=\"font-weight: 400;\">Epilepsy Specialist Nurse- Cumbria &amp; Whitehaven-<\/p>\n<p style=\"font-weight: 400;\">Epilepsy Specialist Nurse- JCUH (?encompases Darlington\/NT\/Durham?)<\/p>\n<h3 style=\"font-weight: 400;\">Clinical Resources<\/h3>\n<p style=\"font-weight: 400;\"><strong>Epilepsy<\/strong><\/p>\n<p style=\"font-weight: 400;\">Epilepsy in Pregnancy (Green Top Guideline) <a href=\"https:\/\/www.rcog.org.uk\/guidance\/browse-all-guidance\/green-top-guidelines\/epilepsy-in-pregnancy-green-top-guideline-no-68\/\"><strong>Epilepsy in Pregnancy (Green-top Guideline No. 68) | RCOG<\/strong><\/a><\/p>\n<p style=\"font-weight: 400;\"><a href=\"https:\/\/northernlms.org\/wp-content\/uploads\/2024\/07\/240605-NENC-Epilepsy-and-Pregnancy-Guideline-FINAL.pdf\"><strong>240605-NENC-Epilepsy-and-Pregnancy-Guideline-FINAL.pdf<\/strong><\/a><\/p>\n<p style=\"font-weight: 400;\"><strong>Myasthenia Gravis<\/strong><\/p>\n<p style=\"font-weight: 400;\"><a href=\"https:\/\/www.myaware.org\/drugs-to-avoid\">Drugs to Avoid | myaware<\/a><\/p>\n<p style=\"font-weight: 400;\">Myasthenia in pregnancy: best practice guidelines from a UK multispecialty working group <a href=\"https:\/\/jnnp.bmj.com\/content\/85\/5\/538\">Myasthenia in pregnancy: best practice guidelines from a UK multispecialty working group | Journal of Neurology, Neurosurgery &amp; Psychiatry<\/a><\/p>\n<p style=\"font-weight: 400;\"><strong>Multiple Sclerosis <\/strong><\/p>\n<p style=\"font-weight: 400;\">UK Consensus on pregnancy in multiple sclerosis: \u2018Association of British Neurologists\u2019 guidelines <a href=\"https:\/\/pn.bmj.com\/content\/19\/2\/106.long\"><strong>UK consensus on pregnancy in multiple sclerosis: \u2018Association of British Neurologists\u2019 guidelines | Practical Neurology<\/strong><\/a><\/p>\n<\/div><\/div><\/div><\/div><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column\"><div class=\"wpb_wrapper\"><h3 style=\"font-weight: 400;\">Patient Resources<\/h3>\n<p style=\"font-weight: 400;\"><strong>Epilepsy <\/strong><\/p>\n<ul>\n<li>Epilepsy action <a href=\"https:\/\/www.epilepsy.org.uk\/living\/starting-a-family\/pregnancy-birth-and-epilepsy\">https:\/\/www.epilepsy.org.uk\/living\/starting-a-family\/pregnancy-birth-and-epilepsy<\/a><\/li>\n<li><\/li>\n<li>Epilepsy action- Labour, birth and after the baby is born <a href=\"https:\/\/www.epilepsy.org.uk\/living\/starting-a-family\/labour-birth-and-after-the-baby-is-born\">Giving Birth with Epilepsy &#8211; Epilepsy Action<\/a><\/li>\n<\/ul>\n<ul>\n<li>Epilepsy society <a href=\"https:\/\/epilepsysociety.org.uk\/living-epilepsy\/starting-a-family\">https:\/\/epilepsysociety.org.uk\/living-epilepsy\/starting-a-family<\/a> (safety info)<\/li>\n<li>UK Epilepsy &amp; Pregnancy Register <a href=\"https:\/\/www.epilepsyandpregnancy.co.uk\/\">https:\/\/www.epilepsyandpregnancy.co.uk<\/a><\/li>\n<li>Epilepsy medicines and pregnancy <a href=\"https:\/\/www.epilepsy.org.uk\/living\/starting-a-family\/epilepsy-medicines-and-pregnancy?gad_source=1&amp;gad_campaignid=23506476669&amp;gclid=EAIaIQobChMIxdPk_OvxkgMVeZRQBh2j4jMdEAAYASAAEgKtOvD_BwE\">Epilepsy medicines and pregnancy &#8211; Epilepsy Action<\/a><\/li>\n<\/ul>\n<p style=\"font-weight: 400;\"><strong>Migraine <\/strong><\/p>\n<p style=\"font-weight: 400;\">Migraine in Pregnancy- <a href=\"https:\/\/migrainetrust.org\/live-with-migraine\/migraine-in-pregnancy\/\">Migraine in pregnancy &#8211; The Migraine Trust<\/a><\/p>\n<p style=\"font-weight: 400;\">Treatment of Migraine in pregnancy \u2013 Bumps website- <a href=\"https:\/\/www.medicinesinpregnancy.org\/leaflets-a-z\/migraine\/\">Migraine<\/a><\/p>\n<p style=\"font-weight: 400;\"><strong>Myasthenia Gravis<\/strong><\/p>\n<p style=\"font-weight: 400;\">Myasthenia Gravis and pregnancy- <a href=\"https:\/\/www.myaware.org\/myasthenia-and-pregnancy\">Myasthenia gravis and Pregnancy, can you get pregnant with myasthenia gravis, congenital myasthenia syndrome, birth<\/a><\/p>\n<p style=\"font-weight: 400;\"><strong>Multiple Sclerosis<\/strong><\/p>\n<p style=\"font-weight: 400;\">Pregnancy and MS<strong>&#8211; <\/strong><a href=\"https:\/\/mstrust.org.uk\/a-z\/pregnancy\"><strong>Pregnancy and MS | MS Trust<\/strong><\/a><\/p>\n<p style=\"font-weight: 400;\">MS Decisions<strong>&#8211; <\/strong><a href=\"https:\/\/mstrust.org.uk\/information-support\/ms-drugs-treatments\/ms-decisions\"><strong>MS Decisions | MS Trust<\/strong><\/a><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section><section class=\"l-section wpb_row height_small\"><div class=\"l-section-h i-cf\"><div class=\"g-cols vc_row via_grid cols_1 laptops-cols_inherit tablets-cols_inherit mobiles-cols_1 valign_top type_default stacking_default\"><div class=\"wpb_column vc_column_container\"><div class=\"vc_column-inner\"><div class=\"wpb_text_column us_custom_9e7f000d\"><div class=\"wpb_wrapper\">\n<table id=\"tablepress-7\" class=\"tablepress tablepress-id-7\">\n<thead>\n<tr class=\"row-1\">\n\t<th class=\"column-1\">Category A<br \/>\nLocal expertise<\/th><th class=\"column-2\">Category B<br \/>\nReview, advice and guidance from maternal medicine centre<\/th><th class=\"column-3\">Category C<br \/>\nCare led by maternal medicine centre<br \/>\n<\/th>\n<\/tr>\n<\/thead>\n<tbody class=\"row-striping row-hover\">\n<tr class=\"row-2\">\n\t<td class=\"column-1\">Epilepsy managed in a combined clinic including specialist neurology and obstetrics<br \/>\n<br \/>\nMigraine<br \/>\n<br \/>\nStable, small cerebrovascular malformation, reviewed within 2 years of conception, plan for mode of delivery<br \/>\n<br \/>\nPrevious brain tumour<br \/>\n<br \/>\nPrevious cerebral vein thrombosis<br \/>\n<br \/>\nMeningitis<br \/>\n<br \/>\nPrevious encephalitis<br \/>\n<br \/>\nStable multiple sclerosis managed without disease modifying drugs<br \/>\n<br \/>\nMononeuropathy e.g. Bell\u2019s palsy carpal tunnel, peroneal nerve compression<br \/>\n<br \/>\nPost-dural puncture headache<br \/>\n<\/td><td class=\"column-2\">Cluster headache<br \/>\n<br \/>\nIdiopathic intracranial hypertension<br \/>\n<br \/>\nCerebrovascular malformation, not reviewed within 2 years of conception<br \/>\n<br \/>\nCurrent brain tumour<br \/>\n<br \/>\nNew cerebral vein thrombosis<br \/>\n<br \/>\nPrevious Guillain Barre Syndrome<br \/>\n<br \/>\nTreated, stable myasthenia gravis<br \/>\n<br \/>\nUnstable multiple sclerosis or disease modifying drugs<br \/>\n<br \/>\nProgressive or persistent mononeuropathy<br \/>\n<br \/>\nNew encephalitis<br \/>\n<br \/>\nReversible Cerebral Vasoconstriction syndrome<br \/>\n<br \/>\nPosterior reversible encephalopathy<br \/>\n<br \/>\nSpinal cord injury<br \/>\n<br \/>\nNeurofibromatosis<br \/>\n<br \/>\nNeuromuscular dystrophy<br \/>\n<br \/>\nSpinal muscular atrophy<br \/>\n<br \/>\nMotor neurone disease<br \/>\n<\/td><td class=\"column-3\">All epilepsy without local access to a combined clinic including specialist neurology and obstetrics<br \/>\n<br \/>\nSymptomatic raised intracranial pressure<br \/>\n<br \/>\nUnstable CVM\/AVM\/cavernoma intracerebral bleed within 2 years<br \/>\n<br \/>\nProgressive brain tumour<br \/>\n<br \/>\nAcute stroke<br \/>\n<br \/>\nNew-onset Guillain-Barre syndrome<br \/>\n<br \/>\nNew diagnosis or flare of myasthenia gravis<br \/>\n<br \/>\nMyotonic dystrophy<br \/>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<!-- #tablepress-7 from cache -->\n<\/div><\/div><\/div><\/div><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"Neurology and NeurosurgeryReferral criteria Neurological conditions for consideration of referral for an opinion, advice or MMC led care. For women requiring MMC led care they are managed in the maternal medicine Antenatal clinic that runs on Monday mornings at the RVI. Please see appendix x for the regional epilepsy referral pathway. Lead Maternal Medicine Obstetrician-...","protected":false},"author":1,"featured_media":0,"parent":86,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-186","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/186","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/comments?post=186"}],"version-history":[{"count":6,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/186\/revisions"}],"predecessor-version":[{"id":193,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/186\/revisions\/193"}],"up":[{"embeddable":true,"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/pages\/86"}],"wp:attachment":[{"href":"https:\/\/nencmaternalmedicine.nhs.uk\/index.php\/wp-json\/wp\/v2\/media?parent=186"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}