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COMMON REASONS FOR REFERRAL: 

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• Headaches, Giddiness/dizziness, nausea/vomiting/stomach aches

Primary: Migraine headaches with and without aura, abdominal migraine, cyclic vomiting, benign paroxysmal vertigo, torticollis, colic of infancy

Tension headaches, Primary stabbing headaches.

Secondary causes of headaches: brain tumour, vascular malformation 

Idiopathic intracranial hypertension

• Developmental delay concerns

• Autism

• Cerebral palsy

• Speech and language delay

• Dyspraxia

• Head size/shape concerns in newborns and infants 

• Sacral dimple concerns in newborns and infants

• Birth mark concerns e.g. café au lait spots, port wine stain

• Shaking spells of infancy (epileptic vs nonepileptic)

• Febrile seizures

• Epilepsy

• Tic disorder, Tourette syndrome

• Tremors

• Writing difficulties (writer cramp, dysgraphia)

• Essential hand tremors

• School Difficulties

• Attention deficit disorder (ADD)

• Learning Disability (LD), Dyslexia

• Sleep Issues e.g. difficulty falling and staying asleep

• Excessive daytime sleepiness

• Insomnia and chronic fatigue

• Restless leg syndrome

• Night terrors

• Sleepwalking

• Sleep disorder breathing with snoring and sleep apnoea.

• Head Injury and Concussions

• Syncope, fainting, exercise intolerance, Postural orthostatic tachycardia syndrome (POTS), and other Dysautonomia

• Hypotonia, Neuromuscular conditions

• Neuropathy, small and large fibre. 

• Incidental Neuroimaging findings of unclear clinical significance

• Nystagmus 

• Double vision

• Neuropsychiatric changes in mental status and behaviour

• Detailed neurological assessment and if clinically indicated further neurodiagnostic lab tests, EEG, Lumbar puncture, Neuroimaging, and consent for genetic testing.  

• Headaches diagnosis and management

• Seizure diagnosis and management

• Epilepsy diagnosis and management 

• Attention deficit disorder diagnosis and management by a certified practitioner in Executive Functions and Competencies.  

• Functional neurological disorder diagnosis and management

• Early recognition and diagnosis of cerebral palsy in at risk newborns and infants with certification in Prechtl General Movement Assessment

• Early recognition and diagnosis of neuromuscular disorder

• Co-management of inpatients with other paediatricians and subspecialists for patients with underlying neurological conditions.

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