Experience from two decades of the Cambridge Rapid Access Neurology Clinic.
Clin Med (Lond)
; 15(5): 437-41, 2015 Oct.
Article
en En
| MEDLINE
| ID: mdl-26430181
ABSTRACT
We report on the evolution of the rapid access neurology clinic (established in 1995) at Addenbrooke's Hospital, Cambridge. Annualised attendance data demonstrate an ever increasing demand, with primary headache disorders now accounting for more than 40% of referrals. Secondary causes of headache (including intracranial tumours, idiopathic intracranial hypertension, carotid or vertebral artery dissection and subdural haematomas) remain infrequent. In all such cases, there were additional diagnostic clues. The number of patients referred with problems related to chronic neurological diseases has fallen considerably, reflecting the roles of specialist nurses and clinics. Imaging investigation of choice shifted from computerised tomography scan (45 to 16%) towards magnetic resonance imaging (17 to 47%). Management is increasingly on an outpatient basis, often without the need for a follow-up appointment. The experience presented here should inform further development of rapid access neurology clinics across the UK and suggests the need for acute headache services, in line with those for transient ischaemic attack and first seizure.
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Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Servicio Ambulatorio en Hospital
Tipo de estudio:
Etiology_studies
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Clin Med (Lond)
Año:
2015
Tipo del documento:
Article
País de afiliación:
Reino Unido