Referral guideline – Abnormal movements, tics or unsteadiness
Introduction
These are neurologic syndromes in which there is either an excess of movement or a paucity of voluntary and automatic movements, unrelated to weakness or spasticity.
GP management
- Neurological examination including fundoscopy
- Video of suspected abnormal movement
When to refer
Consider referral to the nearest emergency department that treats children if an acutely unwell patient presents with the following:
- other neurological symptoms
- prodromal illness
- regression of developmental milestones
- abnormal neurological examination
- well children should be referred to the nearest general paediatric service in the first instance
- general paediatricians should consider referral to QCH neurosciences following failure of first line treatment (e.g. child psychology and/or medications).
Essential referral info
- Detailed history of the movements (nature, severity, onset, associated symptoms etc.)
- Presence of any concerning features
- Patient details
- Medicare number
- Parent/carer name and contact details
- Referring clinician details (name, contact details, provider number, date and length of referral)
Helpful referral info
- Examination findings including fundoscopy
- Height/weight/head circumference
- Birth and developmental history
- Any relevant laboratory tests
- Medication history (including OTC)
- Significant psychosocial risk factors
Parent service
Contact details
Hospital Switchboard
(Ask for the General Paediatric Registrar)
t: 07 3068 1111