Referral guideline – Suspected neurocutaneous disorder

Introduction

These are multisystem disorders that have characteristic central nervous system, ocular, and cutaneous lesions of variable severity. These are multisystem disorders that have characteristic central nervous system, ocular, and cutaneous lesions of variable severity.

GP management

Clinical history and examination looking for:

• family history of neurocutaneous condition
• presence of depigmented patches
• café au lait patches
• axillary or inguinal freckling
• abnormal skin plaques
• cutaneous vascular abnormalities
• limb hypertrophy
• subungual lesions.

When to refer

• Refer all patients to the nearest general paediatric service, who will refer to neurosciences if appropriate.
• Refer to the nearest Emergency Department that treats children if there are associated seizures or focal neurological signs.

Essential referral info

• Family history of any neurocutaneous condition
• Any positive examination features as listed above
• 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

• Height/weight/head circumference/percentile charts
• Birth and developmental history
• Significant psychosocial risk factors