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Useful info and links

Forms and papers to download

Fast track TIA referral form

Addenbrookes Cognitive Examination: This 100 point Addenbrooke's Cognitive Examination provides one score of "cognitive function".  It includes within it the "mini-mental" 30 point score and takes about 15 minutes to carry out.  Please note that it does not replace full cognitive assessment by neuropsychology.  Find out more Information on how to administer, score and interpret the test.

Drugs that impair cognitive function: Click for a list of commonly used medications with anticholinergic effects that may affect cognitive function.  For further information see:

 

Impact of anticholinergics on the aging brain: a review and practical application (Aging Health 2008, 4 (3), 311-320)

 

Service/ Information links

Local dementia services

Assessment of suspected dementia can occur either through the Neurology and Health Psychology service or via the 2gether memory assessment service.  There are no rules over which service to use for which patient though neurology would see itself as primarily offering a diagnostic service. 

Patients can also be referred to the countywide memory assessment service run by the 2gether trust, by single point access: managingmemory@glos.nhs.uk.  Their process is referral, then RMN assessment, then Consultant assessment.  Referrals should be made by letter giving:

• Why the person is referring
• Relevant medical history
• Medication (if any)
• Results of screening bloods FBC,LFT,U&E, B12 ,Folate and TFT’s
• Physical examination neurological exam (if indicated)
• Whether the person is aware of the referral and who is the point of contact to set up an initial appointment
• Where the person would like to be seen

In addition cognitive examination information e.g. 6CIT, Addenbrooke's Score, Mini Mental State Examination is helpful.

Referrals for information and education only (not memory assessment) can also be made. For more details about this service please visit the 2Gether Trust website.

Patients can also be  referred directly to appropriate consultant as below:

Gloucester - Cathey Dukes, Nick Ardagh-Walter

Cheltenham and Tewkesbury - Dr Katie Kelly, Dr Tarun Kuruvilla

Cirencester and North Cotswold - Dr Adam Molliver, Dr Emma Abbey

Stroud - Dr Jo Stratford, Dr Rebecca Slinn

Forest of Dean - Dr Seng Tan

 

Driving

For information about driving with neurological conditions please visit the DVLA website

Driving Assessment Centres:  Where patients can go for an assessment of their driving safety

 

Genetic Information

UK Genetic Testing Network

US On-Line Mendelian Genetic information

European Directory of DNA Diagnostic Laboratories

 

Lyme disease

Read an authoritative view on diagnostic tests (from the Inspector of Microbiology and Infection control at the Department of Health) in Lyme disease.

 

Neurology Sites

Washington University Neuromuscular Disease Centre

UK National Library for Health (Neurology)

Syncope Advice and Clinic Information

Crash Trial Head Injury Prognosis Calculation and associated BMJ paper

Webpage for patients with Non Epileptic Attack Disorder: www.nonepilepticattacks.info

Webpage for Functional Symptoms:  www.neurosymptoms.org

Patients can now carry out their their own on-line cognitive function testing via the Cambridge Brain Sciences site

 

Research links

To enter a patient to the National MND DNA bank, contact the Birmingham genetics team via Rachel Hornabrook, Neurology research nurse or refer them to Prof Karen Morrison or Hardev Pall at Birmingham.

Oxford Study:  A biomarker study in motor neuron disease.

Click for information sheets for patients and healthy controls.

 

NICE Guidance

Epilepsy in adults and children

Parkinson's Disease

Riluzole in MND

Newer drugs in Epilepsy

Stroke: Diagnosis and initial management

Headaches

 

Useful books for patients

Treat Your Own Neck:  Robin Mckenzie - ISBN: 0473002094

Treat Your Own Back: Robin Mckenzie - ISBN: 0959804927

Living with Parkinson's disease: Bridget McCall - ISBN 0859699579