neurology
BER Score (Benign vs Epileptic vs Other Paroxysmal Events)
Differentiates benign paroxysmal events (migraine with aura, syncope) from epileptic seizures based on clinical features.
Score interpretation
Likely benign (migraine aura / syncope)
→ Reassure; migraine management or syncope workup as appropriate
Uncertain aetiology
→ EEG; neurology review; avoid driving pending assessment
Epileptic seizure more likely
→ Urgent EEG; anti-epileptic drug consideration; driving restriction
Interpretation bands for the BER Score. Apply clinical judgement and local guidance.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Almond Oil · Emollient / Cerumenolytic
- Aluminium Acetate · Astringent / Topical Antimicrobial
- Sodium Valproate (Epilepsy in Elderly) · Antiepileptic
- Amitriptyline (Neuropathic Pain / Migraine) · Tricyclic Antidepressant / Neuropathic Pain Agent
- Erenumab · CGRP Receptor Monoclonal Antibody — Migraine Prevention
- Propranolol (Migraine Prevention) · Beta-Blocker — Migraine Prophylaxis
Pathways
- Acute Stroke / TIA Assessment · NICE NG128; RCP Stroke Guidelines 2023
- Status Epilepticus (Adults) · NICE CG137; ESEM guidelines; RCP Neurology Guidelines
- Suspected Subarachnoid Haemorrhage · NICE NG228; RCEM 2023; AHA/ASA 2023
- Adult Head Injury · NICE NG232 (2023)
- Bell's Palsy / Facial Nerve Palsy · ENT UK 2017; AAN
- Vertigo Workup · ENT UK; NICE CKS
Decision support only — verify against a current formulary, NICE, or your local guideline before clinical use.