Neurology Pathways

18 pathways

Work through 18 interactive neurology decision pathways — branching, guideline-grounded workflows that take you from presentation to assessment, risk stratification and management. Each pathway cites its source (NICE, ESC, AHA and specialty guidance), embeds the relevant calculators, and makes escalation and safety-netting explicit. For decision support only — apply clinical judgement and local protocols.

Acute Stroke Management

FAST recognition, thrombolysis and thrombectomy eligibility, and hyperacute stroke unit care

NICE NG128 / RCP 2023
TIA Assessment (ABCD2)

TIA risk stratification with ABCD2 score and urgent secondary prevention

NICE NG128 / NICE CG68
Bacterial Meningitis (Adults)

Urgent management of suspected bacterial meningitis — LP timing, antibiotics, steroids

NICE CG102 / BIA 2016
Parkinson's Disease Management

Diagnosis, dopaminergic therapy initiation, and motor/non-motor complication management

NICE NG71 2017
Peripheral Neuropathy Assessment

Systematic evaluation of peripheral neuropathy — pattern recognition, investigation, and common causes

EFNS / BSN guidelines
Headache Assessment

Red flag headache identification and management of common headache disorders

BASH / NICE NG12
Adult Convulsive Status Epilepticus

NICE NG217 / RCEM — staged escalation: benzodiazepine, second benzodiazepine, levetiracetam/phenytoin, anaesthesia.

NICE NG217; RCEM 2022
Spinal Cord Compression

Recognise red flags, urgent MRI whole spine, dexamethasone, oncological / surgical management.

NICE NG37 (MSCC); BOAST
Guillain-Barré Syndrome

Ascending weakness with areflexia, NCS + LP, IVIG / plasma exchange, monitor respiratory function (FVC).

ABN 2019; UK consensus
Myasthenic Crisis

Respiratory failure in myasthenia gravis — distinguish from cholinergic crisis, IVIG / PLEX, ITU support, identify trigger.

ABN; AAN consensus
Encephalitis (Viral + Autoimmune)

Empirical aciclovir, autoimmune workup (anti-NMDA, LGI1, etc.), MRI, EEG, ITU monitoring, immunotherapy.

ABN 2012; IDSA
Multiple Sclerosis — Acute Relapse

Define relapse, exclude pseudo-relapse, IV/oral methylprednisolone, plasma exchange in refractory, disease-modifying therapy review.

ABN 2024; NICE NG220
Migraine — Acute & Preventive

Acute treatment (triptans, NSAIDs, antiemetics), preventive options (propranolol, topiramate, candesartan, CGRP), red flags, MOH.

NICE NG150; BASH
Functional Neurological Disorder

Positive diagnosis (Hoover's, give-way, distractibility), exclude organic, transparent diagnosis, FND-specific physiotherapy / CBT.

ABN 2018; FND Society
Idiopathic Intracranial Hypertension

Modified Dandy criteria, MRI/MRV, LP for opening pressure, weight loss, acetazolamide, surgical options for refractory vision loss.

ABN; consensus 2018
Dementia Diagnostic Workup

NICE NG97 — cognitive assessment, exclude reversible causes, sub-type identification, support + medication, advance planning.

NICE NG97 (2018)
Cervical Artery Dissection

Common cause of stroke in young adults — neck pain, Horner's, ischaemic stroke; CTA/MRA, antiplatelet vs anticoagulation.

ESO 2024; AHA/ASA 2021
CSF Rhinorrhoea / Otorrhoea

Identify CSF leak (β2-transferrin), distinguish traumatic vs spontaneous, conservative vs surgical repair, antibiotic role.

ENT UK; ABN