# Congenital Anomaly of the Neurological System

- Category: chronic
- Review status: reviewed (every claim checked against a document named on this page)
- Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class ND55 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care · Spina Bifida - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK559265/
- Verified date: 2026-08

## Verified against

- No dose - referral pathway, no medicine given in primary care

## Treatment metadata

- No drug therapy in primary care (Referral & Advice)

## Complete treatment card

```text
CONGENITAL ANOMALY OF THE NEUROLOGICAL SYSTEM
Sources: ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class ND55 -
         condition scope only, no dose · No dose - referral pathway, no medicine given in primary
         care · Spina Bifida - StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK559265/
Review status: REVIEWED against the source listed above  (2026-08)

1. NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)    [1st line]
   Adult    Umbrella category for structural brain or spinal cord malformations present from birth
            (e.g. neural tube defects, hydrocephalus, cerebral malformations); the GP's role is
            early recognition and referral to paediatric neurology/neurosurgery, since management is
            specialist and often surgical. - Refer, with advice
   Peds     Children follow the same pathway: recognise and refer. No primary-care medicine is
            implied.
   Source   No dose - referral pathway, no medicine given in primary care
   Why      Umbrella category for structural brain or spinal cord malformations present from birth
            (e.g. neural tube defects, hydrocephalus, cerebral malformations); the GP's role is
            early recognition and referral to paediatric neurology/neurosurgery, since management is
            specialist and often surgical.
   Caution  No medicine is prescribed for this in primary care - this entry is for recognition and
            referral. Anything given is decided by the service it is referred to.
            RED FLAG - Abnormal head size or shape in an infant, developmental delay or regression,
            or signs of raised intracranial pressure such as a bulging fontanelle or sunsetting
            eyes: refer urgently.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.
```

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