NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)
A pathology-reporting category for CNS tumours whose malignant potential cannot be determined on initial assessment; the GP's role is ensuring the patient reaches neurosurgery/neuro-oncology for definitive histology and follow-up, not prescribing. - Refer, with advice
Children follow the same pathway: recognise and refer. No primary-care medicine is implied.
No dose - referral pathway, no medicine given in primary care
A pathology-reporting category for CNS tumours whose malignant potential cannot be determined on initial assessment; the GP's role is ensuring the patient reaches neurosurgery/neuro-oncology for definitive histology and follow-up, not prescribing.
- RED FLAG - Acute spinal cord compression: assess urgently and refer.
- RED FLAG - Acute intracranial hypertension or herniation signs (Cushing's triad: bradycardia, hypertension, respiratory irregularity): assess urgently and refer.
- Rare in Egyptian primary care.
- 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 - Any new or progressive focal neurological deficit, or a new seizure.