Terms used in this guideline
To be seen by the specialist service within a few hours, or even more quickly if necessary.
A subjective sensation of spinning (vertigo) or a more vague sensation of unsteadiness, and sometimes a feeling of light-headedness or pre-syncope.
A condition in which people experience neurological symptoms in the absence of any identifiable causative physical or structural abnormality.
Irritation or damage to a nerve root as it exits the spinal canal. It is most commonly caused by mechanical compression from a prolapsed intervertebral disc or degenerative arthritis of the spine. Less frequently, an infection such as herpes zoster or Lyme disease is the cause. Symptoms include neck or low back pain radiating into a limb, tingling (paraesthesia), reduced or absent deep tendon reflex(es) and weakness in the distribution of the nerve root.