Document type
Clinical pathways
Hertfordshire and West Essex ICB
Output type
Clinical Pathways
Motor Neurone Disease (MND) Suspected Pathway

Motor Neurone Disease (MND)

A diagnosis of MND should be made by a neurologist - If you suspect MND make an urgent referral to neurology and specify the possible diagnosis of MND.

Possible features of MND: (see pathway)

  • Respiratory symptoms;
  • Limb features;
  • Cognitive features (rare at presentation);
  • Bulbar features.

Consider referral to Local HCT therapy services including SLT for symptom management (the patient can be referred whilst awaiting investigations and a possible diagnosis of MND)

Include in referral:

  • Detailed clinical history;
  • Neurological Examination findings (eye and neck where appropriate);
  • Details of any communication with neurology team to date