Hypotonic infant (Paediatric Neurology)Paediatric
Useful Management Information
- If guidance is required regarding appropriate investigations, contact Neurology on call services
- In the majority of cases it is thought inappropriate for children to wait more than 6 months for an outpatient initial appointment
- Referral from a health practitioner other than a General Paediatrician may be accepted if there is limited access to public Paediatric services in the patients’ local area
- A change in patient circumstance (such as condition deteriorating) may affect the urgency categorisation and should be communicated as soon as possible.
- Clinical urgency is the dominant consideration in the prioritisation of a referral for a child currently in out of home care (OOHC), or at risk of entering or leaving OOHC.
Minimum Referral Criteria
|Category 1 (appointment within 30 calendar days)|
|Category 2 (appointment within 90 calendar days)|
|Category 3 (appointment within 365 calendar days)|
If your patient does not meet the minimum referral criteria
Essential Referral Information
- History related to hypotonia
- Neurological examination findings, including tone, contractures, power, deep tendon reflexes, cranial nerve involvement, muscle wasting
Additional Referral Information
- Antenatal history including foetal movementsBirth and developmental history
- Family history, including consanguinity
- CK, SNP microarray and store DNA (requested but results not required prior to initiation of referral)
- Growth parameters
- Medication history (including over-the-counter preparations)
- Significant psychosocial risk factors
- Neuroimaging only under advice from Neurology (as it is not necessary if a primary neuromuscular disorder is suspected AND anaesthesia risk maybe high with specific conditions). If neuroimaging has been done, arrange image transfer to PACS at the hospital the patient is being referred to, with the imaging reports. If electronic imaging transfer is not available, then a CD of the neuroimaging and report should be sent to the neurologist named in the referral.
- Previous investigations – please include copies of results if performed external to Pathology Queensland
- Allied Therapy reports
- If the child is in foster care, please provide the name and regional office for the Child Safety Officer who is the responsible case manager.
Send Referrals To
If you would like to send a named referral, please address it to the specialist listed above, who will allocate a suitably qualified specialist to see the patient. Alternatively, you can view a full list of our specialists.
If you have a reason to suspect a child in Queensland is experiencing harm, or is at risk of experiencing harm, contact Department of Children, Youth Justice and Multicultural Services . Please consider if mandatory reporting applies.