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Warning-sign checks

Neurofibromatosis 2: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Seek emergency help for a seizure, fainting with incomplete recovery, sudden severe weakness, new inability to walk, confusion, or a severe headache with repeated vomiting.

    New loss of bladder or bowel control together with leg weakness or numbness may indicate spinal cord compression and also needs emergency assessment.

    And for anyone, someone who:

    • has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your NF2 team or usual healthcare service promptly if you notice a new or persistent change such as:

    • Worsening hearing, tinnitus, or balance
    • New facial numbness or weakness
    • New pain, tingling, or limb weakness
    • A changing or painful lump
    • Persistent headaches or changes in vision
    • New trouble walking or repeated falls

    Sudden hearing loss needs urgent same-day medical assessment.

    Early treatment may help in some causes of sudden hearing loss, whether or not it is related to NF2.

    After surgery, urgent advice is needed for fever, increasing wound redness or drainage, worsening headache, or a clear watery leak from the nose, ear, or wound.

    And for anyone, someone who:

    • has a new severe headache unlike any they have had before

Every sign above is quoted from the sofidex article on Neurofibromatosis 2. If you are not sure, err upward — it is always reasonable to be checked.