What are the referral criteria for a patient suspected of having LEMS to a neurologist?

Referral criteria for a patient suspected of having Lambert-Eaton myasthenic syndrome (LEMS) to a neurologist:

• Refer adults with slowly progressive limb weakness for assessment of neuromuscular disorders, which includes conditions like LEMS.
• Urgently refer if there is any evidence of swallowing impairment.
• Immediately refer if there is breathlessness at rest or when lying flat, as respiratory involvement may indicate severity.
• Specify the possible diagnosis in the referral letter to the neurologist to facilitate appropriate assessment.
• Contact the consultant neurologist directly if urgent assessment is needed.

These criteria align with the general recommendations for referral of neuromuscular disorders and progressive limb weakness to neurology services.