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. 2007 Jul 17;16(4):387–407. doi: 10.1007/s10897-007-9101-8

Table VII.

Signs/Symptoms Warranting Immediate Referral

Pain of unknown etiology
Weakness, numbness, tingling in the extremities
Change in balance or coordination
Change in vision
Change in intensity or frequency of headaches
Neurofibromas that change rapidly in size and/or color, or cause pain
Abnormal neurologic exam
Sudden onset of hypertension
Regression of cognitive skills or loss of developmental milestones
Significant deviation from individual’s established pattern of growth