JPAC Joint United Kingdom (UK) Blood Transfusion and Tissue Transplantation Services Professional Advisory Committee

Central Nervous System Disease

Excludes

Cerebrovascular disease and all forms of intracranial haemorrhage.

Obligatory

Must not donate if has or has had:
a) Dementia (e.g. Alzheimer's disease).

b) A history of CNS disease of unknown aetiology or suspected infective origin. These include, but are not limited to, neurodegenerative conditions, multiple sclerosis (MS), optic neuritis, clinically isolated syndrome, and transverse myelitis.

c) Malignant tumour.

d) Parkinson's Disease

Discretionary

a) Individuals who have had Bell's palsy more than four weeks ago and have discontinued any treatment for the condition for at least seven days, once investigated and discharged from specialist follow-up even if they have residual paralysis, accept.

b) If the donor has been investigated and a definite diagnosis of transient global amnesia has been made, accept.

c) If diagnosed with Idiopathic (benign) intracranial hypertension (IIH) and

  • the donor is aymptomatic, and
  • if the donor is taking diuretics (e.g. Acetazolamide) for IIH and the dose has not changed in the last four weeks,

accept.

d) If diagnosed with restless legs syndrome, and

  • any underlying cause does not preclude donation, and
  • the donor does not have significant side effects from medication, if used,

accept.

See if Relevant

Cardiovascular Disease
Cerebrovascular Disease and Intracranial Haemorrhage
Epilepsy
Infection - General
Neurosurgery
Pituitary Disorders
Prion Associated Diseases
Steroid Therapy
Urinary Catheterisation

Additional Information

Donor safety:

Transient global amnesia is a temporary and isolated disorder of memory. Affected individuals are usually over 50 years of age and there is an association with migraine. There is no association with cerebrovascular disease.

Idiopathic or benign intracranial hypertension is a raised intracranial pressure where no mass or other disease is present.

Restless legs syndrome is a common condition characterised by an irresistible urge to move the legs or arms, sometimes associated with abnormal sensations and jerking movements of the limbs. In the majority of cases there is no obvious cause, but it can be associated with iron deficiency or kidney failure. If required, restless legs syndrome can be treated with dopamine-receptor agonist drugs such as ropinirole, pramipexole or rotigotine. Donors taking these medications for treatment of restless legs syndrome can be accepted, provided they don’t have significant side effects such as hypotension or impulse control disorders.

Recipient safety:

It is thought that degenerative brain disease in the form of vCJD has been transmitted by blood transfusion. Often the exact cause of a degenerative brain condition only becomes known after death. For this reason, when there is any doubt as to the underlying cause of a brain condition, it is considered safest not to accept a donation.

Reason for change

Addition of guidance for donors with restless legs syndrome, including information regarding dopamine-receptor agonist drugs.

Donor Information

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Please do not contact this web site for personal medical queries, as we are not in a position to provide individual answers.

Update Information

This entry was last updated in:
WB-DSG Edition 203 Release 78