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If you are one of those people with acute TM where the condition has come on in a matter of hours, your GP will probably have referred you or you will have taken yourself to A & E at your local hospital. It is estimated that there are only about 300 cases a year of TM in the UK. This means that your average GP will encounter a case once every 100 years so it is likely that your GP may not be familiar with TM. Diagnosis of TM relies on patient history, physical examination, MRI, lumbar puncture and blood tests. It is however, a rare condition and many neurology departments rely on once a week visits from a Regional Neuroscience Centre specialist. For some people, the diagnosis of TM may happen years after the original attack.