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Neurosurgery Outpatient Service - Royal North Shore Hospital

Ambulatory Care Centre (outpatient clinics)
Level 3 (main entry level)
Acute Services Building (main building)
Royal North Shore Hospital
Reserve Rd

St Leonards

2065

Map view

Neurosurgery Outpatient Service - Royal North Shore Hospital

Contact us

Phone: 02 9463 1711

Fax: 02 9926 4014

Email: [email protected]

 

For questions regarding surgical waitlist and theatre bookings please call 02 9463 2430

Opening Hours

  • Neurosurgery & Neuro-interventional registrar clinic: Monday 1300-1600

  • Neuro-interventional clinic: Wednesday 0900-1200

  • Neurosurgery clinic: Wednesday 1300-1600

  • Neurosurgery & Neuro-interventional clinic: Thursday 1300-1600

As each clinic focuses on a different area of neurosurgery you will be booked into the most appropriate clinic for your condition. Therefore appointments cannot be moved to another day of the week.

 What we do

We provide treatment for conditions of the brain and spine that require surgical treatment and neuro-interventional procedures or management.

 

We care for and treat people with
•    Brain and spine tumours
•    Problems with the blood vessels of the brain and spine such as aneurysms, Arteriovenous Malformations (AVMs) and arterial dissections
•    Bleeding in and around the brain
•    Stroke Prevention
•    Brain and spine injuries
•    Other spinal conditions such as herniated discs and fractures
•    Problems with CSF circulation
•    Stroke prevention surgery - bypass, stenting, carotid endarterectomy

 What to bring

  • Images / Scans and reports related to these
  • Blood Results
  • Test results
  • List of current medications
  • Referral
  • Medicare Card if you have one

 When to visit us

Your GP or non-GP specialist is always your first step in seeking treatment for any condition. You will be referred to our service if your treating doctor feels that your treatment requires the input of a Neurosurgeon or Neuro-interventionalist. Once we receive the referral it will be reviewed by a doctor and you will be notified of the outcome and next steps. Please allow at least 4 weeks for this process to be undertaken. We see patients either face to face or via telehealth - your specialist will let you know what the best option is for you.

 

Please note that phone calls from the hospital will appear as a blocked number.

 

If you have a scheduled appointment you will receive a reminder text message.

 

Please allow a full afternoon for your appointment. Some patients require a longer review and delays can occur.

 How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards

Bus Route 114 stops directly at the hospital

The hospital is close to St Leonards train station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

The Neurosurgery and Interventional Neuroradiology Clinic is Check in D

When you enter the hospital, walk past the yellow lifts. The Ambulatory Care Centre will be on your right hand side between the orange and green lifts.

Check in D is located on the left, past the enquiries desk.

 Referral information

Indications for referral for clinic appointment
•    Intracranial abnormality without focal neurological deficit, seizure or clinical signs of raised intracranial pressure (severe headache, nausea, vomiting, drowsiness, confusion, double vision)
•    Spinal cord condition with associated myelopathic features
•    Spinal cord condition with associated radicular features and no motor deficit that has failed 6 weeks of conservative management including physiotherapy

 

Indications for urgent referral to local Emergency Department
•    Intracranial abnormality with focal neurological deficit, seizure, clinical signs of raised intracranial pressure (severe headache, nausea, vomiting, drowsiness, confusion, double vision) or concerning radiological features
•    Spinal cord compression or abnormality with severe or rapidly progressing neurological deficit
•    Intracerebral/Subarachnoid haemorrhage 
•    Acute ischaemic stroke
•    New onset seizure
•    Acute head injury
•    Suspected blocked or infected VP shunt
•    Features of cauda equina syndrome
•    Sudden severe headache, altered level of consciousness or acute focal neurological deficit/s

 

Exclusion criteria
•    Child under 16 years of age
•    Non-specific neck or back pain, without signs of radiculopathy or myelopathy
•    Second opinion for neurosurgical management unless directly referred by a neurosurgeon

 

Out of NSLHD
•    Reason must be stated explicitly 
•    Resident of other LHD that does not provide the clinical service
•    Continuing care of existing condition already managed by NSLHD
•    Demonstrated complexity requiring services of NSLHD
•    Compassionate circumstances, e.g. family, proximity, staff

 

The following information must be included for referral to be accepted:
• Neurological assessment
• Duration of symptoms
• Relevant pathology and imaging

Providing more information will aid the triage process and make it more likely that your patient will be seen in the most timely manner possible

 

Please submit referrals using the eReferral system through HealthLink, which can be accessed through most clinical software systems
Alternatively, address letters to Dr Nazih Assaad and Colleagues 
Ph (02) 9463-1711
General Fax (02) 9463-4014
Email: [email protected]

 

Referrals will be triaged and your patient will be notified of the outcome as soon as possible. This process may take between 1-4 weeks. You will be contacted if more information is needed.

 

Telehealth services are available, please indicate on the referral if you feel this would be suitable for your patients appointment.

 Other information

Your Team

 

Dr Nazih Assaad - Head of Department and Neurosurgeon

Dr Jonathon Ball - Neurosurgeon and Surgical Academic Lead

Dr Jonathon Parkinson - Neurosurgeon and Royal Australian College of Surgeons Supervisor

Dr Ray Cook - Neurosurgeon

Dr Nicholas Little - Neurosurgeon

Dr Yanni Sergides - Neurosurgeon

Dr Keryn Davidson - Neurosurgeon

Dr Brendan Steinfort - Neuro-interventionalist

Dr Alice Ma - Neuro-interventionalist

Dr Ken Faulder - Neuro-interventionalist

Dr Tim Harrington - Neuro-interventionalist

 Related links

Neurosurgical Society of Australasia - Patient information brocures

https://www.nsa.org.au/Public/Information/Public/Publications.aspx

 

Australian Pituitary Foundation

https://pituitary.asn.au/

 

Hydrocephalus Support Association

https://www.hydrocephalus.org.au/

 

The Brain Cancer Group - a charity committed to brain cancer research, education and patient support

https://braincancergroup.com.au/

 

Patient information about Low Back Pain from NPS MedicineWise

https://www.nps.org.au/consumers/10-things-you-need-to-know-about-low-back-pain