Neurosurgery (Statewide)

Assessment and management of adult and paediatric neurosurgical conditions.

Availability

North South North West Statewide

Scope

The following conditions are not for referral to Neurosurgery:

  • Mechanical lower back pain without lower limb pain
  • Degenerative spinal disorders with minimal or no neurological deficit
  • Occipital neuralgia

Please consider alternate referral such as Physiotherapy, Rheumatology or Spinal Assessment Clinic

PLEASE NOTE:

  • Smoking cessation is strongly encouraged for any patient referred for spinal surgery.
  • All surgery is performed at the RHH but post-operative rehabilitation may occur in the LGH or NWRH.
  • All new patients and previous patients with a new condition may be seen at the RHH, LGH and NWRH for their initial appointment.

Emergency conditions

Emergency conditions/symptoms include (not an exhaustive list):

  • Subarachnoid haemorrhage
  • Benign or malignant tumours associated with midline shift, hydrocephalus or severe deficits
  • Spinal cord compression with severe or rapidly progressive deficit
  • Blocked or infected VP shunt
  • Mass lesion (tumour or abscess) on CT or suspected, with headache with increasing drowsiness, increasing weakness or vomiting
  • Spine # (unstable or suspected unstable) or with neurological deficit
  • Significant head Injury

Phone the Neurosurgery Registrar on call via RHH switch (03) 6166 8308

Referral process

A referral (preferably faxed) is required for all new appointments and must conform to the Referral Standards as outlined on For Clinicians.

Specific requirements are detailed in the individual clinic and condition referral guidelines.

Clinic Appointments – Appointments are based on clinical priority:

The times to assessment may vary depending on size and staffing of the hospital department.

Urgent cases must be discussed with the Neurosurgery Registrar on call to obtain appropriate prioritisation and then a referral letter faxed to (03) 6173 0291.

Emergency

Proceed to Emergency Department (ED). Please contact ED Medical Officer in Charge:
LGH ED
– Phone: (03) 6777 6405  Fax: (03) 6348 7382
MCH ED
– Phone: (03) 6478 5120  Fax: (03) 6426 5115
NWRH ED
– Phone: (03) 6493 6340  Fax: (03) 6430 6691
RHH ED
– Phone: (03) 6166 6100  Fax: (03) 6222 8919 - Phone the Neurosurgery Registrar on call via Switch (03) 6166 8308 and/or send to RHH DEM

Urgent / category 1

Urgent cases must be discussed with the Neurosurgery Registrar on call to obtain appropriate prioritisation and a referral faxed to (03) 6173 0291

We will endeavour to see these patients within four weeks, or sooner if clinically indicated.

Semi-urgent / category 2

We will endeavour to see these patients within 12 weeks

Routine / category 3

Next available appointment

Referral template

For use by health professionals only