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Orthopaedics

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					                                    Neurosurgery
                                     NBT (Frenchay)

                Spinal Service (Orthopaedics – Neurosurgery)

Conditions treated
 All Adult spinal pathology

Exclusions
Trauma, suspected cauda equina, possible involvement of surgical materials,
suspected fracture, nerve root pathology, unexplained night pain, progressive non-
mechanical pain, pyrexia, night sweats, pathological weight loss. Tumour risk,
infection risk, abnormal blood tests, eg. anaemia, raised inflammatory markers,
etc. Inflammatory arthropathy, system disease, connective tissue disease,
osteoporosis or hypermobility.

How to refer
 Choose and Book (Neurosurgery/ Spinal)

                                   Acoustic Neuroma

Conditions treated
 Acoustic Neuroma (Vestibular Schwannoma)
 Other Posterior Fossa Benign Tumours

Suggested investigations
 MRI brain
 Pure Tone Audiometry
 Speech Discrimination Audiogram

How to refer
 Choose and Book (Neurosurgery/ Not Otherwise Specified)

                           Complex Vascular Service

Conditions treated
 Extra-cranial and Intra-cranial bypass
 Arteriovenous malformation
 Cerebral aneurysms
 Giant complex cerebral aneurysms
 Cerebral aneurysm screening

Suggested investigations
 MRI brain
 Routine bloods

How to refer
 Choose and Book (Neurosurgery/ Not Otherwise Specified)
                                 Facial Pain Clinic

Conditions treated
 Trigeminal Neuralgia
 Other Craniofacial neuralgias e.g. Glossopharyngeal Neuralgia, Occipital
   Neuralgia
 Facial pain of unknown cause

How to refer
 Choose and Book (Neurosurgery/ Not Otherwise Specified)

                       Normal Pressure Hydrocephalus

Conditions treated
 Adult Hydrocephalus
 Benign Intracranial hypertension (BIH)

Procedures performed
 MM (mini mental) state scoring
 10 meter walking test

How to refer
 Choose and Book (Neurosurgery/ Not Otherwise Specified)

                                 Pituitary Service

Conditions treated
 Pituatary Adenomas
 Sellar and Para-sellar Tumours

Suggested investigations
 MRI Brain
 Visual Field Perimetry
 Pituatary Function tests

How to refer
 Choose and Book (Neurosurgery/ Not Otherwise Specified)

                           Skull base meningioma service

Conditions treated
 Skull base meningioma
 Sphenoid wing
 Olfactory
 Petro-clival
 Foramen Magnum
 Sellar and Para-sellar Tumours

Suggested investigations
 MRI Brain
 CT Brain
 Visual Field Perimetry
 Routine bloods

How to refer
 Choose and Book (Neurosurgery/ Not Otherwise Specified)
                            Nerve conduction studies
                                    UHB (BRI)
                                  NBT (Frenchay)

How to refer
 UHB - Fax: 0117 3428255
 NBT – Fax: 0117 9186797

				
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posted:8/24/2011
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