Neurology

General Neurology Clinic is for the assessment and management of patients with conditions outside the disease or syndrome specific clinics as listed in Scope

Availability

North South North West Statewide

Scope

Suspected TIA's will not be seen in general Neurology Clinic or Stroke Clinic.

Many established neurological diagnosis or problems are to be seen in subspecialty clinics:

Emergency conditions

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

  • Thunderclap headache
  • Possible meningoencephalitis: fever, neck flexion stiffness, rash
  • First headache with focal neurological signs or symptoms (consider stroke)
  • Persistent altered or worsening mental state in the post-ictal period
  • First seizure with fever
  • Seizure with recent trauma
  • Persistent severe headache >one hour post seizure
  • Status epilepticus; single prolonged seizure (>five minutes) or recurrent seizures without regaining consciousness between seizures
  • Epileptic patient vomiting or too unwell to take medication
  • Epilepsy with significant fever
  • Symptoms or signs suggestive of a posterior circulation TIA or stroke (cranial nerve signs, vertigo, diplopia, nausea etc.)
  • Rapidly progressive weakness +/- other symptoms/signs suggestive of Guillain–BarrĂ© syndrome

Referral process

The RHH Neurology Clinic is always heavily booked. The wait time for RHH General Medical Clinics is much shorter. Please consider referral to RHH General Medicine for problems that do not have clear neurological basis, include unconscious collapse, and non-specific neurological symptoms in the absence of seizure.

Isolated back pain should be referred to the RHH Spinal Assessment Clinic

For chronic pain consider the RHH Persistant Pain Clinic

Neurophysiological testing requires a separate referral.  If you also require a clinic consultation with a neurologist. Please complete two separate referrals:

  • Neurophysiology referrals: NCS/EMG/EEG are sent to the Neurology Department Fax: (03) 6222 8691
  • No formal clinical opinion will be provided during the NCS/EMG session
  • Neurologist referrals are sent to the Outpatient Clinic Fax: (03) 6234 3982

LGH Neurology Clinic - urgent referrals are to be faxed to the Royal Hobart Hospital.  The recruitment process has commenced to appoint new Neurologist for LGH.  Existing semi and non-urgent referrals will be held at the Clinic until new consultant commences.

All referrals are triaged and allocated according to clinical guidelines as urgent or non-urgent. A written referral stated urgent does not guarantee urgent attention.

Clinic Appointments – Appointments are based on clinical priority:

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

Urgent / category 1

We will endeavour to see these patients within two weeks.

Urgent referrals should be accompanied by a phone call, as per below:

  • Contact the Neurology Registrar directly within hours via the RHH switchboard Phone: (03) 6166 8308

Routine / category 3

Next available appointment

Referral template

For use by health professionals only