General Neurology Clinic is for the assessment and management of patients with conditions outside the disease or syndrome specific clinics as listed in Scope
North South North West Statewide
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:
- Multiple Sclerosis
- Transient Ischemic Attack (TIA): patients can only be booked into this clinic following discussion with the Stroke Registrar or on-call Neurologist; suspected TIA's will not be seen in general Neurology Clinic or Stroke Clinic
- Epilepsy: complex and chronic epilepsy. Routine epilepsy and first seizures should attend general Neurology Clinic
- Movement disorders including Parkinson's Disease
- General geriatrics for possible dementia or fall
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–Barré syndrome
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 Persistent 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) 6173 0292
- No formal clinical opinion will be provided during the NCS/EMG session
- Neurologist referrals are sent to the Outpatient Clinic Fax: (03) 6173 0491
LGH Neurology Clinic - LGH now has a full suite of neurologists and can accept urgent, semi-urgent and non-urgent referrals, including referrals from the North West. LGH specialists' areas of interest include Spasticity, Movement Disorders, Stroke, General Neurology, Multiple Sclerosis, EMG and Epilepsy.
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:
Proceed to Emergency Department (ED).
LGH ED Reception – Phone: (03) 6777 6405 Fax: (03) 6777 5201
MCH ED* – Phone: (03) 6478 5120 Fax: (03) 6441 5923
NWRH ED* – Phone: (03) 6493 6351 Fax: (03) 6464 1926
RHH ED Reception – Phone: (03) 6166 6100 Fax: (03) 6173 0489
Advice for medical practitioners can be given by the Medical Officer In Charge (MOIC) - see HealthPathways Tasmania for contact information.
*MCH and NWRH MOICs request GPs call them prior to referring a patient to ensure the patient is being sent appropriately to a safe destination.
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
For use by health professionals only