Neurosurgery at the Leeds General Infirmary

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Neurosurgery at the Leeds General Infirmary

Welcome to the department of neurosurgery and your placement with us. Neurosurgery encompasses the diagnosis, assessment and surgical management of disorders of the nervous system.

Neurosurgical services in the United Kingdom are provided from regional neuroscience centres. The Department of Neurosurgery, at Leeds, provides a comprehensive neurosurgical service to the 2.5 million people of West and North Yorkshire.
There are 11 consultant neurosurgeons, 10 registrar/senior SHO doctors and 8 SHOs staffing the unit. The department has approximately 75 adult beds (Ward 23, 24 and 45); a 7-bedded dedicated Neuro-intensive Care Unit (Ward 6) as well as an 8 bedded High Dependency Unit (Ward 23A). There are 3 operating theatres, 1 dedicated to emergency surgery 24 hours per day.
We recognise that not all will want to be Neurosurgeons in the future. However we believe that we can provide appropriate and relevant medical teaching for all pursuing a career in medicine not matter what field they wish to pursue.
The adage of what you put in is what you will get out applies to your time with us. You are responsible for your own learning so make the most of it; we will try to accommodate your needs.
Mr Roddy O’Kane (SpR), Mr Chris Derham (SpR), Mr Ryan Mathew (SpR) and Mr Ian Anderson (SHO) will be responsible for your placement in Neurosurgery.
Either Mr O’Kane or Mr Mathew will teach on Monday mornings at 10 am and either Mr Derham or Dr Anderson on Friday mornings at 10am. Please attend ward 23 and ask the nursing staff to page them for teaching.

What does Neurosurgery involve

The list below is in no way comprehensive or exhaustive of what neurosurgery encompasses or to what pathologies you may encounter

  • Cranial trauma

    • General management of the severely injured patient

    • Coma

    • Extradural haematoma

    • Subdural haematoma

  • Spontaneous intracranial haemorrhage

    • Subarachnoid haemorrhage

  • Hydrocephalus

    • VP shunt

  • Intracranial tumours

    • Lymphoma

    • Metastasis

    • Pituitary tumours

    • Acoustic neuroma

  • CNS infections

    • Infection in surgical patients

    • Meningitis

  • Spinal trauma

    • Spinal shock

  • Benign intradural tumours

  • Malignant spinal cord compression

    • Myeloma

    • Metastasis

  • Degenerative spinal disorders

  • Functional neurosurgery

    • Trigeminal neuralgia

We would expect you to see patients with some of the above conditions during your placement.

It is important that you are able to take a history and perform an examination of the patient.

You will then encounter some investigations and you should have some awareness of the relevance and appropriateness of these

Should you wish to attend theatre please ask Mr O’Kane/ Mr Derham for a time when this can be arranged.
We hope you enjoy your time with us. We always welcome feedback about what went well and how we can improve our teaching, please let us know!

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