The Alfred Neurosurgery Department has a team of experienced general neurosurgeons who all have subspecialty interests as follows:
Prof Jeffrey Rosenfeld in cerebrovascular surgery, skull base surgery, brain tumours and neuro-endoscopy, which involves a small telescope instrument passed into the brain to improve the circulation of cerebrospinal fluid and to biopsy and sometimes remove tumours or cysts;
Mr Patrick Chan in complex spine surgery, which includes spine trauma, spine tumours and degenerative spine disease, and a clinical interest in brain tumour surgery;
Mr John McMahon in cerebrovascular surgery (intracranial aneurysms, arteriovenous malformations and trigeminal neuralgia), pituitary surgery and cranial microsurgery.
Mr Nicholas Maartens in pituitary surgery, complex spine surgery and cranial microsurgery.
Mr Rondhir Jithoo in cranial and spinal trauma, and anterior spinal surgery, including surgery for degenerative conditions. He is also interested in the application of spinal cord stimulation for chronic pain syndrome.
Mr Carlos Chung in neurovascular diseases (aneurysms, AVMs, fistulae, cavernoma), with dual-training in conventional micro-neurosurgery (clipping of aneurysms) and minimally-invasive percutaneous endovascular techniques(coiling of aneurysms).
The Neurosurgery Department provides a comprehensive inpatient and outpatient neurosurgical service, treating the full range of intracranial, spinal and peripheral nerve disorders.
The Unit treats around 2,100 inpatients annually with around 50% being elective and 50% emergency. Trauma accounts for approximately 35% of the caseload. We have a very busy outpatient clinic, seeing 4,000 outpatients per year.
The Department has developed sub-specialty interests in cerebrovascular surgery, spine surgery, skull base surgery, pituitary surgery, and neurotrauma.
We are committed to providing excellence in neurosurgical care through quality management, education and training of health care professionals in clinical and laboratory research.
We also have an ongoing commitment to enhancing our links with other Alfred departments, general practitioners and outside institutions.
The department accommodates a number of neurosurgical training positions, including four Registrars, four Residents and international neurosurgical trainees and fellows. Previously, neurosurgical fellows from Canada, Germany, the United Kingdom, People's Republic of China, Kenya, Papua New Guinea, Sri Lanka and Laos have undertaken training within this department.
The department also provides a clinical neuropsychology inpatient and outpatient service to assess and treat patients with brain injury or neuro cognitive deficits following brain injury or illness. The service can provide opinion regarding differential diagnoses, evaluation of pre- and post-surgical changes, treatment and management recommendations, rehabilitation strategies and behavioural intervention, family or carer counselling and education, a monitoring process of patient changes in functioning over time, and assessments for legal Guardianship and Administration Tribunal hearings.
In collaboration with the neurosurgical team, a Neurosurgery Support Group (NSG), comprising of voluntary ex-patients and carers, provides professional support to new patients to assist them in their recovery process. The NSG can provide pre-surgery information, hospital visits pre- or post-surgery, public education leading to early diagnosis of neurosurgical conditions, financial support for and organisation of group meetings, fundraising for state-of-the art equipment for the care of neurosurgery patients, and promotion of awareness of neurosurgical care via the media, video distribution and talks to appropriate organisations. The NSG can be contacted on Tel: 9076 3380 and Fax: 9076 6067.
The unit has ongoing collaborations with internal and external researchers across surgical, preclinical and multidisciplinary/medical device projects. These include: