Referral to emergency

If any of the following are present or suspected, please refer the patient to the emergency department (via ambulance if necessary) or seek emergent medical advice if in a remote region.

  • vascular lesion associated with acute haemorrhage, acute third nerve palsy, or other significant neurological disturbance

Please contact the on-call registrar to discuss your concerns prior to referral.

For clinical advice, please telephone the relevant metropolitan Local Health Network switchboard and ask to speak to the relevant specialty service.

Women's and Children's Health Network

Category 1 (appointment clinically indicated within 30 days)

  • asymptomatic arteriovenous malformation, cerebral aneurysm, arteriovenous fistulas and venous malformation of the brain or spinal cord
  • asymptomatic Moya-Moya disease
  • Sinus Pericranii confirmed on imaging

Category 2 (appointment clinically indicated within 90 days)

  • asymptomatic cavernomas and developmental venous anomalies of brain and spinal cord

Category 3 (appointment clinically indicated within 365 days)

  • routine surveillance for asymptomatic patient with strong family history of cerebral aneurysms or connective tissue disorders

For more on outpatient referrals, see the general referral information page.

Essential referral information

Completion required before first appointment to ensure patients are ready for care. Please indicate in the referral if the patient is unable to access mandatory tests or investigations as they incur a cost or are unavailable locally.

  • identifies as Aboriginal and/or Torres Strait Islander  
  • relevant social history, including identifying if you feel your patient is from a vulnerable population and/or requires a third party to receive correspondence on their behalf
  • interpreter required
  • relevant past medical/surgical history
  • family history of aneurysms, connective tissue disorders and intracerebral haemorrhage
  • smoking and vaping status
  • current medications, allergies
  • history of presenting complaint including:
    • onset
    • duration
    • concerning features
    • history of headaches or seizures
  • neurological examination findings
  • confirmation of diagnosis on imaging and associated reports including location, company, and accession number