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01 · Conditions

A clearer route into care

Conditions we treat

Understand the problem first, then the imaging and treatment options. These concise guides connect symptoms and diagnoses with the appropriate neuroradiology pathway.

01

Condition

Neurovascular and spine conditions

Every decision is individual. Imaging, symptoms, age, other illnesses and the natural history of the condition are considered together.

01

Condition

Acute ischaemic stroke

A clot blocks an artery supplying the brain. Rapid CT or MRI identifies the affected tissue and whether thrombolysis or mechanical thrombectomy may be appropriate.

When specialist review may help

This is an emergency. Treatment eligibility is time- and imaging-dependent.

Patient guide
02

Condition

Brain aneurysm

A focal weakness and bulge in a brain artery. Some aneurysms are monitored; others may require endovascular or surgical treatment after multidisciplinary assessment.

When specialist review may help

Review is useful after a new diagnosis, interval change or to discuss surveillance and treatment options.

Patient guide
03

Condition

Carotid artery disease

Atherosclerotic narrowing of a neck artery can increase stroke risk. Treatment may include medical prevention, carotid endarterectomy or stenting in selected patients.

When specialist review may help

Urgent specialist assessment is important after recent TIA or stroke symptoms.

Patient guide
04

Condition

Intracranial atherosclerotic disease

Narrowing of arteries inside the skull may cause TIA or stroke. Intensive medical therapy is central; angioplasty or stenting is reserved for carefully selected situations.

When specialist review may help

Review can integrate symptoms, vessel imaging, perfusion and response to medical therapy.

Patient guide
05

Condition

AVM and dural AVF

Abnormal connections between arteries and veins can carry risks that depend on their anatomy and venous drainage. Options may include observation, embolisation, surgery or radiosurgery.

When specialist review may help

A multidisciplinary review is valuable because treatment is rarely one-size-fits-all.

Patient guide
06

Condition

Chronic subdural haematoma

A collection of blood and fluid around the brain, often developing after minor trauma. Surgery remains important; middle meningeal artery embolisation may be considered in selected cases.

When specialist review may help

Assessment is guided by symptoms, scan appearance, recurrence risk and medication history.

Patient guide
07

Condition

Cerebral vasospasm

Narrowing of brain arteries can occur after aneurysmal subarachnoid haemorrhage and reduce brain blood flow. Monitoring, medication and sometimes endovascular therapy are used.

When specialist review may help

This requires in-hospital neurocritical and neurovascular care.

Patient guide
08

Condition

Radiculopathy and chronic spinal pain

An irritated or compressed nerve root can cause radiating pain, numbness or weakness. Targeted imaging and image-guided injections may support diagnosis and symptom control.

When specialist review may help

Progressive weakness, bladder or bowel dysfunction and saddle numbness require urgent assessment.

Patient guide

Dr Theodosios Tsinas

Unsure which pathway applies?

A consultation can review the clinical question and available imaging, then direct you to diagnostic imaging, surveillance, an intervention or another specialist when appropriate.

Book a consultation