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03 · Referrers

A direct clinical pathway

For referring physicians

Structured referral information helps prioritise urgent cases, reduce repeat imaging and prepare the most appropriate diagnostic or interventional strategy.

Urgent pathway

Urgent stroke and neurovascular transfer

For suspected large-vessel occlusion, subarachnoid haemorrhage or another acute neurovascular emergency, use the hospital emergency and clinician-to-clinician transfer pathway. Do not wait for the routine form.

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  1. 1

    Stabilise and activate the local stroke or emergency pathway.

  2. 2

    Record the exact last-known-well time and current neurological deficit.

  3. 3

    Obtain and transfer available CT, CTA, CTP or MRI without avoidable delay.

  4. 4

    Contact the Mediterranean Hospital emergency department for urgent coordination.

01

Routine and expedited referrals

Choose the route that matches the clinical urgency and question.

01

Neurovascular consultation

Aneurysm, AVM/dAVF, carotid or intracranial stenosis, chronic subdural haematoma and treatment follow-up.

02

Diagnostic neuroradiology review

Complex brain, head-and-neck, vascular or spine imaging; protocol selection; comparison with prior studies.

03

Image-guided spine procedures

Selected radicular pain for PRT or epidural therapy, and specialist indications for myelography.

02

Referral essentials

01

Patient identifiers and reliable contact details

02

Clinical question, diagnosis and symptom chronology

03

Neurological examination and functional status when relevant

04

Original DICOM imaging plus reports and prior comparison studies

05

Medication list, especially antiplatelets and anticoagulants

06

Allergies, renal function and relevant blood count/coagulation results

07

Relevant comorbidities, prior surgery or intervention and pregnancy status

08

Referrer name, direct contact route and preferred urgency

MDT

Multidisciplinary decision-making

Complex neurovascular cases may require coordinated discussion with neurology, neurosurgery, anaesthesia, stroke and critical-care teams. The final pathway may be surveillance, additional imaging, medical treatment, endovascular treatment, surgery or a combined strategy.

Secure image exchange

Please do not send identifiable DICOM studies to a personal email address. After clinical contact, use the hospital-approved image exchange or secure transfer route provided for the case.

Dr Theodosios Tsinas

Discuss a referral

Routine requests can begin through the consultation form. For an acute stroke or haemorrhage, call the emergency department directly.

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