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Neurovascular

What we do

Neurovascular refers to the blood supply to, and the blood vessels in, the brain and the spinal cord.

We are part of the neurosurgery department. Our team of neuroradiologists, neurosurgeons and neurologists provides comprehensive diagnosis and treatment of brain (cerebral) and spinal vascular conditions, including:

  • brain (cerebral) aneurysms
  • brain (cerebral) and spinal arterio-venous malformations (AVMs) (an abnormality of the blood vessel network)
  • clusters of abnormal blood vessels (cavernoma and cavernous malformations)
  • narrowing of an artery in the brain (intracranial vascular stenosis and insufficiency).

Our wide range of treatments include:

  • interventional neuroradiological procedures, including coil embolisation and stenting
  • neurosurgical procedures, including clipping of cerebral aneurysms
  • microsurgical resection of AVMs
  • re-vascularisation procedures such as STA-MCA bypass.

The team works closely with centres providing stereotactic radiosurgery (non-surgical radiation therapy) for neurovascular conditions.

A clinical nurse specialist provides psychosocial support and advice, particularly to patients recovering from bleeding on the surface of the brain (aneurysmal subarachnoid haemorrhage). A support group for patients and families affected by subarachnoid haemorrhage is held every month.

Useful resources

Visit the Brain and Spine Foundation website for more information and patient information leaflets on these conditions.

Inter-hospital transfers

Many patients with neurological problems can be treated at their local hospital. However, some patients need specialised investigation and treatment at a regional neuroscience centre, such as King’s.

If you need to be transferred to King’s, a team of doctors, nurses, and bed co-ordinators will oversee this. For more information see the ‘Inter-hospital transfer process (neuroscience)’ leaflet, below.

Preparing for your appointment

You may need to have scans to diagnose and treat your neurovascular problem. Some of these scans will require an injection of special dye to show up the blood vessels. This is known as an angiogram. The team will discuss this with you and what preparations are needed for you to have these investigations safely.

Location

First floor, Willowfield Building, King’s College Hospital, Bessemer Road, SE5 9BG

Contact Details

Patient information leaflets

TitleFile SizeLink
Inter-hospital transfer process (neuroscience)180 KB

Conditions we treat

  • cerebral aneurysms
  • cerebral and spinal arterio-venous malformations (AVMs)
  • cavernous angiomas
  • intracranial vascular stenosis and insufficiency

What is required before referring a patient

  • comprehensive clinical summary
  • GP details
  • please image link the appropriate imaging requested.

Booking a patient at King’s

Routine Referrals

All routine referrals from a GP or local community must be submitted through the electronic referral system (eRS). Each referral form should be fully completed and include an MRI scan of the patient before being sent exclusively via the eRS.

Email: [email protected]

For further referral advice and guidance, contact the clinical nurse specialist on:
Phone: 020 3299 7828 (Pager KH1328)
Email: [email protected]

Emergency Referrals

Referrals from hospitals

Check the acute neurosurgery referrals page.

Referrals from GPs

Patients should be referred to their local  emergency department for urgent assessment.

Other Queries

Email: [email protected]
Phone: 020 3299 7828 (Pager KH1328)

Referral forms

TitleFile SizeLink
Neurovascular Surgery MDT Referral form46 KB

Key Clinical Staff

Name Role
Mr Christos Tolias Consultant Neurosurgeon
Mr Daniel Walsh Consultant Neurosurgeon