Become a member
To apply for SBNS membership click the link below and visit our application page.
Patient Information
SBNS is unable to give medical advice or recommend neurosurgeons. Please use an appropriate support group or your GP.
Become a Neurosurgeon
The management of neurosurgical patients requires excellent medical and surgical skills, a career in Neurosurgery offers many challenges and rewards.
Contact the SBNS Office
Follow the link below to use our contact form or to find the appropriate telephone numbers.
NICE GUIDELINES
National CJD Guidelines
Managing CJD/vCJD risk in Neurosurgery – Post Consultation draft
March 2017
A review of the NICE CJD guidance 2006 (IPG 196 ) - Minimise transmission risk of CJD and vCJD in healthcare settings is scheduled. Until the outcome of this review is known, the advice set in the 2006 guidance remains current and is reflected throughout the joint DH/SBNS/NICE document above. There is an algorithm on page 15.
Head Injury Jan 2014
Changes from the previous guideline are sumnmarised as follows:
1. All adults and children on warfarin with head injury should now have a CT head scan within 8 hours of injury – even where no LOC / amnesia have occurred.
2. There is a reduction in the indications for CT head scan in children, replaced with a period of observation for single medium risk features in otherwise well children (hx of vomiting, loc > 5 minutes, amnesia, abnormal drowsiness, dangerous MOI).
3. CT of the cervical spine has replaced plain films as the primary investigation in: (i)alert and stable adults and children with head injury and suspicion of C spine injury where there is focal neurology or paraesthesia in extremities, (ii) and for alert and stable adults with head injury and suspicion of C spine injury who are over 65 or who have a dangerous MOI
Head Injury Nov 2007
Head Injury June 2003
Preoperative tests June 2003
Percutaneous vertebroplasty Sept 2003
Deep brain stimulation for Parkinson's disease Nov 2003
Endoscopic transphenoidal pituitary adenoma resection Dec 2003
Vagal nerve stimulator for epilepsy in children Mar 2004
Auditory brainstem implants Jan 2005
Coil embolisation of ruptured intracranial aneurysms Jan 2005
Lumbar subcutaneous shunt July 2004
Selective peripheral denervation of cervical dystonia Aug 2004
Stereotactic radiosurgery for trigeminal neuralgia Aug 2004
Subthalamotomy for Parkinson's disease June 2004
Supraorbital minicraniotomy for cerebral aneurysms Aug 2004
Temozolomide Nov 2002
Direct C1 lateral mass screw Dec 2005
Preoperative tests June 2003
Percutaneous vertebroplasty Sept 2003
Deep brain stimulation for Parkinson's disease Nov 2003
Endoscopic transphenoidal pituitary adenoma resection Dec 2003
Vagal nerve stimulator for epilepsy in children Mar 2004
Auditory brainstem implants Jan 2005
Coil embolisation of ruptured intracranial aneurysms Jan 2005
Lumbar subcutaneous shunt July 2004
Selective peripheral denervation of cervical dystonia Aug 2004
Stereotactic radiosurgery for trigeminal neuralgia Aug 2004
Subthalamotomy for Parkinson's disease June 2004
Supraorbital minicraniotomy for cerebral aneurysms Aug 2004
Temozolomide Nov 2002
Direct C1 lateral mass screw Dec 2005
National clinical guideline for stroke, 3rd edition
Prepared by the Royal College of Physicians Intercollegiate Stroke Working Party
This much-anticipated third edition of the stroke guideline provides readers with the most comprehensive coverage of stroke care to date, encompassing the whole stroke pathway from acute care through to longer-term rehabilitation and secondary prevention. It informs health professionals about what kind of care should be delivered to stroke patients and how this should be organised, with the aim of improving the quality of care for anyone who suffers a stroke, regardless of age, gender, type of stroke or location. http://www.rcplondon.ac.uk/pubs/brochure.aspx?e=250
Stroke: National clinical guideline for diagnosis and
initial management of acute stroke and transient ischaemic attack
(TIA) Prepared by the NCC-CC
This guideline covers interventions in the acute stage of a stroke (acute stroke) or TIA. Most of the evidence considered relates to interventions in the first 48 hours after onset of symptoms, although some interventions of up to 2 weeks are covered as well. The guideline is a stand-alone document, but is designed to be read alongside the Intercollegiate Stroke Working Party guideline, which incorporates all the recommendations made in this guideline. http://www.rcplondon.ac.uk/pubs/brochure.aspx?e=254
Venous Thromboembolism - New NICE Guideline
(CG 92) - January 2010
This Guidance was released by NICE at the end of January 2010 and deals with prevention of VTE and PE in patients admitted to hospital (http://www.nice.org.uk/nicemedia/pdf/CG92FullGuideline.pdf).
The section relating to Neurosurgical patients are on pages 278 to 289 and Spinal injuries on Pages 324 to 332. This guidance replaces the prUpdateevious guidance released in 2007 (CG 46).
GUIDELINES
Complex Regional Painsyndrome in Adults July 2018
UK guidelines for diagnosis, referraland management in primary andsecondary care
Concussion - June 2015 Concussion Guidelines for the Education Sector
Management of cardiac arrest during neurosurgery in adults - March 2015 Guidelines for Healthcare Providers
Acoustic Neuroma - 2002 Clinical Effectiveness Guidelines
POSITION STATEMENTS
Legal Aspects of Medical Manslaughter May 2018
General Surgery of Childhood
Working together to improve the local delivery of the General Surgery of Childhood
April 2018 Update
Low Back Pain
National Back and Radicular Pain Pathway - June 2017
Surgical Forum of Great Britain and Ireland held on the 25th January 2016 Choosing Wisely in Surgery
Prolonged Disorders of Consciousness Report
12 December 2013Prolonged_Disorders_of_Consciousness_Report_12_December_2013.pdf
You can download the guidelines and associated material free from the RCP website:
http://www.rcplondon.ac.uk/resources/prolonged-disorders-consciousness-national-clinical-guidelines
Spinal cord stimulator for pain
Surgeon's Information Patient Information
The initial care and transfer of patients with spinal cord injuries
NASGBI & SBNS August 2014
Published by British Journal of Anaesthesia, 2015 http://bja.oxfordjournals.org/cgi/content/full/aev233?
ijkey=oJ42lVhfDkzz938&keytype=ref
Antibiotics and Low Back Pain July 2012
Professor C Greenough MD MChir FRCS
National Clinic Director – Spinal Disorders
Complex regional pain syndrome guidelines Launched in June 2012 on the RCP website and endorsed by the SBNS
Joint Statement regarding the provision of emergency paediatric neurosurgery Aug 2010
National Service Framework for Long Term Conditions
National service framework for long term conditions
March 2005
NCEPOD
NCEPOD - Trauma: Who Cares? Nov 2007
NCEPOD - Trauma - Who Cares? Executive Summary - Nov 2007
NCEPOD - Trauma Who Cares? Self Assessment tool
Mental Act
Mental Capacity Act
Professor Paul Marks, BA,LLM,MD,FRCS
Leeds General Infirmary and Leeds Metropolitan University Law School