Case Studies

Pineal Cysts

One of the most common referrals to Neurosurgeons is for evaluation of pineal cysts. The advent of widely available imaging such as MRI and CT scans has lead to a dramatic increase in findings such as this in patients who have presented often with very vague symptoms. As such they can be a diagnostic problem. By definition a pineal cyst is a benign fluid containing cyst within the tissue of the […]

Management of Brain Metastasis

Metastatic tumors are the most common neoplasm in the brain, occurring in 24-45% of all cancer patients and accounting for 20% of cancer deaths annually.  These rates are on the increase due to a boost in survival of patients with cancer because of modern therapies along with increased availability of advanced imaging techniques for early detection. Newer therapies such as immunotherapy prolong overall survival in some cancers such as Melanoma […]

Treatment of Spinal Metastases

Significant advances have been made in the  treatment of spinal metastases in recent years. Options have evolved from simple decompression surgery or conventional external bean radiotherapy (cEBRT) to complex multi-disciplinary treatments incorporating stereotactic radio surgery (SRS) and minimally invasive surgical techniques (MIS). This is important as 60% of all patients with cancer will develop spinal metastases and 5-10% will develop spinal cord compression. The aims of therapy for these patients […]

Trigeminal Neuralgia: Current Treatment Strategies

Trigeminal neuralgia (aka tic douloureux or Fothergill disease) can be extremely difficult to manage and can cause significant distress for patients with craniofacial pain. In this article, we will explore current treatment strategies to assist in treating patients with severe trigeminal neuralgia (TN). TN is characterised by paroxysmal excruciating, electric like pain lasting a few seconds to minutes. It is often triggered by sensory stimulus: shaving, talking, eating, drinking, washing, […]

The Role of Surgery for Malignant Glioma – Is it all good?

Surgery has an important role in the diagnosis and treatment of patients with most brain tumours, including glioma patients with a suspected brain tumour are usually referred straight to a neurosurgeon for that reason. Traditionally, brain tumour surgery has been a core activity and skill for neurosurgeons, but better outcomes for almost all patients with brain tumours (especially gliomas/GBM/malignant glioma) are achieved when the patient is managed by a neurosurgeon […]

Why doesn’t the immune system work against Brain Cancer?

That is a VERY good question. Why would the body allow tumour cells to grow and destroy the normal brain? Isn’t the immune system supposed to rid us of foreign and destructive material? The immune system certainly is supposed to do this. It a highly evolved and finely tuned system that in general works extremely well. There are checks and balances built into this system which can go wrong – […]

CMV and brain tumours

Cytomegalovirus (CMV) is a common virus in our community. Most adults will show serological evidence of of previous exposure. CMV can cause severe disease, but generally this is only in newborns or in immunosuppressed patients, such as those people having had a transplant. In the last few years, it has become clear that CMV can be identified in brain tumour tissue – both in primary gliomas (glioblastoma, astrocytoma, GBM) and […]

Tumour Treating Fields – A new treatment for Glioblastoma

Malignant gliomas (glioblastoma, GBM) are difficult to treat. Our current methods of treatment –  surgery, radiotherapy and chemotherapy – all help but are ultimately not curative. New treatments are desperately needed. In recent years, a new form of treatment has been developed which may have a role in the future – Tumour Treating Fields (TTFields). TTFields are low intensity, intermediate frequency electric fields that slow cell division therefore inhibit tumour […]

Dexamethasone – the potential downside

Brain tumours often cause swelling in the brain and this swelling makes the pressure effect of the brain tumour worse. Symptoms therefore can be exacerbated – headaches may be worse, or patients can be drowsy or the neurological deficits such as arm and leg weakness are exaggerated. For many years, corticosteroids (typically dexamethasone) have been used to reduce the swelling around brain tumours. Starting dexamethasone can be very effective in controlling […]

Spinal Case – Keyhole lumbar laminectomy

Patients with spinal stenosis usually present with symptoms of neurogenic cluadication, with bilateral leg pain with walking and standing. A CT or MRI will often make the diagnosis. Surgery is the appropriate treatment and the traditional operation is a decompressive lumbar laminectomy at the affected levels. The commonest level to be affected is at L4/5, and a normal surgical approach would usually require a midline incision of 10-15 centimetres. Patients would […]

COVID-19 Patient Message** IMPORTANT INFORMATION **

Patient and staff safety is our highest priority at Briz Brain & Spine.

For patients with appointments, if you are suffering any symptoms such as fever, dry cough, sore throat, tiredness or shortness of breath or have recently travelled interstate, overseas or been in contact with someone who has returned from interstate or overseas, or have been in contact with a confirmed case of COVID-19, please contact our friendly reception team before attending the clinic. A telehealth appointment may be an alternative method of speaking with our surgeons.

Protecting the health of our staff is vital to ensure they can continue to provide great service.  Patients are encouraged to prepay accounts over the phone prior to appointments or via payWave or other contactless payment methods. Patients are also asked to complete the Patient Details Form and sign the Privacy Policy Agreement electronically prior to their appointment. These forms can be found under our Contacts page on the website or by clicking here. Please note, patients are asked to bring only ONE support person to their appointment and maintain appropriate social distances to help reduce the risk of Covid-19 transmission.

During this current outbreak of Covid-19 coronavirus we want to assure all of our patients that we will continue to implement procedures to maintain a hygienic clinical environment. This includes:

-          Disinfecting and wiping down all treatment surfaces

-          Regular cleaning of rooms and shared equipment

-          Thorough cleaning of all communal items including reception chairs, tables, door handles, pens and other shared items

-          All staff have access to infection control procedures and training to implement these as necessary

We are carefully monitoring the directions and advice of Queensland Health, the Australian Government Department of Health and the World Health Organization. In the meantime, it is still business as usual and our doors are open.

Briz Brain & Spine wishes to apologise for the inconvenience caused and thanks you for your cooperation and understanding during this unprecedented situation.

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