Dr Hamish Alexander


Dr Hamish Alexander is a neurosurgeon and spinal surgeon who joined the Briz Brain & Spine team in 2017. Dr Alexander aims to provide exceptional patient care for those with brain and spine disease and considers it a privilege to do so.

A born and bred New Zealander, Dr Alexander moved to Brisbane in 2013 to pursue research and specialist training opportunities. He soon fell in love with Queensland and the lifestyle it afforded him and his young family.

Dr Alexander trained in neurosurgery in Australia and New Zealand following completion of his neuroscience and medical studies at Otago University, NZ. He finished his advanced neurosurgical training at the Royal Brisbane and Princess Alexandra Hospitals and was awarded Fellowship of the Royal Australasian College of Surgeons in 2016.

Dr Alexander has comprehensive experience in all aspects of cranial and spine surgery with a special interest in neuro-oncology. He holds a Masters degree from the University of Queensland following his work on immunotherapy for gliomas. Dr Alexander continues to consult at the Royal Brisbane Hospital and also is a Senior Clinical Lecturer at the University of Queensland, Faculty of Medicine.

Dr Alexander is the first Australasian neurosurgeon to be offered a prestigious neuro-oncology fellowship at Memorial Sloan-Kettering Cancer Centre in New York, USA.  There he gained a wealth of experience in management of brain and spine conditions at the world’s premier cancer hospital.

Dr Alexander has special clinical interests in all aspects of neurosurgery including:

  • Skull base
  • Neuro-oncology
  • Pituitary
  • Congenital and peripheral nerve surgery
  • Spinal surgery
  • All
  • Brain Conditions
  • Brain Tumours
  • Spinal Tumours
  • Spine Surgery

Normal Pressure Hydrocephalus

Mr A is a 67 year old man who presented having been noted by his family as developing memory problems for 2-3 years with deteriorating mobility. On questioning he admitted to a number of episodes of wetting himself and being unsure of how this happened. He underwent a CT and MRI which showed a possible diagnosis of normal pressure hydrocephalus. He was admitted to hospital and had a lumbar puncture […]

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 […]

Progressive dysembryoplastic neuroepithelial tumour

An interesting article in the Journal of Clinical Neuroscience lead by Dr Hamish Alexander and co-authored by Dr Anthony Tannenburg, Dr David Walker and Dr Terry Coyne. Click here to read the full journal article Abstract: Dysembryoplastic neuroepithelial tumour (DNET) is a benign tumour characterised by cortical location and presentation with drug resistant partial seizures in children. Recently the potential for malignant transformation has been reported, however progression without malignant […]


Immunotherapy for Brain Tumours. – Winner of the 3-Minute Thesis Competition,

School of Medicine, University of Queensland 2013.

Immunological and Virological characteristics of Human Cytomegalovirus specific TCells

in Glioblastoma Multiforme. Neurosurgical Society of Australasia Annual

Scientific Meeting, Coolum 2013.

Duroplasty for Chiari I malformation: Changing materials and complications.

Neurosurgical Society of Australasia Annual Scientific Meeting, Coolum 2010.

Incidence and Management of High Grade Glioma in Mäori and Non-Mäori.

Australian and New Zealand Association of Neurologists Annual Scientific Meeting,

Christchurch 2009. (Poster)

Clinical Research:

Endoscopic Surgery of Skull Base Chordomas, J Neurol Surgery B Skull Base. Dec

2012; 73(6), N Tan, Y Naidoo, S Oue, H Alexander, S Robinson, A Wickremesera, S

Floreani, N Vrodos, S Santoreneos, E Ooi, M McDonald, P-J Wormald.

Endoscopic Endonasal Resection of Anterior Skull Base Meningiomas,

Otolaryngology – Head and Neck Surgery. Sep 2012; 147(3). N Tan, Y Naidoo, S

Oue, H Alexander, S Robinson, A Wickremesera, S Floreani, N Vrodos, S

Santoreneos, E Ooi, M McDonald, P-J Wormald.

Incidence and Management of High Grade Glioma in Mäori and Non-Mäori. Journal

of Clinical Neuroscience. Sept 2010, Vol 17(9). H S Alexander, C Irwin, G Purdie, M

K Hunn.

Concussion clinic referral demographics and recommendations: a retrospective

analysis. New Zealand Medical Journal. Feb 2007, Vol 120(1249). H S Alexander, N

Shelton, J Fairhall, H McNaughton.

Translational Research:

Autologous T-cell therapy for cytomegalovirus as a consolidative treatment for

recurrent glioblastoma. Cancer Res. 2014 Jul 1;74(13):3466-76 A Schuessler, C

Smith, L Beagley, GM Boyle, S Rehan, K Matthews, L Jones, T Crough, V Dasari, K

Klein, A Smalley, H S Alexander, DG Walker, R Khanna.

Basic Science Research:

Effects of c-Fos antisense and mis-sense oligonucleotides on Fos expression in the

vestibular nucleus and vestibular compensation following unilateral labyrinthectomy.

Neuroscience Research Communications. March/April 2000, Vol 26(2), 123-128. H S

Alexander, A J Sansom, D R Kerr, P F Smith, M Dragunow, C L Darlington.

Case Reports:

Peripheral Primitive Neuroectodermal Tumor (pPNET) in the Cervical Spine. Journal

of Clinical Neuroscience. Feb 2010, Vol 17(2). H S Alexander, M K Hunn.

Bilateral retrocerebellar arachnoid cysts exerting mass effect and associated with

cerebellar tonsillar ectopia in an otherwise healthy adult. Neurol Med Chir (Tokyo).

2013;53(4):266-9. T Killeen, C Tromop Van-Dalen, H S Alexander, A


Progressive Dysembryoplastic Neuroepithelial Tumour (DNET). Journal of Clinical

Neuroscience (in Press). H S Alexander, T Tannenburg, D G Walker, T Coyne.

Technical Note:

Endoscopic transphenoidal resection of a mid-clival meningioma. Journal of Clinical

Neuroscience. March 2010, Vol 17(3). H S Alexander, Simon Robinson, Agadha

Wickremesekera, P J Wormald.


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.