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Dr Adam Wells
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What Happens During a Neurosurgical Consultation?
For many people, attending a Neurosurgical consultation can feel intimidating. Patients are often anxious about their symptoms, worried about what their scan might show, or fearful that surgery may be recommended immediately. In reality, most Neurosurgical consultations are simply about understanding your diagnosis more clearly, and discussing management options in a calm, structured and professional way. A Neurosurgical consultation generally begins with a short social and g

Dr Adam Wells
May 304 min read


Do All Disc Prolapses Require Surgery?
Few spinal conditions create as much anxiety as being told you have a “disc prolapse” or a “slipped disc”. Many patients understandably imagine that surgery will inevitably be required, particularly if the pain is severe. Fortunately, that is usually not the case. A lumbar disc prolapse occurs when part of the intervertebral disc protrudes backwards and irritates or compresses one or more of the spinal nerves. This commonly causes sciatica — pain radiating down the leg — and

Dr Adam Wells
May 244 min read


When is Spinal Surgery Actually Necessary?
Back pain and neck pain are extremely common problems, and many people are worried that surgery may ultimately be required. One of the most frequent things I hear from patients at their first consultation is: “I really don’t want an operation”. The good news is that the majority of spinal conditions do not require surgery at all, and many patients improve with time, physiotherapy, activity modification, or other conservative treatments. So when is spinal surgery actually nece

Dr Adam Wells
May 234 min read


How old is "too old" for elective surgery?
It’s something that I hear frequently: “I’m too old to have an operation!” But is this statement really true? How old is too old for...

Dr Adam Wells
Dec 30, 20225 min read


“Dr” or “Mr”? And the origins of Barber Surgeons
You may have noticed that many surgeons use the title “Mr” rather than “Dr”, even though all surgeons are qualified medical doctors with...

Dr Adam Wells
Oct 1, 20223 min read


Meet Dr Adam Wells, Neurosurgeon and NRF Abbie Simpson Clinical Fellow.
For Neurosurgery Awareness Month, Dr Adam Wells sat down with us to share his story and what it’s like being a Neurosurgeon. When did you...

Dr Adam Wells
Sep 7, 20225 min read


New “Fast Track” Referral & Consultation Service for rapid Neurosurgery appointments
It is generally accepted that you have to wait a long time to see a medical specialist. At the very least it can take many weeks or even...

Dr Adam Wells
Mar 19, 20223 min read


What is the difference between a Neurologist and a Neurosurgeon?
Have you ever wondered what the difference is between a Neurologist and a Neurosurgeon? It’s a question that I’m asked frequently,...

Dr Adam Wells
Nov 20, 20212 min read


Head injuries and new research into monitoring brain oxygen levels
Traumatic brain injury, or TBI for short, is one of the leading causes of death and disability, with TBI especially affecting the younger...

Dr Adam Wells
Nov 3, 20213 min read


What are the steps involved in treating brain tumours?
1. The first step is diagnosis. A brain tumour diagnosis is generally made with a brain scan, usually a CT scan initially and followed...

Dr Adam Wells
Oct 16, 20213 min read


Chiari malformation, headaches and cervical syringomyelia
Figure 1: Sagittal MRI scan demonstrating a pre-operative Chiari malformation with cervical syrinx (left), and the same patient 6 months post-operatively demonstrating resolution of the Chiari malformation as well as almost complete resolution of the syrinx (right). The foramen magnum is represented by the dashed red line. Before surgery the patient’s cerebellar tonsils extended 13mm below the foramen magnum (double arrow-head white line), and the tonsils ‘plug’ the craniocer

Dr Adam Wells
Sep 26, 20213 min read


Cervical spondylosis and reconstructive spine surgery
As we age we develop ‘wear and tear’ changes throughout our bodies, and the spine is no exception. In fact, degenerative change in the...

Dr Adam Wells
Aug 10, 20213 min read


Dementia in Neurosurgery: Part 2 of 2
In the second part of this series, we look at the benign brain tumour known as meningioma as a reversible cause of dementia. Meningiomas...

Dr Adam Wells
Jul 6, 20213 min read


Dementia in Neurosurgery: Part 1 of 2
There are many causes of dementia, however two specific Neurosurgical conditions are reversible with surgical intervention. In the first of this series, we look at the condition called Normal Pressure Hydrocephalus (NPH). Although not very common, NPH is a reversible cause of dementia. The classical clinical presentation for NPH is the triad of symptoms: dementia, gait ataxia (difficulty walking and mobilising), and urinary incontinence. Sometimes patients only exhibit some o

Dr Adam Wells
Jul 1, 20212 min read


Adelaide Neurosurgeon Dr Adam Wells conducts world-first 3D printed brain surgery
In a world first, Dr Adam Wells from the University of Adelaide and the Royal Adelaide Hospital has conducted "brain surgery" on a 3D printed brain modelled on US President Barack Obama. In a move that could revolutionise surgical training, innovative South Australian company Fusetec has developed lifelike 3D printed models of various anatomical regions, allowing surgeons to sharpen their skills in accurate recreations of the real thing. The new technology is a breakthrough i

Dr Adam Wells
Jun 26, 20211 min read
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