Neuroscience Ambulatory Clinic (NAC)
Specialization in neuroambulatory care has seen the emergence of many new neuroscience clinics within Hamilton Health Sciences. Established in 2002 the Neuroscience Ambulatory centre sees over 10,000 patient visits annually and has grown from a program providing stroke prevention ambulatory care to one involving a full spectrum of Neuroscience related services. Currently the centre manages the needs of stroke, neurosurgical, spine, epilepsy, concussion, Neurology and Neurointerventional patients. This involves health care maintenance pre-operatively and post operatively by an interdisciplinary team comprised of Neurologists, Neuro Surgeons / Orthopedic surgeons, Neuroradiologists, Nurse Practitioners as well as Nurse Clinicians.
Clinical Manager: Louise MacRae
Clinics in the Neuro-Ambulatory Clinic (NAC)
Stroke Prevention Clinic
Stroke Prevention Clinics provide early, facilitated access to neurological and diagnostic testing, evidence based treatment, and health teaching for persons who may have experienced a mild non-disabling stroke or Transient Ischemic Attack (TIA). There are two Stroke Prevention Clinics in Hamilton: the regional centre and full-time clinic located at Hamilton Health Sciences – General site ( operates Monday to Friday, 8:30 AM to 4:30 PM); and the part-time clinic located at St. Joseph’s Healthcare Hamilton – Charlton site (operates Wednesday and Friday, 08:30 AM to 4:30 PM). Persons attending the Stroke Prevention Clinic will meet with a neurologist specializing in stroke care and a nurse. A class providing information about healthy lifestyle changes is available to patients each month at both the General and St. Joseph’s hospital sites. A referral from an emergency department doctor, family physician or other medical specialist is required. Referrals may be FAX’d to 905-527-0059. For further information, please call 905-527-4322 extension 46755.
*Persons requiring immediate or emergency neurological consultation should call “911” to be taken to an Emergency Department to be assessed by the neurologist on call or the appropriate service.
As a part of the Regional Spine Services offered by HHS, the Neuroscience Ambulatory Centre provides consultation for individuals with spinal Cord issues and concerns requiring surgical intervention. This often involves both a pre-operatively assessment, pre-operative teaching and post –operative follow up care. The Spine team within the Ambulatory centre work closely with members of the inpatient team- acute and rehab, and with the community to ensure that individual needs are addressed.
The Epilepsy Clinic is an outpatient clinic for people who have difficulty managing their epilepsy or seizures The Epilepsy Clinic offers patients early assessment, teaching and follow-up in order to help them manage their epilepsy or seizures. Any person who has had a recent seizure or has been newly diagnosed with epilepsy can get an appointment at the clinic. You will need to be referred by an emergency room doctor, your family doctor or another medical specialist. Referral forms can be obtained by calling the clinic at 905-527-4322 ext 46755.
The General Neurology clinic within the NeuroAmbulatory Centre provides consultation for Neurological concerns that cannot be addressed within the Primary Care setting. The Neuroscience program involves a team of three specialists with expertise in Neurology who manage the complex needs associated with the diagnosis and treatment of disorders of the nervous system.
As a part of the Regional Neuro-Surgical Program offered by HHS the Neurosciences Ambulatory Centre provides consultation for individuals with concerns requiring Neuro-surgical intervention. This often involves both a pre-operatively assessment, pre-operative teaching and post –operative follow up care. The Neurosurgical team within the Ambulatory centre work closely with members of the inpatient team and community to ensure that individual needs are addressed.
The main clinic and office of the Hamilton Multiple Sclerosis Clinic is located at the Hamilton General Hospital in the Neurosciences Ambulatory Centre.
The patient centered MS Outpatient team is comprised of doctors and nurses, as well as a Social Worker who provide management and treatment of Multiple Sclerosis for patients and their significant others living with the disease and for people who may have MS. The team is here to assist with ongoing patient services which may include: Diagnosis, Medical follow-up, Treatment/symptoms management, Referral to allied health services, Counseling and education. For further information contact the clinic at 905-521-2100 ext 76074
Post Operative Clinic
The Neurosurgery Postoperative Clinic is a nurse-led outpatient clinic located at the Hamilton General Hospital in the Neuroscience Ambulatory Centre. Patients who are referred to this clinic have been under the care of a Neurosurgeon and are usually assessed within a week or two of discharge from hospital. The focus of the clinic is on wound care management, neurological re-assessment as well as a review and modification of the discharge plan as necessary.
Pre-Operative Assessment and Teaching Clinic
The Neurosurgery Preoperative Assessment and Teaching Clinic is a nurse-led outpatient clinic located at the Hamilton General Hospital in the Neuroscience Ambulatory Centre. Patients coming to this clinic have been assessed by a Neurosurgeon and/or a Neurointerventionalist and a decision to perform a procedure has been made. This clinic gives an opportunity for patients and their significant others to learn more about their procedure and have their questions answered. The patient’s preoperative medical evaluation is also reviewed to ensure that they are prepared for their upcoming procedure.
Adult Concussion Clinic
The Adult Concussion Outpatient Clinic is located at the Hamilton General Hospital in the Neuroscience Ambulatory Centre. Patients who have sustained a concussion and have been evaluated in a HHS Emergency Department or HHS Urgent Care Centre may be referred to this clinic for follow up care. Patients are triaged and followed by phone by the Nurse Clinician and are brought into the clinic for an assessment by a Neurologist as necessary.
Patients with visual disturbances and eye disorders that have occurred as a result of the Neurological condition can now be seen within the NeuroAmbulatory Centre by a Neuro-Opthamologist. Referrals for this service are made through one of the Specialists attached to the Neuroscience Ambulatory Centre.
The Neuro-endovascular clinic supports patients receiving Neuro-Interventional Treatment at Hamilton Health Sciences. Patients are seen by an team of Neuro Interventional Physicians and a Nurse Practitioner. Patients are assessed and prepared for Neuro-Interventional Treatment.