Outpatient Neurosurgical Follow-Up

Date: [Date of examination] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Patient: [Patient name and surname] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Date of Birth: [Date of birth and age in years] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) File: [File number] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Outpatient Neurosurgical Follow-Up Note Visit Context: [Reason for follow-up such as postoperative review, imaging assessment, symptom recurrence, or second opinion] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) [Surgery performed and date of surgery including number of days post surgery] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Symptoms and Patient Concerns: [Presence or resolution of neurological symptoms including headache, pain, weakness, numbness, seizures, gait disturbance, or cognitive changes] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) [Pain score using the Visual Analogue Scale out of 10, and presence or absence of back or leg pain] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else write "None".) Neurological Examination: [Findings from cranial nerve assessment, motor and sensory examination, coordination, reflexes, and gait] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Wound and Recovery Status: [Surgical site healing, signs of infection, scar formation, and functional recovery status] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Imaging and Investigations Reviewed: [Findings from postoperative or surveillance computed tomography, magnetic resonance imaging, or angiograms including any concerning changes or evidence of recurrence] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Device or Implant Review: [Review of any implanted devices including shunts, stimulators, hardware integrity, and any associated complications] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Complications or Adverse Events: [Any delayed complications such as hydrocephalus, haematoma, seizure activity, or neurological deterioration] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.) Plan and Follow-up: [Next imaging, referrals to allied health or multidisciplinary team, medication adjustments, additional surgical planning, or discharge from neurosurgical care] (Only include if explicitly mentioned in transcript, contextual notes, or clinical note, else omit section entirely.)