Outpatient Neurosurgical Follow-Up

Date: [Insert date of examination] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Patient: [Insert patient name and surname] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) File: [Insert file number] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Outpatient Neurosurgical Follow-up Note Visit Context: [Record reason for follow-up such as postoperative review, imaging assessment, symptom recurrence, or second opinion] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention surgery performed, date of surgery, and days post surgery] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Symptoms and Patient Concerns: [Document presence or resolution of neurological symptoms including headache, pain, weakness, numbness, seizures, gait disturbance, or cognitive changes] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) [Mention pain score (e.g. VAS score out of 10) and presence of back or leg pain] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Neurological Examination: [Describe findings from cranial nerves, motor examination, sensory examination, coordination, reflexes, and gait] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Wound and Recovery Status: [Comment on surgical site healing, signs of infection, scar formation, and functional recovery] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Imaging and Investigations Reviewed: [Summarize findings from post-operative or surveillance CT, MRI, or angiograms including any concerning changes or recurrence] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Device or Implant Review: [Document review of implanted devices such as shunts, stimulators, hardware integrity, or related complications] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Complications or Adverse Events: [Note any delayed complications such as hydrocephalus, hematoma, seizure activity, or neurological deterioration] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) Plan and Follow-up: [Outline next imaging, referrals, multidisciplinary input, medication changes, additional surgical planning, or discharge from neurosurgical care] (Only include if explicitly mentioned in the transcript, contextual notes or clinical note; otherwise omit completely.) (For each section, only include if explicitly mentioned in the transcript or contextual notes; otherwise omit the section entirely. Never come up with your own patient details, examination findings, assessments, plans, interventions, investigations, or follow-up. Use only the transcript, contextual notes, or clinical note as the source of information. If any information related to a placeholder has not been explicitly mentioned, do not state that it is absent—simply omit the placeholder or section entirely. Use as many lines or paragraphs as needed to accurately capture the documented information.)