Skull Base

What we do

We are the largest Skull Base Unit in London and treat patients referred from around the UK and worldwide.

We provide the service jointly with Guy’s and St Thomas’ NHS Foundation Trust.

The unit manages and treats diseases and conditions in or close to the side of (lateral) and in front of (anterior) the base of the skull.

These include:

  • benign and malign tumours such as vestibular schwannomas (acoustic neuromas), meningiomas, epidermoids and paragangliomas
  • chronic infections
  • cerebrospinal (CSF) fluid leaks.

King's holds multidisciplinary clinics and carries out all intradural surgery.

King’s and Guy’s both carry out extradural surgery.

Other useful resources for patients:

Inter-hospital transfers

Many patients with neurological problems can be managed at their local hospital. However, some patients may require specialised investigation and treatment at a regional neuroscience centre, such as King's.

Each patient will be looked after by a team of health professionals during their stay at King's, and will receive carefully planned investigations and treatments.

Transferring back to your local hospital

Patients may be transferred back to their local hospital from King's for continued care, treatment, and/or rehabilitation as well as discharge planning with local services in the community. Transfers back to local hospitals are also known as repatriation. The aim is to get patients home as soon as possible, but it may take several days for a bed to become available.

At the local hospital, you may continue to receive care and medical treatment. The team there will carefully assess your care needs so that you can go home safely.

For more information see the patient information leaflet Inter-hospital transfer process (neuroscience).

Location

First floor, Willowfield Building, King's College Hospital, Bessemer Road, SE5 9BG

Contact Details

  • Main Reception: +44 (0)20 3299 4285
  • Skull Base Co-ordinator: +44 (0)20 3299 4285
  • Skull Base Co-ordinator: +44 (0)20 3299 1361

Patient Information Leaflets

Conditions we treat

We manage neoplastic, infective and traumatic conditions of and adjacent to either side of the skull base.

These include:

  • vestibular schwannoma (acoustic neuroma)
  • skull base meningiomas
  • cervical and skull base paragangliomas
  • other cranial nerve schwannomas including parapharyngeal
  • epidermoids/cholesteatoma
  • chondrosarcoma
  • olfactory neuroblastoma and other sinonasal malignancy
  • juvenile nasal angiofibroma
  • clival chordoma
  • petrous apex pathology
  • encephalocele and CSF leaks.

Patients needing the pituitary service should be referred to Endocrinology.

Booking a patient at King's

Routine Referrals

Complete the referral form below and email it to kch-tr.skullbasereferrals@nhs.net. The results of all investigations, such as CTs, MRIs and other relevant tests, must be sent/image-linked to King's Neuroradiology Department.

Routine referrals are reviewed in the Skull Base MDT meetings held on the first and fourth Monday of the month.

Emergency Referrals

Referrals from hospitals
Go to the acute neurosurgery referrals page for advice on how to refer using the inter-hospital system.

Referrals from GPs
Patients should be referred to their local A&E department for urgent assessment.

Other Queries

For MDT administrative enquiries please contact:
Email: kch-tr.skullbasereferrals@nhs.net
Tel: 020 3299 4285 or 020 3299 1361

For all nursing or clinical enquiries please email: kch-tr.skullbasenurses@nhs.net.

Referral Forms

Please complete the relevant form and note any pre-consultation investigations required:

Key Clinical Staff

Name Job Title
Prof Safa Al-Sarraj Consultant Neuropathologist
Mr Sinan Barazi Consultant Neurosurgeon
Dr Steve Connor Consultant Neuroradiologist
Mr Richard Gullan Consultant Neurosurgeon
Mrs Amanda Hitchings Skull Base Clinical Nurse Specialist
Ms Eleni Maratos Consultant Neurosurgeon
Mr Rupert Obholzer Consultant ENT
Mr Nick Thomas Consultant Neurosurgeon
Dr Jean-Marie U-King-Im Consultant Neuroradiologist