A window cleaner has been airlifted to hospital with a serious head injury after he fell from the balcony of a Shellharbour restaurant.
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The man was washing the side glass partitions of the Harbour View Thai Restaurant, on Addison Street, moments before he fell four metres into the gutter, taking part of the balcony handrail with him.
NSW Ambulance paramedics came to the aid of the man, 42, from Flinders, shortly after 8 o'clock this morning.
He lost consciousness in the fall and was confused and disoriented when paramedics arrived.
He was transported to Illawarra Regional Airport then airlifted to St George Hospital, where he is undergoing treatment for a possible fractured skull.
He remains in a serious but stable condition.
