Gabriel Thomas Cahill from Murwillumbah in court for wilful exposure

A Tweed shire man who allegedly challenged passers-by to a fight while naked before vandalising a nearby hospital has fronted court.

A Murwillumbah man who allegedly challenged Gold Coast residents to a fight while naked before vandalising Tweed Heads Hospital has been granted bail.

Gabriel Thomas Cahill, 42, appeared before Lismore Local Court on Monday over a string of unusual charges which arose from incidents at the weekend.

The court heard Mr Cahill would plead not guilty to not stopping/driving dangerously in a police pursuit driving furiously/ at speed in a police pursuit and wilful and obscene exposure.

However, he would plead guilty to destroy/damage property, driving with a middle range PCA and resisting an officer.

Police will allege Mr Cahill was reported to officers after he got out of a white Kia sedan near North Kirra Surf Club on the Gold Coast and allegedly yelled at numerous bystanders about 7pm on Saturday.

He also allegedly challenged a man to a fight while naked.

Mr Cahill was then captured on CCTV footage at Tweed Heads Hospital punching and breaking a hospital glass fire escape door about 8pm.

Police allege they found Mr Cahill on Minjungbal Drive at Tweed Heads and started a pursuit after he allegedly failed to stop about 8.30pm.

Mr Cahill allegedly drove south on the M1 Motorway to the BP service centre at Chinderah where he stopped.

Police allege a window was eventually smashed with a baton after Mr Cahill refused to unlock the car.

Defence lawyer Lucas Swan told the court Mr Cahill would live with his 70-year-old mother who he assisted in Murwillumbah, if granted bail.

Mr Swan said Mr Cahill received disability support due to a brain injury acquired from a 2009 assault.

“It is my submission there may be some exploration of the acquired brain injury and its role in the alleged offences,” he said.

Police prosecutor Alix Thom told the court despite two of the offences being allegedly committed in Queensland, she would like to see them dealt with in NSW due to their “metre” proximity to the state.

She alleged during the police pursuit, Mr Cahill swerved on to the wrong side of the road and was “quite dramatic” in his eventual arrest.

“He simply refused to comply with any direction,” she said.

Sergeant Thom was not satisfied bail conditions, such as no car access or alcohol/drug use, would mitigate the risk to the public.

Magistrate Michael Dakin called it a set of “serious offending” with circumstances of special vulnerability given Mr Cahill’s injury.

“There is certainly the hint of the bizarre in some of the behaviour alleged, particularly the offences which drew the attention of the public in the Coolangatta area,” he said.

Mr Cahill was granted bail with strict conditions including three day reporting to police, alcohol and drug abstinence and a motor vehicle ban.