A5027975845- Neurological disorders and treatments
- Neurosurgical Procedures and Complications
- Head and Neck Surgical Oncology
- Trigeminal Neuralgia and Treatments
- Trauma and Emergency Care Studies
- Meningioma and schwannoma management
- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- COVID-19 and healthcare impacts
- Surgical Simulation and Training
- Epilepsy research and treatment
- Cerebral Venous Sinus Thrombosis
- Traumatic Ocular and Foreign Body Injuries
- Intraoperative Neuromonitoring and Anesthetic Effects
- Spinal Dysraphism and Malformations
- Retinal and Optic Conditions
- Ocular Diseases and Behçet’s Syndrome
- Pectus Deformity Diagnosis and Treatment
- Advanced MRI Techniques and Applications
- Healthcare Systems and Technology
- Cerebrovascular and Carotid Artery Diseases
- Facial Nerve Paralysis Treatment and Research
- Scheduling and Timetabling Solutions
- Respiratory and Cough-Related Research
- Neuroscience of respiration and sleep
National Hospital for Neurology and Neurosurgery
2024
University College London
2024
John Radcliffe Hospital
2013-2024
Royal Victoria Infirmary
2018-2024
Newcastle University
2024
Royal Victoria Hospital
2020
James Cook University Hospital
2018-2019
University of Oxford
2013
Bilateral anterior cingulotomy is a palliative procedure occasionally used for cancer pain, and human studies suggest cingulate cortex active in dyspnoeic states.A case of debilitating thoracic wall pain due to malignant mesothelioma relieved by bilateral described changes dyspnoea investigated.Improvements the extent which either symptom bothered patient was seen 2 months after surgery before disease progression led death 5 surgery. Quality life improvements were also relief sustained from...
Object. With an increasingly ageing population, the number of elderly people diagnosed with pituitary tumours continues to rise. There is a concern that increasing age and comorbidities, there higher anaesthetic risk, as well peri-operative morbidity mortality from surgery. This study aimed audit benefits complications transsphenoidal surgery performed in large centre patients. Methods. Data on all patients (age: ≥ 70 years) undergoing at tertiary referral between November 2003 August 2012...
Background: Unintended durotomy is a well-recognised complication of lumbar spine surgery. Reported complications include headaches, intracranial haematomata, pseudomeningocoele and infection. Methods intraoperative repair vary although post-operative flat bed rest advocated by some, there no consensus on duration. We reviewed series unintended durotomies that occurred in our institution them to compare management strategies outcome.Methods: A retrospective analysis was conducted adult...
Background: One of the challenges faced by modern-day NHS is workplace shortages, and experienced radiographers for intra-operative neurosurgical imaging one such scenario. We describe our method Percutaneous Retrogasserian Glycerol Rhizotomy (PRGR) using frameless neuronavigation which can be used effectively in scenarios.Method: Stealth needle placement within foramen ovale injection glycerol, under sedation.Results: In experience ten procedures, it accurate, safe effective. Good results...
Evaluate the time to treatment with VNS.
Idiopathic intracranial hypertension (IIH) is a chronic headache disorder with increasing prevalence. Although characterized by raised pressure causing papilledema risk of visual impairment, psychological symptoms such as depression, anxiety, and cognitive impairment are frequently seen but understudied under-reported. Together, these can negatively affect quality life. These were explored through systematic PRISMA scoping review. OVID, EMBASE, Cochrane, PubMed databases searched in April...
We describe the development of a direct traumatic arteriovenous fistula arising from internal maxillary artery after an uneventful percutaneous trigeminal balloon compression for neuralgia, and its management through embolization radiosurgery.
Tremor is a disabling symptom of multiple sclerosis (MS), with limited treatment modalities. Thalamic ventral-intermediate-nucleus (VIM) deep brain stimulation (DBS) method neuromodulation. We describe the long-term outcomes our carefully selected patients who underwent VIM DBS for their MS-associated tremor.Patients were referred from regional neurology units. Pre-operative assessments included suitability anesthesia, tremor quantification by Fahn-Tolosa-Marin scores, and quality-of-life...
Objectives Acute subdural haemorrhage (ASDH) is a neurosurgical emergency with high mortality and morbidity rates. Time to surgical intervention implicated as an important factor affecting patient outcomes, however, more recent studies do not support this. We aimed determine the correlation between time interval surgery outcome of patients traumatic ASDH. Methods retrospectively reviewed consecutive ASDH who underwent haematoma evacuation in period 2010 2016 at this tertiary centre. 49 were...
We describe the extremely unusual case of a childhood injury to skull base presenting after many years, as foreign body with chronic granulomatous infection brainstem, mimicking neoplasm. TB had an inconsequential penetrating left cheek, from bamboo spike aged 15. After 4 he developed worsening sided weakness, imaging at this time was normal. car accident 40, weakness worsened further and demonstrated entering base. At its tip, it caused reaction within brainstem. Surgical removal splinter...