- Cervical and Thoracic Myelopathy
- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- COVID-19 Clinical Research Studies
- Long-Term Effects of COVID-19
- SARS-CoV-2 and COVID-19 Research
- Neuroscience and Neural Engineering
- EEG and Brain-Computer Interfaces
- Neurosurgical Procedures and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Peripheral Artery Disease Management
- Intensive Care Unit Cognitive Disorders
- Neurological disorders and treatments
- Glioma Diagnosis and Treatment
- Spinal Hematomas and Complications
- Genital Health and Disease
- Case Reports on Hematomas
- Pneumonia and Respiratory Infections
- Heparin-Induced Thrombocytopenia and Thrombosis
- Adenosine and Purinergic Signaling
- Respiratory Support and Mechanisms
- Kawasaki Disease and Coronary Complications
- Spinal Cord Injury Research
- Functional Brain Connectivity Studies
- Female Genital Mutilation/Cutting Issues
Addenbrooke's Hospital
2022-2024
University of Cambridge
2020-2024
University of Oxford
2023-2024
Health Education England
2024
Peterborough City Hospital
2020
Cambridge University Hospitals NHS Foundation Trust
2020
Degenerative cervical myelopathy (DCM) is a common and progressive neurological condition caused by injury of the spinal cord degenerative pathology. Delayed diagnosis leading to avoidable irreversible disability major current problem limiting patient outcomes. Lack sufficient representation DCM in undergraduate postgraduate medical curricula may contribute poor recognition non-specialist doctors. The objective this study was assess teaching provision UK schools knowledge students.UK...
Although mostly used in the management of spinal trauma, hard collar immobilisation is also as an adjunct to recovery after elective cervical spine surgery. Many surgeons believe that bracing reduces risk non-union and pain provides a subjective sense security for patients. There little if any, evidence this practice can be direct cause adverse events. The primary aim study was provide updated assessment post-operative UK surgeons, including indications, rationale perspectives on compliance...
A chronic subdural haematoma (cSDH) is an encapsulated collection of fluid and blood degradation products in the space. It increasingly common, affecting older people those living with frailty. Currently, no guidance exists to define optimal care from onset symptoms through recovery. This paper presents first consensus-built recommendations for best practice cSDH, co-designed support each stage patient pathway. Guideline development was led by a multidisciplinary Steering Committee...
A 39-year-old right-handed agricultural service engineer developed rapidly evolving severe relapsing-remitting multiple sclerosis (MS). MRI showed T2 hyperintensities throughout his neuroaxis (figure, A). Several lesions restricted diffusion, and 2 enhanced. He received steroids for each relapse, making a full recovery (Expanded Disability Status Score [EDSS] 0).
Abstract Study design Cross-sectional survey. Objective Currently there is limited evidence and guidance on the management of mild degenerative cervical myelopathy (DCM) asymptomatic spinal cord compression (ASCC). Anecdotal suggest variance in clinical practice. The objectives this study were to assess current practice quantify variability Methods Spinal surgeons some additional health professionals completed a web-based survey distributed by email members AO Spine Cervical Research Society...
<sec> <title>BACKGROUND</title> Degenerative cervical myelopathy (DCM) is a progressive neurological condition, characterized by spinal cord injury secondary to degenerative changes in the spine. Misdiagnosis primary care forms part of complex picture leading an average diagnostic delay 2 years. This leads potentially preventable and permanent disability. A lack awareness deficits postgraduate education may contribute these delays. </sec> <title>OBJECTIVE</title> study aims assess DCM...
Background Degenerative cervical myelopathy (DCM) is a progressive neurological condition, characterized by spinal cord injury secondary to degenerative changes in the spine. Misdiagnosis primary care forms part of complex picture leading an average diagnostic delay 2 years. This leads potentially preventable and permanent disability. A lack awareness deficits postgraduate education may contribute these delays. Objective study aims assess DCM setting general practice. Methods General...
Degenerative cervical myelopathy (DCM) is a syndrome of symptomatic spinal cord compression due to degenerative changes. Until recently there was no formal consensus on exactly which patients are suitable for surgical or conservative management. The AO Spine international guidelines were introduced address this issue, based the best available current evidence. However, their implementation into routine clinical practice has not yet been reported. objective evaluate outcomes following at our...
Objective: Understanding the neural mechanisms underlying movement initiation is crucial for advancing movement-driven adaptive deep brain stimulation therapies tremor disorders. We investigated feasibility of decoding pre-movement periods upper limb movements by machine learning using thalamic local field potentials (LFPs) and scalp electroencephalography (EEG) signals. Approach: Data were analysed from 11 patients undergoing surgery, employing models-including logistic regression,...
Degenerative cervical myelopathy (DCM) is a common and disabling neurodegenerative condition. Surgical decompression the only evidence-based treatment to halt disease progression; however, diagnosis access timely are often delayed, which contribute significant disability dependence. Supporting early critical priority. Exploring these challenges, Myelopathy.org has observed that people with DCM may seek osteopathy care for their symptoms, both before after diagnosis.This study aimed describe...
Objectives To explore whether a James Lind Alliance Priority Setting Partnership could provide insights on knowledge translation within the field of degenerative cervical myelopathy (DCM). Design Secondary analysis process for DCM. Participants and setting DCM stake holders, including spinal surgeons, people with other healthcare professionals, were surveyed internationally. Research suggestions submitted by stakeholders but considered answered identified. Sampling characteristics...
Background: Degenerative cervical myelopathy (DCM) and degenerative thoracic (DTM) present with leg, bladder bowel symptoms. If imaging confirms spinal cord compression both conditions are usually managed surgically. Surgical timing is important in patient management as it affects post-operative recovery long-term outcomes. This service evaluation aims to explore whether that patients DTM more likely be treated urgently than those DCM examine any differences justified. Methods: A...