A5010146538- Glioma Diagnosis and Treatment
- Cardiac, Anesthesia and Surgical Outcomes
- Traumatic Brain Injury and Neurovascular Disturbances
- Gallbladder and Bile Duct Disorders
- Respiratory Support and Mechanisms
- Sepsis Diagnosis and Treatment
- Meningioma and schwannoma management
- Intracranial Aneurysms: Treatment and Complications
- COVID-19 and healthcare impacts
- Spinal Fractures and Fixation Techniques
- Neurosurgical Procedures and Complications
- Nosocomial Infections in ICU
- Appendicitis Diagnosis and Management
- Brain Metastases and Treatment
- Vascular Malformations Diagnosis and Treatment
- Innovations in Medical Education
- Intensive Care Unit Cognitive Disorders
- Trauma and Emergency Care Studies
- Cerebrospinal fluid and hydrocephalus
- Renal function and acid-base balance
- Acute Ischemic Stroke Management
- Pancreatic and Hepatic Oncology Research
- Medical Education and Admissions
- Diversity and Career in Medicine
- Spine and Intervertebral Disc Pathology
Queen Elizabeth University Hospital
2016-2024
Institute of Neurological Sciences
2015-2024
Nottingham City Hospital
2019-2023
Nottingham University Hospitals NHS Trust
2019-2023
Laboratoire des Sciences de l'Ingénieur, de l'Informatique et de l'Imagerie
2022
University of Glasgow
2020-2022
Institute of Health Economics
2022
Center for Neuro-Oncology
2022
Neurological Surgery
2022
NHS Greater Glasgow and Clyde
2022
Cauda equina syndrome (CES) results from nerve root compression in the lumbosacral spine, usually due to a prolapsed intervertebral disc. Evidence for management of CES is limited by its infrequent occurrence and lack standardised clinical definitions outcome measures. This prospective multi-centre observational cohort study adults with UK. We assessed presentation, investigation, management, all Core Outcome Set domains up one year post-operatively using clinician participant reporting....
Cauda equina syndrome (CES) has significant medical, social, and legal consequences. Understanding the number of people presenting with CES their demographic features is essential for planning healthcare services to ensure timely appropriate management. We aimed establish incidence in a single country stratify by age, gender, socioeconomic status. As no consensus clinical definition exists, we compared using different diagnostic criteria.All patients radiological compression cauda due...
There are many questions that remain unanswered regarding outcomes following cranioplasty including the timing of craniectomy as well material used.To establish and evaluate 30-d for all cranial reconstruction procedures in United Kingdom (UK) Ireland through a prospective multicenter cohort study.Patients undergoing insertion or revision between June 1, 2019 November 30, 25 neurosurgical units were included. Data collected include demographics, date indication, date, outcome.In total, 313...
Introduction Pilocytic Astrocytoma (PA) is amongst the commonest primary intracranial tumours in children but has a low incidence adult population, and spinal occurrences are particularly infrequent. We report intradural extramedullary (IDEM) recurrence of this tumour significant duration after initial treatment. Such case previously unreported literature. Case Summary A 46-year-old female presented with 3-month history worsening back pain. Reduced sensation on right side L1, L2, per rectum...
<h3>ABSTRACT</h3> From senior school through to consultancy, a plethora of assessments shape medical careers. Multiple methods assessment are used discriminate between applicants. Medical selection in the UK appears be moving increasingly towards non-knowledge-based testing at all career stages. We review evidence for tests and discuss their perceived benefits. raise question: is current use within risk undermining more robust measures postgraduate performance?
Abstract Genetic testing is becoming rapidly more accessible to the general populous either through or outside healthcare systems. Few large-scale studies have been carried out gauge public opinion in this growing area. Here, we undertook largest cross-sectional study on genetic UK. The primary purpose of identify differences attitudes toward across ethnic groups. A cohort 6500 individuals from a diverse population completed 72-item survey study. Responses between minority and white UK were...
The middle meningeal artery (MMA) is the most proximal and largest branch of internal maxillary (IMA). It courses superiorly to foramen spinosum making a sharp right angle bend entering skull. MMA has frontal, parietal petrosal branches, frontal being identified by its anterior convex curve along greater wing sphenoid. Trauma resultant extradural haematoma (EDH) demands urgent neurosurgical intervention prevent imminent magnum herniation rapid demise. seriousness EDHs cannot be overstated...
Iatrogenic injury to the superior gluteal nerve (SGN) persists despite a safe area being defined. Current descriptions of course SGN are conflicting and do not provide agreeable distances surface landmarks that useful for most health care professionals. This study aimed suggest more conservative gender-dependent estimate between each buttock genitals as defined by four bony landmarks. The posterior lateral surfaces in eight cadavers, male female, were dissected. anatomy sixteen SGNs was...
Cryptogenic stroke frequently occurs in younger patients and has a high risk of recurrence. Consequently, secondary prevention is often suboptimal as there no known factor to target. This case demonstrates an unexpected finding middle cerebral artery infarction extensive malignant transformation 16-year-old boy more than day post-admission. The lack proven culprit lesion makes this even intriguing subsequently raises questions cryptogenic mechanisms the context unrelated trauma. A white had...
Thank you for publishing the review by Andersen & Wearne (JRSM 2007;100:97-100).1 It was an informative and interesting article, which communicated essence of informed consent in a manner that everyone—particularly medical students—would find easy to understand. The teaching consent, seriousness being able ensure patient is competent make decision—either or against any intervention requiring such—has been thoroughly taught myself my peers from our first term at school. However, importance...
Abstract Background In recent years an increasing number of patients with cerebral metastasis (CM) have been referred to the neuro-oncology multidisciplinary team (NMDT). Our aim was obtain a national picture CM referrals assess referral volume and quality factors affecting NMDT decision making. Methods A prospective multicenter cohort study including all adult 1 or more conducted. Data were collected in neurosurgical units from November 2017 February 2018. Demographics, primary disease,...
Severe Factor XI (FXI) deficiency is defined when the activated partial thromboplastin time prolonged and its activation <1–15 UdL −1 in plasma. It inherited as an autosomal recessive trait but can be acquired. In severe bleeding diathesis normally injury related. This particularly occurs during surgical procedures trauma involving tissues rich fibrinolytic activators. Cardiopulmonary bypass induces transient abnormalities haemostasis which cause a postoperative diathesis. Once treated,...
This technical note describes a direct puncture of the superior sagittal sinus (SSS) to treat complex dural arteriovenous fistula (dAVF). A 40-year-old female was admitted having history increasing confusion. Computer tomography revealed enlargement right ophthalmic vein and magnetic resonance imaging demonstrated extensive bilateral hemispheric venous engorgement. Digital subtraction angiography (DSA) high flow dAVF involving transverse sinus. There cortical rerouting with occlusion at...