Undergraduate Medicine University of Southampton 1982-87
House Officer in Medicine and Surgery, Southampton 1987/88
Anatomy Lecturer (temporary), Glasgow 1988/89
SHO ED, Neurosurgery, Orthopaedics, General Surgery, Glasgow and Winchester 1989/92
Registrar in Neurosurgery, Cambridge 1992/94
MRC Clinical Training Fellow and Honorary Senior Registrar, Cambridge 1995/96
Specialist Registrar, Cambridge 1997/2000
Consultant Neurosurgeon, Aberdeen 2000/2002
Consultant Neurosurgeon, Plymouth 2002/ present
Honorary Posts, ¶¶Òõ¶ÌÊÓƵ - currently Professor (2021/ present)
Qualifications
BM awarded with Distinction in Clinical Medicine University of Southampton 1987
PhD 1998
FRCS England 1992
FRCS Surgical Neurology 1998
Post Graduate Certificate in Clinical Education with distinction ¶¶Òõ¶ÌÊÓƵ 2016
Professional membership
Society of British Neurological Surgeons
European Association of Neurosurgical Societies
Fellow Royal College of Surgeons of England
Fellow Academy of Medical Educators
Roles on external bodies
Council member and President Elect, Society of British Neurological Surgeons
Chairman European Neurosurgical Examination Board (FEBNS)
Board and Council Member European Association of Neurosurgical Societies
Member of Council and of Cases Committee, Medical Defence Union
Teaching
Teaching interests
Lead for Personal Development and Professionalism. University Plymouth
Previously Chairman of SAC Neurosurgery, responsible for training in UK and Ireland
Since Lead development of UK (2017/20) and European (2020/22) Curricula in Neurosurgery
Staff serving as external examiners
Previously- University of London Gold Medal orals
PhD Examiner University of Cambridge
Research
Research interests
PI in many clinical studies. Co supervised 2x PhD students
Author of many scientific papers
Multiple publications including Neuroanatomy Editor for Gray’s Surgical Anatomy and Lead Editor for Traumatic Brain Injury: a mult-disciplinary approach.
Publications
Key publications
Key publications are highlighted
Journals
Articles
(2024) 'The safety of early pharmacological venous thromboembolism prophylaxis in patients with traumatic intracranial haemorrhage: a systematic review and meta-analysis' British Journal of Neurosurgery 1-11 ,
(2024) 'Surgical recovery from the COVID-19 pandemic in English adult neurosurgical centres' British Journal of Neurosurgery 1-7 ,
(2024) 'A randomised, double blind, placebo-controlled trial of a two-week course of dexamethasone for adult patients with a symptomatic Chronic Subdural Haematoma (Dex-CSDH trial)' Health Technology Assessment 1-122 ,
(2024) 'Can AI pass the written European Board Examination in Neurological Surgery? - Ethical and practical issues' Brain and Spine 4, 102765-102765 ,
(2023) 'Specialist healthcare services for concussion/mild traumatic brain injury in England: a consensus statement using modified Delphi methodology' BMJ Open 13, (12) e077022-e077022 ,
(2023) 'Protocol for the development of a multidisciplinary clinical practice guideline for the care of patients with chronic subdural haematoma' Wellcome Open Research 8, 390-390 ,
(2023) 'Systematic review on traumatic intracranial haemorrhage in patients on anti-thrombotic medications; haemorrhage progression, thrombosis, and anti-thrombotic recommencement' Neurosurgical Review 46, (1) ,
(2023) 'Haptoglobin Treatment for Aneurysmal Subarachnoid Hemorrhage: Review and Expert Consensus on Clinical Translation' Stroke 54, (7) 1930-1942 ,
(2023) 'Risk of Aneurysm Rupture (ROAR) study: protocol for a long-term, longitudinal, UK multicentre study of unruptured intracranial aneurysms' BMJ Open 13, (3) e070504-e070504 ,
(2023) 'The use of cerebral computed tomographic angiography as an ancillary investigation to support a clinical diagnosis of death using neurological criteria: a consensus guideline' Anaesthesia 78, (3) 330-336 ,
(2023) 'European training requirements in neurological surgery: A new outcomes-based 3 stage UEMS curriculum' Brain and Spine 3, 101744-101744 ,
(2022) 'Oral microbes and the formation of cerebral abscesses: a single-centre retrospective study' Journal of Dentistry ,
(2022) 'Radiological follow-up of endovascularly treated intracranial aneurysms: a survey of current practice in the UK and Ireland' Acta Neurochirurgica 165, (2) 451-459 ,
(2022) 'Comparison of Suspected and Confirmed Internal External Ventricular Drain-Related Infections: A Prospective Multicenter United Kingdom Observational Study' Open Forum Infectious Diseases 9, (10) ,
(2022) 'Challenges and opportunities in the care of chronic subdural haematoma: perspectives from a multi-disciplinary working group on the need for change' British Journal of Neurosurgery 1-9 ,
(2022) 'Working in low- and middle-income countries: Learning from each other' Brain and Spine 2, 101689-101689 ,
(2021) 'A survey of the radiological follow-up of unruptured intracranial aneurysms in the United Kingdom' British Journal of Neurosurgery 37, (2) 163-169 ,
(2021) 'First Report of a Multicenter Prospective Registry of Cranioplasty in the United Kingdom and Ireland' Neurosurgery 89, (3) 518-526 ,
(2021) 'Biomarkers for differentiating grade II meningiomas from grade I: a systematic review' British Journal of Neurosurgery 1-7 ,
(2021) 'Pathogenesis of Chronic Subdural Hematoma: A Cohort Evidencing De Novo and Transformational Origins' Journal of Neurotrauma 38, (18) 2580-2589 ,
(2021) 'Utility of image-guided external ventriculostomy: analysis of contemporary practice in the United Kingdom and Ireland' Journal of Neurosurgery 135, (4) 1146-1154 ,
(2021) 'Fibulin-2: A Novel Biomarker for Differentiating Grade II from Grade I Meningiomas' International Journal of Molecular Sciences 22, (2) 560-560 ,
(2021) 'Intracranial tuberculoma and the challenges of global neurosurgery' Advances in Clinical Neuroscience & Rehabilitation 20, (4) 26-28 ,
(2020) 'Trial of Dexamethasone for Chronic Subdural Hematoma' New England Journal of Medicine 383, (27) 2616-2627 ,
(2020) '<i>ANGPTL6</i>
Genetic Variants Are an Underlying Cause of Familial Intracranial Aneurysms' Neurology 96, (6) ,
(2020) 'The changing face of neurosurgery for the older person' Journal of Neurology 267, (8) 2469-2474 ,
(2020) 'Brainstem cavernous malformations – no longer a forbidden territory? A systemic review of recent literature' Neurochirurgie 66, (2) 116-126 ,
(2020) 'Haptoglobin genotype and outcome after aneurysmal subarachnoid haemorrhage' Journal of Neurology, Neurosurgery & Psychiatry 91, (3) 305-313 ,
(2019) 'Workforce planning in neurosurgery' British Journal of Neurosurgery 34, (1) 3-8 ,
(2019) 'Dex-CSDH randomised, placebo-controlled trial of dexamethasone for chronic subdural haematoma: report of the internal pilot phase' Scientific Reports 9, (1) 0-0 ,
(2019) 'Current epidemiology of cerebrospinal fluid shunt surgery in the UK and Ireland (2004–2013)' Journal of Neurology, Neurosurgery & Psychiatry 90, (7) 747-754 ,
(2019) 'Correction to: Dexamethasone for adult patients with a symptomatic chronic subdural haematoma (Dex-CSDH) trial: study protocol for a randomised controlled trial' Trials 20, (1) ,
(2018) 'Dexamethasone for adult patients with a symptomatic chronic subdural haematoma (Dex-CSDH) trial: study protocol for a randomised controlled trial' Trials 19, (1) 0-0 ,
(2018) 'Decompressive Hemicraniectomy in the Treatment of Malignant Middle Cerebral Artery Infarction: A Meta-Analysis' World Neurosurgery 123, 8-16 ,
(2018) 'Increasing motivation and engagement in neurosurgery for medical students through practical simulation-based learning' Annals of Medicine and Surgery 34, 75-79 ,
(2018) 'Correlation Between Cost of Publication and Journal Impact. Comprehensive Cross-sectional Study of Exclusively Open-Access Surgical Journals' Journal of Surgical Education 76, (1) 107-119 ,
(2018) 'A pilot study of trainee-led near-peer undergraduate teaching in neurosurgery' International Journal of Surgery 55, S102-S102 ,
(2018) 'Does open-access provide an opportunity or pose a barrier? A comprehensive survey on the cost of publication in exclusively open-access surgical journals' International Journal of Surgery 55, S102-S102 ,
(2018) 'Treatment options and pathophysiology of degenerative spine disease' Surgery (Oxford) 36, (7) 362-369 ,
(2018) 'Outcomes following surgery in subgroups of comatose and very elderly patients with chronic subdural hematoma' Neurosurgical Review 42, (2) 427-431 ,
(2018) 'The evolution of British neurosurgical selection and training over the past decade' Medical Teacher 40, (6) 610-614 ,
(2018) 'The 2016 WHO Classification of paediatric CNS tumours – the essentials' Advances in Clinical Neuroscience & Rehabilitation 18, (1) 5-8 ,
(2017) 'Prospective, multicentre study of external ventricular drainage-related infections in the UK and Ireland' Journal of Neurology, Neurosurgery & Psychiatry 89, (2) 120-126 ,
(2017) 'Giant vertebrobasilar aneurysm: a rare cause of central sleep apnoea' British Journal of Neurosurgery 33, (5) 559-561 ,
(2017) 'A career in neurosurgery' BMJ j1371-j1371 ,
(2017) 'Pathophysiology of chronic subdural haematoma: inflammation, angiogenesis and implications for pharmacotherapy' Journal of Neuroinflammation 14, (1) ,
(2017) 'What Factors Determine Treatment Outcome in Aneurysmal Subarachnoid Hemorrhage in the Modern Era? A Post Hoc STASH Analysis' World Neurosurgery 105, 270-281 ,
(2017) 'https://www.acnr.co.uk/2017/09/anterior-cervical-discectomy-and-fusion-acdf-for-degenerative-cervical-diseases-six-decades-on/' Advances in Clinical Neuroscience & Rehabilitation 17, (1) 5-10 ,
(2017) 'The 2016 WHO Classification of adult CNS tumours – the essentials' Advances in Clinical Neuroscience & Rehabilitation 17, (4) 5-8 ,
(2016) 'The management and outcome for patients with chronic subdural hematoma: a prospective, multicenter, observational cohort study in the United Kingdom' Journal of Neurosurgery 127, (4) 732-739 ,
(2016) 'Evaluating the educational environment of an international animal model-based wet lab course for undergraduate students' Annals of Medicine and Surgery 12, 8-17 ,
(2016) 'Management of CSF leak in base of skull fractures in adults' British Journal of Neurosurgery 30, (6) 596-604 ,
(2016) 'Trial of Decompressive Craniectomy for Traumatic Intracranial Hypertension' New England Journal of Medicine 375, (12) 1119-1130 ,
(2016) 'A case of spontaneous haematoma from vertebral artery arterio-venous fistula in a patient with neurofibromatosis type 1' British Journal of Neurosurgery 1-2 ,
(2016) 'Simulation in neurosurgical training: a blueprint and national approach to implementation for initial years trainees' British Journal of Neurosurgery 30, (5) 577-581 ,
(2016) 'Head injury in the elderly - what are the outcomes of neurosurgical care?' World neurosurgery 94, 493-500 ,
(2016) 'Early versus late readmission of subarachnoid haemorrhage patients into neurocritical care' British Journal of Neurosurgery 30, (5) 545-548 ,
(2016) 'Postpartum Regression of a Presumed Cavernous Meningioma' Case Reports in Oncological Medicine 2016, 1-3 ,
(2015) 'Neurosurgical Care in the Elderly: Increasing Demands Necessitate Future Healthcare Planning' World Neurosurgery 87, 446-454 ,
(2015) 'Head injury in the elderly' British Journal of Neurosurgery 29, (2) 124-163 ,
(2015) 'Proceedings of the 2015 Spring Meeting of the Society of British Neurological Surgeons jointly with, as invited guests, the German Society of Neurosurgery (DGNC – Deutche Gessellschaft für Neurochirurgie)' British Journal of Neurosurgery 29, (2) 124-163 ,
(2015) 'Managing coagulopathy and thromboprophylaxis in the neurosurgical patient' Advances in Clinical Neuroscience & Rehabilitation ,
(2013) 'Proposal for establishment of the UK Cranial Reconstruction Registry (UKCRR)' British Journal of Neurosurgery 28, (3) 310-314 ,
(2013) 'Seven years of cranioplasty in a regional neurosurgical centre' British Journal of Neurosurgery 28, (1) 34-39 ,
(2012) 'Middle cranial fossa cystic schwannoma' BMJ Case Rep 2012, ,
(2012) 'Management of glioblastoma multiforme in pregnancy' J Neurosurg 116, (6) 1187-1194 ,
(2012) 'Traumatic brain injury: review of current management strategies' Br J Oral Maxillofac Surg 50, (4) 298-308 ,
(2012) 'Cervical spine injuries in children – a review' Advances in Clinical Neuroscience & Rehabilitation ,
(2011) 'An association between cerebral aneurysm re-bleed and CT angiography--more than a coincidence?' Br J Neurosurg 25, (6) 734-735 ,
(2011) 'Progressive seizures in a patient with congenital coagulopathies' BMJ Case Rep 2011, ,
(2011) 'Low-grade Gliomas' Advances in Clinical Neuroscience & Rehabilitation 11, (1) 24-30 ,
(2010) 'Intramedullary Spinal Cord Tumours: diagnosis, treatment, and outcomes' Advances in Clinical Neuroscience & Rehabilitation 10, (4) 21-26 ,
(2010) 'No Association between Intraoperative Hypothermia or Supplemental Protective Drug and Neurologic Outcomes in Patients Undergoing Temporary Clipping during Cerebral Aneurysm Surgery' Anesthesiology 112, (1) 86-101 ,
(2009) 'PERIOPERATIVE FEVER AND OUTCOME IN SURGICAL PATIENTS WITH ANEURYSMAL SUBARACHNOID HEMORRHAGE' Neurosurgery 64, (5) 897-909 ,
(2009) 'Effect of Nitrous Oxide Use on Long-term Neurologic and Neuropsychological Outcome in Patients Who Received Temporary Proximal Artery Occlusion during Cerebral Aneurysm Clipping Surgery' Anesthesiology 110, (3) 563-573 ,
(2009) 'Intracranial pressure and cerebral blood flow. A pathophysiological and clinical perspective' Surgery (Oxford) 27, (3) 139-144 ,
(2009) 'Considerations in the Management of Cerebral Arterio-Venous Malformations' Advances in Clinical Neuroscience & Rehabilitation ,
(2008) 'The management of chronic subdural haematoma' Advances in Clinical Neuroscience & Rehabilitation 8, (5) 12-15 ,
(2008) 'The National Institute of Clinical Excellence Head Injury Guidelines: A Summary to Assist Implementation' Advances in Clinical Neuroscience & Rehabilitation 8, (1) 32-33 ,
(2007) 'Intracranial pressure and cerebral blood flow' Surgery (Oxford) 25, (12) 530-535 ,
(2007) 'Multiple method verification of the positional accuracy of linac based stereotactic radiosurgery and radiotherapy' CLINICAL ONCOLOGY 19, (3) S44-S44 ,
(2007) 'Custom made cranioplasty prostheses in porous hydroxy-apatite using 3D design techniques: 7 years experience in 25 patients - Comment' ACTA NEUROCHIRURGICA 149, (2) 170-170
(2007) 'Intracranial dural arteriovenous fistulae' Advances in Clinical Neuroscience & Rehabilitation ,
(2006) 'Autoreactive antibodies against neurons and basal lamina found in serum following experimental brain contusion in rats - Comment' ACTA NEUROCHIRURGICA 148, (2) 205-205
(2006) 'Evidence Based Management Options for Patients with Intracranial Metastases' Advances in Clinical Neuroscience & Rehabilitation 6, (5) 18-20 ,
(2006) 'Hydrocephalus. A practical guide to CSF dynamics and ventriculoperitoneal shunts' Advances in Clinical Neuroscience & Rehabilitation ,
(2005) 'Mild intraoperative hypothermia during surgery for intracranial aneurysm' NEW ENGLAND JOURNAL OF MEDICINE 352, (2) 135-145 ,
(2005) 'Asymptomatic Unruptured Intracranial Aneurysms' Advances in Clinical Neuroscience & Rehabilitation ,
(2005) 'Frameless stereotactic neuronavigation for space occupying lesions' Advances in Clinical Neuroscience & Rehabilitation ,
(2005) 'Management of patients with vestibular schwannomas' Advances in Clinical Neuroscience & Rehabilitation ,
(2005) 'The Management of degenerative lumbar spine disease' Advances in Clinical Neuroscience & Rehabilitation ,
(2005) 'The Management of Intracranial Abscesses' Advances in Clinical Neuroscience & Rehabilitation 5, (1) 12-15 ,
(2004) 'Aneurysmal Subarachnoid Haemorrhage' Advances in Clinical Neuroscience & Rehabilitation ,
(2004) 'The management of patients with head injury' Advances in Clinical Neuroscience & Rehabilitation ,
(2003) 'Cost-effective outcome for treating poor-grade subarachnoid hemorrhage' Stroke 34, (10) 2508-2511 ,
(2003) 'Metastatic adenocarcinoma masquerading as a solitary nerve sheath tumour' Br J Neurosurg 17, (5) 459-461 ,
(2002) 'Cerebral autoregulation among patients with symptoms of hydrocephalus' Neurosurgery 50, (3) 526-532 ,
(2001) 'Bifrontal decompressive craniectomy in the management of posttraumatic intracranial hypertension' Br J Neurosurg 15, (6) 500-507 ,
(2001) 'Cerebral venous blood outflow: a theoretical model based on laboratory simulation' Neurosurgery 49, (5) 1214-1222 ,
(2001) 'Management of severe traumatic brain injury by decompressive craniectomy' Neurosurgery 49, (1) 225-226 ,
(2001) 'Age dependence of cerebrospinal pressure-volume compensation in patients with hydrocephalus' J Neurosurg 94, (3) 482-486 ,
(2001) 'Preliminary experience of the estimation of cerebral perfusion pressure using transcranial Doppler ultrasonography' J Neurol Neurosurg Psychiatry 70, (2) 198-204 ,
(2001) 'Timing of surgery for aneurysmal subarachnoid haemorrhage' Cochrane Database Syst Rev (2) ,
(2000) 'Expression of the immediate early genes c-Fos and c-Jun after head injury in man' Neurol Res 22, (2) 138-144 ,
(1999) 'Delayed induction of JunB precedes CA1 neuronal death after global ischemia in the gerbil' Brain Res 818, (2) 450-458 ,
(1997) 'Glomus tumours of the skull base (multiple letters) [2]' British Journal of Neurosurgery 11, (3)
(1997) 'Glomus tumours of the skull base' Br J Neurosurg 11, (3)
(1996) 'The surgical management of patients with glomus tumours of the skull base' Br J Neurosurg 10, (4) 343-350 ,
(1996) 'An audit of aneurysmal subarachnoid haemorrhage: earlier resuscitation and surgery reduces inpatient stay and deaths from rebleeding' J Neurol Neurosurg Psychiatry 60, (3) 301-306 ,
(1995) 'Safe removal of retained ventricular catheters using intraluminal choroid plexus coagulation. Technical note' J Neurosurg 83, (6) 1101-1102 ,
(1995) 'Near-Infrared Spectroscopy' Journal of Neurosurgery 83, (6) ,
(1995) 'An observational study of near-infrared spectroscopy during carotid endarterectomy' J Neurosurg 82, (5) 756-763 ,
(1995) 'SAFE REMOVAL OF RETAINED VENTRICULAR CATHETERS USING INTRALUMINAL CHOROID-PLEXUS COAGULATION' JOURNAL OF NEUROSURGERY 83, (6) 1101-1102 ,
(1995) 'ICP REDUCTION FOLLOWING DECOMPRESSIVE CRANIECTOMY' STROKE 26, (6) 1125-1126
(1994) 'Nimodipine' Br J Hosp Med 52, (10) 539-540
(1994) 'Suction versus siphon drainage after axillary surgery for breast cancer: a prospective randomized trial' Br J Surg 81, (4) ,
(1994) 'Pneumocephalus: a hazard of pipe smoking' Injury 25, (2) 120-121 ,
(1992) 'The cerebrovascular response to experimental lateral head acceleration' Acta Neuropathol 84, (3) 289-296 ,
(1991) 'Infected intracranial aneurysm in an infant: case report' Neurosurgery 28, (4) 623-625 ,
Reviews
(2006) 'Mechanisms of secondary brain damage for trauma and ischaemia recent advances of our understanding' DISABILITY AND REHABILITATION 28, (2) 141-142
Letters
(1996) 'Shunt removal by choroid plexus coagulation - Response' JOURNAL OF NEUROSURGERY 85, (5) 982-983
Books
(2020) Traumatic Brain Injury A Multidisciplinary Approach. Cambridge University Press
Whitfield PC; Welbourne J; Thomas E; Summers F; Whyte M; Hutchinson PJ (2020) Traumatic Brain Injury. Cambridge University Press ,
Whitfield PC; Thomas EO; Summers F; Whyte M; Hutchinson PJ (2009) head injury a multidisciplinary approach. Cambridge Cambridge University Press
Chapters
(2020) 'Clinical Assessment of the Head-Injured Patient' Traumatic Brain Injury Cambridge University Press 34-42 ,
(2020) 'Medicolegal Aspects of Traumatic Brain and Cervical Spine Injury' Traumatic Brain Injury Cambridge University Press 377-388 ,
(2020) 'Neurosurgical Complications of Head Injury' Traumatic Brain Injury Cambridge University Press 247-257 ,
(2020) 'Surgical Issues in the Management of Head-Injured Patients' Traumatic Brain Injury Cambridge University Press 207-221 ,
(2019) 'Chapter 20: Overview of neuroanatomy' Gray's Surgical Anatomy Elsevier
(2019) 'Chapter 26: Cerebral vasculature' Gray's Surgical Anatomy Elsevier
(2019) 'Complications of head injury' Oxford Textbook of Neurological Surgery Oxford University Press, USA 521-529
(2019) 'Cerebrospinal Fluid Pressure Dynamics' Pediatric Hydrocephalus Springer International Publishing 293-326 ,
(2017) 'Neurosurgical Considerations in Craniofacial Trauma' Maxillofacial Surgery Elsevier 220-229 ,
(2014) 'Neuroanatomy for the head and neck surgeon' Clinical Head and Neck Anatomy for Surgeons CRC Press 279-285
(2014) 'Skull base' Clinical Head and Neck Anatomy for Surgeons CRC Press 287-294
(2009) 'Clinical assessment of the head-injured patient:' Head Injury Cambridge University Press 28-35 ,
(2009) 'Medico-legal aspects of head and neck injury' Head Injury Cambridge University Press 288-298 ,
(2009) 'Neurosurgical complications of head injury' Head Injury Cambridge University Press 201-212 ,
(2009) 'Surgical issues in the management of head-injured patients' Head Injury Cambridge University Press 167-179 ,
Conference Papers
(2010) 'TIME IS BRAIN' S419-S419
(1997) 'Inducible transcription factor expression after cerebral ischaemia'
Personal
Reports & invited lectures
Many lectures at undergraduate and postgraduate levels
Conferences organised
SBNS 2018 in Torquay
Contributed to abstract selection for many UK and some European conferences