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Neurosurgery Team

Mr Ian Pople

Ian Pople has been a Consultant Neurosurgeon in Bristol, England for 20 years, having previously trained at the Hospital for Sick Children, Great Ormond Street in London, in Bristol and in Memphis, Tennessee. He has published over 60 peer-reviewed papers on adult and paediatric neurosurgery and was publication secretary of the Society for Research into Hydrocephalus and Spina Bifida from 2000 to 2004 and Clinical Director of Neurosciences at Frenchay Hospital in Bristol from 2004 to 2010. Between 2009 and 2012 he was part of the Safe & Sustainable Paediatric Neurosurgery Services review, chairing the Standards Working Group, which was tasked with developing a comprehensive set of Paediatric Neurosurgical Standards. Since 2012 he has been Chair of the Paediatric Neurosciences Clinical Reference Group and is involved in current discussions about the role of neurosurgical networks. He has a particular interest in spina bifida, children's and adult tethered spinal cord surgery, neuro-endoscopy and new treatments for neonatal hydrocephalus.

 

Mr Greg Fellows MD FRCS (Neuro. Surg.)

Mr Greg Fellows is a Paediatric and Adult Consultant Neurosurgeon practicing at The Bristol Royal Hospital for Children and Southmead Hospital.  Mr Fellows moved to Bristol in 2013 having previously been a Consultant at Great Ormond Street Hospital.  Mr Fellows graduated from King's College London in 1999 with honours in medicine and a 1st Class, MRC supported, physiology degree. He undertook his neurosurgical training at King's College Hospital and the Atkinson Morley Hospital in London.  As part of his training he was funded by the European Union and was awarded an MD for his research into the molecular biology of brain tumours.  His training was completed by a specialist paediatric neurosurgical fellowship at Alder Hey Children's Hospital, Liverpool. 

In addition to general paediatric neurosurgery he has a sub-specialist interest in oncology and craniofacial surgery, adult degenerative spine, oncology and hydrocephalus.  Mr Fellows is also part of the growing Gamma knife service in Bristol and provides Gamma Knife SRS to both adult and peadiatric patients.

 

Richard J. Edwards BSc(Hons) MBBS FRCS(England) FRCS(Neuro.Surg) MD Consultant Neurosurgeon

Richard Edwards graduated from Imperial College, London University in 1994. His early Neurosurgical training was under Alan Crockard and Michael Powell at the National Hospital for Neurology and  Neurosurgery, Queen Square, London. He undertook one year of training at Atkinson Morley's Hospital, London which included training in Paediatric Neurosurgery under Mr Henry Marsh before going on to complete his Neurosurgical training at Frenchay Hospital in Bristol (1999-2005). He then undertook a one year clinical fellowship in Paediatric Neurosurgery at the Hospital for Sick Children in Toronto, Canada, gaining valuable specialist experience in this international centre of excellence.  He was appointed as a Consultant Paediatric Neurosurgeon at Frenchay Hospital in Bristol in 2005 and moved to Bristol Royal Hospital for Children when the Paediatric Neurosurgery service transferred there in 2014. He is a fellow by examination of the Royal College of Surgeons of England and a member of the International Society of Paediatric Neurosurgeons, the Congress of Neurological Surgeons (USA) the International Society for Hydrocephalus and CSF Disorders and the Society of British Neurological Surgeons. He Is an Honorary Senior Clinical Lecturer at the University of Bristol.

Clinical Expertise:

Brain Tumours. Mr Edwards has a major interest in paediatric brain and spinal cord tumour surgery, in particular brain tumours in the pineal region, ependymoma, spinal cord tumours and diffuse intrinsic pontine glioma (DIPG). He has lectured internationally on surgical management of these tumours including the development and use of intra-operative brain monitoring techniques to improve the safety of tumour removal. He is the paediatric neurosurgery lead in the team, lead by Professor Stephen Gill, responsible for the development of a technique known as Convection Enhanced Drug Delivery that uses robotically placed microcatheters inside the brain to deliver chemotherapy to a highly aggressive brain tumour known as diffuse intrinsic pontine glioma (DIPG). 

Cerebrospinal Fluid Disorders. Mr Edwards has a major clinical interest in surgery for hydrocephalus and other CSF disorders. He lectures internationally in this field and runs courses in both Europe and Asia to train neurosurgeons in the management of complex hydrocephalus. In 2014 he was the Congress President hosting the International Society of Hydrocephalus and CSF Disorders annual meeting, which included a special symposium with NASA scientists discussing CSF disorders associated with prolonged space flight. He was the first neurosurgeon in the UK to use robot-assisted neuroendoscopy (keyhole surgery) to treat  hydrocephalus and has extensive experience in both shunt surgery for hydrocephalus and neuroendoscopy, including a technique known as endoscopic choroid plexus coagulation (CPC) for the treatment of communicating hydrocephalus in infants and children.

Spasticity Surgery.  In 2011 Bristol pioneered the development  of the technique of Selective Dorsal Rhizotomy (SDR) for the treatment of diplegic cerebral palsy and currently has the UK's largest experience of this procedure. The surgical team is led jointly by Mr Edwards and Mr Pople. Mr Edwards has lectured Internationally on the subject of SDR , one of his SDR patients was recently featured in the ITV programme "What Would Be Your Miracle?". The team also manages the implantation of intrathecal baclofen pumps for the treatment of quadriplegic cerebral palsy and the implantation of deep brain stimulators for the treatment of dystonia.

Paediatric Vascular Neurosurgery. Mr Edwards is the Neurosurgical lead clinician for the Paediatric Neurovascular Multidisciplinary team, with an interest in the surgical treatment of arteriovenous malformations (AVMs) and Moya Moya disease.

Complex Spinal Surgery. Mr Edwards has an interest in the surgical treatment of cervical (neck) deformity in children and runs a monthly complex paediatric spinal clinic with Mr John Hutchinson evaluating children with complex spinal problems requiring a multidisciplinary approach.

Research Expertise:

Head Injury. Mr Edwards is currently the local Principle investigator for the Approaches and Decisions in Acute Pediatric TBI (ADAPT) Study, a USA based study funded by the National Institute of Health (NIH). He was the Paediatric Neurosurgical advisor to a research team run by the Healthcare Quality improvement Partnership (HQIP) evaluating outcomes of head injury in Children in the United Kingdom. He has a research interest in the clinical identification of abusive head injury in children.

Hydrocephalus. Mr Edwards has published extensively in the field of hydrocephalus.  In 2010 he completed a doctorate thesis on the use of endoscopic Choroid Plexus Coagulation (CPC) to treat hydrocephalus. He continues to have an active interest in hydrocephalus research and is currently the local Principle Investigator to the BASICs Clinical Trial funded by the National Institute for Health Research (NIHR).  He is currently researching into the use of robotics to enhance the safety and accuracy of treatment of hydrocephalus. He is the author of the chapter on "CSF Devices"  in Youman's Neurological Surgery, the definitive textbook in the field of Neurosurgery. He has recently been appointed as Deputy Chairman of the CSF disorders section of the Society of British Neurological Surgeons. In 2015 he was appointed Editor for the Hydrocephalus & CSF disorders section of the journal "World Neurosurgery" one of the leading academic journals in the field. 

Brain Tumours. In addition to his role in the robotic Convection Enhanced Drug delivery research program, Mr Edwards is also currently working with neurophysiologists at Bristol University to develop advanced intra-operative neurophysiological monitoring techniques to reduce the risk of post-operative cerebellar mutism and other neurological problems following surgery for brainstem and cerebellar tumours.

Other Interests:

Education. Mr Edwards is the deputy regional training program director for Neurosurgery for the Severn and Peninsular Deaneries, responsible for delivery of surgical training in the South West UK.  He is a member of the Intercollegiate Examination Board in Neurosurgery (2007-present).  He is the author of the textbook "Rapid Neurology & Neurosurgery" aimed at medical students and junior doctors.

Department of Health. Mr Edwards has acted as an advisor to the following: TheChildren's Rare and Complex Brain Tumours Task Force (NHS England) (2012-13). The NHS England Commissioning through evaluation (CtE) SDR Steering Group (2013-17).