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I have been a Consultant Neurosurgeon at King’s College Hospital since September 2005. I have a PhD in Biological Sciences from the University of Warwick and extensive research experience in traumatic brain injury and the mechanisms of brain cell death. I undertook specialist training in neurosurgery in Liverpool and Birmingham followed by a Clinical Fellowship in Richmond, Virginia, USA. I am currently the Lead Neurovascular Surgeon at King’s College Hospital and the Associate Clinical Director for Trauma.
I was the first surgeon in the UK to perform the non-occlusive cerebral vascular bypass technique. In addition to this expertise in degenerative spine disease which includes the management of back and neck pain, arm pain and sciatica together with peripheral nerve disorders such as carpal tunnel syndrome; I have specialist expertise in the management of neurovascular conditions (e.g. cerebral aneurysms, AVMs, Cavernomas, AV fistulas), the surgical treatment of stroke (decompressive craniectomy and revascularisation for Moya-Moya, Sickle Cell Anaemia and trauma. My expertise extends to the use of radiosurgery (CyberKnife and GammaKnife) for the treatment of such conditions.
Nick Thomas
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Nicholas Thomas qualified from the London Hospital in 1988. Following general surgical training he completed the Fellowship of the Royal College of Surgeons FRCS (Glasgow) and FRCS (England) in 1993. He trained in neurosurgery at the Atkinson Morley’s Hospital, Great Ormond Street Hospital for Children and the National Hospital, Queen Square in London in addition to a year’s Spinal Fellowship at Ohio State University, Columbus, Ohio. He completed the FRCS in Surgical Neurology in 1998.
He was appointed a Consultant Neurosurgeon at King’s College Hospital, London in 1998 at the age of 33. With a broad clinical practice, sub-specialty interests include complex spinal surgery, anterior and lateral skull base surgery (including vestibular schwannoma surgery) and endoscopic pituitary and skull base surgery. Within these, he has a particular interest in chordoma, condrosarcoma, basilar invagination, craniopharyngioma and acoustic neuroma.
He runs a national multi-disciplinary dedicated to neurofibromatosis and von Hippel Lindau disease clinic.
He is widely acknowledged as one of the world’s leading Skull Base surgeons and the pioneer of endoscopic Skull Base surgery in the UK and as such he is UK President of the British Skull Based Society.
He is a valued panel member on international workshops on endoscopic pituitary surgery (e.g. Guy’s and St Thomas’ and Coventry) as well as ‘open’ lateral skull base surgery (e.g. Copenhagen Skull Base Course).
For the past 22 years he has visited Sri Lanka to lecture and perform operations with local neurosurgeons at the National Hospital and Sri Jayawardenapura Hospital in Colombo on a charitable basis.
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Irfan Malik
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Mr Malik is a Consultant Neurosurgeon at King’s College Hospital, London with more than 20 years’ experience. He is recognised as a leader in complex spine surgery with specific expertise in minimally invasive, endoscopic, keyhole surgery. He has pioneered several endoscopic spinal procedures, is one of few surgical references for the United Kingdom and has established King’s College Hospital as a training centre for endoscopic spinal surgery, training junior doctors in these procedures.
He completed advanced neurosurgical training at The Royal Hallamshire Hospital and the University Hospital, Coventry & Warwickshire between 2001 - 2006. Following this he obtained his Fellowship of the Royal College of Surgeons (SN) and then enhanced his experience by completing fellowships in complex spine and epilepsy surgery from University Hospital Coventry and King’s College Hospital.
His area of expertise includes the assessment and treatment (both surgical and non-surgical) of all spinal conditions including degenerative, traumatic and malignant spinal surgery. Mr Malik is an expert in the use of minimally invasive techniques for the treatment of neck pain, back pain, arm pain and sciatica.
He is a well-established epilepsy surgeon partaking in the UK Lead Vagal Nerve Stimulator (VNS) Programme. He is part of the International Faculty for Endoscopic and Minimally Invasive Surgery Society for all aspects of spine surgery. He is a member of the International Society for Minimal Intervention in Spinal Surgery (ISMISS), British Association of Spine Surgery (BASS), European Spine Society and North American Spine Society (NASS).
Mr Malik has published several peer review papers, abstracts and book chapters and regularly lectures and teaches in workshops for Minimally Invasive Surgery and Endoscopic Spine Surgery.
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Richard Gullan
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Richard Gullan qualified at St. Bartholomew’s Hospital, London and started his surgical career on the Professorial Surgical Unit there before continuing general training to obtain his Membership of the Royal College of Physicians and Fellowship of the Royal College of Surgeons of England. He undertook neurosurgical training in Cambridge, Edinburgh and London prior to being appointed in 1988 as Consultant Neurosurgeon to the SE Thames Regional Neurosurgical Unit at the Brook Hospital, which was amalgamated with the Guy’s/Maudsley Unit to create the King’s College Hospital Neuroscience Centre in 1995, where he is the senior neurosurgeon.
He developed a large practice in spinal and neurovascular surgery and created one of the first multidisciplinary Neuro-Oncology clinics in the NHS and the Private Sector in the UK.
Within the field of spinal neurosurgery he has established a reputation of being at the forefront of many techniques. He presented the first use of posterior instrumented stabilization for malignant disease affecting the spinal column just prior to his appointment as a consultant neurosurgeon and was the first neurosurgeon worldwide to pilot the use of intervertebral fusion cages for cervical disc surgery and the first to introduce posterior lumbar interbody fusion to neurosurgeons in the UK. These techniques have since become commonly employed on an international basis.
He was amongst the first within British neurosurgical practice to employ the use of pedicle screw instrumentation, trans-oral spinal surgery for complex cranio-cervical disorders, percutaneous disc surgery, cervical disc arthroplasty and pioneered surgery under local anaesthesia for spinal decompressive procedures in high risk patients.
Work in these fields has been presented and published widely over 20 years of consultant practice. He continues to have a major interest in the management of brain and spinal tumours and is actively engaged in the introduction of the first Cyberknife Unit in the UK.
Teaching, especially operative technique and clinical decision making to young neurosurgeons has been a much cherished activity and he has been significantly involved in the training of over a dozen senior trainees who have gone on to take up consultant neurosurgical posts in the UK as well as trainees who have been appointed to senior positions abroad.
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David Bell
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Mr Bell specialises in Complex Spinal Surgery. He studied at Merchant Taylor’s School in Liverpool before moving to the University of Edinburgh Medical School where he graduated in 1996. He completed his basic surgical training in Edinburgh before moving to London to complete his higher surgical training in Neurosurgery and Complex Spine surgery.
He became a Member of the Royal College of Surgeons of Edinburgh in 2000 and obtained his Fellowship in Neurosurgery in 2007. He is a member of the British Association of Spinal Surgeons (BASS) where he sits on the executive board as well as the North American Spine Society (NASS). He is the National Lead Elect for the British Spine Registry with responsibility for quality assurance and outcome assessment in spinal surgery. Mr Bell also has national responsibility for the administration of the British Spine Registry. He is the clinical co-lead of South East London and Kent Spinal Network and has been instrumental in the organisation of regional spinal services.
At King’s College Hospital he is a key part of the Supra-Regional Complex Spine Team. His specialisms include degenerative spinal disease, Minimally Invasive Spine Surgery (MISS), disc replacement surgery, vertebroplasty/kyphoplasty, back pain, spinal tumours, metastatic spinal cord compression and spinal fractures.
He lectures nationally and internationally on topics such as back pain, spinal tumours, myelopathy, neck pain and the ageing spine.
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Christos Tolias
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Mr Tolias has been a consultant Neurosurgeon at King’s College Hospital since September 2005.
He has a PhD in Biological Sciences from the University of Warwick and extensive research experience in traumatic brain injury.
Mr Tolias has vast Neurovascular experience and currently has the largest series of aneurysm surgeries in the UK (NNAP 2017).
He specialises in surgery of cerebral aneurysms, arteriovenous malformations, cavernomas and dural fistulas and rare conditions like Moya Moya.
He is one of the few surgeons in the UK who routinely performs cerebral vascular bypasses. He also performed the first ELANA bypass in the UK.
Mr Tolias has pioneered the use of bypass techniques in the management of cerebral vasculopathies.
He is trained in Gamma Knife and Cyberknife and routinely utilises innovative neuromonitoring technologies in the surgery of complex vascular lesions like arteriovenous malformations.
He is one of the few Neurosurgeons nationally who regularly undertakes surgical extirpation of arteriovenous malformations when indicated.
His outcomes are part of national databases and remain among the best in his peer group (NNAP 2017).
Alongside his subspecialty interest Mr Tolias has an active spinal practice dealing with problems of the cervical and lumbar spine. These can include sciatica, brachalgia, radiculopathies and pain management through both injections and radiofrequency ablation as well as surgical interventions.
Mr Tolias is the director of the first and only Royal College of Surgeons of England accredited National Neurovascular Surgical Fellowship based at King’s College Hospital.
He has over 60 papers in peer reviewed journals and more than 150 presentations at conferences. He regularly lectures in the UK and worldwide on topics including complex arteriovenous malformations, aneurysms, Gamma Knife and Cyberknife as well as degenerative spine conditions.
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The London Neurosurgery Partnership is a unique concept in the provision of neurosurgical care. The team comprises eleven Consultant Neurosurgeons, all of whom are recognised superspecialists in their given area of expertise. As a result we can ensure that every patient seen by the group is matched with the Consultant Neurosurgeon best placed by virtue of their training and expertise to deliver the individualised and state of the art care each patient deserves.
Working as a team also ensures that our patients can access high quality neurosurgical care at all times from a consultant who will be familiar with their treatment plan at a location convenient to the patient. When appropriate, advice and treatment can be delivered by the composite team.
The London Neurosurgery Partnership has access to all of the latest neurosurgical technologies including the CyberKnife® and Gamma Knife® for radiosurgery which avoids the use of conventional open surgery in some cases and Minimally Invasive Techniques for both Cranial and Spinal neurosurgery when this is not possible. A key aspect of making use of such cutting edge technologies is the decision making process involved and this, in our opinion, is best done by a group of clinicians who are used to working together as a team to ensure that the latest technology and techniques are used appropriately based on the latest clinical guidelines.
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