I R Whittle

Summary

Affiliation: University of Edinburgh
Country: UK

Publications

  1. ncbi Brain dysfunction following 'awake' craniotomy, brain mapping and resection of glioma
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 17:130-7. 2003
  2. ncbi Patient perceptions of "awake" brain tumour surgery
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Acta Neurochir (Wien) 147:275-7; discussion 277. 2005
  3. ncbi The development of necrosis and apoptosis in glioma: experimental findings using spheroid culture systems
    H S Bell
    Department of Pathology, University of Edinburgh, Western General Hospital, Edinburgh, Scotland
    Neuropathol Appl Neurobiol 27:291-304. 2001
  4. ncbi Effects of dexamethasone on cerebral perfusion and water diffusion in patients with high-grade glioma
    M E Bastin
    Department of Medical and Radiological Sciences, University of Edinburgh, Western General Hospital, Edinburgh, United Kingdom
    AJNR Am J Neuroradiol 27:402-8. 2006
  5. ncbi Highly unsaturated fatty acid induced tumour regression in glioma pharmacodynamics and bioavailability of gamma linolenic acid in an implantation glioma model: effects on tumour biomass, apoptosis and neuronal tissue histology
    H A Leaver
    Department of Clinical Neurosciences, University of Edinburgh, UK
    Prostaglandins Leukot Essent Fatty Acids 67:283-92. 2002
  6. ncbi The effects of dexamethasone therapy on permeability, blood flow and iNOS expression in experimental glioma
    G R Swaroops
    Department of Clinical Neurosciences, University of Edinburg, Western General Hospital, UK
    J Clin Neurosci 8:35-9. 2001
  7. ncbi Practical problems with the collection and interpretation of serial quality of life assessments in patients with malignant glioma
    M Walker
    Edinburgh Centre for Neuro-Oncology, Western General Hospital, Edinburgh, Scotland, UK
    J Neurooncol 63:179-86. 2003
  8. ncbi Effects of resective surgery for left-sided intracranial tumours on language function: a prospective study
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Lancet 351:1014-8. 1998
  9. ncbi Costs of thalamic deep brain stimulation for movement disorders in patients with multiple sclerosis
    J Hooper
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 17:40-5. 2003
  10. ncbi The contribution of arachidonic acid to the aetiology and pathophysiology of focal brain oedema; studies using an infusion oedema model
    I R Whittle
    Department of Clinical Neuroscience Surgical Neurology, Western General Hospital, Edinburgh, Scotland
    Acta Neurochir (Wien) 113:57-68. 1991

Collaborators

Detail Information

Publications47

  1. ncbi Brain dysfunction following 'awake' craniotomy, brain mapping and resection of glioma
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 17:130-7. 2003
    ..The pathophysiological basis of these iatrogenic neurological deficits, and techniques to minimize such problems are discussed...
  2. ncbi Patient perceptions of "awake" brain tumour surgery
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Acta Neurochir (Wien) 147:275-7; discussion 277. 2005
    ..Awake brain tumour surgery allows intraoperative patient assessment and is done to optimise safe tumour removal. It is an established technique but little is known about patient perceptions of the procedure...
  3. ncbi The development of necrosis and apoptosis in glioma: experimental findings using spheroid culture systems
    H S Bell
    Department of Pathology, University of Edinburgh, Western General Hospital, Edinburgh, Scotland
    Neuropathol Appl Neurobiol 27:291-304. 2001
    ..Further in vitro and genetic studies will enable us to study these events and interactions in greater detail than is possible using other cell culture and in vivo systems...
  4. ncbi Effects of dexamethasone on cerebral perfusion and water diffusion in patients with high-grade glioma
    M E Bastin
    Department of Medical and Radiological Sciences, University of Edinburgh, Western General Hospital, Edinburgh, United Kingdom
    AJNR Am J Neuroradiol 27:402-8. 2006
    ..CONCLUSION: These data suggest that dexamethasone does not significantly affect tumor blood flow but may, by reducing peritumoral water content and local tissue pressure, subtly increase perfusion in the edematous brain...
  5. ncbi Highly unsaturated fatty acid induced tumour regression in glioma pharmacodynamics and bioavailability of gamma linolenic acid in an implantation glioma model: effects on tumour biomass, apoptosis and neuronal tissue histology
    H A Leaver
    Department of Clinical Neurosciences, University of Edinburgh, UK
    Prostaglandins Leukot Essent Fatty Acids 67:283-92. 2002
    ..The intraparenchymal route was an effective method of GLA administration in the treatment of glioma. These studies provide further insights into the potential role of HUFAs as anti-glioma agents...
  6. ncbi The effects of dexamethasone therapy on permeability, blood flow and iNOS expression in experimental glioma
    G R Swaroops
    Department of Clinical Neurosciences, University of Edinburg, Western General Hospital, UK
    J Clin Neurosci 8:35-9. 2001
    ..Further in vivo stud ies using either behavioural or neuropathological paradigms in rodents with established cerebral glioma should be treated with similar doses of DXN to optimise clinical relevance...
  7. ncbi Practical problems with the collection and interpretation of serial quality of life assessments in patients with malignant glioma
    M Walker
    Edinburgh Centre for Neuro-Oncology, Western General Hospital, Edinburgh, Scotland, UK
    J Neurooncol 63:179-86. 2003
    ..Quality of life studies basing conclusions on a complete case analysis should be wary of possible bias...
  8. ncbi Effects of resective surgery for left-sided intracranial tumours on language function: a prospective study
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Lancet 351:1014-8. 1998
    ..We report the immediate effects of resective surgery on language functions in a heterogeneous group of patients with left-sided intracranial tumours...
  9. ncbi Costs of thalamic deep brain stimulation for movement disorders in patients with multiple sclerosis
    J Hooper
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 17:40-5. 2003
    ..This study has highlighted significant unforeseen medical requirements and costs that can occur in MS patients who have thalamic DBS surgery...
  10. ncbi The contribution of arachidonic acid to the aetiology and pathophysiology of focal brain oedema; studies using an infusion oedema model
    I R Whittle
    Department of Clinical Neuroscience Surgical Neurology, Western General Hospital, Edinburgh, Scotland
    Acta Neurochir (Wien) 113:57-68. 1991
    ..The clinical implications of these findings are discussed...
  11. ncbi Nitric oxide and glioma: a target for novel therapy?
    J Shinoda
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh EH4 2XU, UK
    Br J Neurosurg 15:213-20. 2001
    ..This review will discuss the biological role of NO in the central nervous system and gliomas and its current and future possibilities in neuro-oncology...
  12. ncbi Heme oxygenase (HO) isoforms in experimental C6 glioma: an immunocytochemical study
    S Lo
    Department of Clinical Neurosciences and Pathology, University of Edinburgh, Western General Hospital, UK
    Br J Neurosurg 15:416-8. 2001
    ..These findings once again demonstrate the differences between human malignant glioma and experimental implantation glioma models...
  13. ncbi Glioma tumourgenicity is decreased by iNOS knockout: experimental studies using the C6 striatal implantation glioma model
    S Yamaguchi
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 16:567-72. 2002
    ..The mechanisms that cause failure of tumour growth need clarification prior to considering that specific iNOS inhibitors might be candidates for adjuvant treatment of malignant glioma...
  14. ncbi Chronic posttraumatic movement disorder alleviated by insertion of meso-diencephalic deep brain stimulating electrode
    J Hooper
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 15:435-8. 2001
    ..This case adds to the reports of alleviation of movement disorders following either stereotactic thalamic mapping or placement of stimulating electrodes without macroscopic thalamic lesioning...
  15. ncbi How well do radiologists diagnose intracerebral tumour histology on CT? Findings from a prospective multicentre study
    D Bell
    Department of Clinical Neurosciences, Neuroradiology and the Edinburgh Neuro-Onocology Centre, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 16:573-7. 2002
    ..Based on CT alone radiologists are good at identifying an intra-cerebral tumour, but not so good at distinguishing between different tumour types. The implications of the findings for patient management are discussed...
  16. ncbi The incidence of seizures following Deep Brain Stimulating electrode implantation for movement disorders, pain and psychiatric conditions
    E Coley
    Dept Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, Scotland, UK
    Br J Neurosurg 23:179-83. 2009
    ..4% (95% CI 1.7 to 3.3 %). The risk of postprocedural seizures associated with chronic deep brain stimulation is even lower with best estimates around 0.5% (95% CI .02 to 1.0%)...
  17. ncbi An unusual progression of benign thoracic spinal cord teratoma in pregnancy: a hormonally-mediated pathway?
    V Kumar
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 20:106-8. 2006
    ..The rapid progression of this lesion during pregnancy suggests a hormonal mediated pathway for the tumour growth. Further analysis from the resected specimen confirmed that the tumour was oestrogen and progesterone receptors positive...
  18. ncbi An intramedullary vascular malformation mimicking intrinsic spinal cord tumour
    E W K Peng
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 20:109-10. 2006
  19. ncbi Proteomic data in meningiomas: post-proteomic analysis can reveal novel pathophysiological pathways
    A Herrmann
    Centre for Cognitive and Neural Systems, University of Edinburgh, 1 George Square, Edinburgh, UK
    J Neurooncol 104:401-10. 2011
    ..Systematic review of shotgun proteomics and network analysis provides insight into meningioma pathophysiology despite the many barriers and difficulties that are inherent to this type of study...
  20. ncbi What is the translational efficacy of chemotherapeutic drug research in neuro-oncology? A systematic review and meta-analysis of the efficacy of BCNU and CCNU in animal models of glioma
    S Amarasingh
    Department of Clinical Neurosciences, University of Edinburgh, Edinburgh, EH4 2XU, Scotland, UK
    J Neurooncol 91:117-25. 2009
    ..In this study we evaluate the efficacy of systemic BCNU and CCNU in experimental glioma models and how the experimental data has translated into clinical practice...
  21. ncbi Proteomic analysis of gliomas
    I R Whittle
    Department of Clinical Neurosciences, Western General Hospital, and Centre for Neuroscience Research, University of Edinburgh, UK
    Br J Neurosurg 21:576-82. 2007
    ..The current status of proteomic technology, its application to gliomas and the utility of such translational studies is reviewed...
  22. ncbi Effects of dexamethasone on peritumoural oedematous brain: a DT-MRI study
    S Sinha
    Neurosciences, Western General Hospital, Crewe Road, Edinburgh, EH4 2XU, UK
    J Neurol Neurosurg Psychiatry 75:1632-5. 2004
    ..Furthermore, the magnitude of these changes is similar for both intra- and extra-axial tumours...
  23. ncbi Gliadel therapy given for first resection of malignant glioma: a single centre study of the potential use of Gliadel
    I R Whittle
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 17:352-4. 2003
    ..If the future use of Gliadel is limited to the eligibility criteria used in the phase III trial about 20% (95% confidence intervals 13-34%) of patients with newly diagnosed malignant glioma will receive this therapy...
  24. ncbi Mechanisms of peritumoural brain dysfunction: metabolic and neuroreceptor findings in striatal C6 glioma
    I R Whittle
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    J Clin Neurosci 8:430-4. 2001
    ..There is also a peritumoural region of up-regulated receptors that have many, predominantly inhibitory, functions. The relationship of these findings to peritumoural brain dysfunction is discussed...
  25. ncbi What is the place of conservative management for adult supratentorial low-grade glioma?
    I R Whittle
    Department of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, Scotland, UK
    Adv Tech Stand Neurosurg 35:65-79. 2010
    ..Informing patients of the uncertainties in both interventional strategies and the place of conservative management in LGG is essential in optimising patient outcomes and satisfaction...
  26. ncbi Unsuccessful intraventricular pentosan polysulphate treatment of variant Creutzfeldt-Jakob disease
    I R Whittle
    Department of Clinical Neurosciences and National CJD Surveillance Unit, Western General Hospital, Edinburgh, UK
    Acta Neurochir (Wien) 148:677-9; discussion 679. 2006
    ..The patient died from disease progression 16 months after diagnosis and 5 months after pentosan polysulphate treatment was commenced...
  27. ncbi The accuracy of meningioma grading: a 10-year retrospective audit
    J Willis
    Neuropathology Unit, Department of Pathology, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Neuropathol Appl Neurobiol 31:141-9. 2005
    ..Although the current WHO (2000) classification is more prescriptive than its predecessors, interobserver variability is likely to remain because of the subjective nature of some of the criteria...
  28. ncbi Trends in classification, referral and treatment and the effect on outcome of patients with glioma: a 20 year cohort
    S C Erridge
    Edinburgh Centre for Neuro Oncology, University of Edinburgh, Western General Hospital, Edinburgh, EH4 1EU, UK
    J Neurooncol 104:789-800. 2011
    ..Interval from surgery to RT had no impact on survival in this series...
  29. ncbi Posterior fossa surgery complicated by a pseudomeningocele, bilateral subdural hygromata and cerebellar cognitive affective syndrome
    N G Stavrinos
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 22:107-9. 2008
    ..The relationships between the subdural hygromas, pseudomeningocele, location of the lesion within the cerebellum, cerebellar oedema, and the cause of her cognitive-affective syndrome are discussed...
  30. ncbi Randomized Phase III controlled trials of therapy in malignant glioma: where are we after 40 years?
    E Anderson
    Department of Clinical Neuroscience and Edinburgh Centre for Neuro oncology, Western General Hospital, University of Edinburgh, UK
    Br J Neurosurg 22:339-49. 2008
    ..The limitations of this type of analysis, including how trial design can bias outcomes and militate against comparison of trials are discussed...
  31. ncbi Management of patients aged >60 years with malignant glioma: good clinical status and radiotherapy determine outcome
    I R Whittle
    Edinburgh Centre for Neuro Oncology, Department of Clinical Neurosciences, Western General Hospital, UK
    Br J Neurosurg 16:343-7. 2002
    ..Advanced age per se should not be a bar to interventional treatment in patients aged >60 years with suspected malignant glioma...
  32. ncbi Intrathecal baclofen therapy for neurological disorders: a sound knowledge base but many challenges remain
    P M Brennan
    Department of Clinical Neurosciences, Western General Hospital, University of Edinburgh, UK
    Br J Neurosurg 22:508-19. 2008
    ....
  33. ncbi Information processing in patients with intracranial tumours: A preliminary evaluation of the clinical utility of inspection time
    L Zbinden
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 20:203-8. 2006
    ..This preliminary study suggests that recording inspection time, in a neuro-oncological setting, may prove informative and practically useful in assessing non-motor processing speed in people with brain tumours...
  34. ncbi Recognition of mental incapacity when consenting patients with intracranial tumours for surgery: how well are we doing?
    S Kerrigan
    Department of Clinical Neurosciences and Radiation Oncology, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 26:28-31. 2012
    ..The aim of this study was to determine the incidence of mental incapacity, as assessed by neurosurgeons, in patients with intracranial tumours undergoing neurosurgery...
  35. ncbi Platinum distribution in malignant glioma following intraoperative intravenous infusion of carboplatin
    I R Whittle
    Department of Clinical Neurosciences, University of Edinburgh, UK
    Br J Neurosurg 13:132-7. 1999
    ..The results of this study have implications for future studies using capillary permeability modifying agents as adjuncts to brain tumour chemotherapy...
  36. ncbi Tectal plate cyst in adults
    V Kumar
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Acta Neurochir (Wien) 148:805-8; discussion 808. 2006
    ..To the best of our knowledge, similar lesions at this site have not been reported in adults. The differential diagnosis with arachnoid cysts of the quadrigeminal CSF cistern is discussed...
  37. ncbi Assessment of different data representations and averaging methods on the Spiegelberg compliance device
    Y H Yau
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Acta Neurochir Suppl 95:289-92. 2005
    ..Our results showed that expressing elastance (dp/dv) instead of compliance (dv/dp) yielded fewer outliers and had a better correlation to ICP, and the ewma method had a better correlation to ICP than the Spiegelberg method...
  38. ncbi Real-time functional magnetic resonance imaging (rt-fMRI) in patients with brain tumours: preliminary findings using motor and language paradigms
    C Schwindack
    Division of Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 19:25-32. 2005
    ..Further paradigm development is required for evaluation of language, and possibly other more complex executive functions...
  39. ncbi The dilemma of low grade glioma
    I R Whittle
    Department of Clinical Neuroscience, Western General Hospital, Edinburgh, UK
    J Neurol Neurosurg Psychiatry 75:ii31-6. 2004
  40. ncbi Rapid clinical deterioration in a patient with multi-focal glioma despite corticosteroid therapy: a quantitative MRI study
    S Sinha
    Clinical Neurosciences, University of Edinburgh, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 17:537-40; discussion 540. 2003
    ..This case shows that quantitative MRI can not only measure steroid treatment response but also failure in patients with malignant gliomas...
  41. ncbi 11beta-Hydroxysteroid dehydrogenase type 2 protects the neonatal cerebellum from deleterious effects of glucocorticoids
    M C Holmes
    Endocrinology Unit, Centre for Cardiovascular Science, Queen s Medical Research Institute, University of Edinburgh, Edinburgh, UK
    Neuroscience 137:865-73. 2006
    ..We therefore suggest that 11beta-hydroxysteroid dehydrogenase type 2 acts as to protect the developing nervous system from the deleterious consequences of glucocorticoid overexposure...
  42. ncbi A prospective study of thalamic deep brain stimulation for the treatment of movement disorders in multiple sclerosis
    J Hooper
    Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 16:102-9. 2002
    ..It is also likely that the insignificant benefits of DBS on disability and handicap reflect persisting cerebeller dysmetria, and both the severity and diffuse nature of the disease process in this patient cohort...
  43. ncbi Dsyembryoplastic neuroepithelial tumour with discrete bilateral multifocality: further evidence for a germinal origin
    I R Whittle
    Department of Clinical Neuroscience, Western General Hospital, Edinburgh, UK
    Br J Neurosurg 13:508-11. 1999
    ..1988) in their original description of the lesion. The neuroradiological, neuropathological and clinical features of this case are compared with the two previous cases of multifocal DNET...
  44. ncbi Antitumour and pro-apoptotic actions of highly unsaturated fatty acids in glioma
    H A Leaver
    Department of Clinical Neurosciences, Edinburgh University, UK
    Prostaglandins Leukot Essent Fatty Acids 66:19-29. 2002
    ..Also, there was little evidence of acute inflammatory infiltration in regressing tumours. Our findings suggest that intraparenchymal infusion of HUFA may be effective in stimulating glioma regression...
  45. ncbi Discovery of a perinecrotic 60 kDa MDM2 isoform within glioma spheroids and glioblastoma biopsy material
    H S Bell
    The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, UK
    Neuropathol Appl Neurobiol 31:191-202. 2005
    ....
  46. ncbi Cerebral metastasis of peripheral primitive neuroectodermal tumour (pPNET) - use of cytogenetic abnormalities in diagnosis
    J Ross
    Neuropathol Appl Neurobiol 33:471-4. 2007
  47. ncbi Intracellular oxidation by human glioma cell populations: effect of arachidonic acid
    H A Leaver
    Department of Clinical Neurosciences, University of Edinburgh, Crewe Road, Edinburgh EH4 2XU UK
    Prostaglandins Leukot Essent Fatty Acids 70:449-53. 2004
    ..ROS may have a role in AA induced cell death and anti-tumour activity of AA in glioma...