Research Topics
Species | I R WhittleSummaryAffiliation: University of Edinburgh Country: UK Publications
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Detail Information
Publications
Brain dysfunction following 'awake' craniotomy, brain mapping and resection of gliomaI 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...
Patient perceptions of "awake" brain tumour surgeryI 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...
The development of necrosis and apoptosis in glioma: experimental findings using spheroid culture systemsH 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...
Effects of dexamethasone on cerebral perfusion and water diffusion in patients with high-grade gliomaM 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...
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 histologyH 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...
The effects of dexamethasone therapy on permeability, blood flow and iNOS expression in experimental gliomaG 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...
Practical problems with the collection and interpretation of serial quality of life assessments in patients with malignant gliomaM 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...
Effects of resective surgery for left-sided intracranial tumours on language function: a prospective studyI 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...
Costs of thalamic deep brain stimulation for movement disorders in patients with multiple sclerosisJ 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...
The contribution of arachidonic acid to the aetiology and pathophysiology of focal brain oedema; studies using an infusion oedema modelI 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...
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...
Heme oxygenase (HO) isoforms in experimental C6 glioma: an immunocytochemical studyS 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...
Glioma tumourgenicity is decreased by iNOS knockout: experimental studies using the C6 striatal implantation glioma modelS 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...
Chronic posttraumatic movement disorder alleviated by insertion of meso-diencephalic deep brain stimulating electrodeJ 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...
How well do radiologists diagnose intracerebral tumour histology on CT? Findings from a prospective multicentre studyD 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...
The incidence of seizures following Deep Brain Stimulating electrode implantation for movement disorders, pain and psychiatric conditionsE 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%)...
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...
An intramedullary vascular malformation mimicking intrinsic spinal cord tumourE W K Peng
Department of Clinical Neurosciences, Western General Hospital, Edinburgh, UK
Br J Neurosurg 20:109-10. 2006
Proteomic data in meningiomas: post-proteomic analysis can reveal novel pathophysiological pathwaysA 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...
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 gliomaS 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...
Proteomic analysis of gliomasI 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...
Effects of dexamethasone on peritumoural oedematous brain: a DT-MRI studyS 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...
Gliadel therapy given for first resection of malignant glioma: a single centre study of the potential use of GliadelI 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...
Mechanisms of peritumoural brain dysfunction: metabolic and neuroreceptor findings in striatal C6 gliomaI 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...
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...
Unsuccessful intraventricular pentosan polysulphate treatment of variant Creutzfeldt-Jakob diseaseI 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...
The accuracy of meningioma grading: a 10-year retrospective auditJ 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...
Trends in classification, referral and treatment and the effect on outcome of patients with glioma: a 20 year cohortS 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...
Posterior fossa surgery complicated by a pseudomeningocele, bilateral subdural hygromata and cerebellar cognitive affective syndromeN 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...
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...
Management of patients aged >60 years with malignant glioma: good clinical status and radiotherapy determine outcomeI 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...
Intrathecal baclofen therapy for neurological disorders: a sound knowledge base but many challenges remainP M Brennan
Department of Clinical Neurosciences, Western General Hospital, University of Edinburgh, UK
Br J Neurosurg 22:508-19. 2008....
Information processing in patients with intracranial tumours: A preliminary evaluation of the clinical utility of inspection timeL 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...
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...
Platinum distribution in malignant glioma following intraoperative intravenous infusion of carboplatinI 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...
Tectal plate cyst in adultsV 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...
Assessment of different data representations and averaging methods on the Spiegelberg compliance deviceY 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...
Real-time functional magnetic resonance imaging (rt-fMRI) in patients with brain tumours: preliminary findings using motor and language paradigmsC 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...
The dilemma of low grade gliomaI R Whittle
Department of Clinical Neuroscience, Western General Hospital, Edinburgh, UK
J Neurol Neurosurg Psychiatry 75:ii31-6. 2004
Rapid clinical deterioration in a patient with multi-focal glioma despite corticosteroid therapy: a quantitative MRI studyS 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...
11beta-Hydroxysteroid dehydrogenase type 2 protects the neonatal cerebellum from deleterious effects of glucocorticoidsM 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...
A prospective study of thalamic deep brain stimulation for the treatment of movement disorders in multiple sclerosisJ 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...
Dsyembryoplastic neuroepithelial tumour with discrete bilateral multifocality: further evidence for a germinal originI 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...
Antitumour and pro-apoptotic actions of highly unsaturated fatty acids in gliomaH 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...
Discovery of a perinecrotic 60 kDa MDM2 isoform within glioma spheroids and glioblastoma biopsy materialH S Bell
The Beatson Institute for Cancer Research, Garscube Estate, Glasgow, UK
Neuropathol Appl Neurobiol 31:191-202. 2005....
Cerebral metastasis of peripheral primitive neuroectodermal tumour (pPNET) - use of cytogenetic abnormalities in diagnosisJ Ross
Neuropathol Appl Neurobiol 33:471-4. 2007
Intracellular oxidation by human glioma cell populations: effect of arachidonic acidH 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...
