1. The surgical treatment of Parkinson's Disease - Subthalamic Nucleotomy & Growth factor treatment in human Parkinson's disease. Mr Nik Patel, Mr S Gill

2. Application of image guidance to the surgical treatment of spinal disorders. Mr C Wigfield, Mr C Bolger.

3. The use of an artificial cervical joint in the treatment of cervical spondylosis. Mr S Gill, Mr R Nelson, Prof. J T Robertson, Mr C Wigfield.

4. Interbody fusion devices in the surgical treatment of cervical spondylosis. Mr C Wigfield, Prof. J T Robertson, Mr R Nelson.

5. Prospective outcome of single level anterior cervical decompression and fusion for the treatment of cervical spondylosis. Mr C Wigfield,Prof J T Robertson, Mr R Nelson.

6. Conservative Management of Lumbar Disc Prolapse Mr K Greenfield, Mr R Nelson

7. Ocular Micro-Tremor in comatose patients. Miss S Bojanic, Mr C Bolger

8. ISAT Trial for intracranial aneurysmal haemorrhage

9. International Study of Unruptured Intracranial Aneurysm (ISUIA) Trial

1. Audit of the process and documentation of informed consent Mr R Nelson, Clinical Standards Committee, Department of Neurosurgery

2. Functional hearing preservation following acoustic neuroma surgery Prof H Coakham, Mr R Edwards

3. Outcome of Acoustic Neuroma surgery Prof H Coakham, Mr R Nelson, Y Clarke.

4. Audit of Microvascular Decompression for Trigeminal Neuralgia, Acoustic Neuroma & Endoscopic Surgery Professor H Coakham, Y Clarke

   Ongoing database of patients treated since 1991. Range of patient follow-up 1-19 years (mean 6.25 years).

5. Audit of use of Magnetic Resonance Angiography (MRA) in diagnosing neurovascular compression in patients with trigeminal neuralgia. Prof. H Coakham, Dr S Renowden, Yvonne Clarke

6. Outcome of surgical excision of AVMs of the trigeminal nerve root entry zone causing trigeminal neuralgia Mr.R Nelson, Prof H Coakham, Dr S Renowden

7. Diagnosis and surgical management and Outcome of Arachnoid Webs causing trigeminal neuralgia, and outcome following surgery Prof. H Coakham, Dr S Renowden

   n= 5, completion Feb 2001

8. Vascular Audits Mr.R Nelson, Dr S Renowden, Dr D Ainsley-Williams

   Subarachnoid haemorrhage: Ongoing database of patients since 1995. Writing of research papers and presentations of findings nationally and internationally

   Arterio-venous malformation: Currently setting up a database

   Outcomes following balloon occlusion of Carotid Artery

9. Pituitary Surgery Mr D Sandeman, Mr R Nelson

   Baseline data for patients 1993-1998. Ongoing database of patients admitted since August1998

10. Surgical outcomes following selective temporal lobectomy for temporal lobe epilepsy Mr David Sandeman

    n=60, with 5-15 new patients per year. Multi-professional audit: Neurosurgery, Neurology, Neurophysiology, Neuropsychiatry, Neuropsychology)

11. Vagal Nerve Stimulators for Epilepsy Mr D Sandeman

    Outcome of vagus nerve stimulator implants.n=40, with 20 new patients per year. Multi-professional audit

12. Outcome of transsphenoidal adenectomy for pituitary tumours Mr R Nelson, Mr D Sandeman, L Varian.

13. Functional neurosurgery: Audit of the use of deep brain stimulating electrodes in the subthalamic nucleus in Parkinson’s Disease Mr S Gill

    Ongoing patient database, publication of research papers and presentations to national and international societies

14. Functional neurosurgery: Audit of pallidotomy care pathway documentation K O’ Sullivan, S Gill

15. Long term follow-up of choroid plexus coagulation versus ventriculo-peritoneal shunting Mr I Pople

    n=300 patients, May 00-Sept01

16. Usefulness of Ommaya reservoirs in the assessment of patients following endoscopic third ventriculostomy Mr I Pople, Mr R Edwards

    n=95pts, Completion Feb01

17. Shunt Infections in patients with Ventriculoperitoneal shunts Mr I Pople

    All shunt procedures are entered into the Department of Health-backed UK Shunt Registry. Our shunt infection rate for children under 5 years of age is one of the lowest in the country (c.1%). Our overall shunt infection rate has been reduced from 10% to 2.5% by implementation of a Shunt Protocol five years ago. This annual audit is benchmarked nationally.

18. Endoscopic ventriculostomy in the treatment of intracranial tumours. Prof H Coakham, Mr I Pople, Y Clarke

    A recent audit of endoscopic procedures at Frenchay Hospital showed a success rate of 75% (international average: 65-75%) and a complication rate of 8% (infection and minor haemorrhage).

19. Quality of life, disability and long-term outcome following anterior cervical decompression and fusion Mr P Grundy, Mr R Nelson

20. Follow-up of outcome of C1/2 screws for rheumatoid arthritis Mr R Nelson

21. Neurotheatres: 1) Audit of Infection rates 2) Audit of Skin Pressure care 3)Audit of Use of Mayfield Head clamp 4) Safe Specimen Transport to Neuropathology Lab Sr Wendy Soloman, Senior Nurse

    Annual re-audits in progress

22. Audit Projects in the Neuroscience Nursing Services Sr Pearl Griffiths, Head of Nursing,

    Enteral feeding, Excretion of faeces, Venflons, Barrier nursing, Patient hand washing after toileting, Eye care, Care of ventricular/lumbar drains, Pain management, Pre-operative care, Care following lumbar puncture, Care following angiography, Patient nutrition, Oral hygiene, Male and female catheterisation, Care of catheters, Suction of tracheostomy, Documentation of patient admissions

NEUROSCIENCES LIBRARY

Pre-1970 material is housed in Room 2, Ground Floor, Academic Centre, Frenchay Hospital. Post-1969 material is in the library on the 1st Floor of the Burden Centre, Frenchay Hospital. Current journals are kept in the Meeting Room where there is a photocopier.