I studied medicine at University College London qualifying MB BS in 1997. I obtained a first class honours in Neurosciences (intercalated) in 1994. After house jobs and a basic surgical rotation in the West Midlands, I entered Neurusurgical training in London then Oxford from 2002-2009. I completed a MD degree in Oxford in the role of the periaqueductal grey area in autonomic control during this time. I became a consultant neurosurgeon in 2009. I am currently president of the British Society for Stereotactic and Functional Neurosurgery (BSSFN).
Awards Training and Qualifications
- FRCS (SN) Royal College of Surgeons of England2007
- Doctor of Medicine University of London 2005- 2007
- MB BS University College London 1991- 1997
- BSc (Hons) University College London 1994
- New Investigator Award International Neuromodulation Society 2010
- 7th Cluster Headache Award International Annual Convention on Cluster Headache 2010
- Stereotactic and Functional Neurosurgery Resident Award Congress of Neurological Surgeons (USA) 2005
- Gordon Holmes Prize Royal Society of Medicine 2005
FRCS (SN), MD, BSc, MB BS
Over the past 6 years I have been looking at the neurocircuitry underlying autonomic function and pain in humans undergoing Deep Brain Stimulation (DBS). There are several aims of this research. Firstly, I wish to understand both the mechanisms underlying the pathophysiology of neuropathic pain as well as why some patients get much better than results than others. Secondly, by understanding the autonomic nervous system, it may be possible to control diseases such as hypertension, respiratory and bladder disease by brain manipulation in the future. Most of the research to date has involved stimulating brain areas under different experimental conditions and also recording local field potentials to understand the underlying neurophysiology. This work has resulted in a number of publications including improvement in peak expiratory flow with stimulation, the effect of stimulation on blood pressure and baroreceptors sensitivity and novel electrical signals associated with pain states.
Sources of Funding
- BRC 2009- 2014
- British Heart Foundation 2011- 2012
- European Union FP7 2012- 2015
Psychosurgery: History of the Neurosurgical Management of Psychiatric Disorders
Mahoney DE. and Green AL., (2020), World Neurosurgery, 137, 327 - 334
Neuromodulation for Intractable Pain.
Green AL. and Aziz TZ., (2020), Brain Sci, 10
Pain-Induced Beta Activity in the Subthalamic Nucleus of Parkinson’s Disease
Parker T. et al, (2020), Stereotactic and Functional Neurosurgery, 1 - 7
Dynamic changes in rhythmic and arrhythmic neural signatures in the subthalamic nucleus induced by anaesthesia and tracheal intubation.
Huang Y. et al, (2020), Br J Anaesth
Dissociation between reduced pain and arterial blood pressure following epidural spinal cord stimulation in patients with chronic pain: A retrospective study.
Holwerda SW. et al, (2020), Clin Auton Res