BSc. (Hons) 1976 University of London
MB.BS (Hons) 1979 University of London
FRCS England Part 1 1982
FRCS England Part 2 1984
Master of Surgery 1989 University of London
MA (Status) 1990 University of Oxford
The London Hospital Medical School 1973 -1979 University of London
General Surgery Training 1980 - 1984
The London Hospital, Luton and Dunstable Hospital, Northampton General Hospital.
Neurosurgery Training 1985 - 1989
Dept of Neurosurgery The Radcliffe Infirmary Oxford
Dept of Neurosurgery The Royal Melbourne Hospital, Melbourne, Australia
Admitted onto the Specialist Register of the GMC 1989.
Reader in Neurosurgery and Honorary Consultant Neurosurgeon University of Oxford 1990 - 1992
Consultant Neurosurgeon, The Radcliffe Infirmary, Oxford 1992 - 2007
Consultant Neurosurgeon, Oxford University Hospitals NHS Trust 2007 - onwards
Honorary Senior Lecturer, University of Oxford 1992 - onwards
Society of British Neurological Surgeons (SBNS) Elected Council Member 2004 - 2008
SBNS Honorary Treasurer 2010 - 2013
President Elect of the SBNS 2013 - 2014
President of the SBNS 2014 - 2016
Elected Council Member of the Royal College of Surgeons of England 2013 - 2019
Society of British Neurological Surgeons
British Society of Skull Base Surgery
British Neurovascular Group
British Medical Association.
Medical Defence Union
I do offer medico-legal opinions in the areas of expertise detailed above. This is for both prosecution and defence. Approx 10 reports per year for the last +20 years.
I have given evidence in court on many occasions in the civil court and on one occasion in the central criminal court.
I have taught regularly on courses run by Law South and presented lectures on subarachnoid haemorrhage, spinal disorders especially cauda equina syndrome, head injury and oncology.
General adult neurosurgery
Skull base surgery including surgery for acoustic neuroma
Spinal degenerative disease
Trigeminal neuralgia / Hemi-facial spasm
Attendance at the following MDT's : Neuro-oncology, Vascular, Skull base surgery, NFII
Chair, Skull Base MDT
Lead Clinician in Neurosurgery 2007 - 2010
Training Programme Director for Neurosurgery 2011 - 2013
Liason SAC member for Scotland 2011 - 2013
Chairman of Finance committee SBNS 2010 - 2013
INTERNATIONAL SUBARACHNOID ANEURYSM TRIAL (ISAT) 1994 - 2014
Principle Investigators and Grant Holders: - Dr A.J. Molyneux and Mr R.S.C Kerr
RESEARCH GRANTS FOR ISAT
Oxford Regional Health Authority Research and Development Grant for Pilot Phase of ISAT study
Medical Research Council (MRC) Grant: G 9401611 for International Subarachnoid Aneurysm Trial( ISAT)
1996 - 2000 Co-applicant.Awarded £1.3 million following pilot study for patients randomised from the UK
Additional funds from French Ministry of Health AO 98150 and Canadian Institute of Health
Medical research Council (MRC) Grant extension for ISAT study
2000 - 2007 Co-applicant.Awarded £1.9 million
Medical Research Council (MRC) further grant extension for the ISAT study
Co-applicant awarded for period 2008 - 2013
Other Research involvement:-
BRC grant for 3 years for MRI biomarkers of cerebral vasospasm PI's Pattinson/Westbrook. Collaborators Jezzard/Kerr
Prospective head injury database with now over 500 patients. Grant of £12000 in 2009 from Oxford Health Sciences Research Committee (OHSRC)
Neurosurgical Research trust Fund 2011 £10,000 to continue.
•Co-Founder of Neurovascular Research Unit, affiliated with University Dept of Surgery - developed and managed a series of clinical trials including the ISAT study
•Local Co-ordinator MRC funded STICH and STICH II trials - study into intracerebral haemorrhage (Current)
•Local Co-ordinator RescueICP trial - Study into Head Injury management (current)
•Chairman of Cerocyte Coil Trial - 500 prospective randomised trial (2005 to date)
•Data monitoring committee of MASH II trial - analysis of magnesium therapy after subarachnoid haemorrhage (current)
•Invited Lectures: Over 20 invited lectures in UK, Europe and Worldwide. I have presented at all the major neurosurgical meetings including Society of British Neurosurgical Surgeons(SBNS), Royal Society of Medicine, European Association(EANS), Danish Neurosurgical Society, Scandinavian Neurosurgical Society, American Assoc of Neurosurgeons (AANS), Congress of Neurosurgeons, World Congress of Neurosurgeons & World Stroke Congress
A J MOLYNEUX, RSC KERR et al
International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependancy, seizures, rebleeding, subgroups and aneurysm occlusion
LANCET 2005; 366:809-817
CAMPI A, RAMZI N, MOLYNEUX AJ, SUMMERS PE, KERR RSC et al
Retreatment of ruptured Intracranial Aneurysms: a randomised comparison of effects on survival, dependancy, seizures, rebelleding, subgroups and aneurysm occlusion.
STROKE 2007; May 38(5):1538 – 1544 Epub 2007 Mar29
MITCHELL P., KERR RSC., MENDELOW AD., and MOLYNEUX AJ
Could Late re-bleeds overturn the superiority of cranial aneurysm coiling over clipping seen in the ISAT trail
J NEUROSURG 2008; 108(3): 437-442
HART Y., SNEADE M., BIRKS J., RISHMULLER J., KERR RSC., MOLYNEUX A., Epilepsy after subarachnoid haemorrhage: the frequency of seizures after clip occlusion or coil embolization of a ruptured cerebral aneurysm. J Neurosurg. DOI 10.3171/2011
SCOTT RB., ECCLES F., MOLYNEUX AJ., KERR RSC., ROTHWELL PM., CARPENTER KC., Improved cognitive outcomes with endovascular coiling of ruptured intracranial aneurysms:neuropsychological outcomes from the International Subarachnoid Aneurysm Trial (ISAT). Stroke 2010 Aug;41(8):1743-1747. Epub2010 Jul 8.
MOLYNEUX AJ., KERR RS., BIRKS J., RAMZI N., YARNOLD J., SNEADE M., RISCHMILLER J., Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortlity ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol. 2009 May;8(5):427-33. Epub 2009 Mar 28
RIVERO-ARIAS O., WOLSTENHOLME J., GRAY A., MOLYNEUX AJ., KERR RS., YARNOLD JA., SNEADE M., The cost and prognostic characteristics of a ischaemic neurological deficit due to subarachnoid haemorrhage in the Unitied Kingdom. Evidence from the MRC International Subarachnoid Aneurysm Trial. J Neurol. 2009 Mar;256(3);364-73. Epub 2009 Feb 9
RYTTLEOFRS AT., ENBLAD P., KERR RS., MOLYNEUX AJ., International subarachnoid aneurysm trial of neurosurgical clipping versus endovascualr coiling: subgroup analysis of 278 elderly patients. Stroke. 2008 Oct;39(10):2720-6. Epub 2008 Jul 31
Understanding activity pie charts
What does the Consultant activity pie chart show?
The Consultant activity pie charts represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.
Please note that for Consultants who provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.
Understanding mortality funnel plot charts
What does the Consultant funnel plot chart show?
The Hospital Consultant mortality funnel plot represent the total number of elective (planned) finished consultant episodes (FCEs) and non-elective (emergency) finished consultant episodes. A finished consultant episode usually represents the care of a single patient from admission to discharge.
The mortality presented here is for three years: April 2014 – March 2017. Please note that for Consultant who provide both adult services for patients older than 17 years and paediatric services for patients 16 years old and younger there are two outcome reports.
The horizontal yellow line represents the national average mortality. The solid black lines above and below the yellow line are the control limits. The upper control limit represents the highest expected mortality rate. The Consultant's outcome is highlighted in magenta.