(As Jim Acheson) Himself, Adventures in Space and Time (documentary), BBC Manchester, 1999. To learn more, visit The Future of Endocrinology work which was her vision and which she expertly oversaw will continue to be hugely influential but Prof Baldeweg has achieved so much more and the Society and all of our stakeholders owe her a huge debt of gratitude. - Ian Russell, CEO Society for Endocrinology, Nov 2022, Professor Baldeweg has made a significant contribution to The Pituitary Foundation for more than a decade. Thanks! However, at this stage, it is not entirely clear whether such pressure gradients are the cause or the effect of the raised intracranial pressure. PERSONAL James Acheson Consultant telephone: 020 7566 2346 Area (s) of specialism / subspecialism: Children's eye conditions Eye squint (strabismus) in adults Eye squint (strabismus) in children Neuro-ophthalmology Strabismus/squint surgery Year of first medical qualification: 1980 Location of initial medical training: Southampton University In practice since Chronic papilloedema: note that haemorrhages, exudates and cotton wool spots have disappeared. Contact. Costume Designer: The Last Emperor. Religion: Tibetan Buddhism. Your trial plan will end in {{ head.trialRemainingTime.days }} days and {{ head.trialRemainingTime.hours }} hours. They work alongside endocrinologists, ophthalmologists, pathologists, radiologists, oncologists, and specialist nurses. Spider-Man (also known as Spiderman and Spider-Man: The Motion Picture), Columbia, 2002. Use our eyeQ-bank for the best revision! Consultant ophthalmic surgeon. Adapting the wig service during the COVID-19 pandemic - by Nicola Panara, Coping with loneliness - by Emma Breger, Support and information specialist, Macmillan Support and Information Service launches a new online wellbeing programme for people affected by cancer or a blood condition, Physical activity group challenge launches on 16 June, Support and information for carers - by Lallita Carballo, Clinical Lead and Head of the Macmillan Support and Information Service, Macmillan Support and Information Service hosts its first twitter chat on cancer-related fatigue, UCH shortlisted for Patient Experience Network National Award, New government support for energy bills. Kristian Aquilina,Consultant Neurosurgeon, GOSH, Owase Jeelani,Consultant Neurosurgeon, GOSH. First operated eye data only included in bilateral cases. The Sheltering Sky (also known as Il te nel deserto), Warner Bros., 1990. A rise in venous pressure will cause a reduction in CSF absorption, and it is possible that even with careful non-invasive imaging with brain MRI and magnetic resonance venography, some cases of venous sinus thrombosis are missed, leading to the incorrect diagnosis of IIH. Monitoring visual function is mandatory, and it is important to appreciate that uncontrolled raised intracranial pressure and persistent papilloedema can result in blindness. Early signs of optic nerve compromise include nasal step defects, disc-related arcuate scotomata that reflect focal loss of retinal nerve fibres and global field depression.26,27 Serial disc photography is also valuable for long-term monitoring, and peripapillary retinal nerve fibre layer imaging with ocular computed tomography is increasingly used.28, In many cases, IIH is a benign self-limiting condition, which remits after a single diagnostic and therapeutic lumbar puncture, together with modest weight reduction and without any visual consequences. Ophthalmoscopic markers of chronicity and axonal loss include the appearance of axonal degradation products on the nerve head (corpora amylacea), choroido-retinal collateral blood vessels and disc pallor in the presence of continuing swelling24,25 (Fig. //]]>. Shunting techniques developed in the 1950s and 1960s were then applied to IIH patients with some success. View All. consultant ophthalmologist at Moorfields Eye Hospital, London London, England, United Kingdom. Emily Bronte's "Wuthering Heights" (also known as Wuthering Heights), Paramount, 1992. Following diagnosis, initial management is medical using a combination of carbonic anhydrase inhibitors, other medications for headache and managed weight reduction. Dr Sui Wong. These include dilatation of the pre-papillary retinal capillaries and nerve head hyperaemia, dilation of retinal veins, peripapillary haemorrhages and cotton wool spots. The Man in the Iron Mask, Metro-Goldwyn-Mayer, 1998. 3). I still find it hard to believe that I had brain surgery; looking at me, nobody would have known that I had had anything done. Born January 4, 1958, in Swansea, Wales; married Meg Cameron; children: three. lised multi-disciplined team includes three dedicated surgeons for pituitary adenomas and related benign skull base pathologies; and two dedicated surgeons for chordomas, chondrosarcomas, and other malignant skull base pathologies. "The Chicago Conspiracy Trial," On Trial (also known as On Trial: The Chicago Conspiracy Trial), BBC, 1970. I still find it hard to believe that I had brain surgery; looking at me, nobody would have known that I had had anything done. Note dilatation of the optic nerve sheaths and flattening of the posterior aspect of the globes. However, typically, central vision is preserved and perimetry simply shows blind spot enlargement, reflecting lateral displacement of retinal elements by the axonal swelling (Fig. Consecutive series of 29 eyes in 29 patients including one revision with adjuvant antimetabolite. Spider-Man 3, Sony Pictures Releasing, 2007. Acheson J 1, Davagnanam I 1, . Amazing! Amazing! Diagnosing Thrombotic Thrombocytopenia Purpura (TTP), Treating Thrombotic Thrombocytopenia Purpura (TTP), The United Kingdom Thrombotic Thrombocytopenic Purpura (TTP) Registry, Thrombotic Thrombocytopenic Purpura (TTP) Network, Patient information films - blood diseases, David's Story (Chronic Lymphocytic Leukaemia), Mohammed's Story (Aplastic Anaemia and Acute Myeloid Leukaemia), Education programme for people affected by cancer, Helping Overcome Problems Effectively (HOPE), School for Multidisciplinary Cancer Team Effectiveness, Delivering cancer clinical trials (under development), 62-day cancer waiting times improvement programme, BMJ on Examination early diagnosis of cancer (for GPS), Clinical Nurse Specialist (CNS) role development programme, CNS Role Development Programme (Explore) Mentoring Training, Coding and safety netting e-learning for GPs, Effective communication skills for Cancer Professionals, FRCPath Haematology part 2 Revision course, RCGP course - Diagnosing colorectal cancer earlier. The terms pseudotumour cerebri and pseudotumour syndrome are also used, but the term benign intracranial hypertension is now obsolete, reflecting current awareness of the major risks to vision from papilloedema.1,2 Severe visual loss may complicate IIH, and in one hospital-based survey of 57 patients followed for 541 years after initial diagnosis, blinding or severe visual impairment was noted for one or both eyes of 14 patients (24%). 1981, {{ location.address || location.practice.address }} Watford General Hospital. 2). Professor John Dart, Mr Bruce Allen, Mr Frank Larkin, Mr Bishwanath Pal, Mr Carlos Pavesio, Mr Lyndon Da Cruz, Mr Philip Hykin, Mr Mandeep Sagoo & Mr Richard Andrews, Ms Dhanes Thomas, Ms Cathy Egan & Ms Louisa Wickham, Ms Gill Adams, Mr John Sloper, Prof Andrew Moore, Ms Joanne Hancox, Mr N Ali, Mr Y Abou-Rayah, Mr J Brookes & Mr James Acheson, Mr Geoff Rose, Mr Richard Collin & Mr J Udin. Nerve fibre layer haemorrhages around the disc margin are obvious. Problems from cerebellar tonsillar descent are avoided. Find out more >, Naomi Tan, James Acheson, Nadeem Ali. The technique is more invasive than ONSD or lumbar-peritoneal shunting and is usually reserved for cases of failure of previous CSF diversion surgery from other approaches.42. Jaypee, Tim Jaggard, deputy chief executive and chief financial officer, Professor Geoff Bellingan, medical director, surgery and cancer board, Dr Gill Gaskin, medical director, digital healthcare, Dr Tim Hodgson, medical director, specialist hospitals board, Dr Charles House, medical director, medicine board, Dr Junaid Bajwa, senior independent director, Professor Mark Emberton, non-executive director, Helen Forgacs, London-based patient governor, Mary Pickersgill, London-based patient governor, Jan Stockdale, London-based patient governor, Sharon Banoff, London-based patient governor, Pam Peers, public governor. The Last Emperor (also known as Le dernier empereur and L'ultimo imperatore), Columbia, 1987. James Acheson is known for Strange Days (1995), Assassination (1987) and Godfather of Harlem (2019). Follow-up of 57 patients from five to 41 years and a profile of 14 patients with permanent severe visual loss, Idiopathic intracranial hypertension (pseudotumor cerebri). Education: Attended schools in Swansea, Wal, Ballhaus, Michael 1935 Glaucoma. Carbonic anhydrase inhibitors (e.g. The ophthalmoscopic appearances of papilloedema reflect the severity of raised intracranial pressure and associated central retinal vein obstruction. Sajjad Ahmad. More information can be found on our COVID-19 webpage>, Please contact the ward before visiting as restrictions may apply. Moorfields Community Eye Centre at Barking Hospital. Pinpoint Scotland Ltd (Registered in Scotland No. 9 results . However, eventually retrospective case series appeared citing failure rates of 4852% and complications rates, particularly low-pressure headache, of 2152%.35,36 Interest turned back to optic nerve sheath decompression (ONSD) with case series published in 1988 indicating high efficacy rates in terms of visual function in the short term.37,38 Longer term follow-up at 12 months later revealed a more significant failure rate, lack of headache control and uncommon but major visual loss from intra-operative neuro-vascular injury at the optic nerve head.39,40. By continuing to browse the site you are agreeing to our use of cookies. Significant visual field loss likely to be present. He is professional and his experience calms a patient down from any anxiety or worry. Flattening of the globe by a dilated intra-orbital optic nerve sheath may lead to refractive changes (Fig. Idiopathic intracranial hypertension is a relatively common condition (incidence up to 19/100000/year in the high-risk group of obese women in reproductive age range) causing headaches with papilloedema. Management of hypertension is initially medical, utilizing a combination of managed weight reduction and diuretic therapy. All supported by the advanced resources of the National Hospital for Neurology and Neurosurgery and linked with multiple specialist endocrine and ophthalmic units in London and across the country and beyond. Giant cell arteritis in patients of Indian subcontinent descent in the United Kingdom. Medical measures available include serial lumbar punctures, diuretics and managed weight reduction. Then, copy and paste the text into your bibliography or works cited list. He has designed costumes and sets for television, theatre, opera, ballet and film, working in more than 14 different countries. The Duke-Elder is an annual exam open to medical students in the UK & Ireland only. Sir Henry at Rawlinson End, Charisma Films, 1980. Find a consultant (A-Z) Mr James Acheson Professional background Joint consultant neuro-ophthalmologist at National Hospital for Neurology and Neurosurgery and Moorfields Eye Hospital, appointed 1999 Consultant ophthalmologist, National Hospital and St Mary's Hospital (Western Eye Hospital) 1992-1999 Prof Ahmed Toosy, Consultant Neuro-Ophthalmologist, UCLH and Moorfields Eye Hospital Mr James Acheson, Consultant Neuro-Ophthalmologist, UCLH and Moorfields Eye Hospital Mr Fion Bremner, Consultant Neuro-Ophthalmologist, UCLH Dr Axel Petzold, Consultant Neuro-Ophthalmologist, UCLH and Moorfields Eye Hospital Within the Cite this article tool, pick a style to see how all available information looks when formatted according to that style. Children's eye conditions Eye squint (strabismus) in adults Eye squint (strabismus) in children Neuro-ophthalmology Strabismus/squint surgery, Fellowship with Michael Sanders, National Hospital for Neurology and Neurosurgery, London, UK, 1991, Royal College of Ophthalmologists (FRCOphth)Royal College of Physicians (MRCP)Association for Research in Vision and OphthalmologyBritish Eye Study Group (1994-2004)British Isles Neuro-Ophthalmology Club, Joint consultant neuro-ophthalmologist, Moorfields Eye Hospital and National Hospital for Neurology and Neurosurgery, London. James Acheson (Moorfields Eye Hospital and National Hospital For Neurology and Neurosurgery, London) explored reasons why some adult patients who should experience diplopia, simply do Consultant Ophthalmologist, Moorfields Eye Hospital, Honorary Senior Lecturer, London School of Hygiene and Tropical Medicine and Coordinating Editor, Cochrane Eyes and Vision Group, London, UK . James Acheson. However, it is known that high-pressure headache may arise without papilloedema, and it is possible that obesity is the cause of the headache in these patients by this mechanism.1216, Secondary IIH may arise in association with a number of medical conditions including obstructive sleep apnoea, systemic lupus erythematosis, Behcet's disease and renal impairment and also against a background of a variety of prescription medications.
