Contact
Biography
I was appointed at NUH and UoN in 1996 as Senior Lecturer and Paediatric Neurosurgeon, spending 50% of my time in clinical activity and 50% in Academic activity. The academic goals were open ended but an emphasis was placed on cross discipline activities and technology.
My main interest is application of technology in medicine in a broad sense and reviewing technical-clinical problems.
My interests have changed in the course of these 15 years depending on opportunities and available technology.
Recent work:
I wish to illustrate with the following:
- 2002, £300000 EPSRC, Virtual Brain Surgery, grant held jointly with mechanical engineering, computer science and me.
- 2004, £25000 Welcome VIP award for the salary of RA, Dr Donald Giddings, Simulation of CSF flow, jointly held with mechanical engineering and me.
- 2005, £35000, EPSRC follow on fund, Virtual Brain Surgery. Mechanical Engineering, Computer science and me.
- 2005, £15000, UK Gov. Innovation Fellowship, Virtual Brain Surgery, Mechanical engineering computer science and me. Ignored by the Faculty of Medicine.
- 2006, £13000, Lachesis grant, market research on Virtual Brain Surgery, Mechanical Engineering and me. .
Here is the paper and the text that was submitted in the RAE-2008:
Wang, P., Becker, A.A., Jones, I. A., Glover, A.T., Benford, S. D., Greenhalgh, C. M. and Vloeberghs, M., "Virtual reality simulation of surgery with haptic feedback based on the Boundary Element Method.", J. Computers and Structures, Vol. 85, 331-339 (2007).
This is a multi-disciplinary collaborative work between engineers, computer scientists and a neurosurgeon, that has led to a highly innovative world leading surgical simulation system based on the computational Boundary Element (BE) surface modelling technique. The work has led to world-wide publicity and press coverage (see e.g. http://www.research-tv.com/stories/health/medsimulator/ , http://www.e-health-insider.com/news/item.cfm?ID=988)
and EPSRC Newsline Issue 32). A further 'follow-on' grant was awarded by EPSRC (EP/D503256/1) to explore the commercialization of the simulator.
Paper returned as key publication by my engineering colleagues.
6) I am the collaborator of the MRC project, 2011.
Project Title: Understanding and developing intrathecal therapy for secondary meningeal cancer treatment in humans
Funder: MRC (Developmental Pathways Funding Scheme)
Amount: £62,000
- I am the joint lead applicant in the application re-submitted to CRUK New Agents Committee recently.
Project Title: A phase I dose escalation study of intrathecal etoposide as a continuous infusion, investigating duration and rate of infusion in young patients with leptomeningeal metastatic brain cancer.
Host institution: University of Birmingham
Total amount requested: £93,433.54
2012, Submission for CRUK grant for phase 1 trial of Intrathecal Etoposide in relapsed Medulloblastoma.
Industrial sponsorship of £120000 (Medtronic) for a controlled study on the effects of Intrathecal Baclofen in severely spastic children. Study closed in 2010 giving rise to two publicactions:
Controlled study of the effects of continuous Intrathecal Baclofen infusion in non-ambulant children with cerebral palsy. R. Morton, N. Gray, M. Vloeberghs. Developmental Medicine and Child Neurology, 53: 2011, 736-741.doi:10.1111/j.1469-8749.201104009.x
Goals and outcomes for non-ambulant children receiving continuous infusion of intrathecal baclofen. N. Gray, R. Morton, M. Vloeberghs. Acc. European journal of Paediatric Neurology, 2012.
Publications 2011-2012:
Three dimensional cerebrospinal fluid flow within the human central nervous system. L. Howden, D. Giddings, H. Power, M. Vloeberghs. American Mathematical Society. Discrete and Continuous Dynamical Systems Series B. Vol. 15, No 4, p957-969, June 2011.
Controlled study of the effects of continuous Intrathecal Baclofen infusion in non-ambulant children with cerebral palsy. R. Morton, N. Gray, M. Vloeberghs. Developmental Medicine and Child Neurology, 53: 2011, 736-741.doi:10.1111/j.1469-8749.201104009.x
Dynamic Facial Prosthesis for Sufferers of Facial Paralysis. Fergal Coulter*, Philip Breedon*, Michael Vloeberghs. *Nottingham Trent University, Australasian Medical Journal (AMJ) 2011,4,10, 555-562.
Artificial Facial Muscles. Philip Breedon*, Michael Vloeberghs. Request Article; Public Service Review, Central Government, 23, p82-83, 2011.
Complications of baclofen therapy, the 12 year Nottingham experience. H. Ingale, M. Vloeberghs, Child's Nervous System (2011) 27: 1751-1850.
Goals and outcomes for non-ambulant children receiving continuous infusion of intrathecal baclofen. N. Gray, R. Morton, M. Vloeberghs. Acc. European journal of Paediatric Neurology, 2012.
Intrathecal baclofen,therapy-How we do it. I. Ugrathar, M. Vloeberghs. Subm. J. Neurosurgery (US Paeds) 2012.
Cervical implantation of intrathecal baclofen pump catheters in children with severe scoliosis. I. Ugrathar, M. Vloeberghs. Subm. J. Neurosurgery (US Paeds) 2012.
Cervical catheter placement for intrathecal baclofen test dose: is it safe? S. Muquit, M. Vloeberghs. Accepted, Child's Nervous System, 2012, ID CNS-11-0540.R1
Planned grant applications:
EPSRC, joint with Mechanical engineering, MRI centre and me: CSF flow mechanism in the human spinal canal. Open EPSRC call.
FP7 EU grant, joint mechanical engineering, MRI, EU consortium based on my personal contacts. The Digital Human. Intergrated model of the CSF flow in the human central nervous system. Time frame 4/2012.
Expertise Summary
-Cerebro Spinal Fluid (CSF) flow
-Simulation and modeling
-Intrathecal drug delivery
-General applications of technology in medicine
The references quoted correspond to the numbers on the joined publication list.
CSF flow:
As a Paediatric Neurosurgeon a large part of my clinical practice consists of hydrocephalus, which is a commonly found in children under one year of age.
I was at the forefront of the resurgence of Neuroendoscopy in the mid 1980's and applied this technique to very young children with good results.
This work led to my PhD and numerous publications addressing controversies related to this technique by statistical analysis:
- Selecting the right patient for the procedure based on imaging
- Proving the procedure is applicable in the very young
- Establishing the use of Neuroendoscopy in dysmorphic brains and in particular in the minimalist management of not resectable craniopharyngiomas and other cystic lesions.
- Use of Neuroendoscopy in Utero
Michael HJ Vloeberghs
Clinical Associate Professor, University of Nottingham
Honorary Consultant Paediatric Neurosurgeon, Nottingham University Hospital
PhD, 2000, University of Nottingham: Neuroendocopic Third Ventriculostomy in the Management of Childhood Hydrocephalus.
Introduction:
I was appointed at NUH and UoN in 1996 as Senior Lecturer and Paediatric Neurosurgeon, spending 50% of my time in clinical activity and 50% in Academic activity. The academic goals were open ended but an emphasis was placed on cross discipline activities and technology.
My main interest is application of technology in medicine in a broad sense and reviewing technical-clinical problems.
My interests have changed in the course of these 15 years depending on opportunities and available technology.
My academic activity can be summarized as follows:
-Cerebro Spinal Fluid (CSF) flow
-Simulation and modeling
-Intrathecal drug delivery
-General applications of technology in medicine
The references quoted correspond to the numbers on the joined publication list.
CSF flow:
As a Paediatric Neurosurgeon a large part of my clinical practice consists of hydrocephalus, which is a commonly found in children under one year of age.
I was at the forefront of the resurgence of Neuroendoscopy in the mid 1980's and applied this technique to very young children with good results.
This work led to my PhD and numerous publications addressing controversies related to this technique by statistical analysis:
- Selecting the right patient for the procedure based on imaging
- Proving the procedure is applicable in the very young
- Establishing the use of Neuroendoscopy in dysmorphic brains and in particular in the minimalist management of not resectable craniopharyngiomas and other cystic lesions.
- Use of Neuroendoscopy in Utero
Refs: 13,14,15,24,25,26,30,31,34,37,38,40,42,43,45,46,47,48,50,51,52,53,58,60,61,62,63,64,66,68,69,70,71,73,74,75,76,78,83,85,86,137
Teaching:
In parallel with the clinical activity there was a need to teach this novel approach to the treatment of hydrocephalus because of the cost implications. Treating hydrocephalus in this way saved a substantial sum of money to the healthcare system.
I convened NTV courses with industrial support in:
Vrije Universiteit Brussel, Belgium
Nottingham University Hospital
Royal College of Surgeons, London
Neurosurgical Department , Cardiff
Children's Hospital Gorzov, Poland
Children's Hospital Wroclaw, Poland
Children's Hospital Gdansk, Poland
Children's Hospital Bratislava, Slovakia
National Neurosurgery Centre Muskat, Oman
Mumbai Neurosurgery Department, Mumbai, India
Indus Medical Faculty, Pakistan
Both the national and international courses attracted in general 20 participants who returned to their departments aiming to set up a Neuroendoscopy service.
I am still regularly contacted via e-mail by former participants via e-mail.
The courses at the Royal College of Surgeons in London were held twice a year for five years.
Currently Neuroendoscopy is a generally accepted-routine procedure and most departments in the UK have a surgeon who attended the course and is teaching the technique locally.
Teaching material:
As a supplementary teaching method I produced a CD-ROM in CAL mode with an IT colleage providing a simulation of a Neuroendoscopy combining animation and video.
There is no comparable CD production to this day and the CD:" An Introduction to Neuroendoscopy" received a BMA film award.
The production was supported by Codman J&J for £15000.
I produced a subsequent CD-ROM on ICP monitoring as a separate project for J&J.
Refs: 16,17,19,20,29,32
In utero hydrocephalus:
My expertise in Neuroendoscopy led Prof Nicolaides, Foeto Maternal medicine, Kings College London, to contact me regarding a case of in utero hydrocephalus under 20 weeks of gestation and whether this would be treatable by Neuroendoscopy.
Combining our expertise led to the first human in utero NTV under ultrasound guidance and foetal sedation.
To the best of my knowledge this was never repeated by any other clinicians.
Experimental hydrocephalus:
Prof. Yves Ville, Paris France, was aware of my interest in utero surgery and offered me and my Belgian colleague Dr De Keersmaker (Obs Gyne) the opportunity to run a concise experimental program in foetal sheep at the INRA (Institut National de Recherche Animale, Poissy, France) aiming to:
1) create a repeatable model of foetal hydrocephalus
2) to do a in utero neuroendoscopy and analyse the effect and pathology created by the endoscopy
The model proved highly successful. We created hydrocephalus by injecting maternal blood into the ventricles of the foetus and did in utero endoscopies at a later stage.
As ancillary we injected blood into the subdural space of some and found the blood resorbed spontaneously leading to three conjectures:
- Congenital hydrocephalus e.g. aqueduct stenosis, can be caused by small volume gestational intraventricular bleeds.
- Intracranial blood can spontaneously resorb, which is now being seen by maternal ultrasound ad MRI.
- All sheep proceeded to term and at birth no scarring or adverse effect of the endoscopy was found. Pathology confirmed the presence of the endoscopy tract and the presence of hydrocephalus.
Refs: 89
Modeling of CSF flow:
At the start of my appointment I set up a team of engineers to simulate the flow of CSF in the human brain. This required the input of imaging specialists, fluid dynamics engineers and me.
The program evolved from experimental to theoretical modeling based on 3-D reconstruction at first of segments of the brain and currently a full brain model.
The entire process has taken the full 15 years of my appointment to come close to closure.
We are currently able to begin to validate the modeling with our early mathematical simulations with MRI.
Refs: 65,79,81,84,98,99,101,116,117
Virtual reality:
The imaging necessary to completed the rapid prototype models of the brain for the simulation program proved to be of use for the creation of a fly through VR model of the human ventricular system.
The model made in collaboration with the former CIMI is the only one of its kind and was used for teaching at the endoscopy courses.
Virtual reality brain surgery:
In response to an EPSRC call for projects regarding modeling of deformable surfaces using boundary elements, a team of engineers, IT specialists and me came together to build a model of the brain using the previously used acquisition techniques, that can be touched and operated on in VR.
This was supported by a £300000 EPSRC grant, with a follow on Lachesis grant of £10000.
Refs.VR&VRsurg.: 27,28,41,44,59,80,96,97,103,104,105,106,107,110,111,112,113,124
Future:
The Neuroenodoscopic activity has achieved its goal as this is now an accepted technique, available to most Neurosurgical Centres and teaching is done locally.
The VR progams although seen as very interesting couldn't attract funding to produce a commercially viable product.
The remaining program is the CSF flow dynamics program that had to wait until MRI technology caught up with the advanced ideas. We are now on the brink of validating out early theoretical work with MRI flow studies.
These flow studies have clinical implications, not only for the treatmen of hydrocephalus but also for more general "drug delivery" work taking place both theoretically and in clinical practice.
Particle dispersion in the ventricles was simulated by Computerised Fluid Dynamics and experimentally leading to the discovery on flow jets and potential stagnation pools in the ventricles.
Teams:
VR:
CIMI group
Mecahnical Engineering, Computer Science
CSF flow:
Mechanical Engineering
Fluid hydrodynamics
PhD students:
Mohammed Zainy,
Shadha Amourrah,
Leo Howden,
Jonathan Thewlis
Other simulation:
Because of my interest in simulation and specific clinical expertise I was asked by bioengineering to participate in a project on brain trauma. Ultimately the very current topic of "Shaken Baby" was chosen.
The experimental project defined possible thresholds for injury taking into account the angular velocities during shaking e.g. non-traumatic velocities, a concussive range and traumatic velocities.
Team:
Biomechanics
PhD student:
David Wolfson
Ref: 95,109
Clinical drug delivery:
Intrathecal Baclofen:
I've been involved in clinical drug delivery since the late 1980"s, mainly dealing with intrathecal drugs for leptomeningeal cancer.
Implantable drug delivery systems were used in adult practice but only sporadically used in children in the US in mid 1990's.
From the start of my appointment I began setting up a program for Intrathecal Baclofen (ITB) for spasticity in children. The program was resisted by healthcare managers, politicians and the press became involved and from what was seen as a dangerous experimental procedure, the service at NUH became a standard of practice.
I now have the largest homogenous series of single surgeon implants (250 since 1998 to this year 2011).
Aside from the vast commitment of clinical time, the program has given important information obtained from a now mature database and has answered a number of historical misconceptions and opinions:
- the position of the catheter tip is irrelevant
- Baclofen is effective in metabolic dystonia
- Withdrawal syndrome is not a pharmacological effect of baclofen
- Baclofen can be used in the very young because of the development of a personal implant technique
- Deep brain stimulation and ITB are a conjunctive treatment
Outcome studies on 60 children are being prepared for publication and a global review of the entire activity is being done by Dr Amr Ammar, PhD student.
Refs: 67,72,77,82,87,88,90,91,92,93,94,100,108,114,115,123,126,131,132,136
Teaching:
I currently reach European Course under the European Continuous Medical Training label at NUH, specifically on spasticity and movement disorders in children. The ECMT courses are held twice a year at NUH and attract people from across the world and is the only course of its kind.
I also run training activities abroad with industrial sponsorship, for clinicians who wish to operate on difficult cases, very young children or need help selecting patients.
Courses were held in:
NUH, Nottingham
Children's Hospital Zurich, Switzerland
Neurosurgical Centre Kuwait City, Kuwait
Neurosurgical Centre Riyad, Saudi Arabia
Neurosurgical Centre Dubai, Dubai
Neurosurgical Centre Teheran, Iran
Military Hospital Amman, Jordan
Children's Hospital Bellinzona, Switzerland
Teaching material:
Along the same format as my previous electronic publications the following were produced:
-Spasticity in children, CD-ROM
-Intrathecal baclofen, DVD
-ECMT Subfascial implant, DVD
In progress, ECMT label:
-Test Dose, DVD
-Selective Dorsal Rhizotomy, DVD
-Deep Brain Stimulation in children, DVD
Other Intrathecal drugs:
Building on the experience with Intrathecal baclofen and having come to the conclusion after 25 years of surgery that another approach to CNS disease is necessary, I approached Prof. Walker, Paediatric Oncology, to jointly start a program of Intrathecal chemotherapy for childhood brain tumours.
We have treated 15 children with varying success, which has given anecdotal evidence. This has evolved into a toxicity study and a projected Phase 1 trial for the use of Etopoide in relapsed medulloblastoma.
The project is supported by a £62000 MRC grant.
Refs: 118,119,120,125,133
Future:
Aside from the Intrathecal chemotherapy the Intrathecal route can be used for a number of CNS diseases, specifically for the pathologies where therapy compliance is an issue: Epilepsy, dementia, Alzheimer, depression, schizophrenia.
Robotics:
Because of my experience with VR, simulation and interest in technology I was approached by the robotics division of the University of Loughborough to advise on medical robotics. This led to a program intending to develop a medical robot for Neurosurgery.
The project has industrial interest from Renishaw, who produce medical robots.
Refs: 121,127,128,129,130,134,135
Materials- Nanotechnology:
Prof Wood, former Dean of Engineering UoN, approached me for a project regarding disposable instruments. Materials and designs were identified, which led to putting in an exhaustive bid for a European framework project. This led to countless hours of research and reviewing papers, but the bid didn't go forward. The original materials are still up to date ad can be readily used when funding is available.
This interest led me to be introduced to the Rutherford Appleton Laboratories in Didcot.
I became an Honorary Special Scientific Advisor and became acquainted with nanotechnology in all formats, sensor technology and manufcturing.
I am aware that laboratories like RAL have technology that can be readily applied in medicine either on the research side or in direct clinical practice.
These devices currently have a use in industry and are at the stage of needing very little development to be used in medical research or practice.
The relationship with RAL continues.
Summary:
This is brief summary of my academic activity since 1996. Both my clinical and research projects had varied success and progress was slow for some, this due to difficulties acquiring funding or absence compatible technology.
All my projects are interrelated and follow the same theme: simulation and CSF, be it on the more fundamental engineering side or in clinical practice.
The simulation exercises help in teaching and have an impact on how drugs are given to the nervous system.
Conversely clinical practice defined the need for understanding fundamental mechanisms of CSF flow.
The focus for the future is the CSF flow program. MRI validation of the early simulations will allow us track the CSF movement and has direct implications for Intrathecal drug delivery.
Having developed personal surgical techniques and methods for Intrathecal drugs, the teaching and production of teaching material will continue.
Publications:
1 Traumatic Rupture of the Thoracic Aorta
M Vloeberghs, B Cham.
Acta Chirurgica Belgica 1988; 88: 33-38
2 A Patient with Two Chronic Posttraumatic Aneurysms of the Thoracic Aorta
F Caes, B Cham, J Sacre, V Ponikelski, M Vloeberghs, W Welch
Thorac and Cardiovasc Surg 1989; 37(2): 105-106
3 Solitary Dorsal Intramedullar Schwannoma. A Case Report and Review of the Literature
P Herregodts, M Vloeberghs, E Schmedding, A Goossens, T Stadnik
Journal of Neurosurgery 1991; 74(5): 816-820
4 De Craniosynostose en Haar Behandeling
M Vloeberghs, D'Haens.
Tijdschrift Voor Geneeskunde 1991; 47(23), 1607-1611
5 Spinal Arachnoiditis Mimicking a Spinal Cord Tumour. A Case Report and Review of the Literature
M Vloeberghs, J D'Haens.
Surg Neurol 1992; 37: 211-215
6 Acute Management of Posthaemorrhagic Hydrocephalus in the Preterm Infant
M Vloeberghs, J D'Haens.
Child` s Nerv Syst 1992; 8: 173-174
7 A Patient with Two Upper Lumbar Disc Herniations
M Vloeberghs, J Noterman, M Levivier, D Baleriaux, J Brotchi
Acta Orthopedica Belgica 1992; 58(3): 340-342
8 An Uncommon Evolution of a Neurogenic Sarcoma
M Vloeberghs, R Sacre, A Goossens, A Michotte, J D`Haens
Acta Neurologica Belgica 1992; 92: 157-164
9 The Value of Stereotactic Procedures in Children
M Vloeberghs, D Jellinek, K Robson, G Turner, J Punt
Child`s Nerv Syst 1993; 9: 362
10 The Value of Stereotactic Brain Biopsy in Paediatric Neurosurgery
D Jellinek, M Vloeberghs, G Tuner, K Robson, J Punt
J Neurol Neurosurg Psychiatry 1993; 56(12): 1336
11 Management of Multifocal Primitive Neuroectodermal Tumours
M Vloeberghs, J Punt, J Leggate, D Walker, M Sokal, T Jaspan, K Robson
Medulloblastoma 1993. Proceedings of the 5th International Symposium on Paediatric Neuro-Oncology and the 2nd Consensus Conference on Paediatric Neurosurgery 1993
12 Transorale Toegang Van de Hoge Cervicale Zuil: 2 Gevallen
M Vloeberghs, J Vangeneugden, J De Keizer, N De Klippel, J D`Haens
Acta Neurologica Belgica 1994; 94: 212
13 Third Ventriculostomy Using the "Air Bubble" Technique
M Vloeberghs, J Vangeneugden, T Stadnik, J D`Haens
Acta Neurologica Belgica 1995; 95: 119
14 Endoscopic Retrieval of a Blocked Ventricular Catheter and Endoscopic Catheter Reinsertion
M Vloeberghs, J Vangeneugden, J D`Haens
Acta Neurologica Belgica 1995; 95: 121
15 Neuroendoscopy in the Management of Childhood Hydrocephalus
J Punt, M Vloeberghs
J Neurol Neurosurg Psychiatry 1996; 61: 228
16 The Teaching of Neuroendoscopy by Computer Assisted Learning (CAL)
M Vloeberghs, J Punt, MTerrett
Acta Neurologica Belgica 1996; 96
17 A Computer Assisted Learning Program for Neuroendoscopy
M Vloeberghs, J Punt, M Terrett
WWW.igs.wiley.com 4/1996
Image Guided Surgery online section
18 Neuroendoscopy. The Renaissance
M Vloeberghs
International Federation for Hydrocephalus and Spina Bifida (IFHSB)
Federation Focus 1996:11
19 Computer Assisted Learning in Neuroendoscopy
M Vloeberghs, J Punt, M Terrett
Child`s Nerv Syst 1996; 12: 365
20 A Computer Assisted Learning Program for Neuroendoscopy
J Punt, M Vloeberghs, M Terrett
Child`s Nervous System 1996; 12: 485
21 Neuroendoscopy.The Renaissance
M Vloeberghs
International Federation for Hydrocephalus and Spina Bifida (IFHSB)
Federation Focus 1997: 22
22 Third Ventriculostomy. Reinventing the Wheel
M Vloeberghs
LINK Magazine. Hydrocephalus Network News 1997: 168
23 Third Ventriculostomy and Flying
M Vloeberghs
Lift Magazine 1997; Autumn: 8
24 A Neuroendoscopic Approach to Lilliequist`s Membrane
N Buxton, M Vloeberghs, J Punt
Clin Anat 1997; 10(5): 353
25 Should Shunts be Revised When Neuroendoscopic Third Ventriculostomy is Available?
C Mallucci, M Vloeberghs, J Punt
Br J Neurosurg 1997; 11: 473
26 Liliequist's Membrane. A Re-examination of its Importance
N Buxton, M Vloeberghs, J Punt
Surgical and Radiological Anatomy, J Clinical Anatomy 1997; 19(4) Suppl: 14
27 A Virtual Reality Model of the Human Ventricular System
M Vloeberghs, F Hatfield, F Daemi
Computer Integrated Surgery 1997; Suppl ISSN 1092-9088
28 A Rapid Prototype Model of the Human Ventricular System
M Vloeberghs, F Hatfield, F Daemi
Computer Integrated Surgery 1997; Suppl ISSN 1092-9088
29 Computer Assisted Learning Packages in Neurosurgery
M Vloeberghs, M Terrett, J Punt
Computer Aided Surgery 1997; 2(5): 298
30 Neuroendoscopic Third Ventriculostomy: The First Line Treatment for Blocked Ventriculo-Peritoneal Shunts?
C Mallucci, M Vloeberghs, J Punt
Child's Nerv Syst 1997; 13: 498
31 Neuroendoscopic Third Ventriculostomy: The First Line Treatment for Blocked Ventriculo-Peritoneal Shunts?
C Mallucci, N Buxton, M Vloeberghs, J Punt
Eur J Pediatr Surg 1997; 7( suppl 1): 111
32 A Computer Assisted Learning (CAL) Package for Neuroendoscopy
M Vloeberghs, J Punt, M Terrett
Br J Neurosurg 1998; 12: 504
33 Monstrous Skull Osteomas in a Probable Case of Gardner's Syndrome: Case Report
J Noterman, N Massager, M Vloeberghs, J Brotchi
Surg Neurol 1998; 49(3): 302-305
34 Neuroendoscopic Third Ventriculostomy in the Management of Childhood Hydrocephalus
Michael Vloeberghs
Proceedings of the International Symposium on Spina Bifida 1998, MS No 11-3-4
35 Slit Ventricle Syndrome
M Vloeberghs
LINK Magazine. Hydrocephalus Network News 1998; 173: 3
36 Neuroendoscopic Ventriculostomy for Childhood Hydrocephalus. 1998 Update
M Vloeberghs
Back Up 1998; 27: 7
37 Primary Neuroendoscopic Third Ventriculostomy for Hydrocephalus
N Buxton, C Mallucci, D Macarthur, I Robertson, M Vloeberghs, J Punt
Br J Neurosurg 1999; 13(2): 227-228
38 Liliequist's Membrane in Minimally Invasive Endoscopic Neurosurgery
N Buxton, M Vloeberghs, J Punt.
Clin Anat 1998; 11(3): 187-190
39 Ruptured Fusiform Cerebral Aneurysm in a Neonate
M Tan, N McConachie, M Vloeberghs
Child's Nerv Syst 1998; 14(9): 467-469
40 Primary Neuroendoscopic Third Ventriculostomy for Hydrocephalus
N Buxton, C Mallucci, D Macarthur, I Robertson, M Vloeberghs, J Punt
Br J Neurosurg 1999; 16(4): 312
41 Soft Tissue Rapid Prototyping in Neurosurgery
M Vloeberghs, M Daemi, f Hatfield, P Dickens
Computer Aided Surgery 1998; 3(2): 95-97
42 Neuroendoscopy in the Premature Population
N Buxton, D Macarthur, C Mallucci, J Punt, M Vloeberghs
Child's Nerv Syst 1998; 14(11): 649-652
43 Neuroendoscopy in Children Under One Year of Age
M Vloeberghs, J Punt
Minim Invas Neurosurg 1998; 41: 126
44 A Virtual Reality Model of the Human Ventricular System
M Vloeberghs, F Daemi, J Demeshki, F Hatfield
Minim Invas Neurosurg 1998; 41: 126
45 Primary Neuroendoscopic Third Ventriculostomy in Patients Less Than One Year of Age. N Buxton, D McArthur, C Mallucci, J Punt, M Vloeberghs
Eur J Paediatr Surg 1998; 8(Suppl 1): 9
46 Neuroendoscopic Third Ventriculostomy in Patients Less Than One Year Old
N Buxton, D Macarthur, C Mallucci, J Punt, M Vloeberghs
Pediatr Neurosurg 1998; 29(2): 73-76
47 The Role of Neuroendoscopy in the Management of Brain Tumours
D Macarthur, N Buxton, J Punt, M Vloeberghs
Medical and Pediatric Oncology 1998; 31(4): 204
48 The Role of Neuroendoscopy in the Management of Brain Tumours
D Macarthur, N Buxton, J Punt, M Vloeberghs
J Neuro-Oncology 1998; 39(2): 105
49 Listeria Monocytogenes Meningitis in a Penicillin-allergic Paediatric Renal Transplant Patient
V Weston, J Punt, M Vloeberghs, A Watson, P Ispahani
Journal of Infection 1998; 37(1): 77-78
50 Endoscopy in Neurosurgery
J Punt, M Vloeberghs
Min Invas Ther and Allied Technol 1998; 7(2): 159-170
51 Flexible Neuroendoscopic Treatment of Suprasellar Arachnoid Cysts
N Buxton, M Vloeberghs, J Punt
British Journal of Neurosurgery 1999; 13(2): 316-318
52 Improved Safety of Neuroendoscopic Third Ventriculostomy by Using an Operative Doppler Ultrasound Probe
M Vloeberghs, M Cartmill
Neurosurgical Focus 1999; 6(4): Article 13
53 Constructive Interference in Steady State in Neuroendoscopy
R Laitt, C Mallucci, N McConachie, T Jaspan, M Vloeberghs, J Punt
Neuroradiology 1999; 41(2): 117-123
54 Hydrocephalus in Poland. An inside view
M Vloeberghs
Back Up 1999: 7
55 Sinus Pericranii
N Buxton, M Vloeberghs
Pediatr Neurosurg 1999; 30(2): 96-99
56 Third Ventriculostomy
M Vloeberghs
Hydrocephalus and You. ASBAH 1999; 20-21
57 Slit Ventricle Syndrome
M Vloeberghs
Hydrocephalus and You. ASBAH 1999; 24-26
58 Neuroendoscopic Management of Shunt Complications
M Vloeberghs, C Mallucci, J Punt
Spina Bifida 1999; July: 207-211
59 3-D Visualisation of the Human Ventricular System
S Bassi, F Hatfield, J Demeshki, F Daemi, M Vloeberghs
Br J Neurosurg 1999; 13(5): 526
60 The Use of Transendoscopic Doppler Ultrasound as a Safety Enhancing Measure During Neuroendoscopic Third Ventriculostomy
M Cartmill, M Vloeberghs
Eur J Paediatr Surg 1999; 9(Suppl 1): 50-51
61 The Use of Transendoscopic Doppler Ultrasound as a Safety Enhancing Measure During Neuroendoscopic Third Ventriculostomy - a Video Presentation
M Cartmill, M Vloeberghs
Br J Neurosurg 2000; 14(3): 276
62 Third Ventricle Width Variations in Patients Undergoing Primary and Secondary Neuroendoscopic Third Ventriculostomies
S Thomson, M Cartmill, M Vloeberghs
Br J Neurosurg 2000; 14(3): 291
63 Endoscopic Third Ventriculostomy: Outcome Analysis of 100 Consecutive Procedures. Letter to the Editor
N Buxton, M Cartmill, M Vloeberghs
Neurosurgery 1999; 45(4): 957-959
64 Role of Repeat Neuroendoscopic Third Ventriculostomy (NTV)
V Gonugunta, N Buxton, M Cartmill, M Vloeberghs
Neurosurgery 2000; 47(2): 540
65 A Parametric Study of Cerebrospinal Fluid Flow in the Human Ventricular System
M Vloeberghs, J Towe, M Zainy, M Cartmill, A Aroussi.
Child's Nerv Syst 2000; 16(8): 535
66 The Use of Transendoscopic Doppler Ultrasound as a Safety Enhancing Measure During Neuroendoscopic Third Ventriculostomy
M Cartmill, M Vloeberghs
Child's Nerv Syst 2000; 16(6): 380
67 Intrathecal Baclofen for the Management of Spasticity in Children with Cerebral Palsy within the United Kingdom
M Vloeberghs, M Cartmill, S Bassi.
Child's Nerv Syst 2000; 16(8): 540
68 Neuroendoscopic Third Ventriculostomies for Hydrocephalus in Adults
N Buxton, K Ho, J Punt, M Vloeberghs, I Robertson
Br J Neurosurg 2000; 14(1): 75
69 Multivariate Statistical Analysis to Predict Outcome in Neuroendoscopic Third Ventriculostomies
M Vloeberghs, A Skene, M Cartmill
Br J Neurosurg 2000; 14(5): 517
70 The Use of Transendoscopic Doppler Ultrasound as a Safety Enhancing Measure During Neuroendoscopic Third Ventriculostomy
M Cartmill, M Vloeberghs
Child's Nerv Syst 2000; 16(8): 537
71 The Fate of the Cerebrospinal Fluid after Neuroendoscopic Third Ventriculostomy
M Cartmill, M Vloeberghs
Child's Nerv Syst 2000; 16: 879-881
72 The Effectiveness of Intrathecal Baclofen in the Management of Patients with Severe Spasticity
Co-author of the Working Group on Acute Purchasing, Trent Institute for Health Services Res earch
Scharr Report on Intrathecal Baclofen Therapy 2000
73 Neuroendoscopic Third Ventriculostomy in Dysmorphic Brains
M Cartmill, M Vloeberghs
Child's Nerv Syst 2001; 17: 391-394
74 Neuroendoscopy in the Management of Brain Tumours
D Macarthur, N Buxton, M Vloeberghs, J Punt
Br J Neurosurg 2001; 15(1): 88
75 Neuroendoscopic Third Ventriculostomy for Hydrocephalus in Adults: Report of a Single Unit's Experience with 63 Cases
N Buxton, M Vloeberghs et al
Surg Neurol 2001; 55(2): 74-79
76 Multivariate Statistical Analysis to Predict Outcome in Neuroendoscopic Third Ventriculostomies
M Cartmill, A Skene, M Vloeberghs. British Journal of Neurosurgery, October 2000, vol 14, No 5, p 517
77 The Use of Intrathecal Baclofen in the Management of Spasticity in Children with Cerebral Palsy
M Vloeberghs, M Cartmill, S Bassi. B. British Journal of Neurosurgery, Dec 2001, vol 15, No 6 p546.
78 The effectiveness of neuroendoscopic interventions in children with brain tumours.
D. Macarthur, N. Buxton, M. Vloeberghs, J. Punt.
Child's Nervous System (2001) 17:589-594
79 A parametric study of cerebrospinal fluid flow in the human ventricular system.
M. Vloeberghs, A. Aroussi, M. Zainy, M. Cartmill.
Child's Nervous System (2000) 16, 8, 535
80 A virtual reality model of the human ventricular system.
A. Aroussi, M. Vloeberghs, M. Zainy.
9th Millennium International Symposium on Flow visualisation, Edinburgh 2000, CD- ROM.
81 Cerebrospinal Fluid Dynamics.
A. Aroussi, M. Zainy, M. Vloeberghs
9th Millennium International Symposium on Flow visualisation, Edinburgh 2000, CD-ROM.
82 The clinical outcome of the treatment of spasticity of cerebral origin with Intrathecal Baclofen varies with age.
Early treatment is advised.
M. Vloeberghs, M. Cartmill.
Proceedings of the EANS winter meeting 2/2002, Adults and Children: Impact of the age on neurosurgical diseases.
83 The influence of age, aetiology and procedure type on the outcome of neuroendoscopic third ventriculostomy assessed with multivariate analysis.
M. Cartmill, M. Vloeberghs, A. Skene.
Procedings of the EANS winter meeting 2/2002, Adults and Children:Impact of the age on neurosurgical diseases.
84 The Use of Intrathecal Baclofen in the Management of Spasticity in Children with Cerebral Palsy
M Vloeberghs, M Cartmill, S Bassi.
Child's Nervous System, 2002; 18/8:540
85 Changes in third ventricular size with neuroendoscopic third ventriculostomy.
N. Buxton, B. Turner, N. Ramli, M. Vloeberghs
JNNP, Mar, 72 (3):385-387, 2001
86 The role of neuroendoscopy in the management of brain tumours.
Vloeberghs M., Macarthur D, Robertson I.
Br J Neurosurg. 2002, Oct, 16(5):465-70. PMID: 12498490
87 Intrathecal Baclofen in the management of spasticity due to cerebral palsy in children.
M. Vloeberghs Requested by The Journal of the British Association of Bobath Trained Therapists. 3/2002
88 Intrathecal Baclofen in the management of spasticity in children.
M. Vloeberghs. Requested by Advances in Clinical Neuroscience & Rehabilitation. 6/2002
89 Experimental Hydrocephalus in Sheep: a validation experiment for neuroendoscopy.
M. Vloeberghs, B. Dekeersmaecker, Y.Ville
Childs Nervous System (2003), Vol. 19, No 7-8, 605
90 Aspects of the treatment of spasticity due to cerebral palsy in children with Intrathecal Baclofen.
M. Vloeberghs, J. Fitzgerald, M. Tsegaye, M. Cartmill
Childs Nervous System (2003), Vol. 19, no 7-8, 634
91 Management of Spasticity in Children with Cerebral Palsy, A National Randomised Controlled Study on Intrathecal Baclofen.
Rachel Keetley, Richard Morton, Michael Vloeberghs.
ACNR,Vol 4, no 1, p.16-19, March April 2004.
92 Intrathecal baclofen in the management of spasticity due to cerebral palsy.
M. Vloeberghs, ACNR, vol 2, no 4, Sept 2002.
93 Treatment of childhood spasticity of cerebral origin with intrathecal baclofen: a series of 52 cases. J. Fitzgerald, M. Tsegaye, M. Vloeberghs. British Journal of Neurosurgery, June 2004.
94 Management of childhood spasticity with intrathecal baclofen. Requested by Paediatric Rehabilitation. M. Vloeberghs, R. Keetley, R. Morton. 6/2005.
95 Rigid Body Modelling of Shaken Baby Syndrome in press with the Journal of Engineering in Medicine D R Wolfson, D McNally, M Clifford, M Vloeberghs Proceedings of the ID,IMechE Part H:J. Engineering in Medicine. H04204ImechE 2005, p 63- 70.
96 "Application of the Boundary Element Method to the Simulation of Surgery including Haptic Feedback" Wang , P., Becker, A.A., Glover, A.T., Benford, S. D., Greenhalgh, C. M. , Vloeberghs M. and Jones, I. A., , Proceedings of the Seventh International Conference on Computational Structures Technology, Lisbon, 7-9 September 2004, B.H.V. Topping and C.A. Mota Soares, (Editors), Civil-Comp Press, Stirling, 2004.
97 Cerebro spinal Fluid Dynamics in the Aqueduct of Sylvius Aroussi A, Zainy M, Vloeberghs M,. Proceedings of the 9th International Symposium on Flow Visulisation. Edinburgh. 2000.
98 Simulation of Human Cerebrospinal Fluid Flow. Aroussi A, Vloeberghs M, Etchell S, Gransden J, Latimer R, Giddings D, Proceedings of the 11th International Symposium on Flow visualisation. Notre Dame University, 2004.
99 Physical and numerical modelling cerebrospinal fluid behaviour for drug delivery to the leptomeninges D.Walker, S.Ammourah, A.Aroussi, M.Garnett, D.Giddings, L.Howden, H.Power, & M.Vloeberghs. 6th Meeting of the European Association for Neuro-Oncology, Edinburgh, 2005
100 Intrathecal Baclofen in the management of spasticity due to cerebral palsy.M. Vloeberghs, R. Keetley, R. Morton, Pediatric Rehabilitation On Line. Taylor & Francis eds. DOI 10.1080/13638490400011165. 3/12/2004
101 Three Dimensional Cerebrospinal Fluid Flow Within the Human Ventricular System. Proceedings of PSFVIP-5 Howden L, Aroussi A, Vloeberghs M, , 5th Pacific Symposium on Flow Visualisation and Image Processing, 27-29 September, 2005, Australia.
102 Decision making in paediatric brain tumours a neurosurgical perspective. M. Vloeberghs, Current Paediatrics, Vol 15, Issue 5, p 406-411, Oct 2005.
103 "Virtual Reality Surgery Simulation using Haptics and Boundary Element Techniques". Wang P., Glover T., BeckerA., Jones A., Benford S., Greenhalgh C. and Vloeberghs M, "World Haptics Conference, March 18-20, 2005. (Poster reproduced in proceedings, poster refereed)
104 Virtual reality simulation of surgery with haptic feedback based on the Boundary Element Method. P. Wang, A.A. Becker, I.A. Jones, A.T. Glover, S.D. Benford, C.M. Greenhalgh and M. Vloeberghs . Submitted in April 2005 to "Computers and Structures"
105 "Application of the Boundary Element Method to the simulation of surgery including haptic feedback" Wang P., Becker A.A., Glover A.T., Benford S. D., Greenhalgh C. M., Vloeberghs M. and Jones I. A., Accepted for presentation at Seventh International Conference on Computational Structures Technology, Lisbon (CST 2004), 7-9 September 2004 (11 pages)
106 "Designing a Virtual Reality Simulator for Neurosurgery". Wang P., Becker A. A., Glover A.T., Jones I. A., Benford S. D., Vloeberghs M. and Greenhalgh C. Virtual Reality International Conference, 18 - 22 April 2005, Laval, France (5 pages, paper refereed)
107 3-D Visualisation of fluid flow within the human centreal nervous system. A. Arousi, L. Howden, M. Vloeberghs. Proceedings of the 2nd International Conference on distributed Frameworks for multimedia applications 14-17 May 2006, Penang, Malaysia.
108 A clinical Study of Intrathecal Baclofen Using a Programmable Pump for Intractable Spasticity. D. Guillaume, A Van Haverberg, M. Vloeberghs, J. Vidal, G. Roste. Archives of Physical Medicine and Rehabilitation, American Academy of Physical Medicine & Rehabilitation. November 2005, vol. 86, No 11, 2165-2171.
109 Pitfalls in the laboratory investigation of suspected non-accidental head injury (NAHI) in infants: The need for a recognized protocol. J. Clayton, M. Vloeberghs. British Journal of Neurosurgery, August 2004, Vol. 18, Number 14.
110 A virtual reality surgery simulation of cutting and retraction in neurosurgery with force-feedback, Wang, P., Becker, A. A., Jones, I. A. , Glover, A.T., Benford, S. D., Greenhalgh, C. M. and Vloeberghs, M., J. Computer Methods & Programs in Biomedicine, accepted July 2006 (in press).
111 Computational mechanics in virtual reality: cutting and tumour interactions in a boundary element simulation of surgery on the brain. I.A. Jones, A.A. Becker, A.T. Glover, P. Wang, S.D. Benford, M. Vloeberghs, C.M. Greenhalgh. Applied Mechanics and Materials, Vol. 5-6 (2006), pp.55-62.
112 Virtual reality simulation of surgery with haptic feedback based on the boundary element method. P. Wang, A. Becker, I. Jones, A. Glover, S. Benford, C. Greenhalgh, M. Vloeberghs. J. Computers and Structures, Vol. 85, 331-339 (2007).
113 Virtual Neurosurgery; training for the future. M. Vloeberghs, T. Glover, S. Benford, A. Jones, A. Becker, P. Wang. British Journal of Neurosurgery, vol 21, No 3, p 262- 268, 7/2007.
114 The role of Intrathecal Baclofen in the management of primary and secondary dystonia in children. K. Woon, M. Tsegaye, M. Vloeberghs. British Journal of Neurosurgery, vol. 21, No 4, p 355-358, 8/2007.
115 Position of the Intrathecal Baclofen catheter in the spine for spasticity-Does it matter? G. Sivakumar, M. Tsegaye, M. Vloeberghs. FP12.7, XXXVII, Acta Neurochirurgica, The European Journal of Neurosurgery, Special edition. 9/ 2007.
116 Intrathecal Baclofen in children, a review of 160 implants and preliminary results of the randomised controlled trials. M. Vloeberghs. FP35.1, C, Acta Neurochirurgica, The European Journal of Neurosurgery, Special edition. 9/2007.
117 Placement of Intrathecal Baclofen pump catheters through posterior cervical approach in the paediatric population. G. Sivakumar, M. Vloeberghs. P24.08, CXCVII, Acta Neurochirurgica, The European Journal of Neurosurgery, Special edition, 9/ 2007.
118 Treatment of CNS tumours by targeted drug delivery: Intrathecal chemotherapy for brain tumours. Michael Vloeberghs, Richard Grundy , David Walker. ST-15, Neuro-Oncology, p.601, 10/2007.
119 Intrathecal Chemotherapy delivered by a lumbar-thecal catheter in metastatic medulloblastoma: a case illustration. J. Clayton, M. Vloeberghs, T. Jaspan, D. Walker, D. MacArthur, R. Grundy. Acta Neurochirurgica, DOI 10.1007/s00701-008-1577-y, 2008. (on-line)
120 Intra Thecal Chemotherapy (ITC) for Central Nervous System Tumours. M. Vloeberghs, D. Walker, R. Grundy. Proceedings of the 2nd World Congress on Controversies in Neurology (CONY). Athens, Greece, October 23-26, 2008
121 A registration framework for preoperative CT to white light images. M. Gooroochurn, M. Ovinis, D. Keer, K. Baozza-Marouf, M. Vloeberghs. Proceedings of Medical Image Understanding and analysis, 2009, p. 184-188.
123 Consensus on the appropriate use of IntraThecal Baclofen (ITB) therapy in paediatric spasticity. European ITB working party, M. Vloeberghs Co author. European Journal of Paediatric Neurology, Vol. 14, Issue 1, p 19-28, January 2010.
124 Real-time surgical simulation for deformable soft tissue objects with a tumour using boundary element techniques. P. Wang, A. Becker, A. Jones, I. Glover, S. Benford, M. Vloeberghs. Journal of Physics, Conference series 181 (2009), Proceedings of the Seventh International Conference Modern Practice in Stress and Vibration Analysis, 8-10 Sep 2009, Cambridge.
125 Medulloblastoma in childhood, revisiting IntraThecal Chemotherapy in infants and children. S. Conroy, M. Garnett, M. Vloeberghs, R. Grundy, I. Craven, D.Walker. Cancer Chemotherapy Pharmacology, DOI10.1007/S00280-009-1127-1, Sept. 2009.
126 Intrathecal Baclofen therapy for spasticity of cerebral origin-does the position of te intrathecal catheter matter. G. Sivakumar, Y. Yap, M, Tsegaye, M. Vloeberghs. Child's Nervous System, DOI 10.1007/s00381-010-1124-z, published on-line 20 March 2010.
127 A methodology for design and appraisal of surgical robotic systems. M.D. O'Toole, K. Boazza-Marouf, D.Kerr, M. Gooroochurn, M. Vloeberghs. Robotica, vol. 28, pp. 297-310, Mar 2010.
128 Evaluation of robotics in surgery:clinical need and efficacy. Mobile Robotics: Solutions and Challenges-12th International conference on climbing and walking robots. M. O' Toole, K. Bouazza-MArouf, D. Kerr, M. Vloeberghs. World Scientific, 2009, pp. 233-241.
129 Analytical safety in autonomous surgical drilling. Mobile Robotics: Solutions and challenges-12th International Conference on climbing and walking robots. M. O' Toole, K. Bouazza-Marouf, D. Kerr, M. Vloeberghs. World Scientific, 2009, pp.242-249.
130 Sliding contact mode force control for slip prevention in a robotic gripper. Mobile Robotics: Solutions and challenges-12th International conference on climbing and walking robots. M. O' Toole, K. Bouazza-Marouf, D. Kerr, M. Vloeberghs. World Scientific, 2009, pp. 327-334.
131 Insertion of intrathecal Baclofen implant by modified subfascial techniqueas to subcutaneous placement of implant in children. A. Ammar, G. Sivakumar, I. Ughratdar, M. Vloeberghs. Proceedings of EANS, 25-28 March Groningen. Abs 255.
132 Intrathecal Baclofen catheter complications in children. A. Ammar, G. Sivakumar, I. Ughratdar, M. Vloeberghs. Proceedings of EANS, 25-28 March, Groningen. Abs 295.
133 Combined systemic and intra-CSF chemotherapy in the treatment of primary brain tumour leptomeningeal metastases. I. Jalloh, I Graham, J. Clayton, N. Whitehead, T. Jaspan, R. Grundy, D. Walker, M. Vloeberghs. Proceedings of Joint meeting of the Society for Neuro-oncology (SNO) and the American Association of Neurological Surgeons/ Congress of Neurological surgeons. Section on Tumours, Neuro-oncology 2009, 11(5):563-699.
134 Machine vision for the inspection of surgical tasks: Applications to robotic systems. M. Ovinis, D. Kerr, K. Bouazza-Marouf, M. Vloeberghs. Proceedings of the International conference on Machine Vision. Amsterdam, Netherlands, Vol. 70, pp.338-344, 2010.
135 Localisation of soft anatomical tissue landmarks of the head in CT images. M. Ovinis, D.Kerr, K. Bouazza-Marouf, M. Vloeberghs. Proceedings of the International conference on Machine Vision, Amsterdam, Netherlands, Vol. 70, pp. 752-758, 2010.
136 Status Dystonicus resembling the intrathecal Baclofen withdrawal syndrome: a case report and review of the literature. W. Muirhead, I. Jalloh, M. Vloeberghs. J. Medical Case Reports. Aug. 31; 4:294, 2010.
137 Three dimensional cerebrospinal fluid flow within the human central nervous system. L. Howden, D. Giddings, H. Power, M. Vloeberghs. American Mathematical Society. October 2010.
ELECTRONIC PUBLICATIONS
1 An Introduction to Neuroendoscopy
Computer based tutorial system on CD-ROM
M Vloeberghs, J Punt, M Terrett as 2nd Messenger in collaboration with Hypertech Multimedia and Johnson & Johnson, 1996
2 An Introduction to Intracranial Pressure Monitoring
Computer based tutorial system on CD-ROM
M Vloeberghs, J Punt, M Terrett as 2nd Messenger in collaboration with Hypertech Multimedia and Johnson & Johnson, 1997
3 Intrathecal Baclofen in the Treatment of Children with Cerebral Palsy.
Interactive CD-ROM with patient and clinician information.
M. Vloeberghs, Media Centre UoN, Medtronic, 2003
4 Injury in Microgravity. Interactive CD-ROM on the progress of Space Medicine. M. Vloeberghs 2004.
5 ECMT DVD, Drug delivery implant technique. M. Vloeberghs, 11/2004, sponsored by the European Centre for Medical training.
6 DVD, ITB in the management of spasticity in children. M. Vloeberghs. 2009
Recent Publications
2012. cervical implantation of intrathecal baclofen pump catheters in children with severe scoliosis. journal of neurosurgery (US Paeds). (In Press.)
2012. Goals and outcomes for non-ambulany children receiving continuous infusion of intrathecal baclofen. european journal of paediatric neurology.. (In Press.)