Dr Nicholas Silver

Consultant Neurologist
MBBS, FRCP, PhD

Practising at

Spire Cheshire Hospital

Spire Murrayfield Hospital Wirral

Treatment information

Some of the principal treatments carried out by Dr Nicholas Silver at Spire include:

Other treatments

Headache, facial pain, unexplained neurological symptoms, epilepsy, neurological sleep disorders, restless legs syndrome, dizziness and vertigo, chronic fatigue, multiple sclerosis and Parkinson's disease.

Professional profile

I qualified in medicine in 1989 and trained to registrar level in general medicine prior to specialising in neurology. My PhD involved four years of dedicated research at the NMR Research Unit, Institute of Neurology (Queen Square, London) investigating magnetic resonance imaging techniques to evaluate and understand (1) inflammatory neurological disorders such as multiple sclerosis, (2) neurotoxic brain disorders, (3) primary headache disorders, and (4) neuropsychiatric disorders. Clinical neurology training took place at the National Hospital for Neurology and Neurosurgery, Queen Square and Barts and the London NHS Trust.

I treat occipital nerve blocks for headache disorders, multiple cranial nerve blocks for headache disorders, cranial botulinum toxin (Botox) treatment for migraine and headache treatment, non-invasive stimulation (vagal nerve stimulation (gammaCore), trigeminal nerve stimulation (cefaly) and transcranial magnetic stimulation (eNeura) for the non-drug management of headache disorders and facial pain.

At Warrington Hospital, I provide a general inpatient and outpatient neurology service for a full range of neurological disorders (including epilepsy, blackouts, MS, neuropathy, sleep disorders, dementia, stroke, etc.). I run a dedicated clinic for Parkinson’s disease and associated movement disorders.

I am employed by the Walton Centre for neurology and neurosurgery where I run the Headache Service, investigating and treating severe and refractory headache disorders. This service attracts referrals from all over the UK and the Isle of Man. I am also the lead for clinical audit there.

My research interests include non-headache manifestations of migraine and other headache disorders and non-invasive neuro-stimulation and injection therapies for the treatment of headache disorders. I am involved in a number of national and international treatment trials in the field of headache and lead the headache research team at the Walton Centre. I am also involved in treatment trials for idiopathic intracranial hypertension.

Clinical Interests

Headache
Multiple sclerosis
Sleep disorders

Special Clinical Interests: Headache disorders and migraine; Facial pain disorders; Neurological sleep disorders (including restless legs syndrome); Unexplained neurological symptoms (including fibromyalgia, chronic fatigue/ME, disorders of balance, vertigo and dizziness, etc); Parkinson's disease; Epilepsy; multiple sclerosis, inflammatory and toxic disorders of central nervous system and magnetic resonance imaging. I run dedicated clinics for refractory and severe headache disorders with a comprehensive range of management options, including Botox, occipital and multiple cranial nerve blocks, non invasive vagal nerve and transcranial magnetic stimulation.

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Media Coverage

Brain hospital - Saving lives

Qualification and professional memberships

MBBS / London / 1989
Bachelor of Medicine and Bachelor of Surgery

Professional memberships

Association of British Neurologists
Anglo-Dutch Migraine Association
British Neuropsychiatry Association
International Headache Society
British Neuropsychiatry Association
British Sleep Society
Mersey Regional Epilepsy Association
British Medical Association

Professional leadership

Clinical Lead, Headache Service, The Walton Centre, Liverpool
Lead for Clinical Audit, The Walton Centre, Liverpool
Member of Council, British Association for the Study of Headache
Regional Neurology representative to Association of British Neurologists
Member of Standards & Services Committee, Association of British Neurologists
Chairman, Audit Revalidation and Clinical Guidelines Committee, Association of British Neurologists
Regional Neurology Representative, Royal College of Physicians
National Neurology Representative, Clinical Effectiveness Forum, Royal College of Physicians

Current NHS posts

Consultant neurologist, The Walton Centre NHS Foundation Trust.

Financial Interests

Holds less than 0.1% of the shares in Spire Healthcare Group plc.

Private contact details

Telephone	Spire Cheshire - 01925 215 087 Spire Murrayfield, Wirral - 0151 929 5181
Private secretary	Mrs Sheila Marsh
Private secretary telephone	07712 414 607
Private secretary email	medicalsecretary5050@gmail.com