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The Institute of Applied Health Sciences

Dr Carl Counsell

Dr Carl Counsell
Dr Carl Counsell
Dr Carl Counsell

MRCP, MSc, MD

Reader (Clinical)

About
Email Address
carl.counsell@abdn.ac.uk
Office Address

Room 1:009, Polwarth Building Division of Applied Health Sciences University of Aberdeen Foresterhill Aberdeen AB25 2ZD

School/Department
School of Medicine, Medical Sciences and Nutrition

Biography

Carl is a clinical reader and honorary consultant in neurology.  He graduated in medicine from Cambridge University in 1988, did his early postgraduate medical training in London, Newcastle and Falkirk and then trained in neurology, stroke and epidemiology in Edinburgh.  He spent a year in Melbourne where he specialised in movement disorders before taking up his present post in 2001.  A committed Christian, he would like to have more time to serve in his church and develop his interests in Fairtrade and conservation. 

Latest Publications

View My Publications

Research

Research Overview

Carl is a consultant neurologist with subspecialty interest in movement disorders.  His main research interests are in evidence-based medicine and broader aspects of clinical epidemiology such as incidence and prognostic studies, particularly in relation to Parkinson's disease, other movement disorders and stroke.  His team have established several cohorts of parkinsonian patients for long-term follow-up and supported a number of non-industry sponsored clinical trials and Cochrane reviews, whilst also trying to promote multidisciplinary neurology research in Aberdeen. 

Research Specialisms

  • Clinical Medicine

Our research specialisms are based on the Higher Education Classification of Subjects (HECoS) which is HESA open data, published under the Creative Commons Attribution 4.0 International licence.

Current Research

The PINE study: a population-based incidence cohort of people with Parkinson's disease and other parkinsonian disorders, along with their carers and controls who are being followed up lifelong to establish long-term prognosis.

The Parkinson's Incidence Cohorts Collaboration:  an individual patient data meta-analysis of all population- based incidence cohorts of Parkinson's disease to assess prognosis and allow prognostic modelling.     

The Scottish PSP/CBD prevalence cohort:  a cohort of people with two related Parkinson's plus disorders,  Progressive Supranuclear Palsy and Corticobasal Degeneration as well as Parkinson's disease controls, to assess diagnostic and care pathways and prognosis.  

 

Past Research

Cochrane systematic reviews of randomised trials in stroke care and Parkinson's disease

Prognostic modelling in acute stroke

Incidence of Parkinson's disease and other parkinsonian disorders in North-East Scotland 

Prevalence of multiple sclerosis in North-East Scotland and northern isles

Randomised trial of physiotherapy for cervical dystonia

 

Knowledge Exchange

Member of Parkinson's Excellence Network

Collaborations

Cochrane Collaboration Stroke Review Group, Professors Charles Warlow and Peter Sandercock, University of Edinburgh, UK, 1993-98.

Scottish Audit of Intracranial Vascular Malformations, Professor Rustam Al-Shahi Salman, University of Edinburgh, UK, 2002-2014. 

PDMED trial, Professor Carl Clarke, University of Birmingham, UK, 2004-2020.

Clinical trial methods in neurodegenerative diseases, Professor John Zajicek, University of Plymouth, UK, 2009-2014. 

PDCOMM trial, Professor Sackley, University of Nottingham, UK, 2016-2023.

NICE technology appraisals for multiple sclerosis, Universities of Warwick and Exeter, UK, 2016-2022 

Parkinson's Incidence Cohorts Collaboration, Professor Tysnes, Dr Guido Alves, Professor Lars Forsgren, Dr Caroline Williams-Gray, Dr Alison Yarnall, Universities of Stavanger (Norway), Umea (Sweden), Cambridge (UK) and Newcastle (UK), 2018 ongoing 

PD Connect exercise trial, Julie Jones, Robert Gordon University, Aberdeen, UK, 2019-2022 

 

Supervision

Dr Kate Taylor (MD), 2002-06, Incidence and prognosis of parkinsonism in north-east Scotland: a pilot study.

Clare Harris (MSc), 2006-08, PINE participants attitudes to brain donation. 

Dr Robert Caslake (PhD), 2006-11, Incidence and short-term prognosis of Parkinson's disease and other parkinsonian disorders in north-east Scotland.

Dr Elizabeth Visser (MD), 2009-13, Prevalence of multiple sclerosis in northern Scotland.

Dr David McGhee (PhD), 2009-13, Improving clinical trial design in neurodegenerative diseases.

Dr Angus Macleod (PhD), 2012-15, Predicting mortality and dependency in Parkinson's disease.

Dr Diane Swallow (PhD), 2016-21, Assessing diagnostic pathways in progressive supranuclear palsy and corticobasal degeneration.

Funding and Grants

Research funding has been obtained from:

Parkinson’s UK, Scottish Chief Scientist Office, BMA Doris Hillier award, RS Macdonald Trust, BUPA Foundation, NHS Grampian endowments, Dystonia Society, National Institute for Health Research.  

Teaching

Teaching Responsibilities

Lectures and clinical teaching of neurology for medical and dental students.

Supervising medical student elective and MSc projects 

Non-course Teaching Responsibilities

Regent to medical students

Publications

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  • Monoamine oxidase B inhibitors versus other dopaminergic agents in early Parkinson's disease

    Caslake, R., MacLeod, A., Ives, N., Stowe, R., Counsell, C., Cochrane Movement Disorders Group
    Cochrane Database of Systematic Reviews, no. 4, CD006661
    Contributions to Journals: Literature Reviews

  • Anticoagulants for Acute Ischemic Stroke

    Sandercock, P., Counsell, C., Kamal, A. K.
    Stroke, vol. 40, no. 7, pp. 483-484
    Contributions to Journals: Articles

  • Economic burden of intracranial vascular malformations in adults: prospective population-based study

    Miller, C. E., Quayyum, Z., McNamee, P., Al-Shahi Salman, R., SIVMS Steering Committee, Counsell, C. E.
    Stroke, vol. 40, no. 6, pp. 1973-1979
    Contributions to Journals: Articles

  • The presentation and clinical course of intracranial developmental venous anomalies in adults

    Hon, J. M. L., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V., Roberts, R. C., Sellar, R. J., Warlow, C. P., Al-Shahi Salman, R., SIVMS Collaborators
    Stroke, vol. 40, no. 6, pp. 1980-1985
    Contributions to Journals: Articles

  • 'Not taken in by media hype': how potential donors, recipients and members of the general public perceive stem cell research

    Peddie, V. L., Porter, M., Counsell, C., Caie, L., Pearson, D., Bhattacharya, S.
    Human Reproduction, vol. 24, no. 5, pp. 1106-1113
    Contributions to Journals: Articles

  • Acute workload in a neurology department: Has it changed over the past 4 years?

    Derry, C. P., Visser, E. M., Fox, P., Counsell, C. E.
    Autumn Scientific Meeting of the Association of British Neurologists, pp. 456-457
    Contributions to Journals: Abstracts

  • Perioperative management of patients with Parkinson's disease

    Derry, C. P., Shah, K. J., Counsell, C. E.
    Autumn Scientific Meeting of the Association of British Neurologists, pp. 462
    Contributions to Journals: Abstracts

  • The presentation and clinical course of intracranial venous malformations in adults

    Hon, J. M. L., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V., Roberts, R. C., Sellar, R. J., Warlow, C. P., Al-Shahi, S. R., SIVMS Collaborators
    Autumn Scientific Meeting of the Association of British Neurologists, pp. 454
    Contributions to Journals: Abstracts

  • Shape analysis of 123I-N-ω-fluoropropyl-2-β-carbomethoxy-3β-(4-iodophenyl) nortropane single-photon emission computed tomography images in the assessment of patients with parkinsonian syndromes

    Staff, R. T., Ahearn, T. S., Wilson, K., Counsell, C. E., Taylor, K., Caslake, R., Davidson, J. E., Gemmell, H. G., Murray, A. D.
    Nuclear Medicine Communications, vol. 30, no. 3, pp. 194-201
    Contributions to Journals: Articles

  • Parkinson's disease misdiagnosed as stroke

    Caslake, R., Taylor, K. S. M., Counsell, C. E.
    BMJ Case Reports, vol. 2009
    Contributions to Journals: Articles

  • Outcome after spontaneous and arteriovenous malformation-related intracerebral haemorrhage: Population-based studies

    Van Beijnum, J., Lovelock, C. E., Cordonnier, C., Rothwell, P. M., Klijn, C. J., Al-Shahi Salman, R., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V., Roberts, R. C., Sellar, R. J., Warlow, C. P., SIVMS Steering Committee, Oxford Vascular Study
    Brain, vol. 132, no. 2, pp. 537-543
    Contributions to Journals: Articles

  • Changes in quality of life in people with Parkinson's disease left untreated at diagnosis

    Caslake, R., Asimakopoulos, P., Harris, C. E., Gordon, J. C., Taylor, K. S. M., Primrose, W. R., Counsell, C. E.
    Age and Ageing, vol. 38, no. Suppl. 1, pp. i70
    Contributions to Journals: Abstracts

  • Riluzole treatment, survival and diagnostic criteria in Parkinson plus disorders: The NNIPPS Study

    Bensimon, G., Ludolph, A., Agid, Y., Vidailhet, M., Payan, C., Leigh, P. N., Counsell, C. E., NNIPPS Study Group
    Brain, vol. 132, no. 1, pp. 156-171
    Contributions to Journals: Articles

  • General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial

    Counsell, C., GALA Trial Collaborative Group
    The Lancet, vol. 372, no. 9656, pp. 2132-2142
    Contributions to Journals: Articles

  • Patterns of brain arteriovenous malformation treatment

    van Beijnum, J., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V., Roberts, R. C., Sellar, R. J., Warlow, C., Al-Shahi Salman, R., Scottish Intracranial Vascular Malformation Study Collaborators
    Stroke, vol. 39, no. 12, pp. 3216-3221
    Contributions to Journals: Articles

  • Changes in diagnosis with follow-up in an incident cohort of patients with parkinsonism

    Caslake, R., Moore, J. N., Gordon, J. C., Harris, C. E., Counsell, C.
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 79, no. 11, pp. 1202-1207
    Contributions to Journals: Articles

  • Changes in diagnosis with follow-up in an incident cohort of patients with parkinsonism

    Caslake, R., Moore, J., Gordon, J. C., Harris, C. E., Counsell, C.
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 79, no. 11
    Contributions to Journals: Articles

  • Recruitment bias resulted in poorer overall health status in a community-based control group

    Taylor, K. S. M., Gordon, J. C., Harris, C. E., Counsell, C. E.
    Journal of Clinical Epidemiology, vol. 61, no. 9, pp. 890-895
    Contributions to Journals: Articles

  • Anticoagulants for acute ischemic stroke

    Tseng, M., Sandercock, P., Counsell, C. E.
    Chest, vol. 134, no. 2, pp. 466-467
    Contributions to Journals: Letters

  • Changes in quality of life in people with Parkinson's disease left untreated at diagnosis

    Asimakopoulos, P., Caslake, R., Harris, C. E., Gordon, J. C., Taylor, K. S. M., Counsell, C. E.
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 79, no. 6, pp. 716-718
    Contributions to Journals: Articles

  • The incidence and long-term prognosis of parkinsonian disorders in North East Scotland (the PINE Study): methods and initial recruitment

    Caslake, R., Harris, C. E., Gordon, J. C., Counsell, C. E.
    Movement Disorders, vol. 23 , no. Supp. 1, pp. S241
    Contributions to Journals: Articles

  • Developing a sensitive search strategy in MEDLINE to retrieve studies on assessment of the diagnostic performance of Imaging techniques

    Astin, M. P., Brazzelli, M. G., Fraser, C. M., Counsell, C. E., Needham, G., Grimshaw, J. M.
    Radiology, vol. 247, no. 2, pp. 365-373
    Contributions to Journals: Articles

  • Outcome after interventional or conservative management of unruptured brain arteriovenous malformations: a prospective, population-based cohort study

    Wedderburn, C. J., van Beijnum, J., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V., Roberts, R. C., Sellar, R. J., Warlow, C. P., Al-Shahi Salman, R., SIVMS Collaborators
    The Lancet neurology, vol. 7, no. 3, pp. 223-230
    Contributions to Journals: Articles

  • Differences between intracranial vascular malformation types in the characteristics of their presenting haemorrhages: prospective, population-based study

    Cordonnier, C., Al-Shahi Salman, R., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V., Roberts, R. C., Sellar, R. J., Warlow, C., SIVMS Collaborators
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 79, no. 1, pp. 47-51
    Contributions to Journals: Articles

  • Anticoagulants for acute ischaemic stroke

    Sandercock, P. A. G., Counsell, C., Kamal, A. K.
    Cochrane Database of Systematic Reviews, no. 4, CD000024
    Contributions to Journals: Articles

  • Antiplatelet therapy for acute ischaemic stroke

    Sandercock, P. A. G., Counsell, C. E., Gubitz, G. J., Tseng, M.
    Cochrane Database of Systematic Reviews, no. 3, CD000029
    Contributions to Journals: Articles

  • Changes in diagnosis with follow-up in an incident cohort of patients with parkinsonism

    Caslake, R., Moore, J. N., Harris, C. E., Gordon, J. C., Counsell, C. E.
    Movement Disorders, vol. 23, no. Supplement 1, pp. S321-S321
    Contributions to Journals: Articles

  • Changes in quality of life in people with Parkinson's disease left untreated at diagnosis

    Counsell, C. E., Asimakopoulos, P., Caslake, R., Harris, C. E., Gordon, J. C., Taylor, K. S. M.
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 79, no. 3, pp. 356-356
    Contributions to Journals: Articles

  • Low-molecular-weight heparins or heparinoids versus standard unfractionated heparin for acute ischaemic stroke

    Sandercock, P. A. G., Counsell, C. E., Tseng, M.
    Cochrane Database of Systematic Reviews, no. 3, CD000119
    Contributions to Journals: Articles

  • Monoamine oxidase B inhibitors versus other dopaminergic agents in early Parkinson's disease: a systematic review of the literature

    Caslake, R., MacLeod, A. M., Ives, N. J., Stowe, R. L., Counsell, C. E.
    Movement Disorders, vol. 23 , no. Suppl. 1, pp. S200
    Contributions to Journals: Abstracts

  • The incidence and long-term outcome of parkinsonian disorders in North East Scotland (the PINE study): Methods and initial recruitment

    Caslake, R., Harris, C. E., Gordon, J. C., Primrose, W. R., Counsell, C. E.
    Movement Disorders, vol. 23, no. Supplement 1, pp. S241
    Contributions to Journals: Articles

  • External validation of a six simple variable model of stroke outcome and verification in hyper-acute stroke

    Reid, J. M., Gubitz, G. J., Dai, D., Reidy, Y., Christian, C., Counsell, C. E., Dennis, M., Phillips, S. J.
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 78, no. 12, pp. 1390-1391
    Contributions to Journals: Articles

  • Anti-Hu syndrome: A rare presentation and a very difficult decision

    Schulz, U., Randalls, B., Counsell, C. E.
    Practical Neurology, vol. 7, no. 5, pp. 336-341
    Contributions to Journals: Articles

  • Environmental risk factors for Parkinson's disease and parkinsonism: the Geoparkinson study

    Dick, F. D., De Palma, G., Ahmadi, A., Scott, N. W., Prescott, G. J., Bennett, J., Semple, S., Dick, S., Counsell, C., Mozzoni, P., Haites, N., Wettinger, S. B., Mutti, A., Otelea, M., Seaton, A., Söderkvist, P., Felice, A., Geoparkinson Study Group
    Occupational and Environmental Medicine, vol. 64, no. 10, pp. 666-672
    Contributions to Journals: Articles

  • Heterogeneity in male to female risk for Parkinson's disease

    Taylor, K. S. M., Cook, J. A., Counsell, C. E.
    Journal of Neurology, Neurosurgery & Psychiatry, vol. 78, no. 8, pp. 905-906
    Contributions to Journals: Letters

  • Monoamine oxidase B inhibitors versus other dopaminergic agents in early Parkinson's disease (Review)

    Caslake, R., Macleod, A., Ives, N., Stowe, R., Counsell, C.
    Cochrane Database of Systematic Reviews, no. 3, pp. 1-29
    Contributions to Journals: Review articles

  • Non-completion of changes to prescribed medications in people with Parkinson's disease

    Ng, W. T., Caslake, R., Counsell, C. E.
    Age and Ageing, vol. 36, no. 3, pp. 333-336
    Contributions to Journals: Letters

  • Systematic review of the prevalence of depression in Parkinson's disease

    Counsell, C. E., Taylor, K. S. M., Appukutty, M.
    Spring Meeting of the Association of British Neurologists, pp. 1398-1398
    Contributions to Journals: Abstracts

  • The use and influence of FP-CIT SPECT in current practice: UK experience of 190 patients with uncertain parkinsonism

    Marshall, V., Patterson, J., Hadley, D., Grosset, K., Grosset, D., Counsell, C. E., UK FP-CIT Study Group
    Spring Meeting of the Association of British Neurologists, pp. 1398-1398
    Contributions to Journals: Abstracts

  • Is it Parkinson's disease, and if not, what is it?

    Taylor, K. S. M., Counsell, C. E.
    Practical Neurology, vol. 6, no. 3, pp. 154-165
    Contributions to Journals: Articles

  • Pilot study of the incidence and prognosis of degenerative parkinsonian disorders in Aberdeen, United Kingdom: methods and preliminary results

    Taylor, K. S. M., Counsell, C. E., Harris, C. E., Gordon, J. C., Smith, W. C. S.
    Movement Disorders, vol. 21, no. 7, pp. 976-982
    Contributions to Journals: Articles

  • Screening for undiagnosed parkinsonism in people aged 65 years and over in the community

    Taylor, K. S. M., Counsell, C. E., Harris, C. E., Gordon, J. C.
    Parkinsonism & Related Disorders, vol. 12, no. 2, pp. 79-85
    Contributions to Journals: Articles

  • Screening for undiagnosed parkinsonism in a random community sample of people aged 65 years and over

    Taylor, K. S. M., Counsell, C. E., Harris, C. E., Gordon, J. C.
    Clinical Neurosciences 2005 Meeting, pp. 140-141
    Contributions to Journals: Abstracts

  • The early prognosis for death and haemorrhage for adults with arteriovenous malformations (AVMs) of the brain: prospective, population-based study

    Al-Shahi, R., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Roberts, R. C., Sellar, R. J., Warlow, C., Scottish Intracranial Vascular Mal
    Clinical Neurosciences 2005 Meeting, pp. 136-136
    Contributions to Journals: Abstracts

  • Systematic review of mortality studies in Parkinson's disease.

    Taylor, K. S. M., Counsell, C. E.
    European Journal of Neurology, vol. 13, no. SUPPL 2, pp. 203-203
    Contributions to Journals: Articles

  • The agreement between doctors and study participants in ratings of dependence using the postal modified Rankin scale (mRS): prospective, population-based study.

    Clarkson, K. R., Al-Shahi, R., Lewis, S., Bhattacharya, J. J., Counsell, C. E., Papanastassiou, V., Ritchie, V. R., Roberts, R. C., Sellar, R. J., Warlow, C.
    European Journal of Neurology, vol. 13, no. SUPPL 2, pp. 291-291
    Contributions to Journals: Articles

  • Differentiating drug-induced parkinsonism (DIP) from Parkinson's disease (PD) with FP-CIT SPECT (DATSCAN): preliminary results

    Marshall, V., Patterson, J., Hadley, D., Grosset, K., Grosset, D., Counsell, C. E., UK FP-CIT Study
    Annual Meeting of the Association of British Neurologists (2005), pp. 1323-1323
    Contributions to Journals: Abstracts

  • Monoamine oxidase B inhibitors for early Parkinson's disease

    Turnbull, K., Caslake, R., MacLeod, A., Ives, N., Stowe, R., Counsell, C.
    Cochrane Database of Systematic Reviews, no. 3, CD004898
    Contributions to Journals: Literature Reviews

  • Rasagiline as an adjunct to levodopa in patients with Parkinson’s disease and motor fluctuations (LARGO, Lasting effect in Adjunct therapy with Rasagiline Given Once daily study): a randomised, double-blind, parallel-group trial

    Counsell, C. E., LARGO Study Group
    The Lancet, vol. 365, pp. 947-954
    Contributions to Journals: Articles

  • FPCIT.net: a web based archive for use with 123I ioflupane

    Staff, R. T., Murray, A. D., Ahearn, T. S., Counsell, C. E., Taylor, K. S. M., Wilson, K., Gemmell, H. ..
    Nuclear Medicine Communications, vol. 26, P38
    Contributions to Journals: Abstracts
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