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Faculty Information

Mark K. Proctor, M.D.

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Awards and Honors:
1997-98 Shillito Fellow in Pediatric Neurosurgery, Children's Hospital Boston
1995-96 Dixon Woodbury Clinical/Research Fellow, Epilepsy Foundation of America
1989-90 Research Training Grant, National Institutes of Health
1990 Clinical Training Grant, Faculte de Medecine, Paris, France
1995 Finalist, Clinical Research Competition, Georgetown University
1987-89 Captain, Columbia Physicians and Surgeons Rugby Team
1982-86 Daniel Webster Scholar, Dartmouth College
1982-86 Varsity Heavyweight Crew, Dartmouth College
1985 Marshall A. Robinson Award for Heavyweight Oarsman, Dartmouth College
1982 New York State Regents Scholarship
1982 Bausch & Lomb Scientific Scholarship
1981 Summer Research Training Grant, National Science Foundation/Indiana University

Narrative Report of Clinical Practice

I am currently full time staff in pediatric neurosurgery at Boston Children's Hospital, with staff appointments and on-call responsibility at Brigham and Women's Hospital and Dana Farber Cancer Institute. Areas of focus encompass all aspects of pediatric neurosurgery, including brain tumors, vascular abnormalities of the brain and spine, spinal dysraphisms, congenital disorders of the central nervous system, craniofacial abnormalities, hydrocephalus, epilepsy and trauma. My patient load is 20-30 operative cases per month, with participation in the management of about 40 cases per month. The complexity is on the order of the most difficult cases seen in the practice of pediatric neurosurgery. My area of subspecialization includes pediatric spine and craniofacial problems. Clinical contributions include involvement in protocols for the advancement of the diagnosis and treatment of moya moya disease, the use of acupressure and acupuncture for reduction of nausea after craniotomies, and the advancement of the treatment of hydrocephalus by participation in the ventricular shunt Clinical Practice Guidelines committee. I have developed protocols, along with the neuroanesthesia team, for the use of intraoperative MRI in the pediatric patient population.

Report of Teaching Contributions and Their Relationship to Clinical Practice
1994-96 Georgetown University School of Medicine, Neuroanatomy. Lecturer and laboratory instructor for neuroanatomy course to second year medical students. Average section of 30 students, meeting three times per weeks for eight weeks.
1995-97 Georgetown University School of Medicine, Clinical Clerkship in Neurology. Lecturer on the diagnosis and management of neurotrauma to third year medical students. Average of 6 students per lecture, meeting on a biweekly basis throughout the year.
1995-97 Georgetown University School of Medicine, Department of Pharmacology. Facilitator in Problem Based Learning for second year medical students. I ran the section on anti-convulsants, with groups of about ten students, meeting three times per week for six weeks.
1996-97 Georgetown University School of Medicine, Department of Neurosurgery. As a senior resident, chief resident, and Clinical Instructor in neurosurgery, I had a supervisory role in the instruction of third and fourth year medical students and junior residents in neurosurgery, in the care and surgery of the neurological patient. Involved approximately 25 students and five residents per year, at an annual time involvement of about five hundred hours. Instruction was didactic and clinical in both the operating rooms and clinics.
1997-98 Children's Hospital, Department of Neurosurgery, Boston, MA. As Pediatric Neurosurgery Fellow I was involved in the supervision and instruction of approximately 20 medical students throughout the year, as well as a complement of residents from both the Brigham and Women's and Massachusetts General Hospitals. This involves extensive intra-operative teaching along with didactic instruction and clinical supervision. I co-supervise the ambulatory neurosurgery clinic for both the residents and students, and organize several educational conferences per week including neuro-radiology, morbidity and mortality, and weekly case review. Approximate involvement time is ten hours per week.

Original Articles

  1. Shenkman Z, Eldredge E, Geva T, Soriano S, Proctor M, Scott RM, Rockoff MAPerioperative electrocardiographic findings in patients with moya moya syndrome undergoing pial synangiosis. Anesthesiology, in submission.
  2. Proctor M, Fornai R, Afshar KJ, Gale, K. The role of nitric oxide in the propagation of limbic seizures. Neuroscience, 1997; 76:4:1231-1236.
  3. Fornai F, Dybdal D, Proctor M, Gale K. Focal intracerebral elevation of L-lactate is anti-convulsant. European Journal of Pharmacology, 1994; 254.
  4. Lustgarten J, Proctor M, Haroun R, Avellino A, Pindzola A, Kliot, M. Semipermeable polymer tubes provide microenvironment for in vivo analysis of dorsal root regeneration, Journal of Biomechanical Engineering, 1991; 113: 184-188.

Reviews and Educationally Relevant Publications

  1. Proctor M, Scott RM Special Considerations for Children in Neurosurgery, In: Blackand Kaye, editors. Operative Neurosurgery, London: Harcourt Brace; in press.
  2. Proctor M, Gale K. Basal Ganglia and Brain Stem Anatomy and Physiology, In: Engel and Pedley, editors. Epilepsy: A Comprehensive Textbook, New York: Lippicott-Raven; 1998. p. 353-368.
  3. Proctor M, Martuza R. Trauma. In: Samuel, editor. Manual of Neurology, Fifth Edition, Little Brown and Company; 1994, p. 250-276.

Proceedings of Meetings

  1. Proctor MR, Robson CD, Mulliken JB, Robertson, RL, Barnes PD. Prominent Basilar Emissary veins in syndromic craniosynostosis. International Society of Craniofacial Surgery, VIIIth International Congress, Taiwan, 1999.
  2. Robson CD, Mulliken JB, Robertson RL, Proctor MR, Barnes PD. Prominent Emissary veins in Crouzon syndrome. American Society of Neuroradiology, San Diego, May, 1999.
  3. Soriano S, Cowan D, Proctor MR, Scott RM. Soluble adhesion molecules are elevated in the CSF of children with moyamoya syndrome. American Society of Anesthesiologists, 1999.
  4. Eldredge E, Soriano S, Proctor MR, Jolesz FA, Rockoff MA. Pediatric Neuroanesthesia in a magnetic resonance therapy unit. American Society of Anesthesiologists, 1999.
  5. Proctor MR, Bauer S, Scott RM, Goumnerova L, Madsen J, Kelly M, Darbey, M. The Effect of surgery for diastematomyelia on neurologic and urologic function. Proceedings of the Section on Pediatric Neurological Surgery of the American Association of Neurological Surgeons, 1998, Indianapolis, Indiana.
  6. Proctor MR, Vaurio R, Hogan C, Gale K. Excitatory amino acid activity within the hippocampus attenuates the propagation of limbic seizures. Epilepsia. 1995; Vol 36, Supp 4: 42 (2.31).
  7. New KC, Proctor MR, Martuza RL, Gale K, Rakin, SD. Defective Herpes simplex virus vectors for the study of glutamate decarboxylase expression in the CNS. Epilepsia, 1995, Vol 36, Supp 4: 87 (F6).
  8. New KC, Proctor MR, Martuza RL, Gale K, Rakin, SD. Defective Herpes simplex virus vectors for the study of glutamate decarboxylase expression in cells in the CNS. Society for Neuroscience Abstracts, 1995, Vol 21: 634.3.
  9. Proctor MR, Vaurio R, Hogan C, Gale K. Hippocampal activation stops the spread of experimental limbic seizures. Proceedings of the Section on Pediatric Neurological Surgery of the American Association of Neurological Surgeons, 1995, Pasadena, California.
  10. Proctor M and Gale K. The role of the hippocampus in the propagation of limbic seizures. Epilepsia,1994, Vol 35, Supp 8: 58.
  11. Wenniger J, Proctor M, Gale K, Jasmin L. The analgesic effect of morphine in the piriform cortex may be mediated through descending inhibitory control as evidenced by correlation of nociceptive behavior and C-fos expression in the formalin test. Society for Neuroscience Abstracts, 1994, Vol 20: 318.18.
  12. Proctor, M and Kim, KC. Effect of Choline on the Neuromuscular Blocking Agent Succinylcholine. Research Abstracts of the High School Science Student Institute, 1981, Indiana University.
  13. Proctor, M and Mirro, M. The Effects of Artificially Induced Congestive Right Heart Failure on Electrical Excitability of the Dog's Heart. Research Abstracts of the Secondary Student Training Progam, 1980, University of Iowa.

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