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Home > Staff

Matthew Kiernan

 

A/Prof Matthew KIERNAN, MBBS(Hons), PhD, FRACP

 

 

 

 


Personal history

Matthew completed his PhD at POWMRI in 1997 and was awarded NHMRC CJ Martin and RG Menzies Fellowships to work with Prof. Hugh Bostock FRS in London. He returned to Sydney in 2001 to take up his current positions at UNSW and POWMRI.

Current Appointments

ASSOCIATE PROFESSOR IN NEUROLOGY, Prince of Wales Clinical School, Faculty of Medicine, UNSW

SENIOR SCIENTIST, Prince of Wales Medical Research Institute

CONSULTANT NEUROLOGIST, Institute of Neurological Sciences, Prince of Wales Hospital

CONSULTANT, Sleep Disorders Unit, Prince of Wales Hospital

CONSULTANT NEUROLOGIST/CLINICAL NEUROPHYSIOLOGIST, Sydney Children’s Hospital

 

Current Projects

 

“Resurgent” Na+ currents and post-ischaemic paraesthesiae (ARC Discovery Grant)

Mechanisms of chemotherapy induced neurotoxicity (NHMRC Project Grant)

Nerve excitability in spinal cord injury patients (NSW Ministry for Science and Medical Research; Spinal Cord Injury & Related Neurological Conditions Research Program Grant). 

Patterns of neuronal degeneration in motor neurone disease (NSW Ministry for Science and Medical Research; Spinal Cord Injury & Related Neurological Conditions Research Project Grant). 

Site of origin of motor neurone disease (MND Research Institute of Australia)

Pathophysiology of uraemic neuropathy

Nocturnal hypoventilation in motor neurone disease

Effects of toxins on impulse transmission (tetrodotoxin/puffer fish poisoning)

Role of inherited mutations of neuronal Na+ channels in epileptic patients

 

Research Staff

 

Dr Robert Boland BAppSc (Phty), PhD – Post-doctoral Fellow (NSW Ministry for Science and Medical Research)

Dr Arun Krishnan PhD FRACP – Post-doctoral fellow (UNSW Dean's Postdoctoral Fellowship)

Dr Cindy Lin MEng Sci, PhD - Post-doctoral fellow (NHRMC CJ Martin Fellowship)

Ms Louise Trevillion BSc – Research Officer (in collaboration with University of Sydney)

Mr Tim Howells BSc – Research Officer (in collaboration with University of Sydney)

Sr Margie Zoing BN – Research Assistant

 

Research Students

 

Dr Steve Vucic (PhD) - Site of origin and patterns of neuronal degeneration in motor neurone disease (MND Research Institute of Australia Clinical Fellow)

Mr Eric Han (PhD) – Neurophysiology of peripheral nerves under mechanical loading in normal humans and carpal tunnel syndrome patients (with A/Prof Lynne Bilston; Prince of Wales Clinical School Scholarship)

Ms Susanna Park (PhD) – Chemotherapy-induced neurotoxicity (Australian Postgraduate Award)

Ms Jennica Winhammar (PhD) – Mechanisms of nocturnal hypoventilation in motor neurone disease (with Dr Dominic Rowe; Rotary Scholarship)

Ms S Rosengren (Co-supervisor for PhD with A/Prof James Colebatch).

Key Publications in 2005

1.         Isbister GK, Kiernan MC. (2005). Neurotoxic marine poisoning. Lancet Neurology 4:219-228 (Invited review).

2.         Kalapesi, F., Krishnan, A.V., Kiernan, M.C. (2005). Segmental facial anhidrosis and tonic pupils with preserved deep tendon reflexes: a novel autonomic neuropathy. Journal of Neuro-ophthalmology 25:5-9.

3.         Kiernan MC. (2005). Riluzole: a glimmer of hope in the treatment of motor neurone disease. Med J Aust 182:319-20. (Invited editorial).

4.         Kiernan MC, Isbister, G.K., Lin, C.S., Burke, D., Bostock, H. (2005). Acute tetrodotoxin-induced neurotoxicity following ingestion of puffer fish. Ann Neurol 57:339-48.

5.         Kiernan M.C., Krishnan A.V., Lin, C.S., Burke, D., Berkovic, S. (2005). Mutation in the Na+ channel subunit SCN1B produces paradoxical changes in peripheral nerve excitability. Brain 128:1841-1846.

6.         Krishnan A.V., Colebatch J.G., Kiernan M.C. (2005). Hypokalemic weakness in hyperaldosteronism: activity-dependent conduction block. Neurology 65:1309-12.

7.         Krishnan AV, Goldstein D, Friedlander M. Kiernan MC. (2005). Oxaliplatin-induced neurotoxicity and the development of neuropathy. Muscle Nerve 32:51-60.

8.         Krishnan AV, Kiernan MC. (2005). Altered nerve excitability properties in established diabetic neuropathy. Brain 128:1178-87.

9.         Krishnan, A.V., Lin, C.S., Kiernan, M.C. (2005). Excitability differences in lower limb motor axons during and after ischemia. Muscle Nerve 31:205-213.

10.     Krishnan A.V., Phoon R.K., Pussell B.A., Charlesworth J.A., Kiernan M.C. (2005). Altered motor nerve excitability in end-stage kidney disease. Brain 128: 2164-2174.

11.     Winhammar JM, Rowe DB, Henderson RD, Kiernan MC. (2005). Assessment of disease progression in motor neuron disease. Lancet Neurology 4:229-238 (Invited review).

 

Book chapters 2005

 

1.         Kiernan, M.C., Burke, D. & Bostock, H. (2005). Nerve excitability measures: biophysical basis and

use in the investigation of peripheral nerve disease. In: Diseases of the Peripheral Nervous System, Editors: P.J. Dyck and P.K Thomas, Elsevier Saunders: Philadelphia, pages 113-129.

Key Publications in 2006

1.         Kiernan MC (2006). Back to the future: excitability studies take on a new clinical role. Clinical Neurophysiology 117:712-713. (Invited editorial).

2.         Kiernan M.C., Krishnan A.V. (2006). The pathophysiology of oxaliplatin-induced neurotoxicity. Curr Med Chem 13:2901-2907. (Invited review).

3.         Kiernan MC, Talman P, Henderson R, Harris R (2006). Establishment of the Australian Motor Neurone Disease Registry. Medical Journal of Australia 184:367-368.

4.         Krishnan A.V., Goldstein D, Friedlander M. Kiernan MC. (2006). Oxaliplatin and axonal Na+ channel function in vivo. Clinical Cancer Research (in press).

5.         Krishnan AV, Kiernan MC. (2006). Axonal function and activity-dependent excitability changes in myotonic dystrophy. Muscle Nerve 2006 33:627-636.

6.         Krishnan A.V., Phoon R.K., Pussell B.A., Charlesworth J.A., Kiernan M.C. (2006). Sensory nerve excitability and neuropathy in end-stage kidney disease. J. Neurol. Neurosurg. Psychiatry 77:548-551.

7.         Krishnan A.V., Phoon R.K., Pussell B.A., Charlesworth J.A., Bostock H., Kiernan M.C. (2006). Ischaemia induces paradoxical changes in axonal excitability in end-stage kidney disease. Brain  (in press).

8.         Krishnan A.V., Phoon R.K., Pussell B.A., Charlesworth J.A., Bostock H., Kiernan M.C. (2006). Neuropathy, axonal Na+/K+ pump function and activity-dependent excitability changes in end-stage kidney disease. Clinical Neurophysiology 117:992-999.

9.         Martin A., Friedlander M. Kiernan MC. (2006). Paraneoplastic mononeuritis multiplex in non-small-cell lung carcinoma. Journal of Clinical Neuroscience (in press).

10.     McKay O., Krishnan A.V., Davies M., Kiernan M.C. (2006). Activity-induced weakness in recessive myotonia congenita with a novel mutation. Clinical Neurophysiology (in press).

11.     Nogajski JH, Engel S, Kiernan MC. (2006). Focal and generalised nerve dysfunction in spinal cord injured patients. Journal of Clinical Neurophysiology (in press).

12.     Vucic S., Howells J., Trevillion L., Kiernan, M.C. (2006). Assessment of cortical excitability using threshold tracking techniques. Muscle Nerve 33:477-486.

13.     Vucic S., Kiernan, M.C. (2006). Axonal excitability properties in amyotrophic lateral sclerosis. Clinical Neurophysiology (in press).

14.     Vucic S., Kiernan, M.C. (2006). Novel threshold tracking techniques suggest that cortical hyperexcitability is an early feature of motor neurone disease. Brain (in press).

15.     Zoing M., Pamphlett R., Burke, D., Kiernan, M.C. (2006). Riluzole therapy for motor neurone disease - an early Australian experience (1996-2002). Journal of Clinical Neuroscience 13:78-83.

Book chapters 2006

1.        Burke, D. & Kiernan, M.C. (2006). Developments in the assessment of peripheral nerve function. In: Handbook of Clinical Neurophysiology, Series Editors: J. Daube and F. Mauguière; Clinical Neurophysiology of Peripheral Nerve Diseases, edited by J. Kimura.  Elsevier: Amsterdam, pages 935-951.

2.        Lin C.S., Kiernan, M.C., Burke, D. & Bostock, H. (2006). Nerve excitability measures: biophysical basis and use in the investigation of peripheral nerve disease. In: Handbook of Clinical Neurophysiology, Series Editors: J. Daube and F. Mauguière; Clinical Neurophysiology of Peripheral Nerve Diseases, edited by J. Kimura.  Elsevier: Amsterdam, pages 381-403.

Key Publications in 2007

1.        Krishnan A.V., Kiernan M.C. (2007). Uremic neuropathy: Clinical features and new pathophysiological insights. Muscle Nerve 35:273-290. (Invited review).

2.         Boland RA, Krishnan A.V., Kiernan M.C. (2007). Riche-Cannieu anastomosis as an inherited trait. Clinical Neurophysiology 118:770-775.

3.         Krishnan A.V., Hayes M., Kiernan M.C. (2007). Axonal excitability properties in hemifacial spasm. Movement Disorders (in press; 12/03/07).

4.         Lin CS, Macefield VG, Elam M, Wallin BG, Engel S, Kiernan M.C. (2007). Axonal changes in spinal cord injured patients distal to the site of injury. Brain  [Epub Jan 30 ahead of print].

5.         Vucic S., Kiernan, M.C. (2007). Abnormalities in cortical and peripheral excitability in cortical and peripheral excitability in flail-arm variant amyotrophic lateral sclerosis.  J. Neurol. Neurosurg. Psychiatry [Epub Jan 10 ahead of print].

6.         Vucic S., Kiernan, M.C. (2007). Pathophysiological insights into motor axonal function in spinobulbomuscular atrophy (Kennedy’s disease). Neurology (provisional acceptance, 26/03/07).

7.         Vucic S., Krishnan A.V., Kiernan, M.C. (2007). Fatigue and activity-dependent changes in axonal excitability in ALS. J. Neurol. Neurosurg. Psychiatry [in press, 12/01/07].

Books 2007

Kiernan, M.C. (editor). Handbook of Motor Neurone Disease. MJA books, Australasian Medical Publishing Company, Sydney, 2007, 225 pages