Adikarige Haritha Dulanka Silva 先生

Consultant Paediatric Neurosurgeon


Mr Dulanka Silva is a Consultant Paediatric Neurosurgeon at Great Ormond Street Hospital for Children. In addition to General Paediatric Neurosurgery and Hydrocephalus, his Specialist Expertise is in Paediatric Cerebro/Neurovascular Surgery, Craniosynostosis Surgery (including Endoscopic Craniosynostosis Surgery and Spring-Assisted Craniosynostosis Surgery), Craniofacial Skull Base Surgery and Selective Dorsal Rhizotomy (SDR) (for Spasticity in Cerebral Palsy).

He completed his medical training at the University of Cambridge (2009) including a Master of Philosophy (MPhil) investigating the role of oculomotor movements in Parkinson’s Disease. At the end of his Neurosurgical Residency training, he was awarded the Norman Dott Gold Medal in Neurosurgery by the Society of British Neurological Surgeons (SBNS) and the Royal College of Surgeons Joint Committee for Intercollegiate Examinations (JCIE) for the most outstanding performance in the FRCS Neurosurgery Specialist Examination in 2018.

As a result, he was also awarded the Marjorie Newsome Fellowship and Senior Neurosurgical Award from the SBNS and Barrow Neurological Institute (BNI). This encompassed a visiting Fellowship to the Barrow Neurological Institute in Phoenix, Arizona in USA where he spent some time learning Cerebro/Neurovascular surgery under the mentorship of Professor Michael Lawton, Chief Cerebrovascular Surgeon and President at Barrow Neurological Institute.

Specialist training in Paediatric Neurosurgery followed with completion of the Paediatric Neurosurgery Fellowship at Great Ormond Street Hospital for Children in 2019-2020, after which he was appointed as Consultant Paediatric Neurosurgeon at Great Ormond Street.

“My passion for caring for children has been ever present throughout my training. The welfare of the child is indeed truly paramount. As a Paediatric Neurosurgeon, compassion, patience, empathy and the need to support and treat the child and their parents challenges us in unique ways.

The excellence of Paediatric Neurosurgery in my practice and that of my colleagues at Great Ormond Street is built on dedication to our art and tenets of:

  1. Principled dedication to excellence in surgical technique (with an emphasis on meticulous planning and utilisation of adjuncts to maximise patient safety)
  2. High case volumes with subspecialisation in Paediatric Neurosurgery in a department that is one of the busiest dedicated Paediatric Neurosurgery units in the world which encompasses all major subspecialist areas of practice
  3. Truly multidisciplinary teamwork with other expert consultant and Allied Healthcare Professionals to ensure all Children achieve their maximal potential through all stages of their clinical journey including joint consultant operating in complex surgical pathologies
  4. Stringent, weekly surgical audit and evaluation of practice to ensure optimal outcomes for our Paediatric Neurosurgery patients and children

It is a privilege to join my Neurosurgical colleagues and the team at Great Ormond Street Hospital for Children, which, with the ever consistent dedication and striving for excellence, is the pinnacle for anyone wanting to dedicate themselves to caring for sick children.”


  • English, Sinhalese


Specialist Surgical Expertise:

Paediatric Cerebro/Neurovascular Surgery

  • Arteriovenous Malformations (AVMs) including combined Endovascular/Microsurgical excision
  • Occlusive Arterial Disease – Paediatric Stroke, Paediatric Moyamoya Arteriopathy
  • Cerebral Revascularisation including EC-IC Bypass Surgery
  • Cavernous Malformations (Cavernomas)
  • Cerebral Aneurysms
  • Dural Arterio-Venous Fistulae

Paediatric Craniofacial Surgery

  • Craniosynostosis Surgery (Simple Single suture, Multi-Suture, Syndromic, Complex, Fronto-Facial Surgery)
  • Minimally Invasive Craniofacial Surgery including Spring Assisted Cranioplasty and Endoscopic Strip Craniectomy/Suturectomy Surgery with Helmet therapy
  • Craniofacial Skull Base Surgery including Craniofacial Tumours, Complex Trauma, Neurofibromatosis Sphenoid Wing Dysplasia
  • Cranial Dysraphism including Encephalocoele
  • Raised Intracranial Pressure pathologies
  • Head Injury and Complex Craniofacial Reconstruction

Paediatric Selective Dorsal Rhizotomy (SDR) Surgery

  • SDR surgery for spasticity in Cerebral Palsy

General Paediatric Neurosurgery:

  • Hydrocephalus
  • Neuro-Endoscopy including Endoscopic Third Ventriculostomy (ETV)
  • Cerebrospinal Fluid (CSF) pathology including Arachnoid Cyst
  • Intracranial Pressure (ICP)
  • Cranial Infection


Cerebro-Neurovascular Surgery, Craniosynostosis, Craniofacial Skull Base Surgery, Selective Dorsal Rhizotomy (SDR) Surgery



  • Bachelor of Arts (BA) with Honours in Natural Sciences (Physiology) University of Cambridge (2005)
  • Master of Philosophy (MPhil) in Neurophysiology, Neurosurgery, Neurological Sciences – University of Cambridge (2007)
  • MB BChir (with Double Distinction and Honours) – University of Cambridge (2009)
  • Master of Arts (MA) with Honours – University of Cambridge (2010)
  • FRCS Neurosurgery (FRCS SN)



  • Paediatric Neurosurgery Fellowship – Great Ormond Street Hospital for Children (2019-2020)
  • Marjorie Newsome Fellowship (Society of British Neurological Surgeons [SBNS] and Barrow Neurological Institute [BNI] Award for Norman Dott Gold Medal in Neurosurgery) – Barrow Neurological Institute, Phoenix, Arizona (2019)
  • Neurosurgery Residency and Training – West Midlands Deanery Neurosurgery Training Program (2011-2019)


  • Society of British Neurological Surgeons (SBNS)
  • Royal College of Surgeons of England (RCS Eng)
  • British Paediatric Neurosurgery Group (BPNG)
  • British Neurovascular Group (BNVG)
  • General Medical Council (GMC) – Specialist Register for Neurosurgery


  • Norman Dott Gold Medal in Neurosurgery (2018) – for the Most Outstanding Performance at Intercollegiate FRCS Specialty Examination in Neurosurgery (by Society of British Neurological Surgeons [SBNS], Royal College of Surgeons Joint Committee for Intercollegiate Examinations [JCIE])
  • Marjorie Newsome Senior Neurosurgical Fellowship (2019) awarded by Society of British Neurological Surgeons (SBNS) and Barrow Neurological Institute (BNI)
  • Royal Society of Medicine – President’s Prize in Clinical Neurosciences (2015)

Management of Paediatric Cerebro/Neurovascular conditions, Craniofacial conditions, Craniosynostosis and Selective Dorsal Rhizotomy (SDR) for spasticity.

Mr Silva also teaches on courses for Neurosurgery trainees and is involved in the development of simulation training in Neurosurgery at Great Ormond Street Hospital for Children.  


Surgical revascularization for pediatric moyamoya: the role of surgical mentorship in sustaining and developing a neurovascular service 2022

Silva AHD, Bhate S, Ganesan V, Thompson D, James G

J Neurosurg Pediatr. 2022 May – DOI: 10.3171/2022.3.PEDS21590


Paediatric spinal cord low-grade gliomas – evaluation and management of post-surgical residual disease 2021

Silva AHD, Constantinides M, Valetopoulou A, Sgardelis P, Mankad K, D’Arco F Jankovic I, Thompson D

Childs Nerv Syst. 2021 Nov – DOI: 10.1007/s00381-021-05412-4

Initial UK series of endoscopic suturectomy with postoperative helmeting for craniosynostosis: early report of perioperative experience 2020

Halim J*, Silva AHD*, Budden C, Dunaway DJ, Jeelani N U O, Ong J, James G

Br J Neurosurg. 2020 Nov – DOI: 10.1080/02688697.2020.1846681

*Equivalent first authors


Experience with revision craniovertebral decompression in adult patients with Chiari Malformation type 1, with or without syringomyelia 2020

Silva AHD, G Thanabalasundaram, B Wilkinson, G Tsermoulas, G Flint

Br J Neurosurg. 2020 – DOI: 10.1080/02688697.2020.1823935


Trans-temporal approach to hypothalamic hamartomas in children 2020

Silva AHD, Lo WB, Mundil NR, Walsh AR

J Neurosurg Pediatr. 2020 Feb – DOI:10.3171/2019.12.PEDS19231


Paediatric developmental venous anomalies (DVAs): how often do they bleed and where? 2020

Silva AHD, Wijesinghe H, Lo WB, Walsh AR, Rodrigues D, Solanki GA

Childs Nerv Syst. 2020 Jan 3; DOI: 10.1007/s00381-019-04460-1


Surgical approaches in pediatric neuro-oncology 2019                

Silva AHD, Aquilina K

Cancer Metastasis Rev. 2019 Dec 20; DOI: 10.1007/s10555-019-09832-2


Consent in Paediatric Neurosurgery: Adequacy of Documentation and  Parental Perspectives  2019

Silva AHD, Wijesinghe H, Mundil N, Lo W, Walsh AR, Solanki GS, Rodrigues D

Childs Nerv Syst. 2019; DOI: 10.1007/s00381-019-04285-y


The implementation of an external ventricular drain care bundle to reduce infection rates 2020

Silva AHD*, Talibi SS*, Afshari FT, Hodson J, Roberts SAG, Oppenheim B, Flint G, Chelvarajah R

Br J Neurosurg. 2020 – DOI: 10.1080/02688697.2020.1725436

*Equivalent first authors


Spontaneous neonatal subdural haemorrhage: always non-accidental Injury?   2019

Silva AHD, Gander L, Wijesinghe H, Rodrigues D

Br J Neurosurg. 2019 Nov 27: 1-4; DOI: 10.1080/02688697.2019.1694134



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