Dr. Manny Bagary
About Manny
Dr. Manny Bagary is consultant epileptologist, somnologist and neuropsychiatrist. His medical training was in London, graduating from St Marys Hospital and Imperial College Medical School. His psychiatry training was on the Charing Cross and Maudsley rotations, London. He has held Wellcome Research Fellow posts at the MRC Cyclotron Unit, Imperial College and the Institute of Neurology, UCL/National Hospital for Neurology and Neurosurgery, Queen Square, London completing a PhD in neurological sciences. His epilepsy training was at the National Hospital for Neurology and Neurosurgery and the National Society for Epilepsy.
Manny took a consultant post in Birmingham in 2004 and established a ketogenic diet service for adults with drug resistant epilepsy in 2009.
He is the lead consultant for a tertiary epilepsy and sleep service with a catchment area of 6 million for complex epilepsies and sleep disorders including video-telemetry; oPSG; MSLT; actigraphy; ambulatory EEG and respiratory recording; MRI, MRS; SPECT, PET and EEG_fMRI serving an epilepsy surgical programme, VNS clinic, adult ketogenic diet service, mental helath comorbidty in epilepsy, organic psychosis, brain injury, FND/dissociative disorders including NEAD, hypersomnias (eg narcolepsy); parasomnia’s (eg SWSD ;RSBD), circadian rhythm disorders and insomnias. He is an advanced CBTi therapist and an accredited TMS practitioner.
His research includes Phase II, III and IV studies and a HTA (co-applicant) multicentre study. Since 2004 he has been PI or CI for over 20 NIHR studies predominantly CTIMPs for epilepsy. Other research interests include utilisation of EEG_fMRI to investigate sleep disorders, novel treatments including antiepileptic drugs, ketogenic diet and surgical outcomes in drug-resistant epilepsy, standards of care in video-telemetry, epilepsy neuropsychiatry, NEAD and more recently PI for COVID studies in healthcare workers.
Dr. Bagary Peer has co-authored a number of peer-reviewed published guidelines including for ketogenic diet therapy in adults with drug resistant epilepsy, standards for buccolam training, the management of epilepsy in pregnancy and practice in UK epilepsy monitoring units.
Leadership
2024 - 2025 Clinical Director for specialties, BSMHFT
2022 - 2024 Clinical lead for specialities, BSMHFT
2021 - 2024 President of the ILAE British Branch
2020 - current Council member neuropsychiatry faculty of the Royal College of Psychiatrists.
2020 - current Member of West Midlands executive committee of the Royal College of Psychiatrists
2018 - 2021 Treasurer of the ILAE British Branch
2018 - 0ngoing Epilepsy Lead for West Midlands NIHR clinical research Network
2015 - 2018 Council member of the ILAE British Branch
Teaching and Education
Manny is an invited speaker to national and international epilepsy and sleep meetings. He has established an ILAE national teaching course for resident doctors and a CBTI course for resident doctors.
Episodes
Can Ketogenic Therapy Help More Than Seizures?
18 June 2026
In this episode we discuss the medical ketogenic diet and:
Mental health benefits of the Medical Ketogenic Diet (MKD)
Need for more specialist dietitians
Pregnancy and the diet
When the diet isn’t the way to go
Hear how medical ketogenic therapy helps overal health and who it’s suitable for ! 👇
🎬 YouTube 🎧 Podcast 📄 Transcript
Ketones Are Changing Your Brain in Epilepsy
11 June 2026
In this episode we discuss the medical ketogenic diet and:
What are ketogenesis, ketosis, ketone bodies
Impacts on seizures, anxiety, depression, and cognition
Forms of the medical ketogenic diet in adults
Ketogenic therapy for status epilepticus
Hear what the medical ketogenic diet is and how it works! 👇
🎬 YouTube 🎧 Podcast 📄 Transcript
Areas of focus
Functions of ketosis
Medical Ketogenic Therapy
Mental health impacts
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Charles R, De Falco E, Galizia E, Martin-Lopez D, Meiklejohn K, Allen D, Staniaszek LE, Price C, Georgiou S, Bagary M, Khalsa S, Lawthom C, Shankar R, Terry JR, Woldman W. Prioritising follow-up for people with suspected epilepsy using a digital EEG biomarker.Epilepsy Behav. 2026 Feb 16;177:110925. doi: 10.1016/j.yebeh.2026.110925. Online ahead of print.PMID: 41702216
Stanage F, Oto M, Miorelli A, Bagary M, Tamilson B, Agrawal N.Neuropsychiatric involvement in epilepsy surgery pathways in the UK.Epilepsy Behav. 2025 Nov;172:110726. doi: 10.1016/j.yebeh.2025.110726. Epub 2025 Sep 25.PMID: 41005099
Allard J, Henley W, McLean B, Watkins L, Parrett M, Rajakulendran S, Maguire M, Ellawela S, Tittensor P, Bransgrove J, Sen A, Mohanraj R, Bagary M, Ram S, Pashley S, Shankar R. Levetiracetam in epilepsy and autism spectrum disorder: analysis of safety, tolerability, and efficacy.Epilepsy Behav. 2025 Nov;172:110678. doi: 10.1016/j.yebeh.2025.110678. Epub 2025 Aug 28.PMID: 40882497
Charles R, De Falco E, Galizia E, Martin-Lopez D, Meiklejohn K, Allen D, Staniaszek LE, Price C, Georgiou S, Bagary M, Khalsa S, Lawthom C, Shankar R, Terry J, Woldman W. Prioritising Follow-Up for People with Suspected Epilepsy Using a Digital EEG Biomarker. medRxiv [Preprint]. 2025 Jul 1:2025.06.30.25330550. doi: 10.1101/2025.06.30.25330550. Update in: Epilepsy Behav. 2026 Feb 16;177:110925. doi: 10.1016/j.yebeh.2026.110925.PMID: 40630599
Shillito T, Watkins L, Ali H, Page G, Pullen A, Mitchell S, Roy A, Sen A, Kinney M, Thomas R, Tittensor P, Bagary M, Subramanium A, Kent B, Shankar R. Evidencing the challenges of care delivery for people with intellectual disability and epilepsy in England by using the Step Together toolkit - CORRIGENDUM. BJPsych Open. 2024 Nov 7;10(6):e201. doi: 10.1192/bjo.2024.828. PMID: 39508294 Free PMC article. No abstract available.
Shillito T, Watkins L, Ali H, Page G, Pullen A, Mitchell S, Roy A, Sen A, Kinney M, Thomas R, Tittensor P, Bagary M, Subramanium A, Kent B, Shankar R. Evidencing the challenges of care delivery for people with intellectual disability and epilepsy in England by using the Step Together toolkit. BJPsych Open. 2024 Oct 28;10(6):e186. doi: 10.1192/bjo.2024.749. PMID: 39465582
Allard J, Henley W, Sellers A, O'Shaughnessy E, Thomson O, McLean B, Parrett M, Rajakulendran S, Watkins L, Maguire M, Ellawela S, Tittensor P, Sen A, Mohanraj R, Bagary M, Ram S, Brown A, Shankar R.Efficacy and tolerability of Brivaracetam in people with intellectual disability compared to those without intellectual disability. Epilepsy Behav. 2024 Sep;158:109906. doi: 10.1016/j.yebeh.2024.109906. Epub 2024 Jun 26.PMID: 38936308
Allard J, Sellers A, Henley W, McLean B, Parrett M, Rajakulendran S, Watkins L, Maguire M, Ellawela S, Tittensor P, Bransgrove J, Sen A, Mohanraj R, Bagary M, Ram S, Vernon N, Baldwin S, Gill J, Shankar R.
Efficacy and tolerability of levetiracetam in people with and without intellectual disabilities: A naturalistic case control study.Seizure. 2024 Aug;120:25-32. doi: 10.1016/j.seizure.2024.05.010. Epub 2024 May 16. PMID: 38897161
Tait L, Staniaszek LE, Galizia E, Martin-Lopez D, Walker MC, Azeez AAA, Meiklejohn K, Allen D, Price C, Georgiou S, Bagary M, Khalsa S, Manfredonia F, Tittensor P, Lawthom C, Howes BB, Shankar R, Terry JR, Woldman W. Estimating the likelihood of epilepsy from clinically noncontributory electroencephalograms using computational analysis: A retrospective, multisite case-control study. Epilepsia. 2024 Aug;65(8):2459-2469. doi: 10.1111/epi.18024. Epub 2024 May 23.PMID: 38780578
Kirwan PD, Hall VJ, Foulkes S, Otter AD, Munro K, Sparkes D, Howells A, Platt N, Broad J, Crossman D, Norman C, Corrigan D, Jackson CH, Cole M, Brown CS, Atti A, Islam J; SIREN Study Group; Presanis AM, Charlett A, De Angelis D, Hopkins S. Effect of second booster vaccinations and prior infection against SARS-CoV-2 in the UK SIREN healthcare worker cohort. Lancet Reg Health Eur. 2023 Dec 14;36:100809. doi: 10.1016/j.lanepe.2023.100809. eCollection 2024 Jan.PMID: 38111727
Ana Atti , Ferdinando Insalata , Edward J Carr , Ashley D Otter , Javier Castillo-Olivares , Mary Wu , Ruth Harvey , Michael Howell , Andrew Chan , Jonathan Lyall , Nigel Temperton , Diego Cantoni , Kelly da Costa , Angalee Nadesalingam , Andrew Taylor-Kerr , Nipunadi Hettiarachchi , Caio Tranquillini , Jacqueline Hewson , Michelle J Cole , Sarah Foulkes , Katie Munro , Edward J M Monk , Iain D Milligan , Ezra Linley , Meera A Chand , Colin S Brown , Jasmin Islam , Amanda Semper , Andre Charlett , Jonathan L Heeney , Rupert Beale , Maria Zambon , Susan Hopkins , Tim Brooks , Victoria Hall , the SIREN Study Group and the Crick COVID Immunity Pipeline Consortium, Antibody correlates of protection from SARS-CoV-2 reinfection prior to vaccination: a nested case-control within the SIREN study, Journal of Infection (2022), doi: https://doi.org/10.1016/j.jinf.2022.09.004
Pople D, Monk EJM, Evans S, Foulkes S, Islam J, Wellington E, Atti A, Hope R, Robotham J, Hopkins S, Brown CS, Hall VJ; SIREN Study Group. Burden of SARS-CoV-2 infection in healthcare workers during second wave in England and impact of vaccines: prospective multicentre cohort study (SIREN) and mathematical model. BMJ. 2022 Jul 20;378:e070379. doi: 10.1136/bmj-2022-070379.PMID: 35858689
V. Hall, S. Foulkes, F. Insalata, P. Kirwan, A. Saei, A. Atti, E. Wellington, J. Khawam, K. Munro, M. Cole, C. Tranquillini, A. Taylor‑Kerr, N. Hettiarachchi, D. Calbraith, N. Sajedi, I. Milligan, Y. Themistocleous, D. Corrigan, L. Cromey, L. Price, S. Stewart, E. de Lacy, C. Norman, E. Linley, A.D. Otter, A. Semper, J. Hewson, S. D’Arcangelo, M. Chand, C.S. Brown, T. Brooks, J. Islam, A. Charlett, and S. Hopkins, for the SIREN Study Group*Protection against SARS-CoV-2 after Covid-19 Vaccination and Previous Infection. February 16, 2022, at NEJM.org.DOI: 10.1056/NEJMoa2118691
Victoria Hall, Sarah Foulkes, Ferdinando Insalata, Ayoub Saei, Peter Kirwan, Ana Atti, Edgar Wellington, Jameel Khawam, Katie Munro, Michelle Cole, Caio Tranquillini, Andrew Taylor-Kerr, Nipunadi Hettiarachchi, Davina Calbraith, Noshin Sajedi, Iain Milligan, Yrene Themistocleous, Diane Corrigan, Lisa Cromey, Lesley Price, Sally Stewart, Elen de Lacy, Chris Norman, Ezra Linley, Ashley David Otter, Amanda Semper, Jacqueline Hewson, Silvia D’Arcangelo, the SIREN Study Group, Meera Chand, Colin S Brown, Tim Brooks, Jasmin Islam, Andre Charlett, Susan Hopkins. Effectiveness and durability of protection against future SARS-CoV-2 infection conferred by COVID-19 vaccination and previous infection; findings from the UK SIREN prospective cohort study of healthcare workers March 2020 to September 2021. medRxiv 2021.11.29.21267006; doi: https://doi.org/10.1101/2021.11.29.21267006
Cervenka MC, Wood S, Bagary M, Balabanov A, Bercovici E, Brown MG, Devinsky O, Di Lorenzo C, Doherty CP, Felton E, Healy LA, Klein P, Kverneland M, Lambrechts D, Langer J, Nathan J, Munn J, Nguyen P, Phillips M, Roehl K, Tanner A, Williams C, Zupec-Kania B.International Recommendations for the Management of Adults Treated With Ketogenic Diet Therapies. Neurol Clin Pract. 2021 Oct;11(5):385-397. doi: 10.1212/CPJ.0000000000001007.PMID: 3484086
Tittensor P, Tittensor S, Chisanga E, Bagary M, Jory C, Shankar R. UK framework for basic epilepsy training and oromucosal midazolam administration. Epilepsy Behav. 2021 Sep;122:108180.
Brodie MJ, Czapinski P, Pazdera L, Sander JW, Toledo M, Napoles M, Sahebkar F, Schreiber A; GWEP1330 Study Group. A Phase 2 Randomized Controlled Trial of the Efficacy and Safety of Cannabidivarin as Add-on Therapy in Participants with Inadequately Controlled Focal Seizures. Cannabis Cannabinoid Res. 2021 Dec;6(6):528-536.
Kinney MO, Chester V, Tromans S, Alexander RT, Angus-Leppan H, Bagary M, Cock H, Devapriam J, Hassiotis A, Mula M, Reuber M, Ring H, Roy A, Scheepers M, Shankar R. Epilepsy, anti-seizure medication, intellectual disability and challenging behaviour - Everyone's business, no one's priority. Seizure. 2020 Oct;81:111-116. doi: 10.1016/j.seizure.2020.07.018. Epub 2020 Jul 23.
Goldstein LH, Robinson EJ, Mellers JDC, Stone J, Carson A, Reuber M, Medford N, McCrone P, Murray J, Richardson MP, Pilecka I, Eastwood C, Moore M, Mosweu I, Perdue I, Landau S, Chalder T; CODES study group. Cognitive behavioural therapy for adults with dissociative seizures (CODES): a pragmatic, multicentre, randomised controlled trial. Lancet Psychiatry. 2020 Jun;7(6):491-505. doi: 10.1016/S2215-0366(20)30128-0. Epub 2020 May 20.PMID: 32445688
Allard J, Henley W, Mclean B, Sellers A, Hudson S, Rajakulendran S, Pace A, Pashley S, Maguire M, Mohan M, Ellawela S, Tittensor P, Ram S, Bagary M, Shankar R. Lacosamide in the general population and in people with intellectual disability: Similar responses? Seizure. 2020 Feb 19;76:161-166. doi: 10.1016/j.seizure.2020.02.013. Online ahead of print. PMID: 32106016
Goldstein LH, Robinson EJ, Reuber M, Chalder T, Callaghan H, Eastwood C, Landau S, McCrone P, Medford N, Mellers JDC, Moore M, Mosweu I, Murray J, Perdue I, Pilecka I, Richardson MP, Carson A, Stone J; on behalf of the CODES Study Group Characteristics of 698 patients with dissociative seizures: A UK multicenter study. Epilepsia. 2019 Oct 13. doi: 10.1111/epi.16350.
Allotey J, Fernandez-Felix BM, Zamora J, Moss N, Bagary M, Kelso A, Khan R, van der Post JAM, Mol BW, Pirie AM, McCorry D, Khan KS, Thangaratinam S. Predicting seizures in pregnant women with epilepsy: Development and external validation of a prognostic model. PLoS Med. 2019 May 13;16(5):e1002802. doi: 10.1371/journal.pmed.1002802. eCollection 2019 May
Thangaratinam S, Marlin N, Newton S, Weckesser A, Bagary M, Greenhill L, Rikunenko R, D'Amico M, Rogozińska E, Kelso A, Hard K, Coleman J, Moss N, Roberts T, Middleton L, Dodds J, Pullen A, Eldridge S, Pirie A, Denny E, McCorry D, Khan KS. AntiEpileptic drug Monitoring in PREgnancy (EMPiRE): a double-blind randomised trial on effectiveness and acceptability of monitoring strategies. Health Technol Assess. 2018 May;22(23):1-152. doi: 10.3310/hta22230.
Hamilton P, Soryal I, Dhahri P, Wimalachandra W, Leat A, Hughes D, Toghill N, Hodson J, Sawlani V, Hayton T, Samarasekera S, Bagary M, McCorry D, Chelvarajah R. Clinical outcomes of VNS therapy with AspireSR® (including cardiac-based seizure detection) at a large complex epilepsy and surgery centre. Seizure. 2018 Mar 28;58:120-126. doi: 10.1016/j.seizure.2018.03.022. [Epub ahead of print]
Hamandi K, Beniczky S, Diehl B, Kandler RH, Pressler RM, Sen A, Solomon J, Walker MC, Bagary M; with ILAE British Chapter Workshop Attendees. Current practice and recommendations in UK epilepsy monitoring units. Report of a national survey and workshop. Seizure. 2017 Aug;50:92-98. doi: 10.1016/j.seizure.2017.06.015. Epub 2017 Jun 15
Leach JP, Smith PE, Craig J, Bagary M, Cavanagh D, Duncan S, Kelso ARC, Marson AG, McCorry D, Nashef L, Nelson-Piercy C, Northridge R, Sieradzan K, Thangaratinam S, Walker M, Winterbottom J, Reuber M. Epilepsy and Pregnancy: For healthy pregnancies and happy outcomes. Suggestions for service improvements from the Multispecialty UK Epilepsy Mortality Group. Seizure. 2017 Aug;50:67-72. doi: 10.1016/j.seizure.2017.05.004. Epub 2017 Jun 1. Review.
Thangaratinam S, Fong F, McCorry D, Pirie A, Bagary M and Greenhill L (On behalf of RCOG). Epilepsy in Pregnancy – Green-top Guideline No. 68. Royal College of Obstetricians and Gynaecologists. June 2016. https://www.rcog.org.uk/globalassets/documents/guidelines/green-top-guidelines/gtg68_epilepsy.pdf
Khalsa S, Mayhew SD, Przezdzik I, Wilson R, Hale J, Goldstone A, Bagary M, Bagshaw AP Variability in Cumulative Habitual Sleep Duration Predicts Waking Functional Connectivity. Sleep. 2016 Jan 1;39(1):87-95. doi: 10.5665/sleep.5324
Viale L, Allotey J, Cheong-See F, Arroyo-Manzano D, Mccorry D, Bagary M, Mignini L, Khan KS, Zamora J, Thangaratinam S; EBM CONNECT Collaboration. Epilepsy in pregnancy and reproductive outcomes: a systematic review and meta-analysis.Lancet. 2015 Nov 7;386(10006):1845-52. doi: 10.1016/S0140-6736(15)00045-8. Epub 2015 Aug 25. Review.
Rollings DT, Assecondi S, Ostwald D, Porcaro C, McCorry D, Bagary M, Soryal I, Bagshaw AP. Early haemodynamic changes observed in patients with epilepsy, in a visual experiment and in simulations. Clin Neurophysiol. 2016 Jan;127(1):245-53. doi: 10.1016/j.clinph.2015.07.008. Epub 2015 Jul 17.
Patel M, Bagary M, McCorry D. The management of Convulsive Refractory Status Epilepticus in adults in the UK: No consistency in practice and little access to continuous EEG monitoring.Seizure. 2015 Jan;24:33-7. doi: 10.1016/j.seizure.2014.11.005. Epub 2014 Dec 4
Khalsa S, Mayhew SD, Chechlacz M, Bagary M, Bagshaw AP. The structural and functional connectivity of the posterior cingulate cortex: Comparison between deterministic and probabilistic tractography for the investigation of structure-function relationships. Neuroimage. 2014 Nov 15;102P1:118-127. doi: 10.1016
Pirie DA, Al Wattar BH, Pirie AM, Houston V, Siddiqua A, Doug M, Bagary M, Greenhill L, Khan KS, McCorry D, Thangaratinam S.Effects of monitoring strategies on seizures in pregnant women on lamotrigine: a meta-analysis. Eur J Obstet Gynecol Reprod Biol. 2014 Jan;172:26-31. doi: 10.1016/j.ejogrb.2013.10.021. Epub 2013 Oct 24
Bagary M. Epilepsy, consciousness and neurostimulation. Behav Neurol. 2011;24(1):75-81.
Bagary M. Epilepsy, antiepileptic drugs and suicidality. Curr Opin Neurol. 2011 Apr;24(2):177-82.
Ali F, Rickards H, Bagary M, Greenhill L, McCorry D, Cavanna AE. Ictal consciousness in epilepsy and nonepileptic attack disorder. Epilepsy Behav. 2010 Nov;19(3):522-5.
Price G, Cercignani M, Bagary MS, Barnes TR, Barker GJ, Joyce EM, Ron MA. A volumetric MRI and magnetization transfer imaging follow-up study of patients with first-episode schizophrenia. Schizophr Res. 2006 Oct;87(1-3):100-8.
Price G, Bagary MS, Cercignani M, Ron MA. The corpus callosum in first episode schizophrenia: a diffusion tensor imaging study. J Neurol Neurosurg Psychiatry. 2005 Apr;76(4):585-7
Bagary MS, Hutton S, Symms M, Barker GJ, Mutsatsa S, Barnes TR, Joyce E, Ron MA. Structural neural networks subserving oculomotor function in first-episode schizophrenia. Biol Psychiatry. 2004 Nov 1;56(9):620-7
Bagary MS, Symms M, Barker GJ, Mutsatsa S, Joyce E, Ron MA. Gray and White Matter Abnormalities in First-episode Schizophrenia inferred from Magnetisation Transfer Imaging. Archives of General Psychiatry. 2003 Aug; 60(8):779-88
Bagary MS, Foong J, Maier M, Barker GJ, Miller DH, and Ron MA. A Magnetisation Transfer Analysis of the Thalamus in Schizophrenia. Journal of Clinical Neuroscience and Neuropsychiatry 2002; 14:443-448
Puri BK, Lekh SK, Nijran KS, Bagary MS and Richardson A. SPECT Neuroimaging in Schizophrenia with Religious Delusions. International Journal of Psychophysiology 2001 Mar; 40(2): 143-8
Bagary MS, Fluck E, File SE, Joyce E, Lockwood G and Grasby P. Is Benzodiazepine –induced amnesia due to deactivation of the Left Prefrontal Cortex? Pyschopharmacology.2000 Jun; 150(3): 292-4
Malhi G.S., Bagary M.S. and Shergill S.S. MRCPsych, Part I MCQ Practice Papers Pastest 1999
Camprubi M., Bagary M.S. and Riccio M. The Clozapine Clinic. The Lancet 1996; 347:124
Survana K., Bagary M.S., and Glaser G. Radiation Induced Squamous Cell Carcinoma arising within a Seborrhocic Keratosis. British Journal of Dermatology 1993;128: 443-447