Neurologist in Delhi (Ex-HOD MAX Saket)

Work Experience and Training

  • Dr. Good deed clinics: Director
  • Senior Consultant and Head Interventional Neurology: December 2016 to 2020 MAX Saket Hospital, Delhi, INDIA
  • Fellowship Endovascular Surgical Neuroradiology Texas Stroke Institute, Plano, Texas, USA
  • Fellowship Neurocritical Care: Department of Neurology, University of Pennsylvania, Philadelphia, USA. Administrative fellow
  • Neurology: Resident, Department of Neurology, Loyola University Medical Center, Maywood, Illinois, USA. Chief Resident
  • Medicine Internship: Internal medicine: State Upstate New York University, Syracuse.
  • Bachelor of Medicine Bachelor Of Surgery University College of Medical Sciences and Guru Tegh Bahadur Hospital, University of Delhi, Delhi, India. Gold Medal for academic excellence.

Proficiencies

Neurology

The neurologist treats disorders that affect the brain, spinal cord, and nerves, such as: cerebrovascular disease, demyelinating diseases of the central nervous system, such as multiple sclerosis, headache disorders, infections of the brain and peripheral nervous system, movement disorders, such as Parkinson’s disease, neurodegenerative disorders, such as Alzheimer’s disease, Parkinson’s disease, and Amyotrophic Lateral Sclerosis (Lou Gehrig’s disease), seizure disorders, such as epilepsy, spinal cord disorders, speech and language disorders

Endovascular surgical neuroradiology and Neurocritical Care

Endovascular surgical Neuroradiology is an exceptionally rare and coveted medical superspeciality. Even in United States of America there are less than 1000 trained doctors in this field as compared to cardiologists which are more than 23000. This field has revolutionized the care of the patients with neurological disorders and presents immense potential and avenue for future growth. There are very few neurologists trained in this super-speciality all over the world. As part of comprehensive care an Endovascular Neurologist requires state of the art neurocritical care services. Neurocirtical care has been shown to improve outcomes in patients with neurological disorders when compared general critical care.

The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological patient. Most uniquely, neurocritical care is concerned with the interface between the brain and other organ systems in the setting of critical illness. Expertise in Neurocritical Care involves procedural skills and proficiency with standard forms of ICU monitoring (i.e., cardiovascular hemodynamic monitoring and mechanical ventilation) as well as specialized forms of neurological monitoring (i.e. ICP and continuous EEG monitoring) and interventions (i.e., hypertensive hypervolemic therapy, therapeutic hypothermia). Neurocritical Care involves taking care of neurological  and neurosurgical patients, whether in a neuro-ICU, or as part of a team responsible for  the care of neurological patients in the context of a medical-surgical ICU.

Following is a list of diseases and conditions typically treated by Neurointerventionalists and Neurocritical care

  1. Cerebral aneurysm, Subarachnoid hemorrhage
  2. Stroke
  3. Intracranial hemorrhage
  4. Carotid Stenosis
  5. Brain arteriovenous malformation (AVM)
  6. Cerebral Venous Sinus Thrombosis
  7. Inferior Petrosal Sinus Sampling
  8. Carotid-cavernous fistula (CCF)
  9. Dural arteriovenous fistula
  10. Extracranial (brachiocephalic) atherosclerosis
  11. Extracranial (head and neck) and paraspinal vascular malformations
  12. Head and neck tumors(paraganglionomas, acoustic neuromas)
  13. Intracranial atherosclerosis
  14. Tumor embolization of Meningiomas and brain tumors.
  15. Nosebleeds
  16. Traumatic vascular lesions
  17. Vasospasm
  18. Traumatic Brain Injury
  19. Traumatic Spinal Cord injury

Neurosonology

Rapidly changing world of neurocirtical care and neurointervention has also seen extensive use of Neurosonology techiniques to help diagnosing and treating various intracranial and extracranial disease processes.

Proficiency in Transcranial Dopplers (TCD) helps the intensivist to treat disorders like vasospasm in subarachnoid hemorrhage and traumatic brain injury. TCDs also help in stroke prediction in sickle cell disease, emboli detection during cardiac and neurosurgical procedures and sonothrombolysis in acute ischemic stroke. Utility of transcranial dopplers has also been extended to diagnosing different kinds of stroke and large vessel occlusions. It also helps in management of arterial venous malformations and AV fistulas. Transcranial dopplers can prove to be useful in determining cerebrovascular reserve and collateral circulation.

Neuromonitoring: Neuromonitroing modalities:

  • Cerebral microdailysis
  •  Brain tissue oxygen monitoring, Licox Device
  • Continuous EEG monitoring for cerebral vasospasm.

Administrative Experience

Founder Member and President of Society of American Trained Physicians in India (SAPI).

Chairman International affairs: Society of Neurocritical care (SNCC)

Stroke Champion for Arlington Memorial Hospital, Arlington, Texas: September 2014 to 2016.

Responsible for setup and management of stroke program at Arlington memorial hospital. Responsibilities include managing stroke team, providing time sensitive diagnosis and treatment to stroke patients. Maintaining stroke center certification by fulfilling time based metrics as per the Joint Commission.


Board Certification and Fellowship

  • Board certified in Neurology: AMERICAN BOARD OF PSYCHIATRY AND NEUROLOGY: 2011
  • Board certified in Neurocritical Care: UNITED COUNCIL OF NEUROLOGIC SUBSPECIALITIES
  • Board certified in Neurosonology (TCD and Physics): AMERICAN SOCIETY OF NEUROIMAGING
  • Fellowship trained in Endovascular Surgical Neuroradiology: TEXAS STROKE INSTITUTE.