Work Experience and Training

  • Senior Consultant and Head Interventional Neurology: December 2016 to present 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.

Research and Publications

  • Kakkar, G., Zirpe, K. G., Sapra, H., Dixit, S., Chugh, C., Nagaiyan, S., & Kumar, P.Practice Implications for Acute Ischemic Stroke during the COVID-19 Pandemic for the Indian Scenario: Realistic and Achievable Recommendations by the Society of Neurocritical Care (SNCC), India. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine24(9), 757–762.
  • Chugh C. Acute Ischemic Stroke: Management Approach Indian Journal of Critical Care Medicine 2019: 23 (S2):140-146.
  • Chugh C, Agarwal H. Cerebral vasospasm and delayed cerebral ischemia: Review of literature and the management approach. Neurol India 2019;67:185-200
  • Agarwal H, Reddi R, Walia B, Chugh C. Bilateral carotid hypoplasia with multiple posterior circulation aneurysms. Neurol India 2019;67:333-4
  • Agarwal, H., Chugh, C, Singh, S. and Singh, P., 2018. Neurosurgical image: giant pituitary adenoma and multiple aneurysms. British journal of neurosurgery, pp.1-3.
  • Chugh, Chandril, Himanshu Agarwal, Kapil Jain and Vipin Kumar Jain. “Atypical HSV encephalitis infection: A Zebra.” (2018).
  • Chugh C, Goel K, Agarwal H, Kumar M, Mukherji JD (2017) Large Vessel Occlusion presenting as Acute Confusion Only: Miss and Die. J Neurol Neurophysiol 8: 449.
  • Agrawal R, Chugh C, Mukherji J D, Singh P. Acute axonal polyneuropathy following resection of a glioblastoma multiforme. Neurol India 2017;65:1422-3
  • C. Chugh, S. C. Nyirjesy, K. P. Nawalinski. Red Blood Cell Distribution Width is Associated with Poor Clinical Outcome After Subarachnoid Hemorrhage: A Pilot Study.Neurocritical care (2015): 1-8.
  • Hu, Yin C., C. Chugh, Hasit Mehta. Early angiographic occlusion of ruptured blister aneurysms of the internal carotid artery using the Pipeline Embolization Device as a primary treatment option. Journal of neurointerventional surgery (2013): neurintsurg-2013.
  • Hu, Yin C., C. Chugh, Dhruve Jeevan, Michael F. Stiefel. Modern endovascular treatments of occlusive pediatric acute ischemic strokes: case series and review of the literature.Child’s Nervous System 30, no. 5 (2014): 937-943.
  • Maria J. Servioli, C. Chugh, Jose Biller Rheumatoid Meningitis. CPC articlepublished in Frontiers in Neurology.2:84.
  • C. Chugh, John M. Lee, and Jose Biller. Memory Loss, Behavioral Changes, and Slurred Speech in a 49-Year-Old Man.CPC article published inFrontiers in Neurol. 2011; 2: 27
  • C. Chugh, N. Wadhawani, and Jose Biller. Confusion and slurred speech in a 34 year old woman from India. CPC article published in Frontiers in Neurology. 2011; 2: 34.
  • P.K.Mediratta, K.H.Reeta, N.Rathi,C. Chugh, H.Jain, D. Arora, K.K Sharma.                Evaluation of analgesic activity of oxytocin in mice. Published as proceedings of INTERNATIONAL CONFERENCE ON PAIN- IN PAIN UPDATE 2005.
  • P.K.Mediratta, K.H.Reeta ,N.Rathi, C.Chugh, H.Jain, D. Arora, K.K Sharma. Role of kappa- and delta-opioid receptors in the antinociceptive effect of oxytocin in formalin-induced    pain response in mice. Regulatory peptides 2006 Jul 15; 135 (1-2):85-9
  • Rathi, Reeta KH, Mediratta PK, Jain H, C. Chugh, Mahajan, Sharma.KK.Effect of oxytocin in formalin induced pain in mice. Indian journal of pharmacology: 2003; 35; 134.

Abstracts

  • Vasospasm: Does coiling or clipping make a difference. ISNACC 2019
  • Are patients with OSA more likely to have NASAH? ISNACC 2019
  • Stepwise approach to cerebral vasospasm. ISNACC 2019
  • A rare case of Bilateral Internal Carotid hypoplasia with unruptured multiple posterior circulation aneurysms presenting at 67 years of age. ISNACC 2019
  • Neurointerventionist response time as an independent predictor of good outcome. ISNACC 2019
  • Neurointerventionist response time as an independent predictor of good outcome (2nd place Award at DNA con). DNA 2018
  • Are patients with OSA more likely to have NASAH. DNA 2018
  • Vasospasm: Does coiling or clipping make a difference? DNA 2018
  • Vein of Galen Aneurysmal Malformation presented with Seizures: Rare manifestation of rare disease. Complete resolution of seizure with partial embolization. DNA 2018
  • Safety of extubation in Neuro-ICU patient with low GCS (Award paper selection). DNA 2018
  • Systematic Review of the Safety of Stroke Thrombectomy Devices in the US: Analysis of the “Manufacturer and User Facility Device Experience” Database . SVIN 2014
  • Weekly Trends of Acute Stroke Consults in a Regional Tele-stroke Network: Increased Stroke Risk on Monday? SVIN 2014.
  • ED-based Rapid Brain-Attack Triage Algorithms in a Comprehensive System of Stroke Care Positively Impact Discharge Disposition for Sub-arachnoid hemorrhage.SVIN 2014
  • Standardized Color-coded Algorithms and Order Sets for Inpatients with Intracerebral Hemorrhage reduce Length of Stay in the Neuro Intensive Care Unit.SVIN 2014
  • Standardized Color-coded Algorithms and Order Sets for Inpatients with Ischemic Stroke reduce Length of Stay in the Neuro Intensive Care Unit. SVIN 2014
  • Trends in Utilization of EMS Mode of Arrival in a Comprehensive System of Stroke Care.SVIN 2014
  • Standardized Color-coded Algorithms and Order Sets for Inpatients with Intracerebral Hemorrhage reduce Length of Stay in a Comprehensive System of Stroke Care. SVIN 2014
  • Barriers to administering Intravenous recombinant tissue plasminogen activator (IV r-tPA) in Acute Ischemic Stroke: Real world experience from Community hospitals within a Regional Brain Attack Network SVIN 2014
  • Rapidly improving symptoms and withholding Intravenous recombinant tissue plasminogen activator (IV r-tPA) in Acute Ischemic Stroke within Community hospitals: Is it time to re-visit this? SVIN 2014
  • Weekend Effect on the Utilization of Intravenous Thrombolysis: Myth or Reality in the Era of Regional Tele Stroke Network. SVIN 2014
  • Diurnal Variations in Ischemic Stroke Admissions within a Multi-Hub and Spoke Regional Brain Attack Network. SVIN 2014
  • Double-digit Overall Intravenous recombinant tissue plasminogen activator (IV r-tPA) treatment rates in Acute Ischemic Stroke can be achieved in Community hospitals within a Regional Tele-Stroke Network. SVIN 2014.

Book Chapters

  • Endovascular Intervention in Stroke: New Frontiers. Published in cardio diabetes update: A textbook of cardiology. 2018
  • Atrial Fibrillation and Stroke. Published in the text book of advances in clinical cardiovascular imaging echocardiography and interventions. 2018
  • Pediatric Stroke: Accepted for publication in textbook of cardiology update 2019.
  • Cerebral Blood Flow: Anatomy and Physiology. Oxford textbook for Neurocritical Care 2014.
  • Cerebral Blood Flow: Monitoring of Cerebral Blood Flow.Oxford Textbook for 
  • Neurocritical Care 2014

Podcasts


Journal Reviewer

  • Reviewer for Lancet Journal of Neurology.
  • Reviewer for the Journal of Stroke and Cerebrovascular Diseases.
  • Reviewer for Annals of Indian Academy of Neurology.
  • Faculty of 1000 Medicine, Associate Faculty Member: 2008 to 2010

Philanthropic and Social activities

Settlor and Founding Trustee of Sankat Mochan Social Welfare Trust:

The objectives of the Trust are to:

  1. Enhance access to quality basic healthcare for the people of India especially in favor of the socially and economically backward classes of the society including people residing in rural and remote areas.
  2. Create a platform for the public to interact with medical experts from across the country and seek their medical opinion.
  3. Formulate and recommend policies to the concerned government institutions and other organizations for its implementation with an endeavor to improve healthcare services in India.
  4. Establish high quality clinics and hospitals for the benefit of the public.
  5. Provide training to the various personnel including nurses, lab technicians, radiology techs, paramedical staff, emergency medical staff etc.
  6. Provide health education to the public at large.
  7. Promote practices and techniques inter alia in agriculture and sanitation which affect heath, more generally.

Currently the trust operates 3 Teleclinics and 1 outpatient clinic in the state of Bihar, India.

The teleclinics are established in the cities of Ramnagar, Arrah and Muzaffarpur in the state of Bihar, India.

The outpatient clinic functions from the city of Patna, Bihar.

Awareness activities for Acute Stroke Management:

Stroke is a deadly disease and the number one cause of disability in India. Unfortunately, there is a basic lack of understanding of this disease amongst the general population as well as the medical personnel. Multiple workshops are conducted to improve awareness of this deadly disease and improve patient outcome.

Such workshops have been conducted at various small and peripheral hospitals in the state of Delhi, India. The audience is paramedical staff, nursing staff and the physicians working at that hospital. These activities are done free of cost.

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

  1. OBJECTIVE

The object of this society is to bring together and promote American trained Indian physicians who are practicing in India with the object to ameliorate the medical services provided by the doctors in the country thereby providing better medical services to the public at large. The society will promote and educate its members by awareness, promotion, education, professional training, establishing professional standards, academic activities, conducting and promoting research and other activities.

To work like a bridge in assimilating best practices from the medical system of United States of America into the Indian system of medicine.

To help doctors who are moving back to India from the US or those who are planning to do so.

  1. AIMS AND OBJECTS OF THE SOCIETY 

The aims and objects to be pursued by the Society are –

  1. To establish and encourage highest professional and ethical standards in the practice of medicine in India.
  2. To protect the rights and privileges of the members, solve grievances of members and make rules when deemed necessary relating to conduct, discipline and professional conduct of members.
  3. To interact with the governments at State and Federal Level both in India and in United States for maintenance of certification and proper credentialing of its members.
  4. To arrange and conduct scientific meetings, CME programmes, trainings, educational courses, examinations and to grant orations, awards, certificates, prizes, fellowships, scholarships, stipends, remuneration to students, members and scholars to undertake training and research in the field of medicine and allied subjects.
  5. To disseminate knowledge and updates, provide authoritative advice, information and opinion and create awareness about health, medicine and allied subjects to other professional organizations, governments, patients and public.
  6. To print, publish, distribute or sell books, pamphlets, pictures, periodicals, bulletins, journals, newspapers or magazines or any material in print or electronic form such as websites, email or social media or any other material about health, medicine and allied subjects.
  7. To establish and maintain print and electronic reference libraries of books, journals, periodicals, magazines, newspapers, audio-visual materials, etc. health, medicine and allied subjects.
  8. To facilitate or aid other individuals or organizations involved in the promotion of health, medicine and allied subjects.
  9. To facilitate interaction amongst students, clinicians, allied professionals and scientists involved in liver transplantation and allied subjects regionally, nationally and internationally for exchange of scientific information, promotion of scientific research and experimental work in this field by organizing conferences, seminars, symposia, workshops, continuing medical education programs and other academic programs.
  10. Collaborate with national and international governments, semi-government institutions, universities, non-government organizations, societies, health agencies, patient support groups and relevant public and private entities, patients and other individuals to facilitate improvements and innovations in health, medicine  and allied subjects and organize or participate in regional, national and international conferences, seminars, symposia, workshops, continuing medical education programs, exhibitions and other programs topromote such innovations.
  11. To establish a national registry for American trained Indian physicians and encourage members to voluntarily update information in the registry.
  12. To facilitate formation and smooth running of patient support groups.
  13. To accept grants, donations, endowments, movable or immovable assets, subscriptions or other income or undertake projects with or without conditions from national and international governments, semi-government institutions, universities, non-government organizations, societies, health agencies, other public and private entities, patient support groups, patients and other individuals and collaborate with them for fulfilling the objectives of the society.

Print and Electronic Media Activities

  1. Fit & Proper Column of Business Standard- All Editions and Online. The column discusses the rising problem of Hypertension which is affecting the young and old equally. It also discusses about causes, symptoms and treatment for hypertension. The article was published online as well as in print section of the publication.https://www.business-standard.com/article/health/hypertension-a-silent-killer-in-india-that-affects-young-and-old-alike-119051100963_1.htmlhttps://myimpact.in/index.php?page=Clipj&id=d076fb7f397477c0c1b6baf0a4dadcc0&id2=87b355976475fd8a76dacc0b226876e5
  2. The Times of India (Online) –  Make yourself stroke ready .The publication has carried the full article by Dr Chandril Chugh on how majority of strokes can be prevented with only few dietary and lifestyle changes, symptoms and signs to look out for.https://timesofindia.indiatimes.com/life-style/health-fitness/health-news/make-yourself-stroke-ready/articleshow/66400661.cms
  3. The Economic Times publication has carried the article in column format in their “Health & You” page on how majority of strokes can be prevented, symptoms and signs to look out for and top factors which can lead to a Stroke in an individual.https://economictimes.indiatimes.com/magazines/panache/wish-to-lower-risk-of-stroke-keep-diet-workout-regime-in-check/articleshow/66426244.cms?from=mdr
  4. Pioneer – Stroke alert The story has been carried out with several doctors opinion on stroke what is stroke, symptoms, preventive strategies etc and Dr. Chandril Chugh’s quote in the Treatment para which talks about the Intravenous medication, mechanical thrombectomy or ‘clot buster’ drug options for treating Stroke.https://www.dailypioneer.com/2018/pioneer-health/stroke-alert.html
  5. Dainik Jagran: Facebook Live. This live event was dedicated to spread stroke awareness, related treatment options and preventive measures.https://www.facebook.com/dainikjagran/videos/2280590475554976/
  6. Quint Fit:  The article further carries the precautionary steps to prevent a brain attack or stroke.https://fit.thequint.com/fit/doctor-neurologist-answers-questions-stroke-heart-problems
  7. Hindustan: A Hindi news publication.
    Article to spread awareness on hypertension was published with inputs from Dr.Chandril Chughhttps://myimpact.in/index.php?page=Clipj&id=1d6e07000ad520a52fcf857e1d1b9670&id2=87b355976475fd8a76dacc0b226876e5
  8. Mail Today: Article to spread awareness on hypertension was published with inputs from Dr.Chandril Chugh.https://myimpact.in/index.php?page=Clipj&id=6902187891e84661ee8319c672677fc1&id2=87b355976475fd8a76dacc0b226876e5
  9. Stroke awareness and education articles published in various newspapers. Daily Hunthttps://m.dailyhunt.in/news/india/hindi/pardaphash+hindi-epaper-pardphin/minimali+inavesiv+bren+sarjari+se+yuva+vyavasayi+ko+mila+jivan+dan-newsid-117677469
  10. APN news:<  a href=”https://www.apnnews.com/minimally-invasive-brain-surgery-saves-young-businessmans-life/”>https://www.apnnews.com/minimally-invasive-brain-surgery-saves-young-businessmans-life/
  11. Hindi Daily Pardaphash:https://hindi.pardaphash.com/minimally-invasive-brain-surgery-helps-young-businessman-get-life-charitable/
  12. Hindi Print Satyodaya:https://satyodaya.com/khairiyat/minimally-invasive-brain-surgery-helps-young-businessman-gave-life/
  13. Hindi Online Publication Asalbaat:https://www.asalbaat.com/new-life-found-by-young-patients-after-partial-paralysis/
  14. Online Publication Sitarokiduniya:https://sitaronkiduniya.wordpress.com/2019/06/01/31536/http://livereadernews.com/highlight/31007
  15.  National Hindi Daily:Tarunmitrahttps://tarunmitra.in/archives/160822
  16. English News Publication Business News this Week:http://businessnewsthisweek.com/business/minimally-invasive-brain-surgery-saves-young-businessmans-life/
  17.  English news Publication, The words of India:https://theswordofindia.page/article/
  18. Local Hindi Online Bhadas4media:https://www.bhadas4media.com/dhumrpan-chhodiye/
  19.  English online publication: The speak today:https://thespeaktoday.com/2019/06/01/minimally-invasive-brain-surgery-youth-practitioner-receives-life-charity-after-partially-paralyzed-young-patients-found-new-life/
  20.  Local News Publication, Alivenews:http://www.alivenews.co.in/aanshik-roop-se-lakwagrastth-hone-ke-baa-rogi-ko-mila-naya-jeewan/
  21.  Local Hindi News, Atulya lok tantra news:https://www.atulyaloktantranews.com/state/uttar-pradesh/new-life-found-by-young-patients-after-partial-paralysis/4892/.
  22.  Publication on dealing with heat stroke. Mail today:https://myimpact.in/index.php?page=Clipj&id=e4eaf890c5f39a7d2e185f7f1db47117&id2=87b355976475fd8a76dacc0b226876e5
  23. Times of India’s publication on Acute encephalitis Syndrome with inputs from Dr. Chandril Chughhttps://timesofindia.indiatimes.com/life-style/health-fitness/health-news/how-dangerous-is-acute-encephalitis-syndrome-all-you-need-to-know/articleshow/69789422.cms
  24. Economic Times publication on Acute encephalitis Syndrome with inputs from Dr. Chandril Chughhttps://health.economictimes.indiatimes.com/news/diagnostics/how-dangerous-is-acute-encephalitis-syndrome-all-you-need-to-know/69790607
  25. The Quint’s publication on Acute encephalitis Syndrome with inputs from Dr. Chandril Chughhttps://fithindi.thequint.com/health-news/encephalitis-cases-symptoms-treatment-preventionhttps://fithindi.thequint.com/health-news/encephalitis-outbreak-reason-behind-bihar-children-deathhttps://fit.thequint.com/health-news/encephalitis-bihar-children-deaths-reasons.
  26. Neck Massage and acute stroke, article on common causes of stroke for public awareness. Covered by the Quint.https://fit.thequint.com/health-news/neck-massage-leading-to-stroke-2
  27. Neck Massage and acute stroke, article on common causes of stroke for public awareness. Covered by Yahoo news. https://in.news.yahoo.com/did-know-simple-neck-massage-054044100.html
  28. Sudden Signs of Stroke covered by NDTV:https://www.ndtv.com/video/health/doctors-on-call/know-the-sudden-signs-of-stroke-472042

Memberships

  • American academy of Neurology (AAN)
  • Society of Vascular and Interventional Neurology (SVIN)
  • Neurocritical Care Society (NCS)
  • Society of Neurocritical Care( SNCC)
  • Delhi Neurological Association ( DNA)
  • Society of Neurovascular Intervention ( SNVI)
  • Indian academy of Neurology ( IAN)