Neurosurgery Ahmedabad

Working presently in the capacity of Chief Consultant Neurosurgeon, Apollo Hospitals, Ahmedabad, I, Dr. Somesh Desai, am trained and worked in best of the centres for neurosurgery in India and abroad. I have experience of successfully performing more than 1000 surgeries independently with main focus on Brain tumours, cerebrovascular surgery,  and epilepsy and radiosurgery( surgery without knife), head trauma surgery, peripheral nerve surgery, spinal tumors surgery, skull base surgery. I have done MBBS from Medical College, Vadodara (1991-97), Gujarat (India), which is one of the Best Medical Colleges in State of Gujarat. Established over 50 years back, it has Postgraduate Teaching Programmes in all specialties.

After completing my MBBS, I did my MS - General Surgery (1997-2000), from Medical College, Sir Sayajirao General Hospital, Vadodara, Gujarat. I also completed one year Compulsory Internship in the same institution. The 3 year course featured good clinical and academic programmes. During this tenure, I worked for 3 months in plastic surgery, cardio thoracic and urology departments.

To further augment my medical career and understand the finer aspects of neuroscience, I completed M.Ch. in Neurosurgery (2001-2004), from Sree Chitra Tirunal Institute for Medical Sciences and Technology (Institute of National Importance & Deemed University), Thiruvananthapuram, Kerala. Bearing the name of benevolent monarch of the erstwhile State of Travancore, this institute is of National Importance as a tertiary care referral center and functions under the Science and Technology Ministry Government of India. This institute is also considered as apex institutions for neurosurgical care in the country and is well known in many areas of neurosurgical intervention including cerebrovascular Diseases, Brain tumours, Disease of The Spine, Stereotactic Surgery, Head Trauma Surgery, Peripheral Nerve Surgery, Spinal Tumors Surgery, Skull Base Surgery, Epilepsy Surgery and Movement Disorder Surgery.  

Further, I also gained valuable experience in the neurology field while working for 3 months at National institute for mental health and neurosciences (NIMHANS), Bangalore. Based on the on job experiences gathered, I also successfully completed project work on the topic “Role of stereotactic biopsy in intracranial mass lesion,” that has helped my medical counterparts to have a better understanding on the topic.

After finishing my neurosurgical training I worked as a Assistant Professor in Department of Neurosurgery in Nizam's Institute of Medical Sciences for 3 years, where I augmented my surgical skills ,apart from training neurosurgcal trainees. To further sharpen the skills and to get acquainted with the recent technological advances went for clincial fellowship to Melbourne, Australia. I did fellowship under world renowned Prof. Andrew Kaye, who is known for his elaborative work on brain tumours.

My more than 9 years of experience helps me to successfully understand and provide treatment for following conditions. Backed by experienced team of healthcare professionals including neuroanaesthetist, neurointensivist we provide a comprehensive operative/post operative care.

Brain Tumour Surgery	Epilepsy Surgery
Neuroendoscopy	Pediatric Neurosurgery
Peripheral Nerve Surgery	Cerebrovascular Surgery
Neuro Surgery	Skull base Surgery
Trauma

I am a member of:

• Associate member of Neurological society of India

Further, my practice is registered with:

• Gujarat Medical council
• Victorian Medical council(Australia)

Some of the key highlights of my medical career include:

• Got trained and worked in the best of the centres in  India and abroad
• Performed more than 1000 surgeries of brain tumours, cerebrovascular disorfers, epilepsy surgery, neroendoscopy and spine 

I have with me vast and valuable work experience in the Neurology field. This includes:

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Worked As	Place	Period
Clinical associate and Associate consultant (Got trained in Gamma knife and Neuronavigation)	PD Hinduja National Hospital and Research Centre	April 2004 to July 2004
Assistant Professor	Dept of Neurosurgery, Nizam’s Institute of Medical Sciences, Hyderabad	2004-2006
Fellowship in Neurosurgery under Prof Andrew Kaye	Royal Melbourne Hospital, Melbourne	Sept 2006- Sept 2007
Chief consultant, Neurosurgeon	Apollo Hospitals, Ahmedabad	From Sept 2007 till present

Over the years, the gained expertise and experience in the Neurology field has helped me to specialize my skills on following streams:

• Neurooncology
• Cerebrovascular disease
• Spinal instrumentation
• Functional Neurosurgery mainly epilepsy and spasticity
• Endoscopic neurosurgery

Some of the salient achievements of my career include:

• Performed the first artificial cervical disc placement in the state of Andhra Pradesh
• Achieved Best paper award: Corticography guided tumor resection 

Some of the important paper presentations I have made during my career include:
 
Pitfalls of stereotactic biopsy

• S. Desai, Prof. R.N. Bhattacharya, Dr. Panicker, Prof S. Nair, Dr. B.R.M. Rao, Dr. B.J. Rajesh, Dr. Parameswaran.
• Abstract of 5th National Conference of Indian Society of Stereotactic and   Functional Neurosurgery, 2001,  Ahmedabad

Management strategies and surgical treatment of pineal tumors

• S. Desai, Prof. R.N. Bhattacharya, Prof. Rout, Dr. Rajneesh, Dr. B.R.M. Rao, Prof. S. Nair.
• Abstract of 51st Annual Conference of Neurological Society of India, 2002, Cochin.

Surgical outcome in medically refractory occipital lobe epilepsy

• S. Desai, Prof. Radhakrishnan, Prof. R.N. Bhattacharya, Dr. Malla Bhaskar Rao, Dr. B.R.M. Rao, Dr. Sylaja, Dr. Mathew Abraham.
• Abstract of 52nd Annual Conference of Neurological Society of India, 2003. Chandigarh.

Anatomy of Paranasal Sinuses

• CME on endoscopic skull base Surgery.
• Nizam Institute of Medical sciences, Hyderabad, Sept 2005.

Intramedullary Spinal Cord Glial Tumours: Operative Experience of 88 Cases        

• S. Nair, S. Desai, S. Karunakaran, H.V. Easwer, B.K. Misra, R.N. Bhattacharya.
• Abstract of Papers 11th Asian-Australian Congress of Neurological Society, Singapore, Nov. 2003.

Controversies In The Management of Hind Brain Anomaly Related Syringohydromyelia

• S. Nair, N.C. Prakash, S. Karunakaran, S. Desai, Rajesh Kumar, H.V. Easwer.
• Abstract of Papers 11th Asian-Australian Congress of Neurological Society, Singapore, Nov. 2003.

Controversies In The Management of Spontaneous Intracerebral Hemorrhage        

• S. Nair, H.V. Easwer, K. Sudish, Rajesh Kumar, Somesh Desai, N.C. Prakash
• Abstract of papers 3rd annual conference of Indian Society of Cerebrovascular Surgery, Chandigarh Dec. 2004.

Recent Advances In Management of Thyroid Disease

• Annual conference of Gujarat State Surgeons Association, Bharuch.
• Secured Second prize in PG competition.

During my medicine career, I have also written publications on different topics of neurosurgery field. These include:

• Deep brain stimulation for Parkinson’s disease
• CME on deep brain stimulation Institute of Neurology. Madras Medical College and Government General Hospital, Chennai, February 2005
• Pediatric Hydrocephalus
• Current concepts in pediatric, 2006

Till my present tenure as a Neurosurgeon, I have attended many workshops, which has helped me to further understand as well as contribute in the field of Neurology. Held at both national and international levels, some of these workshops include:

National

Nature of workshop	Year	Place
Skull Base workshop	Oct 2004	PD Hinduja Hospital. Mumbai
Endoscopic skull base workshop	Sept 2005	Nizam Institute of Medical sciences, Hyderabad

International

Nature of workshop	Year	Place
Endoscopic brain and spinal workshop, 6th Asian Congress of neurosurgical society	Jan 2006	PD Hinduja Hospital , Mumbai

I have also attended international conferences on Neurosurgery. These include:

Nature of workshop	Year	Place
Controversies in Neurosurgery	11/17/18	Melbourne, Australia

A fine blend of science in terms of scientific evaluation & art, Modern medicine includes both intuition & clinical judgment that help in deciding type of treatment to be given to patients.

The most important aspect while providing medical treatment is relationship shared between patient and the doctor.  To ensure that patients are getting best possible treatment and all their problems are being given a patient hearing, I as a responsible health care provider undertake following steps:

• Develop amicable relationship with patients
• Assemble medical history of patient and systems inquiry along with performing necessary physical examination, besides making use of laboratory/imaging studies
• Evaluate collected data (assessment and/or differential diagnoses)
• Decide upon therapy/treatment plan that involves further testing, treatment, careful observation, further medical appointment and follow-up of case
• Based on above mentioned factors, I provide patients with appropriate medical treatment
• Analyzing progress in condition of patient, I also modify treatment plan as and when necessary

Medical Evaluation

This includes:

• Medical history & systems inquiry
• Physical examination
• Study of relevant laboratory or imaging studies
• Analysis of collected data
• Arriving at a decision (diagnosis) that is followed by therapy plan

I always endeavor to provide my patients with best possible treatment so as to cure their neurology related diseases & ailments within shortest possible time. The medical diagnosis and treatment given by me depends upon condition as well as gravity of injury/ disease experienced by patients.

My extensive experience in this field allows us in:

• Understanding the problems of patient
• Suggest them best suited treatment that helps in curing the ailment
• Taking proper care of patients and offering them complete assistance till the time of their final recovery recover from the ailment

The post surgery period is a very important part as patient’s body is extremely prone to infections at that time. I guide patients towards taking proper care that helps them to restore their health as well as ensure proper functioning of treated body part. I also maintain high discipline level in all the activities performed thus helping patients to prevent pain/ deformity from relapsing.

All these practices have helped me in establishing utmost level of satisfaction among my patients and thereby have helped me in establishing a positive image across the country.