Neurosurgery Expertise in Delhi
MCh Neurosurgery, AIIMS Delhi
MCh in Neurosurgery from the All India Institute of Medical Sciences, New Delhi.
Neurovascular Intervention Fellowship
Fellowship in Neurovascular Intervention from G. B. Pant Hospital, Delhi.
Clinical Practice
Clinical practice includes brain tumour microsurgery, neurointerventional procedures, minimally invasive spine surgery, acute stroke intervention, mechanical thrombectomy, endovascular coiling and spinal fusion.
Hospital Affiliation
Consultant Neurosurgeon and Neurointervention Specialist at Max Smart Super Speciality Hospital, Saket, New Delhi.
Academic Work
Author of indexed publications in international journals and presenter at national and international neurosurgical conferences.
Professional Memberships
International Member of AANS and a WFITN member, with NSI, NSSI, DNA and CVSI memberships.
Neurological Conditions: General Information
Brain Stroke
Interruption of blood flow or vessel rupture causing sudden neurological symptoms. A time-critical emergency.
Mechanical thrombectomy explained โBrain Aneurysm
A bulge in a brain artery. Some unruptured aneurysms are monitored; others need treatment. A ruptured aneurysm is an emergency.
Assessment and treatment choices โBrain Hemorrhage
Bleeding within or around the brain creating dangerous pressure that can rapidly impair brain function.
Brain Tumor
Abnormal cell growth ranging from benign meningiomas to aggressive glioblastomas โ each requiring tailored treatment.
Understanding the care plan โBrain AVM
Abnormal tangles of arteries and veins bypassing normal circulation โ increasing haemorrhage and seizure risk.
Pituitary Tumors
Growths on the pituitary gland disrupting hormones โ causing vision problems, headaches, and systemic imbalances.
Glioma
Tumors arising from glial cells โ from slow-growing low-grade lesions to aggressive glioblastoma.
Understanding the care plan โMeningioma
A tumour arising from the membranes around the brain or spinal cord. Monitoring, surgery or radiotherapy may be considered according to its features.
Understanding the care plan โSkull Base Tumors
Growths at the base of the skull, close to important nerves and blood vessels. Treatment depends on the tumour type, location and symptoms.
Understanding the care plan โHydrocephalus
A build-up of cerebrospinal fluid in the brain. Treatment may involve a shunt or, in selected cases, an endoscopic procedure.
Infant head growth and assessment โCarotid Artery Disease
Narrowing of the neck arteries supplying the brain โ a major stroke risk factor, treatable with stenting or surgery.
Trigeminal Neuralgia
Episodes of facial nerve pain. Medicines are usually tried first; procedures may be considered if pain control is inadequate or side effects are troublesome.
Cervical Spondylosis
Age-related degeneration of neck vertebrae causing pain, stiffness, and nerve or cord compression.
Lumbar Spondylosis
Lower spine degeneration causing back pain, stiffness, and nerve compression (sciatica).
Spinal Disc Problems
Prolapsed, herniated, or degenerated discs compressing nerves and causing back and leg pain.
Spinal Injury
Trauma to the spinal cord or vertebrae โ potentially causing pain, loss of movement, or paralysis.
TIA (Mini-Stroke)
Transient Ischaemic Attack โ a critical warning sign of impending stroke. Urgent evaluation essential.
Astrocytoma
A type of glioma with different grades and molecular features. These, along with location and overall health, guide the treatment plan.
Understanding the care plan โCarpal Tunnel Syndrome
Median nerve compression at the wrist causing numbness, tingling, and hand weakness.
Vein of Galen Malformation
A rare abnormal connection between brain blood vessels present from birth. Specialist teams assess whether and when embolisation is appropriate.
Epilepsy
Recurrent seizures from abnormal brain electrical activity. Surgical options available for drug-resistant cases.
Sleep Disorders
Neurological sleep conditions including sleep apnea and parasomnias โ evaluated with specialist expertise.
Brain aneurysm: assessment, treatment and follow-up
An aneurysm found on a scan does not automatically mean an operation is needed. The first distinction is whether it has ruptured. A sudden, exceptionally severe headache, collapse or new neurological symptoms needs immediate emergency assessment. Do not wait for an outpatient appointment. NHS aneurysm information.
How is the decision made?
For an unruptured aneurysm, the specialist reviews the scans, symptoms and general health, and balances the risk of bleeding against the risks of treatment. Size and location matter; a recommendation for monitoring is an active care plan, not a missed treatment.
Options can include observation, surgical clipping or endovascular treatment through a blood vessel, such as coiling. Anatomy and the clinical situation affect which options are suitable. CUH: assessment and treatment options.
What are the limitations?
Procedures carry risks, including stroke and bleeding. Endovascular treatment can also cause injury or bleeding at the catheter entry site. Follow-up imaging may be needed, and some aneurysms need further treatment. Ask for the risks and follow-up plan for the proposed procedure; there is no single recovery timetable for every aneurysm.
What should I ask at the consultation?
- Has this aneurysm ruptured, and how urgent is the decision?
- Why is monitoring, clipping or endovascular treatment being recommended for me?
- What are the individual benefits and risks, and what are the alternatives?
- When is the next scan or review, and what symptoms need urgent help?
- What restrictions and support should I plan for during recovery?
Brain tumour: from assessment to a treatment plan
Brain tumours are not all the same. A scan helps establish the location and extent of a suspected tumour, but the final diagnosis may require tissue obtained by biopsy or surgery. Laboratory tests, including molecular tests for some tumours, can help guide treatment. Cancer Research UK: diagnostic tests.
Why might surgery be recommended?
Surgery may obtain a diagnosis, relieve pressure or remove as much tumour as is appropriate. Complete removal is not always possible: the location and nearby areas responsible for movement, speech or other functions affect the plan. Ask whether the aim is a biopsy, partial removal or more extensive removal. Cancer Research UK: types and aims of surgery.
Some small, stable meningiomas can be monitored with scans; other cases may need surgery or radiotherapy. This cannot be assumed for every tumour type. CUH: meningioma treatment choices.
Recovery and the next decision
Possible complications include bleeding, infection, seizures and changes in neurological function. Recovery varies, and some people need physiotherapy, speech therapy or other rehabilitation. The team should explain the risks relevant to the tumour's location and the proposed operation.
Before going home, clarify wound care, prescribed medicines, rehabilitation and the next review. Ask when pathology results will be discussed and how they affect further treatment. Cancer Research UK: recovery and possible problems.
Questions that help clarify the plan
- What is known from imaging, and what remains uncertain until tissue testing?
- What is the aim of surgery, and what could limit removal?
- Are monitoring or non-surgical treatments relevant in this case?
- What help might I need at home, and when will we review the scan and pathology?
General patient education on the website of Dr. Simranjeet Singh, Max Smart Saket, New Delhi. These summaries support discussion with the treating team and do not determine an individual treatment plan.