Profile > Sudhir Dubey

Career Objective

Neurosurgery is being re-invented by minimalism in invasive neurosurgical techniques and refinement of target point action. These principles of minimal access with precision lead to minimal tissue trauma and maximal patient benefit. There is a gradual conceptual shift from microscopic to image guided surgery and endovascular interventions, still further advancements may see surgeon's role being re-defined. I started 8 years back with assisting in ventricular endoscopies and over the past 3 years have personal series of more than 450 procedures (series of ventricular and periventricular, skull base, spinal endoscopies and video assisted thoracoscopic surgeries). I now use endoscopy, microscopy and stereotaxy together. Presently I perform around 400 elective surgeries annually ( all spectrum ), I see myself in future as Minimal Access Neurosurgeon. I am a student of surgery and in this era of knowledge explosion we have to constantly train, re-train and upgrade ourselves. The betterment of our skills and thus better patient care can be achieved by constant and consistent reading, publishing, working and interacting with people with established expertise. We at our Hospital have an additional motto to provide World Class Care with compassion to all our patients .

Summary

Qualifications

Experience

Surgeries Performed

Publications

Awards

•  Young neurosurgeon's Award by World Federation of Neurosurgical Societies at the XII^th World Congress of Neurosurgical Societies in Sydney , Australia , Sep, 2001.

•  Awarded Gold Medal for best outgoing student in Neurosurgery in 2001.

•  Awarded Rupkishan Das Memorial Gold Medal for being all round student of SP Hall of Final year MBBS class for 1994

•  Awarded Merit scholarship during MBBS training.

•  Awarded Junior Science Talent Search Scholarship by Department of Science and Technology, Delhi Government.

•  Served as student elect member of The Academic Council of National Institute of Mental Health & Neurosciences, Bangalore during years 2000-2002

International Fllowships

1. Visiting Fellow – Neuroendovascular Division, Department of Neuosurgery, Albany Medical College , New York . June-July 2005.

Details of Experience

Basic Training

I finished my basic training from National Institute of Mental Health & Neurosciences (NIMHANS) and stayed on as a chief resident for 1 more year.

NIMHANS is a premier institute in India , exclusively for Neurosciences and has 650 beds for Psychiatry, Neurology, Neuroradiology and Neurosurgery. It is a Neurosciences University with all basic science departments as Neuropathology, Neurophysiology, Neuromicrobiology, Neurovirology, Biophysics, Biostatistics, Epidemiology and Psychology. The department of Neurosurgery has 9 consultants and more than 120 beds. Neurosurgical residency program is highly competitive with selection based on open merit examination conducted on All-India basis. The seat to candidate ratio is more than 1:250. It includes one year training in general surgery and four years training in Neurosurgery. There are 6 dedicated neurosurgical operation theatres equipped with operating microscopes, CUSA, pneumatic drills, intraoperative ultrasound and intraoperative fluoroscopy. There is an 8 bedded neurosurgical ICU with ventilators and sophisticated monitors

The entire spectrum of neurosurgical cases are seen here and Institute has strong academic traditions.

Present Workplace - Bhopal Memorial Hospital & Research Centre

“The Bhopal Gas Tragedy” in the early morning hours of December 3, 1984 was a catastrophe with no parallel in history. The accidental leakage of Methyl Isocyanate gas left more than ten thousand people dead and left about five hundred thousand people suffering from agonizing injuries. The lungs, brains, eyes, muscles as well as gastro-intestinal, neurological, reproductive and immune systems of those who survived were severely affected.

“The Bhopal Hospital Trust” was established in London in 1992 with Sir Ian Percival as its sole trustee for construction of hospital for gas victims, pursuant to order passed by Supreme Court. In 1998, the construction of the hospital began. Its aim is to provide health benefits to the gas victims free of cost. In addition as there is no good Super specialty setup in 700kms radius, it also helps the general population by providing health care at nominal cost.

“The Bhopal Memorial Hospital and Research Centre” and its “ Eight Outreach Health Centres” provide primary and tertiary care to the gas victims. Since its commissioning in July 2000 more than 450,000 patients have been treated in the hospital.

“Department of Neurosurgery” is a well equipped department with 30 beds with High Dependency Unit. It also has state of art Intensive Care Unit. There are two operation theatres, two operating microscopes, cranial and spinal endoscopes, C-arm, Midas rex drill, CUSA, TCD, intraoperative neuromonitoring systems, CRW stereotaxy system, RF lesion generator, microsuctions and microinstruments. We are in process of acquiring Neuronavigation system and probably Gamma Knife. There is state of art Digital Subtraction Angiography suite in the hospital. We have sanctioned posts for Professor, Associate Professor and Assistant Professor.

“My contribution” . I started the closed department from scratch around three years back and am the acting head for past 2 years. Over these three years we have grown in strength to around 4000 outpatients, 500 inpatients and 400 operations yearly. We serve the role of tertiary care centre. We now have full fledged expertise in following subspecialties of neurosurgery namely endoscopic neurosurgery (of brain , base of skull, spine and nerves), complex spine fusions, micro neurosurgery, skull base surgery, vascular surgery, functional neurosurgery and neurointensive critical care. We have started a unique tradition of presenting the results of our management (Neurosurgical Audit) in various forums for peer review. Our centre has become a recognized centre for endoscopic and complex spine surgery. BMHRC was proud to organize first Epilepsy Surgery Workshop on 17 th April 2005 . In addition to surgery we are doing good clinical and basic research. We will like to see our centre as pioneer minimally Invasive neurosurgery centre in India , including or neurointerventions

Research Experience

My interest has included both the clinical studies and the laboratory work. My thesis on “Recurrent Neuroepithelial Tumors” was a great learning experience for me. I came to realize that with the clinical backing the experimental work becomes more meaningful. Interpretation of such work can only be done in light of clinical behaviours and outcomes. I have also acquired proficiency in basic statistical analysis. I have researched on following topics which have been presented in various National & International Conferences.

•  Recurrent Neuroepithelial tumors: Biological characteristics and their survival patterns – 118 patients of recurrent tumors are analyzed for clinical, radiological, pathological and biological factors which predict recurrence. I have done myself standardized the immunostaining procedures.

•  Management morbidity and mortality of aneurysmal subarachnoid hemorrhage : 492 patients of aneurysmal subarachnoid hemorrhage in all grades irrespective of whether operated or not over 5 years have been followed up and natural history of unclipped

•  Role of Incomplete circulation on the outcome of anterior communicating artery aneurysms

•  Spinal Intramedullary tumors : Series of 167 patients

Present Research projects

Population based studies

One of the objectives of Bhopal Memorial Hospital has been to conduct population based studies in the survivors of Bhopal gas victims. We are a unique hospital as we have network of eight outreach centres in the Gas victim population. We have begin the work on following :-

•  Incidence of carotid stenosis in first time detected hypertensives and diabetics (as part of Diabetic and hypertensive project).

•  Incidence and prevalence of acute and chronic low backache and Prospective Randomised Trial comparing Mini-intervention, No-intervention and Intradiscal electrothermy in Discogenic Chronic low backache.

Clinical and Basic Research

•  Apoptosis in CSF and its possible role in Neurodegenerative diseases.

•  Ventricular compliance, Cisternal compliance and Transcranial Doppler in Tubercular and Cysticercal Meningitis with and without hydrocephalus; as predictor of outcome.

•  Role of cerebral decongestants versus ventricular CSF drainage in patients with raised intracranial pressure.

•  Role of intraoperative monitoring in cranial and spinal surgery

Publications

RESEARCH PAPERS IN INDEXED JOURNALS:

Indira.B, Dubey.S, Fracture Occipital Condyle with Isolated XII Nerve Palsy. Neurology India , 48: Mar 2000, 93-94.

Dubey S, Indira B, Jawalkar V.K., Bhat D.I.. Tuberculoma en plaque: A case report. Neurol India 2002:50:497-499.

CHAPTER IN EDITED BOOK

Vani Santosh, Shankar SK , Dubey S, Chandramouli BA. Tumor markers in Neurooncology: Diagnostic and Prognostic significance in Recurrence. In A K Singh (Ed) Indian Clinical Neurosurgery. Volume 2. 2001 (In press)

INDEXED ABSTRACTS:

S. Kolluri, S Dubey , Chandramouli BA, Das B.S, Influence of anomalies of circle of Willis on outcome following surgery in patients with anterior communicating artery aneurysm. Br. J of NS, 15(6) 2001, 542

Research papers submitted for Publications

•  Dubey S, Vani Santhosh, Chandramouli BA, Kolluri S. Recurrent Neuroepithelial tumors. Clinicobiological characteristics and survival patterns. Neurosurgery

•  Dubey.S, Indira.B, En-Plaque Tuberculoma – a case report with review of literature. Neurology India (In Press)

•  Dubey.S, Indira.B, Tuberculous Osteomyelitis of Skull – a case report with review of literature. Neurology India (In Press)

•  Kolluri VRS, Dubey S, Chandramouli BA. Das BS. Management morbidity and mortality in aneurysmal subarachnoid hemorrhage. Br J of Neurosurgery

•  Chandramouli BA., Dubey S, Kolluri VRS, Das BS. Outcome of ruptured saccular aneurysms of Distal Anterior Cerebral Artery. Br J of Neurosurgery

Conferences Organised

•  Neurosurgery Update (March 2004) – Live surgery workshop of Vascular surgery and Neuro-oncology. Mr. Allan Waters, Neurosurgeon, Aden Brooke Hospital , Cambridge , United Kingdom was the visiting International faculty.

•  Epilepsy Surgery Workshop (April 2005) – Organiser of surgery workshop held jointly by department of Neurology and Neurosurgery with around 150 delegates from Madhya Pradesh and India .

•  6^th MP Neurocon (April 2005) – Helped organised 6 th Annual conference of M. P. Association of Neuroscientists. Varied neurosurgical topics were discussed including paediatric brain tumors, head injuries, recurrent meningitis, controversies in cervical spine diseases, minimally invasive spine surgery and advocacy in neurosciences.

Papers in National & International Conferences

•  XII^th World Federation of Neurosurgical Societies Meeting, Sydney , Australia , (Sep 2001 ) Title: - Recurrent Neuroepithelial Tumors, Biological Characteristics and Survival Patterns. Authors: - Dubey .S, Vani Santhosh, Chandramouli,B.A., Kolluri. V.R.

•  National Annual Conference of Neurological Society of INDIA , Hyderabad , India (December, 1999): - Title: Outcome analysis of grade 1 & 2 subarachnoid hemorrhage in cases of Anterior Communicating Artery Aneurysm. Authors: Dubey .S, Kolluri. V.R., Chandramouli,B.A.

•  National Annual Conference of Neurological Society of INDIA , Hyderabad , India (December, 1999): - Title:Distal anterior cerebral artery aneurysms –NIMHANS experience. Authors: Chandramouli,B.A, Dubey .S, Kolluri. V.R.

•  National Annual Conference of Neurological Society of INDIA , Chennai , INDIA (December, 2000): - Title: Spinal Intramedullary tumors : Role of radical excision. Authors: Dubey .S, Anand B.

•  National Annual Conference of Neurological Society of INDIA , Chennai , INDIA (December, 2000): - Title: Management, morbidity and mortality in cases of Aneurysmal subarachnoid hemorrhage Authors: Kolluri. V.R., Dubey .S, Chandramouli,B.A.

•  4^th M. P. NEUROCON, Jabalpur , INDIA (February, 2003): - Title: Cranial endoscopy for ventricular and periventricular lesions. Author: Dubey .S.

•  4^th M. P. NEUROCON, Jabalpur , INDIA (February, 2003): - Title: Spinal Fusions for Tuberculosis of Spine. Authors: Dubey .S., Harsh Saxena

•  4^th M. P. NEUROCON, Jabalpur , INDIA (February, 2003): - Title: Skull Base Surgery, Initial Experience . Author: Dubey .S.

•  National Annual Conference of Neurological Society of INDIA , Chandigarh , INDIA (December, 2003): - Title: Minimally Invasive Neurosurgery. Authors: Dubey S, Ravi Kumar.

•  National Annual Conference of Neurological Society of INDIA , Chandigarh , INDIA (December, 2003): - Title: Spinal Endoscopy. Authors: Ravi Kumar, Dubey .S.

•  5^th M. P. NEUROCON, Gwalior , INDIA (February, 2004): - Title: Role of Intracranial Pressure Monitoring in Head Injured Patients. Authors: Dubey .S.

•  5^th M. P. NEUROCON, Gwalior , INDIA (February, 2004): - Title: Stereotaxy and Functional neurosurgery, BMHRC Experience . Author: Dubey .S., Bhattacharya P.

•  National Annual Conference of Neurological Society of India , Indore , India (December, 2004): - Title: Spinal Endoscopy, Widening Horizons. Authors: Dubey Sudhir.

•  National Annual Conference of Neurological Society of India , Indore , India (December, 2004): - Title: Intraoperative Neurophysiologic Monitoring. Authors: Dubey Sudhir, Jain S.K...

•  National Annual Conference of Neurological Society of India , Indore , India (December, 2004): - Title: Neurosurgical Audit . Authors: Dubey Sudhir, Kumar Ravi.

•  National Neurosciences Conference, Bangalore , India (September, 2004) : Title: Circumferential Spinal Fusion. Authors: Dubey Sudhir

•  3^rd South Asian Neurosurgical Congress, Karachi , Pakistan (March,2005)

Title: New Frontiers in Minimal Access Neurosurgery

Authors: Dubey Sudhir

•  55^th Annual Meeting of Congress of Neurological Surgeons, Boston , Massachusetts , USA . (October, 2005) )

Title: Protocol for Management of Cervicothoracic Diseases

Authors: Dubey Sudhir

Personal Details

Present Address :
Sudhir Dubey
Department of Neurosurgery
Bhopal Memorial Hospital & Research Centre
Raisen Bypass Road ,
Bhopal , Madhya Pradesh, 462038
India.

Permanent Address :
Sudhir Dubey
A-3/81, Paschim Vihar
New Delhi - 110063
India

Date of Birth : 8 April 1972
Sex : Male
Nationality : Indian
Present employer : Bhopal Memorial Hospital Trust
Hobbies : Swimming & Football
E-mail : sudhir6321@yahoo.com
Phone : 91-755-2742212 91-755-2747466 (Residence)
Telefax : 91-755-2748309