Licensed to see patients from India, Qatar, UAE, Oman, Maldives, Kuwait

Consultant Restorative Neurosurgeon – I restore lost nervous functions by surgical methods.

Dr. R. Ramnarayan is a seasoned general neurosurgeon with a sub-specialization in Functional neurosurgery. While general neurosurgery addresses diseases of the brain and spinal cord, Functional neurosurgery focuses on conditions where the brain and spinal cord’s functionality is compromised, even if the anatomy remains unchanged or is slightly altered. This novel subspecialty encompasses:

1. Procedures for persistent pain, which include cancer-related pain, lingering pain from back surgeries, intractable angina or heart failure, diabetic peripheral neuropathy, and pain from brachial plexus injuries.
2. Surgeries for spasticity resulting from diverse causes such as cerebral palsy, spinal cord injuries, or Multiple Sclerosis (MS).
3. Deep brain stimulation operations for movement issues like Parkinson’s disease, various forms of Dystonia (especially cervical dystonia), Essential tremors, and certain psychiatric conditions like severe obsessive-compulsive disorder, chronic depression, Tourette’s syndrome, and even addictions like alcoholism.
4. Sacral nerve stimulation for conditions like urinary incontinence, non-obstructive urinary retention, and chronic fecal incontinence, which includes irritable bowel syndrome.
5. Procedures for persistent epilepsy, which may involve ablative surgeries like temporal lobectomy, vagal nerve stimulation, or deep brain stimulation tailored for epilepsy.

Awards and Recognitions

• Best Doctor by Tamil Nadu Dr MGR Medical University – National Integrity Cultural Academy – Department of Social Welfare, Govt of Tamil Nadu. ( 2012 )
• Awarded the Gold Plaque – National Neurosciences Centre, Muscat, Oman ( 2014 )
• Gold Star Millennium Achievers Award and Gold Medal ( 2010 )

Memberships

• Life Member – Neurological Society of India (NSI)
• International Member – American Association of Neurological Surgeons (AANS)
• Member – Indian Medical Association, Kerala Chapter, India.
• Life Member – Neurological Society of India (Kerala Chapter).
• Member – Indian Medical Association, Tamil Nadu Chapter, India
• Life Member – Indian Society of Stereotactic and Functional neurosurgery(ISSFN)

Consultant Restorative Neurosurgeon surgical procedures he do/plan include:

1) Deep brain stimulation (DBS) for:
a) Movement disorders like Parkinsonism, dystonias, essential tremor.
b) Some psychiatric problems like depression, OCD, and some other psychiatric illnesses.
c) Intractable alcoholism
d) Chronic pain especially the central post stroke pain.
e) Intractable epilepsy
f) Intractable obesity
g) some types of autism (aggressive types with self harm).
h) select cases of schizophrenia.

2) Intrathecal pumps:

1. A) Intrathecal morphine (ITM) pumps are very useful in:
   a) cancer pains
   b) Failed back surgery syndromes.
   c) Other types of noxious pain.
2. B) Intrathecal baclofen (ITB) pumps are good in
   a) All types of spasticity as in
   Cerebral palsy
   2. Hypoxic encephalopathy
   3. Multiple Sclerosis
   4. Severe head injury
   5. Spinal cord injury
   6. Stroke
   7. Some Neurodegenerative illness
3. b) Patients in persistent vegetative state.
   c) Cases of spino-cerebellar degeneration
   d) Patients with cerebellar involvement in Multiple sclerosis

3) Spinal cord stimulation (SCS) is very useful in:
a) Refractory .angina/ Intractable heart Failure (Class 3 and 4)
b) Patients with failed back surgery syndrome
c) Patients with severe painful diabetic neuropathy.
d) Patients with brachial plexus injury pain
e) Patients with severe peripheral vascular disease (limb saving)

4) Sacral nerve stimulation for sphincter disturbances
a) Urinary incontinence
b) Urinary retention ( non-Obstructive)
c) Faecal incontinence d) constipation
e) some cases of irritable bowel syndrome

5) Vagal nerve stimulation for
a) intractable epilepsy
b) refractory depression.