Dr. Bobby Jose

Designation:Specialist, Neurosurgery

Dr. Bobby Jose completed his MBBS from Government Medical College, Alappuzha, Kerala (1996), DNB (Neurosurgery) from the National Board of Examinations New Delhi (2004) and Fellowship training in Interventional Neurosurgery in Fujita Health University, Japan. Also completed post qualification training in Microsurgery, Spine Surgery– Minimally Invasive Surgery, Skull Base Surgery and Interventional Neurosurgery.

Dr. Bobby Jose’s work experience spans for 14 years in Neurosurgery and neuro-intervention. After completing his basic medical training, began his career in Neurosurgery in 1998 under the pioneer Neurosurgeon Dr. B Ramamurthy Chennai and completed neurosurgery training in 2003. He then completed his training under the famous Dr. Anil K at Bombay Hospital, Mumbai and further did his Fellowship training in Interventional Neurology at Fujitha Health University under the world renowned Interventional Neurosurgeon Dr. Makato Negoro. On return joined as Consultant Neurosurgeon from 2004-2006 at Fortis Malar Hospital, Chennai. He then proceeded with  teaching as a clinical career at MOSC Medical College, Kolencherry, Ernakulam, India for 10 years during the period 2006-2016 as Professor Neurosurgery and HOD of Interventional Conference. Then joined as Director of Neurosurgeon at Chazhikkat Hospital, Thodupuzha, Kerala, India from 2016 to 2018.

Dr. Bobby Jose’s areas of expertise are Brain & Spine surgeries, Complex traumatic brain & spine injuries, Brain angiogram, angioplasty, acute stroke interventions & aneurysm coiling.

Dr. Bobby Jose is a member of American Association of Neurosurgical Surgical (AANS), World Stroke Organization (WSO), Indian Stroke Association (ISA) and Neurological Society of India (NSI). He has also many publications to his credit and attended several national and international conferences the most recent being Asia Pacific Stroke Congress Tokyo Japan.

Dr. Bobby Jose has also attended several national and international courses including Fellowship in Interventional Neurosurgery – Fujitha Health University, Japan.

Dr. Bobby Jose speaks English, Hindi, Malayalam and Tamil.

Areas of expertise are:

  •     Brain surgery
  •     Spine surgery
  •     Acute Stroke interventions
  •     Aneurysm Coiling
  •     Brain AVM embolization
  •     Brain Angiogram & Angioplasty

Affiliations/Memberships:

  •     American Association of Neurosurgical Surgical (AANS)
  •     World Stroke Organization (WSO)
  •     Indian Stroke Association (ISA)
  •     Neurological Society of India (NSI)
 

 

 

Special Surgery Case by Dr. Bobby Jose:

Carotid Angioplasty

Bobby Joshy Carotid AngioplastyBobby Joshy Carotid Angioplasty
 

  This 40 year old gentle man presented with recurrent episodes of amaurosis fugax (Transient Blindness) in the left eye of 2 weeks duration. He has no comorbidities. He is a chronic smoker.
He was evaluated with MRI brain which showed white matter gliosis from chronic ischaemic changes due to microangiopathy in left centrum semiovale and left parieto-occipital subcortical and periventricular white matter. No acute event in the brain.
Doppler study of the neck vessels showed high grade stenosis of the left ICA and moderate stenosis of the right ICA.

He was admitted for DSA (Digital subtraction angiogram) which showed 20% stenosis of the right ICA and 95% stenosis of the left ICA with no significant cross flow support in the brain.
He was taken up for angioplasty and stenting
He underwent the procedure with spider embolic protection device to prevent stroke during the procedure and after progressive angioplasty  with 3X20 and 4.5 X 15 baloons a medtronic protege self-expanding stent was deployed (6X8X40 tapered stent ). The embolic protection device was removed successfully with all the debris caught in it and the procedure was uneventful and he was discharged 48 hours later.

Usually such tight stenosis is difficult to tackle endovascularly and they go in for open surgery in the form of carotid endarterectomy . This procedure was done successfully by endovascular route and the patient could be sent home 48 hours later.