Paresh Doshi

Paresh Doshi M.S., M.Ch.
Dr. Paresh Doshi at Jaslok Hospital, Mumbai
Born	11 March 1963 (age 52)
Residence	Mumbai, India
Alma mater	National Hospital for Neurology and Neurosurgery, London Maudsley Hospital, England King’s College Hospital, London Newcastle General Hospital, England
Awards	Young Achiever’s Award Best Neurosurgeon and Neurosciences Department Excellence in Neurosciences
Website	http://neurologicalsurgery.in/

Paresh Kishorchandra Doshi M.S., M.Ch. (born 1963) is a leading neurosurgeon and a pioneer of stereotactic and functional neurological surgery in India. Since 1999 he has been in charge of the Stereotactic Biopsy and Functional Neurosurgery program at Jaslok Hospital, the only dedicated and comprehensive Stereotactic and Functional Neurosurgical program in India. Dr. Doshi has been credited for conducting several path breaking surgeries in the field of neurosurgery^{[1][2][3][4][5]}. He has conducted over 550 Stereo-tactic surgeries, 350 deep brain stimulation (DBS) surgeries, 22 brainstem procedures, India's first^[6] and second^[7] 'occipital nerve stimulation' surgery (occipital neuralgia)^[8], several lobectomies, all varieties of epilepsy surgery^[9], awake craniotomies, corpus callosotomy, lesionectomy, Radiofrequency rhizotomy^[10][11] He has also performed Asia's first DBS surgery to cure "the rarest of rare 'treatment-resistant depression'".^[12]

Education

Doshi earned his M.B.B.S. from Smt. N. H. L. Municipal Medical College, Ahmedabad, India and his M.S. (General Surgery) from Sheth K. M. School of Post Graduate Medicine and Research, Ahmedabad, India. He did his M.Ch. (Neurosurgery) from T.N. Medical College, Bombay, India.^[13]

Thereafter, Doshi underwent extensive training in the field of Stereotaxy and Functional Neurosurgery at the National hospital for Neurology and Neurosurgery, Queen Square London, Maudsley, King’s College Hospital, London, and Newcastle General Hospital for 4 years. He then gained further exposure and experience of specific Movement Disorder surgeries in USA Netherlands, Sweden, France and Austria.^[13][14]

Career

Doshi performing an epilepsy surgery at Jaslok Hospital, Mumbai.

Doshi started his career in neurosurgery in India where he assisted, performed and supervised a large number of neurosurgical operations, including cases of head trauma, brain tumors, spinal surgeries, vascular neurosurgeries, paediatric neurosurgeries, radio-frequency lesions for pain, transsphenoidal, transoral surgeries, stereotaxy, etc.^[13]

He then moved to England to worked as a clinical fellow with Professor Thomas , as part of his Stereotaxy and Functional Neurosurgery program. He gained experience in epilepsy surgery from the Maudsley Hospital and thereafter moved on to New Castle to continue his experience in general neurosurgery.^[14]

Doshi then trained in movement disorder surgeries, under Dr. Marwan Hariz and Professor A. Bosch in Umeå (Sweden) and Amsterdam where he performed pallidotomies. Subsequently, he worked with Prof. Benabid and Prof. Alesch, in Grenoble and Vienna to learn the art of deep brain stimulation, surgery. In 2003, he visited Lyon, France to obtain training in Spasticity from Prof. Marc Sindou.^[13][14]

Doshi with a neurosurgeon from Colombia on completion of the Fellowship training.

In 1998 Doshi set up a Functional Neurosurgery Department at the Jaslok Hospital and Research Center in Mumbai, India^[15] which is supported by well-trained neurologists and neuro-physiologists and backed by state of the art neurophysiology and neuroradiology departments.^[14][16] The center is renowned for performing epilepsy surgeries, movement disorder surgeries,^[14] surgery for chronic pain and spasticity and a wide spectrum of movement disorder surgeries including thalamotomy, pallidotomy, subthalamic nucleus lesioning and deep brain stimulation.^[17] He also started the Fellowship Training Program in Functional Neurosurgery^[14] where he has trained four neurosurgeons who are independently performing functional neurosurgeries and launched the Spasticity Program in 2004 and the Psychiatric Disorder surgery program in 2009. He introduced the technique of stereotactic evacuation of intracerebral hematoma in Mumbai. Doshi is also known for operating on the oldest patient (82 years old) of Parkinson’s Disease in the world.^[18][14]

Parkinson's Disease

Doshi is one of the world's leading experts on Parkinson's Disease^[19] and frequently promotes awareness on its cures across the nation.^[20][21] He has performed many path breaking surgeries on patients suffering from acute and rare cases of PD^[22][23][24] and is at the forefront of medical research in this feild.^[25] He is also known for conducting brain surgery on India's youngest PD patient.^[26][27]

Deep Brain Surgery

Doshi performing a DBS surgery

Doshi is a pioneer in the field of deep brain stimulation (DBS).^[28][29][30] He is the first neurosurgeon to perform DBS surgery in India and has performed the largest number of DBS surgeries in India.^[14][31] He is also the only Neurosurgeon to perform DBS in patients with cardiac pacemakers.^[14] Doshi is also credited with the largest number of stereotactic procedures performed by a single person in India, with a success rate of greater than 95%. He has experience of 250 movement disorders surgeries of which 200 are DBS surgeries.^[14]

Research

Doshi at the ISSFN Workshop in 2012.

Doshi has been at the forefront of several research projects^[14][32], including Parkinson's Disease^[33]. He evaluated the outcome of movement disorder surgery and developed newer surgical targets for treatment of movement disorders.^[17] He evaluated of the role of autologous (transplanted) mesenchymal stem cell therapy for patients with advanced Parkinson's disease^[34][35][36], evaluated hardware and surgical complications of deep brain stimulation surgery in India, studied and identified the most effective targeting protocol for Subthalamic nucleus stimulation.^[14] His team also published a study in an international medical journal about arresting the debilitating effects of the progressive supranuclear palsy, a debilitating condition that leaves patients wheelchair bound in less than three years.^[37]

Awards and Honors

Doshi was awarded the Young Achiever’s Award by the Indo-American Society, Mumbai in 2002. He was also named "Top five medical specialists of Mumbai" by Times of India group in 2005, "Best Neurosurgeon and neurosciences department" by CNN IBN group in 2012 and awarded the "Excellence in Neurosciences" award by Medscape India in 2012.

Doshi was invited as a CME speaker to talk on Functional Neurosurgery at the prestigious meetings of Neurological Society of India in 1996, 2001 and 2004; Indian Academy of Neurology (2002); World society of stereotactic and functional neurosurgery, Toronto, 2011, Asian society of Stereotactic, Functional and computer assisted neurosurgery (Beijing, 2000, Taiwan 2004, Japan 2006, Hong Kong 2009 and Taiwan 2011); Asian and Pacific Parkinson’s disease Surgery Association meeting in Hong Kong (2001) and Indian society of Stereotactic and Functional Neurosurgery (1999, 2000, 01,03 & 04,06,08,09,10,11), Congress of Neurological surgeon, USA (2009).^[13]

He also conducted workshops in Stereotaxy surgery and Movement disorders in 1993 (London, England), 2001 (Mumbai, India) and 2001 (Indore, India).^[13]

Media

Doshi at the ASSFCN Meeting in Japan in 2007.

Doshi is a popular media personality.^[14][28][38] He is extensively interviewed by the Indian press

and television media and is a regular speaker in national and international meetings.^[14] He is also a reviewer for “Neurosurgery” Journal, the regional editor for the WSSFN newsletter, the Treasurer of Indian Society of Stereotactic and Functional Neurosurgery and a Board Member of Asian-Australasian society of Functional Neurosurgery.^[39] He is also a member of several societies such as the Task Force to form Guidelines on Psychosurgery, Neurological Society of India, Indian Society of Stereotactic and Functional Neurosurgery and the Movement Disorder Society.^[13][14]

Publications

Doshi frequently publishes several articles in peer reviewed journals.^[14] He is also the author of “History of Stereotactic Surgery In India”, in Textbook of Stereotactic and Functional Neurosurgery, Lozano AM, Gildenberg P, Tasker R (eds). 2nd Ed. Berlin, Springer. P155-69.^[14]

Personal life

Doshi is married to Preeti Doshi, an Interventional Pain Specialist at Jaslok Hospital and Research Centre, Mumbai. They have a son.

References