Dr Anil Kothiwala Endovascular & Minimally invasive Neurosurgeon

20/07/2026

🚨 Left Pterional Meningioma

Tumor grows large size due to splaying of sylvian cistern. On medial aspect, Arteries are relatively easy to identify and preserve but it discerning to dissect and preserve sylvian veins.

Patient made good recovery. It’s eloquent cortex underneath tumor. Post op scan documents complete resection of tumor with minimum gliosis of surrounding brain.

27/06/2026

🚨 Complex Subaxial Cervical Spine injury
C6-C7 Anderson Discovertebral fracture with high grade listhesis
38/m, on ionotropes, intubated for respiratory distress with with power 0/5 at all joints except 3/5 at shoulder joint
Planned for surgery after detailed counselling and need for prolonged rehabilitation
360 degrees fixation with fusion done. Even after realignment disc spaces were so much distracted that largest PEEK CAGE REMAINED loose therefore used MESH CAGE ANTERIORLY. Posterioly to accommodate the rod in most natural alignment, we have to remove left c6 lateral mass screw but it was satisfactory for fusion.

Patient had improvement in hand function and weaned off from ventilator. Discharged for prolonged rehabilitation.

13/06/2026

This gentleman in his 30s diagnosed with critical craniovertebral junction compression due to CVJ anomaly causing quadriparesis mainly affecting hand grip and fine movements. Now his power and cordination returned to normal and he is ready to return his work. its real satisfaction in Neurosurgery.

01/05/2026

Dr Anil kothiwala
Senior Consultant Neurosurgeon

SDMH, JAIPUR
OPD - Tuesday, Saturday
OT- Monday- Wednesday

Dr. Anil Kothiwala, Senior Consultant – Neurosurgery at SDMH, is among the few neurosurgeons with integrated 5-year MCh Neurosurgery training from AIIMS, New Delhi. Trained under leading experts and exposed to cutting-edge technology, he brings a high level of precision and expertise in managing complex neurological conditions.

He further enhanced his skills with an Endovascular Stroke Fellowship at Medanta, Gurgaon, and advanced training in endovascular neurosurgery at Meshalkin Clinic & Federal Center for Neurosurgery, Russia, enabling him to offer both surgical and minimally invasive neuro-interventions.

🔹 Areas of Expertise:
Brain Surgery:
• Brain tumors (Glioma, Meningioma)
• Posterior fossa & cerebellopontine surgeries
• Skull base & endoscopic pituitary surgery
• Intraventricular tumors
• Aneurysm clipping, AVM/AVF surgeries
• Brain bypass surgery

Endovascular Neurosurgery:
• DSA
• Aneurysm coiling
• Mechanical thrombectomy (stroke treatment)

Functional Neurosurgery:
• Epilepsy surgeries – Lesionectomy, Lobectomy
• Disconnection procedures
• Corpus callosotomy
• Amygdalohippocampectomy

Spine Surgery:
• Craniovertebral junction (CVJ) surgery
• Cervical spine procedures
• Lumbar disc surgery (Microdiscectomy)
• TLIF
• Spine tumor surgeries (IDEM/IMSOL)

Neurotrauma Care:
• Brain & spine injury management
• VP shunt procedures
• Decompressive craniotomy
• EVD & ICP monitoring
• Brachial plexus repair

With a strong foundation in advanced neurosurgical and endovascular techniques, Dr. Kothiwala is dedicated to delivering evidence-based, precise, and patient-centric care.

📞 For neurosurgery consultations and assistance, contact 99296-03550



(Dr Anil Kothiwala neurosurgeon, AIIMS neurosurgery specialist, Brain tumor surgery Jaipur, Spine surgery expert Jaipur, Endovascular neurosurgery India, Stroke thrombectomy specialist, Aneurysm coiling doctor, Skull base surgery India, Pituitary tumor surgery Jaipur, AVM AVF neurosurger)

25/04/2026

Endovascular Coiling for Basilar Top Aneurysm

14/04/2026

🚨 Multiple Ruptured Brain Aneurysm management
(from coma to return to Normal life)

62/m, smoker, hypertensive k/c/o CAD/ Post PTCA, arrived intubated and low GCS 7/15.

🩻 CT scan showed diffuse thick SAH with frontal lobe hematoma (ICH), ventricular hematoma (IVH) causing ventriculomegaly. Angiography revealed two aneurysms - Anterior communicating artery (ACOM) aneurysm and Left MCA bifurcation Aneurysm.

🧠 Surgery- single sitting Endovascular aneurysm coiling and Surgical drainage of ventricular hemorrhage performed.

patient regained consciousness after surgery and extubated. ventricular drainage catheter was removed on day 5. patient was discharged from hospital with complete neurological recovery.

23/03/2026

Overwhelming

“A regular day in our life could be most important day in someone’s life.”

20/03/2026

🔔 CVJ ANOMALY
( BASILAR INVAGINATION causing Brain stem and cervical spinal cord compression)

Surgery - C1-C2 FUSION AND BI REDUCTION USING C1-C2 Joint Spacers)

Young Male presented with progressive spastic Quadriparesis made good neurological recovery after operation.

10/03/2026

🚨 POST TENEBRAS LUX

There is always light after darkness

👨 50 year old gentleman presented with painless progressive vision loss in both eyes.

🩻 Radiological evaluation showed pituitary macroadenoma of 3.5cm with siginificant suprasellar extension.

👨‍⚕️ Intraoperative- tumor was unusually hyper vascular. But in the end after tumor removal final view of suprasellar cistern separated by preserved thin arachnoid layer reminded me of Latin phrase which perfectly summarise this operation is -POST TENEBRAS LUX (Light After Darkness).

Patient vision improved after operation.

24/02/2026

🚨 GIANT MEDIAL SPHENOID WING MENINGIOMA (gmSWM)

🙏Sometimes a few seconds instant gestures is more satisfactory then long reviews.

🧠 Medial Sphenoid Wing Meningiomas (mSWMs) are complex tumors arising from the lesser wing of the sphenoid and anterior clinoid process (ACP). Although benign but mSWMs are complex due to to proximity to the optic nerve, cavernous sinus, and internal carotid artery.

🩻 In this case addition to all these feature left frontal cerebral cortex was significantly displaced and edematous due to large size of tumor (~6cm) causing memory loss and speech problems.

👨‍⚕️ Therefore Surgical resection has been challenging but with precise approach and microdissection complete excision was performed. Surrounding edematous brain handled gently enough to restore functions. Her vision, speech and memory restored after operation.