Dr. Prakash Paudel
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Dr. Prakash Paudel

Associate Consultant


Dr. Prakash Paudel is a consultant Neurosurgeon and a spine specialist at Nepal Mediciti Hospital. His clinical expertise focuses on surgical management of both spine and brain-related pathologies. Dr. Paudel graduated from Maharajgunj Medical Campus Institute of Medicine (Tribhuvan University) in 2009. After MBBS, he completed 5-year neurosurgery residency (Fellow of the College of Physicians and Surgeons) from Pakistan, awarded with Gold Medal. He has performed more than 500 spine surgeries including routine, emergency, and complex cases. Dr. Paudel is the only (and the first) fellowship-trained spine surgeon among Nepalese neurosurgeons. He did one-year university-based clinical spine surgery fellowship training from Canada with a special focus on tumor and complex spinal surgeries. Besides regular clinical work, he is actively involved in different international professional organizations and clinical research activities. He has published research articles and has presented his works in different national and international forums. His research interests include identifying factors that influence outcomes following surgery and minimizing complications. His approach with his patients consists of easy-to-understand conversations focusing on maximizing their improvement with conservative or surgical treatment.

 Clinical Expertise:

  • Spine Trauma and Spinal cord injury Management
  • Traumatic Brain Injury
  • Management of craniocervical junction anomalies
  • Microdiscectomy for herniated lumbar disc
  • Anterior and posterior cervical surgery for cervical radiculopathy/myelopathy
  • Repair of myelomeningocele and spinal tumor surgeries
  • Degenerative spine diseases
  • Spinal Deformity correction
  • Spinal infection and inflammatory conditions
  • Peripheral nerve diseases/Brachial Plexus surgery
  • Brain Tumor
  • Hydrocephalus
  • Congenital diseases of the brain and spine

Areas of Interest:

  • Spinal surgery
  • Neuro-endoscopy
  • Neurooncology
  • Pediatric Neurosurgery

 

Past Employment

  • London Health Science Center, Victoria Hospital, Western University, Ontario Canada

Clinical Spine Fellow, 

March 2022- Feb 2023

 

  • Nepal Mediciti Hospital, Lalitpur, Nepal

Associate Consultant Neurosurgeon

Jan 2018- Feb 2022

 

  • Department of Neurosurgery, Bir Hospital, Kathmandu, Nepal

Registrar Neurosurgeon

Aug 2016-Dec 2017

 

  • Kathmandu Model Hospital, Kathmandu Nepal

Consultant Neurosurgeon

Aug 2016-Dec 2017

 

  • Vayodha Hospital Ltd, Kathmandu, Nepal

Consultant Neurosurgeon

Aug 2016-Dec 2017

Countries visited:

India, China, Pakistan, Canada, Finland, Germany, Czech Republic, Netherlands, Belgium, Austria, Denmark, and Sweden (13)

 


Education

Language spoken

  • ENGLISH
  • NEPALI
  • HINDI

.

  • Spine Surgery Fellowship, Canada: 
  • Neurosurgical and Orthopedic Adult and Pediatric Complex Spine Surgery
  • Western University Ontario, Canada 

March 2022- Feb 2023

  • Observer Neuroendoscopy Fellowship, Germany
  • Department of Neurosurgery, University Medicine Greifswald, Germany 

September 2017- November 2017

  • Residency: Neurosurgery (Gold Medal 2016)
  • College of Physicians and Surgeons of Pakistan (CPSP)
  • Department of Neurosurgery, Bir Hospital, Kathmandu

January 2011- January 2016

  • Medical School: MBBS
  • Maharajgunj Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal

November 2002- February 2008

 

  • Shah DB, Paudel P, Joshi S, Karki P, Sharma GR. Outcome of decompressive craniectomy for traumatic brain injury: An institutional based analysis from Nepal. Asian J Neurosurg 2021;16:288-93.
  • Karki P, Sharma GR, Joshi S, Paudel P, Shah DB. Retrospective study and outcome predictor after microsurgical resection of cerebral arteriovenous malformations in Nepal. Asian J Neurosurg 2021;16:355-62.
  • Prakash Paudel, Prakash Bist, Rajiv Bhandar, Rajiv Jha, Gopal Raman Sharma. Adverse Events after Cranial Surgery at Department of Neurosurgery Bir Hospital: An Institutional based Quality Assessment Prospective Study. PMJN post graduate medical journal of NAMS Volume 21, Number 1, Jan-Jun 2021.
  • Paudel P, Shah DB, Joshi S, Karki P, Budhathoki SJ, Sharma GR. Patient Reported Outcome Analysis after Posterior Decompression and Posterolateral Fusion Surgery in Lumbar Degenerative Spondylolisthesis. Nepal Journal of Neuroscience 2020;17(2):107-113.
  • Paudel P, Bista P, Pahari DP, Sharma GR. Ventriculoperitoneal shunt complication in pediatric hydrocephalus: Risk factor analysis from a single institution in Nepal. Asian J Neurosurg 2020;15:83-7.
  • Raman SG, Prakash P, Sumit J, Bikram SD, Prasanna K. Clinical Outcome and Recurrence After Meningioma Surgery: An Experience from a Developing Country, Nepal. World Neurosurg. 2020 Doi: 10.1016/j.wneu.2020.12.079. PMID: 33359878.
  • Paudel P, Khadka N, Shrestha D, Bista P, Sharma GR. Retrospective Study of Craniovertebral Junction (CVJ) Anomalies: A Clinical Profile and Outcome Analysis of Surgically Treated Patients.Nepal Journal of Neurosciences 16:25-31, 2019
  • Paudel P, Sharma GR, Bista P. Abducens nerve schwannoma:  a case report and review of the literature. Nepal Journal of Neuroscience 14:39-41, 2017
  • Paudel P, Khadka NK, Jha R, Sharma GR, Bista P.  A large Intradural Intramedullary Pilocytic Astrocytoma of Spinal Cord: Complete Resection with Improved Neurology. Nepal Journal of Neuroscience 11:46-49, 2014.
  • P Paudel, K Wing, SK Silpakar. Awareness of periconceptional folic acid supplementation among Nepalese women of childbearing age: a cross- sectional study. Preventive Medicine, Volume 55, Issue 5. November 2012, Pages 511-513.
  • Oi S, Paudel P,  Khadka NK, Bista P. Hydrocephalus Consensus-based Guidelines: iNPH (Hakim, 1965) vs. LOVA (Oi, S. 2000). Journal of Hydrocephalus, 7 (1): 1-9 2015
  • Khambu B, Paudel P, Sharma RK, Deo K, Shrestha R, Dhungana S, Jha R, Khadka N, Sharma GR, Bista P. Utility of Intracerebral Haemorrhage Score for Prediciting Prognostic value in Hypertensive bleed. PMJN post graduate medical journal of NAMS vol18 Number 1, Jan-July 2018
  • Sumit Joshi, Prakash Paudel, Damber Bikram Shah, Prasanna Karki, Gopal Raman Sharma. Analysis of risk factors for prolonged hospitalization in chronic subdural hematoma undergoing single burr hole and drainage. Nepal Journal of Neuroscience 2021;18(1):39-44.
  • Adhikari DR, Paudel P, Shakya B, Sharma GR, Bista P, Kumar P. Management of traumatic brain injury (TBI): one year experience in Bir Hospital. Nepal Journal of Neuroscience 11: 83-86. 2014
  • Karki P, Aryal SC, Aryal G, Panta R, Bohara M, Joshi S, Paudel P, Shah DB, Sharma GR.Colloid cyst of the third ventricle: Histopathological and ultrastructural study. J Pathol Nep 2019;9:1590-4.DOI 10.3126/jpn.v9i2.24882 
  • Rajbhandari H, Joshi S, Malakar S, Paudel P, Jain P, Uppadaya K, Singh M, Pattrson V.Epilepsy field workers, a smartphone application and telephone telemedicine: Safe and effective epilepsy care in rural Nepal. Seizure. 2019 Jan; 64: 54-58

Sharma GR, Jha R, Paudel P, Khadka N, Adhikari DR, Bista P. Functional outcome of intradural extramedullary spinal tumors after surgical resection. Nepal Journal of Neuroscience 13 (2): 13-20, 2016 

  • Bhandari R, Sharma GR, Bista P, Jha R, Shrestha R, Paudel P. A Giant solitary solid hemangioblastoma: a case report and review of literature. Nepal Journal of Neurosciences 14:47-50, 2017.
  • Sharma GR, Jha R, Paudel P, Adhikari DR, Bista P. Microvascular decompression for trigeminal neuralgia: our experience in Bir Hospital. Nepal Journal of Neurosciences 14:3-7.2017
  • Damber Bikram Shah, Prasanna Karki, Prakash Paudel, Sumit Joshi, Prabhaw Upadhhya, Gopal Raman Sharma. Lymphoplasmacyte rich meningioma: A rare variant of meningioma mimicking diffuse granulomatous disease with leptomeningeal spread. Nepal Journal of Neuroscience 2020;17(3):36-40. 

Presentation

  • Patient Reported Outcome Analysis after Posterior Decompression and Posterolateral Fusion Surgery in Lumbar Degenerative Spondylolisthesis.  8th annual conference of Nepalese Society of Neurosurgeons (NESON), November 6, 2020.
  • CVJ surgeries- clinical profile and outcome analysis. 1st Manipal Annual Neuro Conference, December 13-14, 2019, Pokhara, Nepal
  • Retrospective Review of Craniovertebral Junction (CVJ) Anomalies: A Clinical Profile And Outcome Analysis Of Surgically Treated Patients. Global Spine Congress Toronto, Canada May 15-18, 2019 
  • VP Shunt Complication in Pediatric Hydrocephalus: Risk Factor Analysis from a Single Institution in Nepal, 2nd International and 7th annual conference of Nepalese Society of Neurosurgeon in collaboration with WFNS, April 4-6, 2019, Kathmandu, Nepal
  • Retrospective review of craniovertebral junction anomalies-a clinical profile and outcome analysis of surgically treated patients, 6th Annual conference of NESON, April 6-7, 2018, Kathmandu, Nepal.
  • Awareness of periconceptional folic acid supplementation among Nepalese women of childbearing age: a cross- sectional study, 2011, Bethune Round Table, May 10-12, 2013, Vancouver Canada.
  • Nepalese Doctors in pro-democratic movement in Nepal”, IPPNW world congress, Helsinki, Finland, September 6-10, 2006.
  • Social responsibility of Doctors-Going beyond the Boundary”, 7th National Conference of Indian Doctors for Peace and Development, India, March 5-6, 2005

On Local Media:

  • Prof Naqibullah Achakzai Gold Medal, highest marks in Neurosurgery Exam (2016) 
  • Fellowship grant, Spine Nepal Collaboration, Department of Orthopedics, University of British Columbia, Canada (2013)
  • Second-Best Research Paper Award, Combined Nepal -Japan Neurosurgery Meeting (2015)
  • Mathura Ratna Scholarship, Nepal Medical Association, 2003
  • Merit Award, highest marks, Mahendra Multiple Campus, Tribhuvan University (I Sc.,1998) 

 

  • Operative techniques for Minimally Access Spine Technology, July - August 2021
  • Safe Surgical Care: Strategies During a Pandemic, University of British Columbia, Canada, April -June, 2020
  • Cadaveric Spinal Neuroendoscopy Course, December, 2019, Nepal 
  • Posterior Cervical Spine Solutions Course, March 2018, India.
  • HD clinical course on Neuroendoscopy, November, Germany 2017
  • International Hands-on Course on Full HD Endoscopic Neurosurgery, 2017 Germany.
  • Cadaveric Skull base and Neuroendoscopy Workshop, March 2017.
  • Capsule Cadaver Course- MAST (Minimal Access Spinal Technologies), 2016, India.
  • Planet Neurovascular –Anatomy Course, 2015, Beijing, China.
  • Neuro-endoscopic, Spine and Skull base Surgery Cadaveric Hands-on course, March, 2015 
  • Asia Pacific Spine Society Operative Spine Course, May 2014
  • Neuroendoscopy, Skull base and Spinal Endoscopy Hands on Training, May, 2014,
  • AO Spine principal course February 19-21, 2014,
  • Basic Drilling Technique, March 2014
  • Spine Surgical Workshop, November,2013
  • Communication Skills, January, 2013, 
  • Primary Surgical Skills, October 2012
  • Basic Life Support, February, 2012
  • Advanced Trauma Life Support, April, 2011 

 

  • Executive member, Spine Chapter of Nepalese Society of Neurosurgeons (NESON) 2020-22 
  • Executive member, Spine Chapter of Nepalese Society of Neurosurgeons (NESON) 2018-2020 
  • Member, AO Spine
  • Member, International Spinal Cord Society (ISCoS)
  • Member Secretary, Clinical Audit & Patient Safety Committee, Nepal Mediciti Hospital, Lalitpur, Nepal, 2019
  • National Student Representative, IPPNW (International Physicians for the Prevention of Nuclear War, Nobel Peace Laureate, 1985) 2004-2006.
  • General Secretary, Integrated Development Forum Nepal, 2008- 2010.
  • Joint Secretary, Global Health Alliance Nepal, 2009- 2011.

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