For referring doctors
Referring a patient to Dr. Kshitiz Nigam
For GPs, physicians, orthopaedic surgeons and other colleagues in Indore and nearby districts.
About
Credentials
- MBBS, MS, MCh (Neurosurgery)
- Assistant Professor, Neurosurgery Division, Department of Surgery, Index Medical College Hospital & Research Centre, Indore (since 2022)
- Former Assistant Professor, Centre of Excellence, Department of Neurosurgery, LTMGH, Sion Hospital, Mumbai (2021–2022)
- Madhya Pradesh Medical Council, Reg. No. MP-33282
How to refer
- Call with the patient's age, a two-line history and the key scan findings, or send them by SMS.
- Urgent cases: please call directly rather than messaging.
- Ask the patient to bring all films, reports and your referral note to the consultation.
Referral enquiry
On your phone, this opens a text message ready to send.
Refer urgently (same day)
- Cauda equina symptoms: new urinary retention or incontinence, saddle numbness, bilateral leg weakness
- Progressive motor weakness in arms or legs
- Head injury with GCS drop, persistent vomiting, seizures, or a CT showing a significant bleed
- Sudden severe ('thunderclap') headache, possible subarachnoid haemorrhage
- Signs of raised intracranial pressure, or a known shunt with headache, vomiting or drowsiness
- Suspected spinal cord compression from tumour, infection (including spinal TB) or trauma
Routine referral
- Disc prolapse or sciatica not settling after 6 or more weeks of conservative care
- Cervical or lumbar canal stenosis with claudication or myelopathy features
- Brain or spinal tumours found on imaging
- Pituitary lesions, with endocrine work-up where possible
- Hydrocephalus or an incidental aneurysm on imaging
- Drug-resistant epilepsy where a surgical opinion is wanted, alongside the treating neurologist