Neurovascular, Aneurysm & Stroke Care — Anoki

Neurovascular / Aneurysm / Stroke

Specialized care for the blood vessels of the brain

From an aneurysm found incidentally on a scan to stroke recovery guidance, Dr. Rajesh Pathi provides careful, honest evaluation and treatment for neurovascular conditions.

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Doctor reviewing a vascular/angiogram scan

Know the signs of a stroke — every minute matters

Use the FAST test. If you notice any of these, treat it as a medical emergency, even if symptoms seem to pass.

Face Drooping

One side of the face droops or feels numb. Ask the person to smile.

Arm Weakness

One arm is weak or numb. Ask them to raise both arms.

Speech Difficulty

Speech is slurred, or hard to understand. Ask them to repeat a phrase.

Time to Call

If any of these signs are present, call emergency services immediately.

A sudden, severe "thunderclap" headache can also signal a brain hemorrhage — treat it the same way.

Call 108 Now

If you're not in an emergency right now

Many neurovascular conditions — including small, unruptured aneurysms found incidentally on a scan — can be carefully monitored rather than treated immediately. If you're here because of a finding on a routine scan, or you're managing recovery after a stroke, you're in the right place for an unhurried, thorough conversation.

MCh

Neurosurgery Super-Specialization

Neurovascular

Surgery Focus Area

10+ Yrs

Neurosurgical Experience

2nd Opinion

Consultations Welcomed

How we can help

Consultations & procedures

For non-emergency evaluation, monitoring, treatment planning, or follow-up care.

General Neurovascular Care

Evaluation for blood vessel-related concerns in the brain.

Neurovascular Consultation Cerebrovascular Disorder Consultation

Aneurysm Care

Evaluation, monitoring and surgical treatment of cerebral aneurysms.

Cerebral Aneurysm Consultation Brain Aneurysm Surgery Aneurysm Clipping

Stroke & Hemorrhage Follow-Up

Consultation and rehabilitation guidance following a stroke or brain bleed — for stable, non-emergency follow-up.

Stroke Consultation Hemorrhagic Stroke Consultation Intracranial Hemorrhage Consultation Subarachnoid Hemorrhage Consultation

AVM Care

Evaluation of arteriovenous malformations, often found incidentally on imaging.

AVM Consultation

In plain language

Understanding neurovascular conditions

General information to help you ask the right questions — not a substitute for your own consultation and reports.

What is a cerebral aneurysm?

A weak, bulging spot in a blood vessel wall in the brain. Many are found incidentally and never rupture — but size, location and other factors determine the right approach.

What is an AVM?

An arteriovenous malformation is an abnormal tangle of blood vessels. Like aneurysms, many are found incidentally and management depends on individual factors.

Ischemic vs. hemorrhagic stroke

An ischemic stroke is caused by a blocked blood vessel; a hemorrhagic stroke by bleeding into or around the brain. Both are emergencies, but treatment and recovery paths differ.

Life after a stroke or hemorrhage

Recovery is individual — some patients recover quickly, others benefit from structured rehabilitation over time. Follow-up care focuses on both recovery and preventing recurrence.

Doctor and patient reviewing a vascular scan together≈ 540 × 420px

You're allowed to ask again

Considering a second opinion?

Finding out you have an aneurysm or AVM — even an incidental one — can be unsettling. It's entirely reasonable to want an independent, unhurried review before deciding on monitoring or treatment.

Bring your existing imaging (MRI/CT/angiogram) and reports

Get a clear explanation of your specific risk factors

Understand monitoring vs. treatment options honestly

What to expect

How we approach your care

Careful review

A detailed look at your imaging and history before any conversation about next steps.

Risk explained clearly

What's known about your specific case, in plain, honest language.

Monitoring or treatment

A recommendation matched to your actual risk — not a one-size-fits-all approach.

Ongoing follow-up

Ongoing follow-up and rehabilitation guidance, where relevant to your situation.

Dr. Rajesh Pathi portrait≈ 340 × 420px

Your Neurosurgeon

Dr. Rajesh Pathi

MBBS, MS, MCh, FMISS — Neurovascular Surgeon

Dr. Pathi's neurosurgical training includes a focus on neurovascular conditions. He believes patients facing a vascular diagnosis — whether urgent or incidental — deserve a clear, honest explanation of their actual risk, not blanket reassurance or unnecessary alarm.

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Common questions

Questions patients often have

I was told I have an unruptured aneurysm — does it need immediate surgery?

Not necessarily. Many small, unruptured aneurysms are safely monitored with periodic imaging. The decision depends on size, location, and your individual risk factors, which will be explained clearly during consultation.

What should I do if I think someone is having a stroke right now?

Call emergency services immediately — do not wait to book an appointment or drive them yourself if an ambulance is available. Note the time symptoms started, as this affects treatment options.

Can I come for a second opinion on a treatment already recommended elsewhere?

Yes — second opinions are common and reasonable for neurovascular conditions. Bring your existing imaging and reports to your consultation.

How is stroke rehabilitation guidance different from emergency stroke care?

Rehabilitation guidance is for patients who are medically stable and focuses on recovery over time. It's a scheduled consultation, not emergency care — which should always be sought immediately when needed.

For non-emergency concerns, we're here to help you understand your options

Book a consultation with Dr. Rajesh Pathi at our Pragathi Nagar clinic.

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