Dr Pankaj Agarwal

Department: Neurology

Designation: Senior Consultant – Neurology, Head, Movement Disorders Clinic & In-Charge, Deep Brain Stimulation (DBS) Program

Qualification: MBBS, MD (Internal Medicine), DNB (Internal Medicine), DM (Neurology), Movement Disorders Fellowship, UBC Vancouver Canada

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Dr Pankaj Agarwal is one amongst very few Internationally Fellowship-Trained Movement Disorders Specialists in India, and is truly passionate about helping to improve the lives of people with diseases of Movement such as Parkinson’s Disease, Tremor and Dystonia.

He holds vast experience and expertise in the medical, surgical and postoperative management of patients who undergo Deep Brain Stimulation (DBS) surgery, to improve the Quality of Life of patients with Parkinson’s Disease, Tremor and Dystonia, and heads the highly successful and acclaimed DBS program at Global Hospital Mumbai, where he established the Movement Disorders Clinic and DBS (Deep Brain Stimulation) Program and Set up Protocols for DBS Patient Selection, Intra-operative MER (microelectrode recording) and Post-operative device programming.

He is recognized as one of the finest exponents of Botulinum toxin injection or ‘Botox’ as it is more commonly known – a technique for Focal Dystonia in India. With close to 20 years of experience in BTX injection, including EMG-guided techniques he is a much sought-after trainer and mentor to several budding neurologists and new injectors learning the art of injection and has conducted several national and international workshops and conferences teaching techniques of BTX injection throughout India.

His Clinical and Research interests include Genetic aspects and pathophysiology of Parkinson’s disease and movement disorders, Biomarkers in Parkinson disease, Functional neuroimaging in Parkinson’s disease, Clinical and phenomenological aspects of movement disorders, and botulinum toxin injection for dystonia and DBS therapy for Movement Disorders. His work has been published in several national and international journals, including Lancet Neurology, the Highest ranked journal in Clinical Neurology in the World, with an Impact Factor of 26+ in 2017.

He is a member of the IPMDS -International Parkinson Disease and Movement Disorders Society, Indian Academy of Neurology and a Reviewer for Annals of Indian Academy of Neurology and Movement Disorders journals . Dr Agarwal is well known nationally for his astute clinical skills, vast knowledge of and experience in movement disorders, speaking and teaching skills, dedication to teaching students at the prestigious Dept of Neurology, KEM Hospital & Seth GS Medical College Mumbai, where he is Honorary Teaching Faculty, movement disorders research, and ongoing contribution to developing the subspecialty of movement disorders in Indian Neurology.

He is the Organising Secretary, Movement Disorders of India conference MDSICON Mumbai 2021 – an international meeting held annually.

Experience

22+ Years of Experience

Experience:

  • Honorary Teaching Faculty, Department of Neurology,  KEM Hospital and Seth GS Medical College Mumbai
  • Clinical & Research Postdoctoral Fellow, Pacific Parkinson Research Center, University of British Columbia, Vancouver Canada
  • Movement Disorders Fellow, Deep Brain Stimulation, Vancouver General Hospital, Vancouver Coastal Health, Canada
  • Honorary Lecturer, Department of Neurology,  Grant Medical College and Sir JJ Group of Hospitals Mumbai 

Expertise

  • Deep Brain Stimulation (DBS) Surgery for Parkinson’s Disease, Essential  Tremor, Dystonia and other Movement Disorders
    • Patient Selection, Intra-operative Clinical and MER (microelectrode recording) assessment, Post-operative DBS Programming, Concurrent Medical and Post-DBS Management
  • Lesioning Surgery for Parkinson’s Disease, Essential  Tremor, Dystonia and other Movement Disorders
  • Botulinum Toxin Injection for Focal Dystonia: Hemifacial Spasm, Blepharospasm, Writer’s Cramp, Cervical dystonia, Oromandibular Dystonia, Laryngeal dystonia, Lower Limb dystonia, Spasticity, Drooling, Migraine, and other rarer indications
    • Special Expertise in EMG-guided BTX Injection for Cervical Dystonia, Jaw Dystonia, Writer’s Cramp, and Laryngeal dystonia

Clinical and Research – Genetic aspects and Pathophysiology of Parkinson’s disease and movement disorders, Biomarkers in Parkinson disease, Functional neuroimaging in Parkinson’s disease, Clinical and Phenomenological aspects of movement disorders.

Achievements

  • IPMDS Video Challenge 2020 Silver Medal (KEM Mumbai team)– International Parkinson’s and MDS Congress Philadelphia (Virtual) 2020. Judges Dr Lang/Sethi
  • IPMDS Video Challenge Finalist – 2 Short cases: International Parkinson’s and MDS Congress Hong Kong 2018. Judges Dr Lang/Sethi
  • 4-Time Winner, 2nd Place: Video ‘Akhada’ Challenge, MDSICON. Kerala 2020 (Judges:Lang/Bhatia), Delhi 2019 (Jog), Hyderabad 2017 (Sethi), Chennai 2016 (Lang/Bhatia)
  • Host and Quizmaster- Movement Disorders Quiz for Neurology PG Students at MDSICON 2017-2019
  • Host and Organiser: Video Rounds of the ‘Mumbai Movement Disorders Group’ Meeting, at Global Hospitals Mumbai 2020 and 2016
  • Trainer/Teacher for DBS Therapy by the ECMT (European Council for Medical Training) DBS Training Course by Medtronic Inc USA, Mumbai 2019
  • Multiple Travel Grant Awards- Movement Disorder Society for International Congress on Parkinson’s disease and movement disorders. Nice France 2019, Vancouver 2017, Sydney 2013
  • Elected to the Governing Council of the PDMDS, Mumbai’s largest Parkinson’s Patient Support Group (Est. 2001) in July 2016. (Founder Dr BS Singhal)
  • Organized First-ever multidisciplinary Parkinson’s Patients Support Group Meeting in Global Hospital Parel, Mumbai in league with PDMDS and MDSI. Attended by 50 patients and caregivers on World Parkinson Day Apr 10, 2017.
  • Inaugurated and Conducted Orientation Program, for Physicians for the Newly established Dombivli Center of the PDMDS Mumbai, Feb 2017 to provide support for families and persons with PD.

News/Media:

  • Regularly Cited in the Top 3 Mumbai Neurologists (Movement Disorders), in ‘Top Docs: Best Doctors in Mumbai’ Survey by India Today Magazine in 2020, 2019, 2017 and 2016.
  • Hindustan Times- ‘Post-Covid Guillian-Barre Syndrome- Mumbai Neurologists Study’ Nov 2020
  • Mumbai Mirror – ‘Global Hospitals Mumbai part of Rs. 15 Cr grant for MJ Fox Foundation-funded National Indian Parkinson Study’ Nov 2019
  • Deccan Herald/other – ‘Caffeine may cure rare ADCY5-related genetic disease–first Indian case from Global Hospitals Mumbai’ Aug 2019

Publications

  • Dr Agarwal has published more than 30 articles, some of them are –

    1.  ‘In vivo dopaminergic and serotonergic dysfunction in DCTN1 gene mutation carriers’ by Felicio AC, Dinelle K, Agarwal PA, Appel-Cresswell S, Wszolek ZK, Farrer MJ, Sossi V, Stoessl AJ. published in Movement Disorders.
    2. ‘Biomarkers for Clinical trials in Parkinson Disease’ by Agarwal PA, Stoessl A Jon. Published in Movement Disorders.
    3. ‘Imaging Striatal Dopaminergic Function in Phospholipase A2 Group VI –PARK 14 – Related
      1. Parkinsonism’ by Agarwal PA, Hogarth P, Hayflick S, Macleod P, Kuriakose R, McKenzie J, Heffernan N, Dinelle K, Sossi V, Stoessl AJ. Published in Movement Disorders.
    4. ‘Cortical laminar necrosis due to refractory status epilepticus in a kidney transplant patient with cryptococcal meningitis and disseminated cryptococcosis, despite early treatment with amphotericin B and flucytosine’ by Virani Z, Rajput P, Agarwal PA, Badhe R. Published in Ind J Nephrol.
    5. ‘Advances in the Role of Neuroimaging to Monitor Disease Progression in Parkinson’s Disease’ by Agarwal PA, Stoessl AJ. Published in US Neurology.
    6. ‘Primary pituitary tubercular abscess mimicking pituitary adenoma’ by Ranjan R, Agarwal P, Ranjan S. Published in Ind J Endocrinol Metab. 
    7. ‘Flupenthixol-induced Tardive Dystonia presenting as severe Dysphagia’ by Agarwal PA, Ichaporia NR. Published in Neurology India.
    8. ‘Glutamic acid decarboxylase antibody-positive paraneoplastic stiff limb syndrome associated with carcinoma of the breast’ by Agarwal PA, Ichaporia NR. Published in Neurology India.
    9. ‘Primary central nervous system lymphoma: a profile of 26 cases from western India’ by Agarwal PA, Menon S, Smruti BK, Singhal BS. Published in Neurology India. 
    10. ‘Spontaneous intracranial hypotension: Two cases including one treated with epidural blood patch’ by Agarwal P, Menon S, Shah R, Singhal BS. Published in Annals of Ind Acad Neurol.
    11. ‘Twenty-two year follow up of an Indian family with dysferlinopathy- clinical immunocytochemical, western blotting and genetic features’ by Khadilkar SV, Singh RK, Agarwal P, Krahn M, Levy N. Published in Neurology India.
    12. ‘Exercise- benefits in Parkinson’s disease’ by Agarwal PA, Cresswell SC, McKeown MJ. Published in Viewpoint-Newsletter of the Parkinson’s Society of British Columbia, Vancouver, Canada.
    13. ‘Paroxysmal Movement Disorders’ by Desai K, Ravat SH, Agarwal PA. Published in Reviews in Neurology 2021
    14. ‘Movement Disorders of Peripheral Origin’ by Agrawal S, Ravat SH, Agarwal PA. Published in Parkinson’s disease and Movement Disorders in India- Singhal BS et al. 2021
    15. ‘PET and SPECT in Neurology’ Section: Movement Disorders, Chapter: Parkinson’s disease. Felicio AC, Agarwal PA, Leenders KL, Stoessl AJ. Pacific Parkinson’s Research Center, University of British Columbia, Vancouver, Canada and Department of Neurology, University Medical Centre Groningen, Groningen, Netherlands. R.A.J.O. Dierckx et al. (eds.), PET and SPECT in Neurology.

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