Mr. Nijaguna Mathad

Consultant Neurosurgeon, Southampton, UK

My Qualifications:

  • MBBS 1981
  • MS (General Surgery) 1985
  • MCh (Neurosurgery) 1989
  • FRCS Ed 1992
  • Diploma EANS 2002
  • FRCS ( Neurosurgery) 2004
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I completed my neurosurgical training from King Edward Memorial Hospital, Mumbai in 1989. I then worked as the Asst. Prof of Neurosurgery in University approved hospitals for 5 years.

After working for 30 months at the Ministry of Health in Oman, I began my UK career in Preston in 1997. Here I gained significant experience in  neurovascular and spinal surgery before moving to Morriston, Swansea. I obtained my diploma from the European Association of Neurological Societies in 2002. In 2003 I joined the Wessex Neurological Centre to complete my specialist training and was appointed a Consultant Neurosurgeon in May 2006.

I regularly perform anterior skull base surgery with maxillo-facial surgeons and lateral skull base surgery with neuro-otologists. I started endonasal endoscopic skull base surgery, combining my skills with those of my ENT colleagues. This involves accessing the central skull base tumours (and Pituitary tumours) using endoscopes through the nose. This minimally invasive surgery is at the cutting edge of endoscopic skull base surgery, which we have been performing since 2007.

I am also a core neurosurgical member on various Multi Disciplinary Teams, including paediatric neuro-oncology, skull base and Lead for Pituitary-Craniopharyngioma MDT.


  1. Symptomatic Psoriatic Cervical Spondylitis (A case report). Sharma RR, Mathad NV, Mazarelo TBMS, Bhama BA, Joshi DN, Daxini AV.  Journal of Post-graduate Medicine 34(3).176-179, 1988.
  2. Traumatic Spinal Fracture in Ankylosing Spondylitis (A case report). Sharma RR, Mathad NV. Journal of Post-graduate Medicine 34(4), 193-195, 1988.
  3. Atlanto-axial  Subluxation  associated  with  long  standing  Ankylosing Spondylitis- A case report with long  term  follow-up  results.  Sharma RR, Netalkar A, Andar UB, Goel A, Sharma N, Mathad NV. Neurology India 37, 269-273, 1989.
  4. Fluorosis Induced Hypertrophic Ossification of Posterior Longitudinal Ligament Resulting in Spinal   Stenosis   and Progressive Myelopathy.  Sharma RR, Karapurkar AP, Mathad NV. Emirates Medical Journal 7, 165-168, 1989.
  5. Late  Post-traumatic  Spinal  Stenotic  Progressive   Myelo- radiculopathy.  Sharma RR, Ravi Ramakanth, Bhama  BA, Mathad NV. Journal of Post-graduate Medicine.  36(1), 33-37, 1990.
  6. Cervico-Medullary Compression Secondary   to   Ochronotic Arthritis Affecting Cranio-vertebral Joints. Syndesmodental Ochronotic Arthritis.  A case report. Sharma RR, Ravi R, Bhama BA, Mathad NV, Mazarelo TB, Vaidya MM, Joshi DN. Journal of  Post-graduate  Medicine 34(4), 253-257, 1988.
  7. Persistent Facial Myokymia: A Rare, Pathognomonic  Physical Sign  of  Intrinsic Brainstem Lesions: Report  of  2  cases  and review of the literature.  Sharma RR, Ramakanth R, Bhama BA, Mathad NV.  Journal of Post-Graduate Medicine. 38(1), 37-40, 1992.
  8. Visual recovery following optic nerve decompression for chronic compressive neuropathy. Diederik O. Bulters, Emad Shenouda, Barrie T. Evans, Nijaguna Mathad, Dorothy Lang.  Acta Neurochir (2009) 151:325 -334.
  9. Ossifying fibromyxoid tumour of the sphenoid sinus. SD Shetty, RJ Salib, SB Nair, N Mathad, J Theaker. The Journal of Laryngology & Otology (2010), 124, 437-440.
  10. Giant prolactinoma causing cranio-cervical junction instability: a case report. Zaben MJ, Harrission SE, Mathad NV. Br J Neurosurg 25(6): 754-6, 2011
  11. Fibrin sealant injection: An aid to reduce venous bleeding during jugular bulb and sigmoid sinus dissection in glomus jugulare (Jugulotympanic paraganglioma) surgery. List RJ, Thomas SP, Shenouda E, Lang D, Davis A, Mathad N. Skull Base. 21(5): 309-12, 2011
  12. Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus: validation of a success score that predicts long-term outcome. Durnford AJ, Kirkham FJ, Mathad N, Sparrow OC. J Neurosurg Pediatr. 8(5): 489-93, 2011.
  13. The natural history of cranial dural arteriovenous fistulae with cortical venous reflux – the significance of venous ectasia. Bulters DO, Mathad N, Culliford D, Millar J, Sparrow OC. Neurosurgery 70(2): 312-8, 2012 
  14. Endoscopic endonasal resection of large skull base schwannoma. Wahab SS, Rokade A, Nair S, Mathad NV. Br J Neurosurg 28(6):802-4, 2014.
  15. Patient-reported nasal morbidity following endoscopic endonasal skull base surgery. Br J Neurosurg. 28(5):622-5, 2014
  16. Endoscopic biopsy and third ventriculostomy for the management of pineal region tumours. Ahmed AI, Zaben MJ, Mathad NV, Sparrow OC. World Neurosurg  83(4):543-7, 2015