Cerebrovascular Neurosurgery in Lahore

Surgical management of conditions affecting the brain's blood vessels — brain aneurysms, arteriovenous malformations, and bleeding strokes — at MidCity Hospital, Lahore.

What is Cerebrovascular Neurosurgery?

Cerebrovascular neurosurgery is the branch of neurosurgery concerned with conditions affecting the blood vessels of the brain — most commonly brain aneurysms, arteriovenous malformations (AVMs), and bleeding within or around the brain (haemorrhagic stroke). These conditions can present as a sudden, life-threatening emergency, or be found incidentally on a scan done for an unrelated reason.

Management of cerebrovascular disease is often a team effort between neurosurgery, interventional neuroradiology, and neurology/stroke medicine — the right treatment depends heavily on the exact vascular abnormality, its location, and whether it has already bled.

Dr. Waqas Mehdi, FCPS Neurosurgeon at MidCity Hospital Lahore, evaluates patients with suspected or confirmed cerebrovascular conditions and provides surgical management where indicated, working alongside colleagues in radiology and stroke care for a coordinated approach.

Cerebrovascular Neurosurgery in Lahore

When Cerebrovascular Neurosurgery May Be Needed

!Sudden, severe 'thunderclap' headache — possible ruptured aneurysm, a medical emergency
!Known unruptured brain aneurysm requiring risk assessment and possible treatment
!Known or suspected arteriovenous malformation (AVM), incidental or symptomatic
!Intracerebral haemorrhage (bleeding within the brain) requiring evacuation
!Recurrent seizures linked to an underlying vascular malformation
!Sudden neurological deficit (weakness, speech difficulty) from a haemorrhagic stroke
!Cavernoma (cavernous malformation) causing seizures or bleeding
!Family history of brain aneurysm with a request for screening advice

Conditions Treated

1
Brain aneurysm — unruptured and ruptured
2
Arteriovenous malformation (AVM)
3
Intracerebral haemorrhage (spontaneous brain bleed)
4
Cavernous malformation (cavernoma)
5
Subarachnoid haemorrhage
6
Vascular malformations causing seizures

Cerebrovascular Procedures

Microsurgical Aneurysm Clipping

A craniotomy is performed to directly access the aneurysm, and a small metal clip is placed across its neck, permanently excluding it from circulation. See our dedicated Brain Aneurysm page for full detail on clipping versus endovascular coiling.

AVM Resection

Surgical removal of an arteriovenous malformation — an abnormal tangle of blood vessels where arteries connect directly to veins without a normal capillary bed — for AVMs that are surgically accessible and carry a meaningful bleeding risk.

Evacuation of Intracerebral Haemorrhage

For selected patients with a significant brain bleed causing dangerous pressure or neurological decline, surgery removes the clot to relieve pressure and limit further brain injury.

Cavernoma Resection

Surgical removal of a cavernous malformation causing seizures or recurrent bleeding, particularly when accessible without excessive risk to surrounding brain tissue.

Coordination with Endovascular Treatment

For aneurysms and AVMs better suited to a catheter-based approach, Dr. Waqas coordinates with interventional neuroradiology colleagues to arrange endovascular coiling, embolisation, or flow diversion.

Recovery & Aftercare

Recovery depends heavily on whether surgery was planned (unruptured aneurysm/AVM) or emergency (ruptured aneurysm, haemorrhagic stroke) — emergency cases typically require a period of intensive care monitoring.

Planned cerebrovascular surgery often involves several days of hospital stay with close neurological observation.

Rehabilitation (physiotherapy, speech therapy) may be needed after a haemorrhagic stroke or significant AVM-related bleed, depending on the neurological deficit present beforehand.

Long-term follow-up imaging is standard after aneurysm or AVM treatment, to confirm the abnormality remains fully treated.

Why Choose Dr. Waqas Mehdi?

  • FCPS Neurosurgeon experienced in the surgical management of cerebrovascular conditions
  • Works alongside interventional neuroradiology for cases better suited to endovascular treatment
  • Personal review of your CT/MRI/angiography and clear explanation of the findings and risks
  • Available for urgent assessment of suspected ruptured aneurysm or acute haemorrhagic stroke
  • Academic and public-hospital experience at KEMU/Mayo Hospital alongside private practice at MidCity Hospital, Lahore

Frequently Asked Questions

Is a brain aneurysm always an emergency?
No. Many brain aneurysms are unruptured and found incidentally, carrying a variable, often low, annual risk of rupture depending on size, shape, and location. A ruptured aneurysm — presenting with a sudden severe headache — is a genuine emergency requiring immediate hospital care. See our dedicated Brain Aneurysm page for a fuller explanation.
What is an AVM and does it always need surgery?
An arteriovenous malformation (AVM) is an abnormal tangle of blood vessels in the brain where arteries connect directly to veins. Not every AVM needs treatment — the decision depends on its size, location, and bleeding history, weighed against the risks of surgery, embolisation, or radiosurgery.
How is a brain bleed (haemorrhagic stroke) treated?
Treatment depends on the size and location of the bleed and the patient's neurological state. Some bleeds are managed medically with close monitoring; others, particularly larger bleeds causing dangerous pressure, require surgical evacuation.
Do all cerebrovascular conditions require open surgery?
No. Many aneurysms and AVMs today are treated via catheter-based endovascular techniques (coiling, embolisation, flow diversion) performed by interventional neuroradiology, rather than open surgery. Dr. Waqas Mehdi advises on which approach is best suited to your specific vascular abnormality, often in coordination with radiology colleagues.
Who should get screened for a brain aneurysm?
Routine screening is not recommended for the general population. It may be considered for people with a strong family history (two or more first-degree relatives with a brain aneurysm) or certain genetic conditions associated with aneurysm formation — this is best discussed individually with a neurosurgeon.

Book an Appointment

Consult Dr. Waqas Mehdi at MidCity Hospital, Lahore

0300-8482624042-35407131-6 Ext #282
MidCity Hospital, 3-A Main Jail Road, Opp. Kinnard College, Lahore

Related Services

Brain AneurysmHead Injury & TraumaBrain Tumor SurgeryMinimally Invasive Neurosurgery
Dr Waqas Mehdi
Dr. Waqas Mehdi
MBBS, FCPS (Neurosurgery)

Asst. Professor · KEMU · Mayo Hospital

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Cerebrovascular Neurosurgery in Lahore Pakistan – Dr. Waqas Mehdi

Cerebrovascular Neurosurgery – Available for Patients Across Pakistan

Dr. Waqas Mehdi, one of the best neurosurgeons in Lahore and Pakistan, provides expert cerebrovascular neurosurgery at MidCity Hospital and Mayo Hospital Lahore. Patients regularly travel from across Pakistan to consult him — including from:

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Dr. Waqas Mehdi (MBBS, FCPS Neurosurgery) is Asst. Professor at King Edward Medical University (KEMU) and Consultant Neurosurgeon at Mayo Hospital, Lahore. His private OPD at MidCity Hospital, 3-A Main Jail Road, Lahore is open for consultations. Call 0300-8482624 or 042-35407131-6 Ext #282 to book an appointment.

Consult Dr. Waqas Mehdi Today

Pakistan's trusted neurosurgeon for brain tumor surgery, spine surgery, and all complex neurological conditions. Book your appointment at MidCity Hospital, Lahore.

Call: 0300-8482624Book Appointment Online