Dr. Ari G. Chacko

Dr. Ari G. Chacko

Neurosurgeon

36+ years of experience

MBBS, MS, MCh

Apollo Proton Cancer Centre, Chennai – India Apollo Proton Cancer Centre, Chennai – India

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About Dr. Ari G. Chacko

Dr. Ari G. Chacko is a distinguished neurosurgeon and the Director of Neurosciences, with over three decades of exceptional experience in the field. He is widely recognised as one of the best brain tumour surgeons in Chennai, having dedicated his career to advancing the microsurgical and endoscopic removal of complex brain, spinal cord, and skull base tumours. Dr. Chacko is a pioneer in refining intricate procedures such as awake craniotomy for gliomas, surgery for vestibular schwannomas with a focus on facial nerve preservation, and maximal safe resection of craniopharyngiomas. His expertise also extends to complex epilepsy surgery. As one of the leading neurosurgeons in India, Dr. Chacko is known for his collaborative, multidisciplinary approach, ensuring comprehensive and patient-centric care of the highest international standard.

Medical Degrees

  • MBBS
  • MS Surgery
  • MCh (Neurosurgery)

Fellowships & Special Training

  • Advanced Endoscopic Skull Base Workshop: University of Pittsburgh Medical Center (UPMC), Pittsburgh, USA
  • Research Associate: Department of Neurological Sciences, Baylor College of Medicine, Houston, Texas, USA
  • Visiting Observer: Department of Neurosurgery, Nordstadt Hospital, Hannover, Germany
  • Visiting Observer: Department of Neurosurgery, University of Medical Center, Slovenia

Major Cancer Types Treated

  • Gliomas
  • Pituitary Adenomas
  • Craniopharyngioma
  • Vestibular Schwannomas
  • Meningiomas
  • Intramedullary Spinal Cord Tumours

Sub-specialties

  • Surgical Neuro-Oncology
  • Skull Base Surgery
  • Spine Surgery
  • Epilepsy Surgery
  • Paediatric Neurosurgery

Advanced Procedures Performed

  • Microsurgical Tumour Excision (Brain & Spine)
  • Endoscopic Skull Base Surgery
  • Awake Craniotomy for eloquent area tumours
  • Epilepsy Surgery (including Hemispherotomy)
  • Vestibular Schwannoma surgery with facial nerve preservation
  • Surgery for Craniopharyngiomas
  • Multilevel Oblique Corpectomy for Cervical Spondylotic Myelopathy
  • Craniotomy & Laminectomy

Current & Past Hospital Affiliations:

Current Affiliations:

  • Director – Neurosciences,  Apollo Proton Cancer Centre, Chennai (Present)

Past Affiliations:

  • Senior Consultant – Neurosurgery, Square Hospital, Dhaka, Bangladesh (2022 - 2023)
  • Professor, Department of Neurological Sciences, Christian Medical College (CMC), Vellore (2003 - 2022)
  • Associate Professor, Department of Neurological Sciences, Christian Medical College (CMC), Vellore (1999 - 2003)
  • Lecturer, Department of Neurological Sciences, Christian Medical College (CMC), Vellore (1994 - 1997)

Academic & Research Roles

  • Research Associate: Baylor College of Medicine, Houston, Texas, USA (1997-1999)
  • Served in various academic capacities including Professor, Associate Professor, and Lecturer at Christian Medical College, Vellore, contributing significantly to neurosurgical education and research in India.

Key Achievements & Contributions

  • A pioneer in refining and popularising awake craniotomy for brain tumours in eloquent areas.
  • Extensive experience and published research on maximal safe resection techniques for challenging tumours like craniopharyngiomas and intramedullary spinal cord tumours.
  • Championed a multidisciplinary approach, working closely with neurology, radiation oncology, endocrinology, and other specialities to provide holistic patient care.
  • Author of a vast number of publications in prestigious national and international neurosurgical journals, significantly contributing to the medical literature.

  • Dr. Chacko is highly recognised in the academic and clinical community for his extensive body of published research and his pioneering surgical work.

Published Papers in Medical Journals

Dr. Chacko has authored and co-authored over 80 publications. A selection includes:

  • Clinical and radiological outcomes in 153 patients undergoing oblique corpectomy for cervical spondylotic myelopathy (British Journal of Neurosurgery, 2013)
  • Awake craniotomy and electrophysiological mapping for eloquent area tumours (Clinical Neurology and Neurosurgery, 2013)
  • Outcomes of disconnective surgery in intractable pediatric hemispheric and subhemispheric epilepsy (International Journal of Pediatrics, 2012)
  • The current role of transcranial surgery in the management of pituitary adenomas (Pituitary, 2012)
  • Multilevel oblique corpectomy for cervical spondylotic myelopathy preserves segmental motion (European Spine Journal, 2012)
  • The clinical significance of MIB-1 labeling index in pituitary adenomas (Pituitary, 2010)
  • Pial and arachnoid welding for restoration of normal cord anatomy after excision of intramedullary spinal cord tumors (Journal of Clinical Neuroscience, 2007)
  • The capsule of pituitary macroadenomas represents normal pituitary gland: a histopathological study (British Journal of Neurosurgery, 2003)
  • Value of visual evoked potential monitoring during trans-sphenoidal pituitary surgery (British Journal of Neurosurgery, 1996)

Patient Testimonials

  • "Dr. Ari Chacko is a blessing. He performed an awake surgery to remove a tumour from my brain, and I was amazed by his skill and the team's coordination. He explained everything with such clarity and patience. I have recovered remarkably well, and I believe he is the best neurosurgeon in Chennai." - Anjali V.
  • "My father was diagnosed with a complex spinal cord tumour. We were told the surgery was very high-risk. Dr. Chacko's confidence and expertise were reassuring. He successfully removed the tumour microsurgically, and my father is now walking again. His precision is unmatched." - Sameer K.
  • "We came from Oman for my daughter's pituitary tumour surgery. Dr. Chacko and the team were fantastic. The endoscopic procedure meant a faster recovery with no visible scar. He is a truly world-class doctor with a very kind and compassionate approach." - A. Al-Balushi

Patient-Centred Care
Dr. Chacko is deeply committed to a patient-first philosophy. He believes in close interaction and clear communication, ensuring that patients and their families understand the condition and treatment plan thoroughly. His collaborative approach involves a multidisciplinary team to provide comprehensive, holistic care tailored to each individual's needs.

Technology & Innovation
Dr. Chacko is at the forefront of neurosurgical innovation. He leverages advanced technologies like microsurgery, neuro-endoscopy, and intraoperative neuromonitoring to perform complex surgeries with maximum precision and safety. His pioneering work in awake craniotomies and facial nerve preservation techniques demonstrates his commitment to achieving the best functional outcomes for his patients.

Below is an approximate range for some common procedures performed by Dr. Chacko.

Treatment / Procedure

Estimated Cost (in INR)

Estimated Cost (in USD)

Brain Tumour Surgery (Craniotomy)

₹3,50,000 - ₹7,00,000

$4,200 - $8,400

Endoscopic Skull Base Surgery

₹4,00,000 - ₹8,00,000

$4,800 - $9,600

Awake Craniotomy for Glioma

₹5,00,000 - ₹9,00,000

$6,000 - $10,800

Surgery for Epilepsy

₹4,50,000 - ₹8,50,000

$5,400 - $10,200

Intramedullary Spinal Cord Tumour Surgery

₹5,50,000 - ₹10,00,000

$6,600 - $12,000

Note: The above costs are indicative and subject to change. For consultation fee and appointment booking, you can connect with the Cancer Rounds team.

The Cancer Rounds team is dedicated to providing seamless assistance to international patients seeking treatment under Dr. Ari Chacko.

Language Support: Access to professional translators ensures that language is not a barrier during your treatment journey.

Visa & Travel Assistance: The team provides support with visa invitation letters, airport pick-up and drop-off, and arrangements for local accommodation.

Pre-treatment Virtual Consultations: To facilitate travel planning, Dr. Chacko is available for virtual consultations to review medical reports, offer a preliminary opinion, and create an initial treatment strategy.

Frequently Asked Questions

Dr. Ari G. Chacko is a senior neurosurgeon specialising in the surgical treatment of brain and spinal cord tumours. His key areas of expertise include microsurgery, endoscopic skull base surgery, and awake craniotomy.

With over 36 years of experience, a history of pioneering complex procedures, and his role as Director of Neurosciences at a leading cancer centre, Dr. Chacko is regarded as a top brain tumour surgeon in Chennai. His focus on maximal safe resection and preserving neurological function sets him apart.

An awake craniotomy is a surgical procedure where the patient is kept awake during a part of the brain surgery. Dr. Chacko uses this advanced technique to safely remove tumours located in or near critical areas of the brain that control speech or motor functions, minimising the risk of neurological damage.

Yes, Dr. Chacko has extensive experience in the microsurgical excision of complex spinal cord tumours, including intramedullary tumours (tumours within the spinal cord), which are among the most challenging to treat.

It is a minimally invasive technique used to remove tumours located at the base of the skull, such as pituitary adenomas. Dr. Chacko uses an endoscope inserted through natural openings like the nose, avoiding the need for a large cranial incision and leading to a quicker recovery.

Yes, Dr. Chacko has considerable experience in performing complex surgeries for intractable epilepsy, including disconnective procedures like hemispherotomy, making him a sought-after expert in this sub-speciality.

International patients can easily get an opinion by contacting the Cancer Rounds team. They will help schedule a virtual consultation with Dr. Chacko and assist with the sharing of medical records for a comprehensive review.

You can book an appointment with Dr. Chacko by getting in touch with the Cancer Rounds team. They will coordinate with the hospital and schedule a consultation at the earliest available opportunity.

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