Dr. Keni Ravish Rajiv
Senior Consultant - Neurology and Head of Epilepsy Services
Dr. Keni Ravish Rajiv is a Senior Consultant Neurologist and Epileptologist in the Department of Neurosciences at Aster CMI Hospital, Aster RV Hospital, Bangalore and Aster MIMS, Calicut. He has vast experience in treating various complex and difficult to manage patients with epilepsy. He is an expert in the field of epilepsy and is one of the few certified epileptologists in India.
Educational Qualifications:
He completed his MBBS from Goa Medical College in 2007 and MD in General Medicine from PESIMSR, Kuppam in 2013. Subsequently, he underwent Super-specialty training in Neurology at the prestigious Sree Chitra Tirunal Institute of Medical Sciences & Technology (SCTIMST), Thiruvananthapuram, Kerala from 2015-2017. After successfully completing his DM Neurology course, he underwent a one-year Epilepsy Fellowship in the prestigious R. Madhavan Nair Center for Comprehensive Epilepsy Care of the same institute in 2018.
Expertise in Epilepsy:
He has experience of reporting more than 1500 video EEGs and more than 250 intra-operative electrocorticography. He is well-versed in treating both adult and pediatric complex epilepsy cases. After the completion of his Epilepsy Fellowship, he joined Narayana Medical College, Nellore as the in-charge epileptologist and was instrumental in setting up the Comprehensive Epilepsy Care Center (first of its kind in Andhra Pradesh). Subsequently after joining Aster, he has been successfully running Epilepsy surgery program in Department of Neurosciences at Aster Hospitals, Bangalore and Aster MIMS, Calicut. Under his guidance epilepsy surgery has been successfully carried out for more than 100 patients within a short span of 3 years.
He has expertise in neuromodulation in Epilepsy, and to his credit several patients with refractory epilepsy have benefited from invasive modalities viz. Vagus nerve stimulation, Deep brain stimulation and non-invasive modalities viz. trans-auricular vagus nerve stimulation and repetitive trans-cranial magnetic stimulation.
He is one the pioneers in utilizing tele-video EEG i.e. remote video EEG monitoring for evaluation of refractory epilepsy cases and is successfully running tele-video EEG units in Belgaum, Shimoga, Kolhapur, Rajahmundry, Guntur, Nellore. Numerous patients have been benefited from this service and have undergone Epilepsy surgery.
Apart from being an astute clinician, he is an eminent academician. Looking at his academic performances he is regarded as one the most eminent Neurologist and Epileptologist. He was the South-Zone winner for Torrent Neurology Young Scholar Award in 2017. He has several research publications pertaining to Epilepsy in renowned international journals to his credit. He has a special interest in the management of Epilepsy in Women and management of status epilepticus and also has several publications on these topics. In recognition of his research work, he was granted the prestigious International Scholarship Award 2019, by the American Academy of Neurology. Apart from authorship, he has the privilege of being selected as a reviewer for several Neurology and Epilepsy indexed journals such as (Clinical EEG and Neuroscience, Neurology India, Annals of Indian Academy of Neurology, Journal of Neurology in Rural Practice, BMJ Case Reports). He was invited as a faculty for teaching EEG analysis for budding neurologists during the Indian Epilepsy School in 2018 and 2022 and A-Z of EEG workshop organized by Karnataka Neurosciences Academy in 2020. He has been invited as a guest speaker to deliver talks on Vagus nerve stimulation and neuromodulation in Epilepsy in various state and national conferences.
Professional Membership:
• Associate member of American Academic of Neurology
• Indian Academy of Neurology
• Indian Epilepsy Society
• Bangalore Neurosciences Society
• Karnataka Neurosciences Academy
Publications: 32 journal articles and 8 book chapters.
Journal Articles:
• Rajiv KR, Reddy YJV, Balaji G, Nagabushan MV, Bilateral - Otitis Media, Dacroadenitis, Parotitis, and Left-Sided Infranuclear Facial Palsy: Unusual Manifestations of Wegener’s Granulomatosis. JAPI. 2013; 12(61): 52-55.
• Rajiv KR, Srivastava S, Varghese P. A rare case of anterior circulation thrombus resulting in posterior circulation stroke. IJBAMR. 2014; Vol.-3, Issue- 4: 61-64.
• Sankar U, Varghese P, Rajiv KR. Hoffmann’s syndrome: An atypical neurological manifestation of hypothyroidism. IJBAMR. 2015; Vol.-4, Issue- 2: 409-413.
• Nair M, Menon R, Hassan H, Rajiv KR, Menon D, and Radhakrishnan A. An audit of the predictors of results in status epilepticus from a resource-poor country: A comparison with developed countries. Epileptic Disord in June 2016. 1;18(2):163-72.
• Radhakrishnan A and Rajiv KR. Status epilepticus in pregnancy: Etiology, maintenance & clinical results. Epilepsy & Behavior 2017; 76:114-119.
• Jose M, Sarma S, Keni RR, Thomas SV. Teratogenicity of antiepileptic dual therapy like dose-dependent and drug-specific or both? Neurology in February 2018. 27;90(9):e790-e796.
• Cherian A, Sukumaran S, Thomas SV, Nair M, Menon RN, Rajiv KR, and Radhakrishnan A. Status epilepticus linked to pregnancy: devising a protocol for use in the intensive care division. Neurology India in 2018; Volume 66(6); 1629-1633.
• Radhakrishnan A and Rajiv KR. Status epilepticus in pregnancy - Can we make a uniform treatment protocol? Epilepsy Behav in 2019, July 12:106376.
• Chandran A, Rajiv KR, Menon R, Radhakrishnan A, Thomas SV, Baishya J, and Mitta N. How safe is bone health in patients upon newer or enzyme inhibitor antiepileptic drugs? - J Neurol Sci in 2019, October 15;405:116422.
• Durango-Espinosa Y, García-Ballestas E, Mendoza-Flórez R, Moscote-Salazar LR, Keni R, Deora H and Agrawal A. The puzzle of spontaneous versus traumatic subarachnoid hemorrhage. Apollo Med. in 2019;16:141-7.
• LR Moscote-Salazar LR, Agrawal A, and Keni R. Non-narcotic ways of pain management: A Neurosurgeon’s Point of View. Indian Journal Of Clinical Practice. 2019 Sept; 30(4).
• Keni RR, Jose M, A SR, Baishya J, Sankara Sarma P and Thomas SV. Anti-epileptic drug and folic acid usage in pregnancy time, seizure and malformation results: Changes over two decades in the Kerala Registry of Epilepsy and Pregnancy. Epilepsy Res. 2020 Jan;159:106250.
• Deora H, Florez WA, Martinez-Perez R, Galwankar S, Keni R, Menon GR, Agrawal A, Garcia-Ballestas E, Joaquim A, and Moscote-Salazar LR. Patients with intracranial hypertension with aneurysmal subarachnoid hemorrhage: A well-organized review and meta-analysis. Neurosurgery Rev. February 2020. 1. doi: 10.1007/s10143-020-01248-9.
• Keni RR and Thomas SV. Bridging The Gap in Epilepsy Treatment in A Resource-Limited Setting. AIAN. 2020 Feb. DOI: 10.4103/aian.AIAN_608_19
• LR Moscote-Salazar, Agrawal A, and Keni R. Brain Activation in Patients who are not responsive with Acute Brain Injury: Words of Caution. Indian Journal of Clinical Practice, Vol. 30, No. 10, March 2020.
• Baishya J, Unnithan G, Menon RN, Rajiv KR, Chandran A, Thomas SV, Radhakrishnan A. Personality diseases in temporal lobe epilepsy: What do they signify? Acta Neurol Scand. 2020 May 9. doi: 10.1111/ane.13259.
• Quinones-Ossa GA, Moscote-Salazar LR, Durango-Espinosa Y, Padilla-Zambrano H, Keni RR, Deora H, and Agrawal A. The puzzle of spontaneous versus traumatic intracranial hemorrhage. Egypt J Neurosurg. 2020; 35(13). DOI: 10.1186/s41984-020-00084-9.
• Keni RR, Licchetta L, Ignjatova L, Mostacci B, Kiteva-Trencevska G, Thomas SV, Meador KJ. Women’s issue. Epileptic Disorders. July 2020 [Epub ahead of print]. DOI:10.1684/epd.2020.1173
• Bonilla-Mendoza C, Moscote-Salazar L, Keni R, Garcia-Ballestas E, Pacheco-Hernandez A, and Agrawal A. Mitochondrial Dysfunction in Traumatic Brain Injury: Management Strategies. Indian Journal of Neurotrauma. 2020;17(01):37-41. DOI:10.1055/s-0040-1713457
• Rajiv KR, Menon D, Radhakrishnan A. PLEDs and NCSE: To lump or Split them Together? Acta Scientific Neurology. 2020; 3(9).
• Shrivastava A, Rahman M, Moscote-Salazar LR, Keni RR, Prakash M, Agrawal A. Review of Literature on Post-traumatic Epilepsy in Extradural Hematoma Patients: A Case for Further Comprehensive Research.Indian Journal of Neurotrauma. Published online: 2020-10-09. DOI: 10.1055/s-0040-1718243
• Keni R, Moscote-Salazar LR, Deora H, Quiñones-Ossa G A, Agrawal A. Seizures after posterior fossa surgery: Exploring the unknown: A systematic review. Apollo Med [Epub ahead of print] Available from: https://www.apollomedicine.org/preprintarticle.asp?id=301474
• Keni RR, Florez-Perdomo WA, Rahman MM, Moscote-Salazar LR, Agrawal A. Letter to the Editor Regarding"Surgical Outcomes of Laser Interstitial Thermal Therapy for Temporal Lobe Epilepsy". World Neurosurg. 2020 Nov;143:626. doi: 10.1016/j.wneu.2020.08.105. PMID: 33167150.
• Keni RR, Florez-Perdomo WA, Rahman MM, Moscote-Salazar LR, Agrawal A. Letter to the Editor Regarding"Surgical Outcomes of Laser Interstitial Thermal Therapy for Temporal Lobe Epilepsy". World Neurosurg. 2020 Nov;143:626. doi:10.1016/j.wneu.2020.08.105. PMID: 33167150.
• Keni RR, Radhakrishnan A. Using McGurk effect to detect speech-perceptional abnormalities in refractory epilepsy. Epilepsy Behav. 2021 Jan;114(Pt A):107600. doi: 10.1016/j.yebeh.2020.107600. Epub 2020 Nov 25. PMID: 33248941.
• García-Ballestas E, Florez-Perdomo WA, Starke RM, Joaquim AF, Agrawal A, Keni RR, Moscote-Salazar LR. Risk of Seizures after Endovascular Management of Ruptured Intracranial Aneurysms: A Systematic Review and Meta-analysis. J Epilepsy Res. 2020;10(2): 55 :55-61.
• Jose J, Keni RR, Hassan H, Menon R, Sukumaran S, Cherian A, Radhakrishnan A. Predictors of outcome in super refractory status epilepticus. Epilepsy Behav. 2021 May;118:107929. doi: 10.1016/j.yebeh.2021.107929.
• Baishya J, Menon RN, Ravish Keni R, Saraf UU, Varma RP, Radhakrishnan A, Cherian A, Thomas SV. Can occurrence of convulsive status epilepticus during video telemetry be predicted? Observations from an epilepsy monitoring unit. Epilepsy Behav. 2021 Oct;123:108252.
• Menon RN, Nambiar PN, Keni RR, Baishya J, Radhakrishnan A, Cherian A, Nampoothiri S, Madhavilatha GK, Kotecha UH, Thomas SV. Drug-resistant 'Non-Lesional' Visual Sensitive Epilepsies of Childhood - Electroclinical Phenotype-Genotype Associations. Neurol India. 2021 Nov-Dec;69(6):1701-1705.
• Vilanilam GC, Abraham M, Radhakrishnan A, KeniRR, SenanayakeS, AttanayakeD, et al. Telecollaboration: Telementorship for epilepsy surgery servicesin resource: Challenged lower-middle-income countries environs– A model and proof of concept. Arch Med Health Sci 2022; 10:5-18.
• Ravish R Keni., et al. “Focal Electrical Status in a Rare Case of Unilateral Perisylvian Polymicrogyria". Acta Scientific Neurology 4.7 (2021): 22-24.
• Ravish R Keni., et al. “A Rare Case of Adult-Onset Focal Epileptic Spasms Due to Frontal Astrocytoma". Acta Scientific Neurology 5.8 (2022):19-22.
Book Chapters:
• Rajiv KR, S Raghavendra. First-line Therapy in Status Epilepticus. In Status Epilepticus: Practical Guidelines in Management. Jaypee Publishers.First Edition: 2017.
• Rajiv KR, Agarwal V. Newer anti-epileptic drugs in pediatric epilepsy syndromes. In Pediatric Epilepsy Syndromes: Seizures, Syndromes, Approach, and Management. Jaypee Publishers. First edition: 2018.
• Keni RR, Deora H, Agrawal A. Normal Pressure Hydrocephalus. In New Insight into Cerebrovascular Diseases: An Updated Comprehensive Review. Intech Open Publishers. 2019. DOI: 10.5772/intechopen.92058
• Singh S, Deora H, Keni RR, Agrawal A. Changing Paradigms in the Pathophysiology of CSF Dynamics. In: Advances in Health and Disease. Nova Publishers. Volume 21. June 2020.
• Rajiv KR, Agrawal A. Post-cerebral infarction seizures. In: Advances in Health and Disease. Nova Science Publishers. Volume 21. June 2020.
• Keni RR, Thomas SV. Managing Epilepsy in Women. In: The 5-Minute Clinical Consult 2020 South Asian Edition. Wolters Kluwer India Pvt Ltd.; 2020:Lippincot Gurukul e-content.
• Rajiv KR, Kumar NS. TB Meningitis. Textbook Of Tuberculosis & Nontuberculous Mycobacterial Diseases. Jaypee Publishers (In press).
• Keni RR, Sowmya M, Swamy S. Giant Cell Arteritis: From Neurologist’s Perspective. In: Chaudhry IA. editor. Giant-Cell Arteritis [Working Title] [Internet]. London: IntechOpen; 2021 [cited 2022 Sep 28]. Available from: https://www.intechopen.com/chapters/76111 doi: 10.5772/intechopen.97163
Papers presented at Scientific conferences: 8 oral and 7 poster presentations
Oral presentations:
• A case of resistant JME in women of child-bearing age group. Ask The Experts Sessions-Women’ s Issues. Search Results. 33rd International Epilepsy Congress Bangkok 2019.
• Auto-immune encephalitis presenting as status epilepticus. ECON Patna 2017.
• Teratogenicity of AED dual therapy: dose-dependent or drug-specific. SCTIMST, Science fete 2017.
• Malformation risk of antiepileptic dual therapy in women with epilepsy. KAN annual conference. Kozhikode 2016.
• Super-refractory status epilepticus (SRSE): Can we draw conclusions and predict the outcome? Conference on ‘Epilepsy in Clinical Practice’. Vikram Hospital Bangalore 2016.
• A case of resistant JME in a women of child-bearing age group. ILAE, Bangkok 2019.
• Utility of tele-EEG in Epilepsy surgery and pre-surgical evaluation during COVID-19 Pandemic. AOEC, Online 2022.
• Role of elevated cardiac troponin in critically ill patients- AP APICON 2012.
Poster Presentations:
• Trends in AED, folic acid usage, and MCM outcomes over two decades in KREP. AAN conference, Philadelphia 2019.
• McGurk effect in left versus right hemispheric epilepsy. Asia-Oceania Congress of Epilepsy, Hong Kong 2016.
• Reversible Myocardial Dysfunction In The Critically Ill- APICON 2013
• Anterior Circulation Thrombus with Posterior Circulation Stroke- APICON 2013
• Addison Disease with extra pontine myelinolysis- APICON 2012
• Wegener’s Granulomatosis- AP APICON 2012
• Wilson’s Disease- AP APICON 2011
