Expert assessment and treatment for a range of brain and neurological conditions. Mr Sikander is an internationally renowned Normal Pressure Hydrocephalus Specialist, with particular expertise in identifying conditions that may be overlooked or misdiagnosed.
Expert assessment and treatment for a range of brain and neurological conditions.
Normal Pressure Hydrocephalus (NPH), often referred to as “water on the brain”, is caused by a build-up of cerebrospinal fluid within the brain’s ventricles. Despite normal pressure readings, this condition can lead to a significant combination of symptoms that are commonly mistaken for dementia or age-related decline.
NPH is one of the most frequently misdiagnosed conditions in older patients. Early assessment by a specialist is essential, as appropriate treatment can significantly improve symptoms and quality of life.
These three symptoms together are a hallmark presentation of NPH and should not be assumed to be simply age-related. Specialist assessment can determine whether a treatable cause is present.
You may wish to seek specialist advice if you or a family member are experiencing any of the following symptoms. Recognising these as potential signs of a treatable condition can allow for earlier diagnosis and more effective treatment.
Brain tumours can be benign or malignant and may affect different areas of the brain. Symptoms vary depending on the tumour’s size and location and may include headaches, seizures and neurological changes. Specialist assessment and tailored treatment is provided.
Chiari malformation occurs when brain tissue extends into the spinal canal, disrupting normal cerebrospinal fluid flow. This can cause headaches, balance problems and neurological symptoms requiring specialist management.
Occipital neuralgia is a neurological condition caused by inflammation or injury to the nerves that run from the top of the spinal cord up through the scalp. It causes severe, shock-like or throbbing pain at the base of the skull, often mistaken for migraines.
These conditions affect the nerves outside the brain and spinal cord, causing pain, weakness or numbness, often in the hands or feet. Treatment is tailored to the underlying cause and individual patient needs.
Each patient undergoes a thorough and structured assessment to fully understand their symptoms and identify the underlying cause.
Treatment is tailored to each individual, based on their diagnosis, symptoms and overall health. The focus is always on selecting the most effective and least invasive option wherever possible.
The overall goal is to improve quality of life, independence and wellbeing through accurate diagnosis and effective, personalised care.
Surgical intervention for conditions requiring specialist procedures, including shunt surgery for NPH and advanced neurosurgical techniques for other conditions.
Where immediate treatment is not necessary, structured monitoring ensures any changes are identified promptly and acted upon appropriately.
Collaboration with other healthcare professionals ensures patients receive comprehensive, joined-up care across all aspects of their neurological health.
Mr Sikander has particular expertise in the diagnosis and treatment of Normal Pressure Hydrocephalus, providing focused assessment for patients whose symptoms may otherwise be overlooked.
Many neurological conditions, including NPH, present with symptoms similar to dementia. Mr Sikander has extensive experience identifying these conditions and providing accurate, potentially life-changing diagnosis.
Care is centred on recognising subtle or progressive symptoms, allowing for timely intervention and improved long-term outcomes for patients and their families.
Patients benefit from modern neurosurgical approaches, including advanced surgical techniques and evidence-based treatments designed to deliver safe and effective outcomes.
If you are concerned about neurological symptoms in yourself or a family member, specialist assessment is available promptly at leading private facilities in Oxford.
Understand the early signs of neurological conditions, including Normal Pressure Hydrocephalus and symptoms often mistaken for dementia. These FAQs provide expert insight into diagnosis, treatment and when to seek specialist care.
Early symptoms of neurological conditions can include memory problems, balance issues, difficulty walking, nerve pain or muscle weakness. If you notice these symptoms, it is important to seek assessment from a neurological specialist or private neurosurgeon.
Normal Pressure Hydrocephalus (NPH), sometimes called water on the brain, is a condition caused by a build-up of fluid in the brain. Common NPH symptoms in elderly patients include walking difficulties, memory decline and loss of bladder control.
Yes, Normal Pressure Hydrocephalus is one of the most commonly misdiagnosed causes of dementia. Symptoms such as memory loss and confusion can overlap, but NPH is often treatable when diagnosed early by a specialist.
Neurological conditions are diagnosed through a detailed consultation, neurological examination and imaging such as MRI or CT scans. Additional specialist testing may be used to assess nerve function, balance or cognitive changes.
Helpful information on spinal and neurological conditions, treatment options and recovery.


If you would like to arrange a consultation or refer a patient, please get in touch. Oxford Neurospine provides expert care in Oxford with a focus on clear communication, accurate diagnosis and effective treatment.