Dr. Evan Mark Frangou – Neurosurgeon | Victoria, BC

Dr. Evan Mark Frangou is a dedicated Neurosurgeon specializing in the surgical management of disorders affecting the brain, spine, and peripheral nervous system in adult patients. Practicing at Evan Frangou Clinic Victoria in Victoria, BC, he is an integral part of the local surgical and medical community. His practice adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring safe, effective, and personalized neurosurgical care. He provides comprehensive surgical care for a wide range of conditions affecting the brain, spine, and peripheral nerves, including trauma, tumors, and degenerative diseases, aiming to improve patient outcomes and quality of life.

Dr. Frangou graduated with a Doctor of Medicine (MD) degree from the University of Saskatchewan, Canada. He holds specialty certification as a Neurosurgeon and has obtained key certifications including those from the Royal College of Physicians and Surgeons of Canada. His training and certification enable him to deliver expert neurosurgical interventions grounded in the latest evidence-based practices and technological advancements.

With a commitment to patient safety, precision surgery, and utilizing advanced technology, Dr. Frangou emphasizes a multidisciplinary approach in his clinical practice. He is dedicated to providing compassionate, patient-centered care in English, ensuring clear communication and comprehensive support throughout the treatment journey. His goal is to offer the residents of Victoria and surrounding communities access to high-quality neurosurgical services delivered with professionalism and empathy.

Dr. Evan Frangou surgically treats a wide range of neurological conditions, including:

Cerebrovascular Disorders (Requiring Surgical Intervention)

• Cerebral Aneurysms (Unruptured & Ruptured): A bulge or ballooning in a blood vessel in the brain, which can leak or rupture, causing a hemorrhagic stroke.
• Cavernous Malformations (Cavernomas): Clusters of abnormal, dilated blood vessels that can occur in the brain or spinal cord and may cause bleeding or seizures.
• Intracerebral Hemorrhage (ICH - select cases for evacuation): Bleeding within the brain tissue itself, where surgical evacuation may be considered for large or life-threatening hematomas.

Peripheral Nerve Disorders (Surgical Management)

• Traumatic Nerve Injuries (requiring repair or grafting): Severe injuries to peripheral nerves that may benefit from surgical exploration, repair, or nerve grafting.
• Ulnar Nerve Entrapment (Cubital Tunnel Syndrome - surgical cases): Compression of the ulnar nerve at the elbow, potentially requiring surgical decompression or transposition.
• Peripheral Nerve Tumors (e.g., Schwannomas, Neurofibromas): Benign or malignant tumors arising from peripheral nerves that may require surgical excision.

Functional Neurosurgery & Neuropathic Pain Conditions

• Medically Refractory Epilepsy (for surgical evaluation): Epilepsy that continues despite trials of multiple anti-seizure medications, prompting consideration for surgical interventions.
• Spasticity (severe, for Baclofen pump or selective dorsal rhizotomy consideration): Severe muscle stiffness and spasms, potentially managed with implantable drug delivery systems or nerve root surgery.
• Trigeminal Neuralgia: A chronic pain condition affecting the trigeminal nerve, causing severe facial pain, potentially treated with microvascular decompression.

This list is not exhaustive. For personalized advice regarding your specific neurosurgical condition, please consult with Dr. Evan Frangou.

• Syrinx (Syringomyelia) Decompression Surgery: Procedures to drain or shunt fluid-filled cavities (syrinxes) within the spinal cord.
• Second Opinion Consultations for Neurosurgical Conditions: Providing expert second opinions on complex diagnoses and proposed surgical or non-surgical treatment plans.
• Surgery for Degenerative Spine Disease (e.g., Herniated Discs, Spinal Stenosis): Procedures such as microdiscectomy, laminectomy, and foraminotomy to relieve nerve compression and pain.
• Epilepsy Surgery (e.g., Temporal Lobectomy, Lesionectomy, Corpus Callosotomy - in selected cases): Surgical interventions for medically refractory epilepsy, aimed at removing or disconnecting the seizure focus.
• Baclofen Pump Implantation for Spasticity Management: Surgical placement of a pump to deliver baclofen directly to the spinal fluid to reduce severe muscle spasticity.
• Stereotactic Radiosurgery (e.g., Gamma Knife, CyberKnife) Planning & Coordination: Collaborating with radiation oncologists for non-invasive, highly focused radiation treatment for brain tumors, AVMs, and other neurological conditions.
• Non-Operative Management of Select Neurosurgical Conditions: Providing conservative management options when surgery is not immediately indicated, including observation, medication management referrals, and pain management strategies.

Note: This list provides a general overview. Neurosurgical treatment plans are highly individualized. Discuss with Dr. Frangou for care relevant to your specific condition.

All medical and surgical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant neurosurgical care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Evan Frangou Clinic Victoria is situated in the vibrant James Bay neighborhood of Victoria, BC. The clinic is conveniently accessible from Coho and Clipper Ferry Terminals, making it ideal for patients arriving by ferry. Public transit options are plentiful, with the Victoria Regional Transit System (BC Transit) providing easy access to the facility. The clinic is wheelchair accessible, ensuring comfort and ease of access for all patients. Paid parking options are conveniently located nearby, allowing for flexible and accessible parking during appointments. The practice is committed to providing a welcoming environment for patients and their families, with a focus on comprehensive, patient-centered neurosurgical care.

Are consultations and neurosurgical procedures with Dr. Frangou, a Neurosurgeon, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations with a licensed Neurosurgeon like Dr. Frangou, as well as most diagnostic imaging reviews and provincially insured neurosurgical procedures (e.g., for tumors, spine conditions, aneurysms), are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Some advanced technologies, specific implantable devices, or purely elective/cosmetic procedures may have different coverage. It's crucial to discuss coverage specifics with Dr. Frangou's office, the hospital's financial services, or Medical Services Plan (MSP) prior to any major procedure.

Do I need a referral to see Dr. Frangou, a Neurosurgeon?

Yes, a referral from your family physician, an emergency room physician, or another specialist (like a neurologist or oncologist) is almost always required to see a Neurosurgeon such as Dr. Frangou. Neurosurgical conditions are typically complex and require initial assessment and investigation before a neurosurgical consultation is appropriate. The referral ensures coordinated care and that you are directed to the right specialist.

What is recovery like after neurosurgery?

Recovery from neurosurgery varies greatly depending on the type and complexity of the surgery, the underlying condition being treated, and the individual patient's overall health. It can range from a few weeks for some minimally invasive spine procedures to several months or longer for major brain or complex spine surgeries. Recovery often involves a hospital stay, followed by a period of rest and rehabilitation, which may include physical, occupational, or speech therapy. Dr. Frangou and the care team will provide detailed post-operative instructions and support throughout the recovery process.

What are some common procedures a Neurosurgeon performs?

Neurosurgeons perform a wide variety of intricate procedures. Common surgeries include craniotomies (opening the skull) for brain tumor removal, aneurysm clipping, or hematoma evacuation; spinal surgeries like laminectomies or discectomies for nerve decompression, and spinal fusions for instability; and placement of shunts for hydrocephalus. Dr. Frangou would be able to discuss specific procedures relevant to your condition. Many neurosurgeons also have subspecialty interests, such as pediatric neurosurgery, spine surgery, or vascular neurosurgery.

What types of spine problems does a Neurosurgeon like Dr. Frangou treat surgically?

Neurosurgeons like Dr. Frangou who specialize in spine surgery treat a variety of conditions affecting the cervical (neck), thoracic (mid-back), and lumbar (low-back) spine. These can include herniated discs causing nerve compression, spinal stenosis (narrowing of the spinal canal), spondylolisthesis (slipped vertebra), spinal fractures due to trauma, spinal tumors, and spinal deformities. Surgical procedures aim to decompress nerves, stabilize the spine, or remove tumors.

When might someone need to see a Neurosurgeon?

A referral to a Neurosurgeon like Dr. Frangou is typically made by another physician when a condition is suspected or diagnosed that may require surgical intervention or specialized neurosurgical assessment. This can include brain tumors, spinal disc herniations causing severe nerve compression, spinal stenosis, traumatic brain or spine injuries, cerebral aneurysms, arteriovenous malformations (AVMs), hydrocephalus, some forms of epilepsy, or peripheral nerve entrapment syndromes not responding to conservative treatment.

Evan Frangou Clinic Victoria
106-1411 Cook Rd
Victoria, BC V8V 0E8

Phone: (778) 265-6677 | Fax: (778) 440-6677

The facility is wheelchair accessible.

Dr. Frangou is a licensed Neurosurgeon regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Frangou for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/334242/Frangou%2CEvan