Dr. Paul Narin Kongkham – Neurosurgeon | Toronto, ON

Dr. Paul Narin Kongkham is a dedicated Neurosurgeon specializing in the surgical management of disorders affecting the brain, spine, and peripheral nervous system in adult patients. Practicing at TRIO Fertility in Toronto, ON, 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 Ontario (CPSO), ensuring safe and effective neurosurgical care. Dr. Kongkham provides comprehensive surgical solutions for a wide range of neurological conditions, including trauma, tumors, and degenerative diseases, with a focus on personalized treatment plans tailored to each patient’s needs.

He earned his Medical Degree from the University of Toronto in Canada and has accumulated over 13 years of experience as a Neurosurgeon since 2011. Dr. Kongkham is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), demonstrating his expertise and commitment to excellence in neurosurgical practice. His extensive training and continuous professional development enable him to stay at the forefront of neurosurgical advancements and techniques.

Dedicated to patient safety and clinical excellence, Dr. Kongkham emphasizes precision surgery, utilizing state-of-the-art technology and evidence-based approaches. He values multidisciplinary collaboration to optimize outcomes and provides thorough post-operative care to support patients throughout their recovery. Fluent in English, he strives to offer clear, compassionate communication and comprehensive neurosurgical care to adult patients in Toronto and the surrounding communities.

Dr. Paul Kongkham surgically treats a wide range of neurological conditions, including:

Functional Neurosurgery & Neuropathic Pain Conditions

• Movement Disorders (Parkinson's, Essential Tremor, Dystonia - for DBS evaluation): Evaluation for Deep Brain Stimulation (DBS) surgery for patients with movement disorders not adequately controlled by medication.
• 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.
• Chronic Neuropathic Pain (select cases for neurostimulation): Persistent pain due to nerve damage, where spinal cord stimulation or other neuromodulation techniques might be considered.

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.
• 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.
• Arteriovenous Malformations (AVMs) of the Brain & Spine: Tangles of abnormal blood vessels connecting arteries and veins, which can disrupt normal blood flow and risk rupture.

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

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

• 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.
• Nerve Biopsy for Diagnostic Purposes: Obtaining a small sample of a peripheral nerve for pathological examination.
• Peripheral Nerve Decompression Surgery (e.g., Carpal Tunnel Release, Ulnar Nerve Decompression): Surgical procedures to relieve pressure on entrapped peripheral nerves.
• Cerebral Aneurysm Clipping & Coiling (Endovascular coiling often with Interventional Neuroradiology): Surgical or endovascular treatment to secure brain aneurysms and prevent rupture or re-rupture.
• Comprehensive Neurosurgical Consultation & Evaluation: In-depth assessment of conditions affecting the brain, spine, and peripheral nerves, including review of medical history, neurological examination, imaging review, and surgical planning.
• Cavernous Malformation Resection: Surgical removal of abnormal clusters of small blood vessels in the brain or spinal cord that can cause bleeding or seizures.
• 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. Kongkham 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 Ontario (CPSO) and relevant neurosurgical care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

TRIO Fertility is located in the vibrant Toronto neighbourhoods of Kensington Market, Chinatown, and Grange Park. The practice is conveniently situated near Union Station, providing easy access via TTC (Subway, Streetcar, Bus). The facility is wheelchair accessible to accommodate all patients. Paid parking options are conveniently located nearby, ensuring accessible and stress-free visits for patients and their families.

Are consultations and neurosurgical procedures with Dr. Kongkham, a Neurosurgeon, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Neurosurgeon like Dr. Kongkham, as well as most diagnostic imaging reviews and provincially insured neurosurgical procedures (e.g., for tumors, spine conditions, aneurysms), are generally covered by Ontario Health Insurance Plan (OHIP) in ON 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. Kongkham's office, the hospital's financial services, or Ontario Health Insurance Plan (OHIP) prior to any major procedure.

Do I need a referral to see Dr. Kongkham, 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. Kongkham. 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.

How is a brain tumor typically treated by a Neurosurgeon like Dr. Kongkham?

The treatment for a brain tumor depends on its type, size, location, and the patient's overall health. For many tumors, surgical resection (removal) by a neurosurgeon like Dr. Kongkham is a primary treatment, aiming to remove as much of the tumor as safely possible. Surgery may also be done to obtain a biopsy for diagnosis. Often, surgery is part of a multidisciplinary approach that may also include radiation therapy, chemotherapy, or targeted therapies, coordinated with oncologists and radiation oncologists.

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. Kongkham 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. Kongkham treat surgically?

Neurosurgeons like Dr. Kongkham 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.

What does a Neurosurgeon like Dr. Kongkham specialize in?

A Neurosurgeon is a medical doctor who specializes in the surgical treatment of diseases and disorders affecting the nervous system. This includes the brain, spinal cord, cerebrovascular system (blood vessels of the brain and spine), and peripheral nerves. He is a Neurosurgeon specializing in surgical treatment of the brain, spine, and nerves. Dr. Kongkham performs a range of surgical procedures to address these conditions. He is committed to providing expert, compassionate care for all neurosurgical needs in Toronto.

TRIO Fertility
399 Bathurst Street
Toronto, ON M5T 2S8

Phone: (416) 603-5428 | Fax: (416) 603-5298

The facility is wheelchair accessible.

Dr. Kongkham is a licensed Neurosurgeon regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Kongkham for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Kongkham-Paul-Narin/0180449-76442