Raphael H. Sacho, MD, FRCS

Assistant Professor of Neurosurgery

Raphael H. Sacho, M.D., FRCS

Assistant Professor of Neurosurgery

MCW Neurosurgery


Dr. Sacho has undertaken both open surgical and endovascular training to treat cerebrovascular disorders. This puts him in a unique position to offer both treatment options to his patients. He is focused on providing patient centered care using the safest and most effective therapy currently available.

Education / Training

  • University of the Witwatersrand, Medical School, Johannesburg
  • Interventional Neuroradiology/ Neurorgery Fellow, Division Of Cerebrovascular Neurosurgery, St Michael’s Hospital, Toronto, Canada (July 2014 – July 2015)
  • Interventional Neuroradiology Fellowship, Division Of Neuroradiology, Toronto Western Hospital, Toronto, Canada (July 2013 – July 2014)
  • Open Cerebrovascular Fellowship, Division Of Neurosurgery Toronto Western Hospital, Toronto, Canada (July 2012 – July 2013)
  • Neurosurgery Specialist Registrar, Northwest Deanery, UK September 2008 – July 2012
  • Research Registrar Neurosurgery, Salford Royal NHS Foundation Trust(SRFT) And The University Of Manchester (November 2006 To Sep 2008)
  • House Officer – Tameside Acute NHS Trust, North West Basic Surgical Rotation, UK (August 2004-Oct 2006)
  • Trust Junior Doctor (Sho Level) – Tameside Acute NHS Trust, UK
    General Surgery – 5 Months (March 2004 – August 2004)
  • Internship Training Baragwanath Hospital, Soweto, South Africa

Awards & Scholarships

  • The Norman Leeds Award for 2014 for the best scientific presentation, Eastern Neuroradiology Society 26th Annual Meeting, Vermont, USA.
  • Chancellor’s Gold Medal of the University of the Witwatersrand, awarded to the most distinguished graduate of the year in the Natural Sciences 2002.
  • Health Graduates Association Medal, awarded to the best Health Sciences graduate of the year, University of the Witwatersrand, 2002The Bronze Medal of the Gauteng Branch of the South African Medical Association, awarded to the most outstanding MBBCh graduand of the year 2002.


  1. Persistent Hypotension and Cerebral Swelling Resulting From Mesenteric Traction Syndrome After Omental-to-Pial Pedicle Flap Transfer in a Young Woman With Refractory Moyamoya Disease: A Case Report. Woehlck, HJ, Gollapudy, S, Roberts, CJ, Oni-Orisan, A, Sacho, RH, Pagel, PS. A A Case Rep. 2017;9 (6):169-171. doi: 10.1213/XAA.0000000000000557. PubMed PMID:28520567 .
  2. Natural history and management of basilar trunk artery aneurysms. Saliou, G, Sacho, RH, Power, S, Kostynskyy, A, Willinsky, RA, Tymianski, M, terBrugge, KG, Rawal, S, Krings, T. Stroke. 2015;46 (4):948-53. doi: 10.1161/STROKEAHA.114.006909. PubMed PMID:25712945 .
  3. Anesthetic management of patients undergoing intracranial bypass procedures. Chui, J, Manninen, P, Sacho, RH, Venkatraghavan, L. Anesth. Analg. 2015;120 (1):193-203. doi: 10.1213/ANE.0000000000000470. PubMed PMID:25625262 .
  4. Natural history and outcome after treatment of unruptured intradural fusiform aneurysms. Sacho, RH, Saliou, G, Kostynskyy, A, Menezes, R, Tymianski, M, Krings, T, Radovanovic, I, Terbrugge, K, Rinkel, GJ, Willinsky, R. Stroke. 2014;45 (11):3251-6. doi: 10.1161/STROKEAHA.114.006292. PubMed PMID:25205312 .
  5. Arteriovenous fistula of the middle meningeal artery--a rare complication after arthroscopic temporomandibular joint surgery readily amenable to endovascular treatment. Sacho, RH, Kryshtalskyj, B, Krings, T. J. Oral Maxillofac. Surg. 2014;72 (7):1258-65. doi: 10.1016/j.joms.2014.03.007. PubMed PMID:24768419 .
  6. The effect of spontaneous alterations in brain temperature on outcome: a prospective observational cohort study in patients with severe traumatic brain injury. Sacho, RH, Vail, A, Rainey, T, King, AT, Childs, C. J. Neurotrauma. 2010;27 (12):2157-64. doi: 10.1089/neu.2010.1384. PubMed PMID:20822465 .
  7. Primary diffuse large B-cell central nervous system lymphoma presenting as an acute space-occupying subdural mass. Sacho, RH, Kogels, M, du Plessis, D, Jowitt, S, Josan, VA. J. Neurosurg. 2010;113 (2):384-7. doi: 10.3171/2010.2.JNS091554. PubMed PMID:20225921 .
  8. Brain hyperthermia after traumatic brain injury does not reduce brain oxygen. Childs, C, Sacho, RH, King, AT. Neurosurgery. 2009;64 (6):E1206. doi: 10.1227/01.NEU.0000346232.65178.C7. PubMed PMID:19487872 .
Search PubMed

  • Assistant Professor of Neurosurgery

Conditions Treated

  • Brain aneurysm
  • Brain AVM
  • Moya Moya disease
  • Carotid stenosis
  • Stroke
  • Dural arteriovenous fistula
  • Cavernous malformations


  • Froedtert Hospital Neurosciences Center
  • Children’s Hospital of Wisconsin