Sandra Narayanan MD

Sandra Narayanan, MD

Vascular Neurologist & Neurointerventional Surgeon

Accepting New Patients

Sandra Narayanan, MD, FAHA, FANA, FSVIN, FAAN, is board-certified in neurology and vascular neurology by the American Board of Psychiatry and Neurology and CAST (Committee on Advanced Subspecialty Training)-certified in neuroendovascular surgery. She is a vascular neurologist and neurointerventional surgeon at Pacific Stroke & Neurovascular Center, Pacific Neuroscience Institute. She is director of the neurointerventional program and co-director of the stroke program at Providence Saint Joseph Medical Center in Burbank.

Dr. Narayanan received her medical degree from the University of Miami Miller School of Medicine in 2001 and completed neurology residency at Jackson Memorial Hospital, followed by a vascular neurology fellowship at Massachusetts General Hospital and fellowships in diagnostic and interventional neuroradiology at Emory University Hospital. She practiced for over a decade at Wayne State University School of Medicine, where she served as the Director of the Neuroendovascular Programs at Detroit Medical Center and Beaumont Hospitals-Dearborn/Taylor/Wayne/Trenton. From 2019-2022, Dr. Narayanan was an Associate Professor in the Departments of Neurology and Neurosurgery at the University of Pittsburgh School of Medicine and an active site PI/sub-I on numerous clinical trials in the University of Pittsburgh Stroke Institute. She has authored nearly 50 peer-reviewed publications. 

Skilled in a wide range of adult and pediatric diagnostic and neuroendovascular procedures, Dr. Narayanan is also experienced in prehospital and acute stroke diagnosis and management, telestroke assessments, and secondary stroke prevention. Dr. Narayanan’s professional and research interests include stroke systems of care, cerebral venous sinus stenosis, quality improvement in neurointervention, radiation safety, and devices to treat hemorrhagic and ischemic stroke. She maintains a busy clinical practice and is passionate about medical education and mentoring.

Dr. Narayanan is an active member of the Society of Neurointerventional Surgery (SNIS), previously serving as Member-At-Large (Interventional Neurology), and of the Society of Vascular and Interventional Neurology (SVIN). She chairs the SNIS Women in Neurointervention Committee and is a member of the SNIS Pediatric Neurointervention and SVIN Diversity, Equity, and Inclusion (DEI) Committees.

Medical Specialties

  • Ischemic stroke
  • Carotid/vertebral/basilar artery stenosis
  • Intracranial aneurysms
  • Brain & spinal arteriovenous malformations (AVMs)
  • Dural arteriovenous fistulas (dAVFs)
  • Vascular malformations of head/neck/spine
  • Vascular tumors of head/neck/spine
  • Idiopathic intracranial hypertension
  • Moyamoya disease
  • Chronic subdural hemorrhage (middle meningeal artery embolization)
  • Pediatric neurointervention

Conditions Treated

  • Arterial ischemic stroke (adult)
  • Arterial ischemic stroke (pediatric)
  • Brain & spinal arteriovenous malformation (AVM)
  • Carotid/vertebral artery dissection
  • Carotid/vertebral/basilar artery stenosis/occlusion
  • Cerebral venous thrombosis
  • Dural arteriovenous fistula (dAVF)
  • Fibromuscular dysplasia
  • Idiopathic intracranial hypertension
  • Intracranial/extracranial carotid/vertebral artery aneurysm
  • Intracranial hypotension
  • Migraine
  • Moyamoya disease
  • Pulsatile tinnitus
  • Reversible cerebral vasoconstriction syndrome (RCVS)
  • Subclavian artery steal
  • Transient ischemic attack
  • Traumatic arteriovenous fistulas of head/neck
  • Venous malformations
  • Venous sinus stenosis
  • Vertebrobasilar insufficiency

Procedures Available

  • Adult & pediatric cerebral angiography/venography
  • Adult & pediatric spinal angiography/venography
  • Adult & pediatric mechanical thrombectomy for acute ischemic stroke (arterial/venous)
  • Balloon test occlusion
  • Baclofen pump tapping
  • Brain & spinal arteriovenous malformation (AVM) embolization
  • Cisternography
  • Coil embolization & flow diversion for intracranial aneurysms
  • Dural arteriovenous fistula (dAVF) embolization
  • Embolization for epistaxis/oropharyngeal bleeding/trauma
  • Extracranial carotid artery angioplasty/stenting
  • Fluoroscopy-guided C1-2 puncture
  • Fluoroscopy-guided epidural blood patch
  • Fluoroscopy-guided lumbar drain placement
  • Inferior petrosal sinus sampling
  • Intra-arterial chemotherapy for tumors
  • Intracranial arterial angioplasty/stenting
  • Intraoperative angiography
  • Intrathecal chemotherapy
  • Lumbar puncture (bedside & fluoroscopy-guided)
  • Middle meningeal artery embolization
  • Myelography
  • Parent vessel occlusion
  • Percutaneous sclerotherapy
  • Pre-operative tumor embolization
  • Shuntogram
  • Vasospasm treatment
  • Venous sinus pressure measurements and venous sinus stenting
  • Vertebral/subclavian artery angioplasty/stenting
  • WADA testing


Dr. Narayanan speaks English, Malayalam, and Spanish

Clinic Locations

501 South Buena Vista St.
Burbank, CA 91505
818-847-6049 | Fax: 818-847-4842

2125 Arizona Ave.
Santa Monica, CA 90404

Accepted Insurance

Medicare, medicaid and most insurance plans are accepted. Please contact us to confirm coverage.

Useful Links

Pacific Stroke & Neurovascular Center

  • Medical Degree

    University of Miami Miller School of Medicine
  • Residency

    University of Miami Miller School of Medicine
  • Fellowship

    Massachusetts General Hospital - Harvard Medical School
    Emory University Hospital
  • Certifications

    American Board of Psychiatry and Neurology