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DIAGNOSING OF NEUROLOGICAL CONDITIONS AND DISEASES

Detail history and clinical exam

• Based on newest relevant clinical practice guidelines and evidence based medicine, updated continuously with recommendations of American neurology association (ANA) and European academy of neurology (EAN) and other relevant sources.
• Using of available grading scales and diagnostic criteria for many neurological diseases (e.g. Mini mental score exam – MMSE ; NIH-stroke scale ; Glasgow coma scale ; H_B scale for Bell's palsy, MIDAS and HIT-6 for migraine, CHADFS-2 score for Cerebrovascular diseases prevention...)

Neurophysiologic Testing

Procedures:

• • EMG
  • NCS
  • EVP
  • TCMS soon

Applicable in diagnosing of LMN and muscle diseases (disc disease with radiculopathy, diabetic and other neuropathies, fibromyalgia, myopathies...), ANS lesions, myasthenia gravis, multiple sclerosis, brainstem lesions, Bell's palsy...

Neurosonography

Procedures:

• • TCD sonography
  • TCD monitoring

Applicable in diagnosis of CVD (brain infarctions, cerebral haemorrhage, subarachnoid haemorrhage, subdural haemathoma, cerebral venous thrombosis, vascular dementia...) ; vascular headaches ; monitoring for circulating microemboli in prevention of cerebral and cardiac infarction

Electroencephalography (EEG)

• • Procedures:
  • Conventional EEG
  • Video EEG

Diagnostic tests for epilepsy, useful in some other conditions involving brain

Diagnosting spinal tap (lumbar punction) and analysis of cerebrospinal liquor

Useful in some condition involving CNS (e.g. multiple sclerosis, immunological conditions involving CNS, CNS infections, communicating hydrocephalus)

Other tests:

• Complete blood investigations (laboratory department)
• Neuroimaging: X-ray, CT&CTA, MRI&MRA (radiology department)

TREATMENT OF NEUROLOGICAL CONDITIONS AND DISEASES

General neurology

Migraine cabinet

Neurogenic pain management

Management of headaches, diabetic and other peripheral polyneuropathies, compressive neuropathy e.g. carpal tunnel syndrome, radiculopathies in disc disease, sciatica, trigeminal neuralgia, postzoster neuralgia...)

Other specific consultations and management

Cerebrovascular diseases treatment, education and prevention Outpatient, day hospital or inpatient management, depend of patients condition

Epilepsy consultation hours: management, patients and relative education and support

Cognitive testing, education for relatives, management, support

Integrative medicine options

Individual approach for appropriate patients

NEUROREHABILITATION

Physiotherapy for stroke patient, radiculopathies in disc disease, diabetic polyneuropathy, Bell's palsy in physiotherapy department