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Symptoms of Neurological Disease

Our neurologists evaluate symptoms of disease and dysfunction of the nervous system.  Such symptoms include muscle weakness, numbness, loss of coordination, loss of balance, headaches, burning/shooting limb pain, dizziness, double vision, tremor, memory loss, seizures, fainting, sleep problems, developmental delay, and speech disorders.

Diagnostic Testing

The key to effective relief of neurological symptoms is an accurate diagnosis.  This begins with a thorough interview and physical examination.  Often the history and exam suggest several possible disorders, which are investigated with laboratory, radiological, or neurodiagnostic testing.  The neurologist is skilled in review of MRI and CT scans of the brain and spine, electroencephalography (EEG), electromyography (EMG), nerve conduction studies (NCS), autonomic function and tilt table testing, neurovascular ultrasound, spinal taps, cognitive testing, sleep studies, and nerve/muscle biopsy.

Neurological Disorders

Our neurologists treat disorders of the brain, spinal cord, nerves, and muscles.  Common diseases of the nervous system include stroke, epilepsy, migraine, Alzheimer’s disease, Parkinson’s disease, essential tremor, neuropathy, carpal tunnel syndrome, pinched nerves, trigeminal neuralgia, multiple sclerosis, myopathy, myelitis, dementia, cerebral palsy, hydrocephalus, syncope, amyotrophic lateral sclerosis, sleep apnea, narcolepsy, restless legs, dystonia, spasticity, aphasia, optic neuritis, neurogenic bladder, dysautonomia, traumatic brain injury, and genetic disorders of brain function.

Treatment Protocols

Following diagnosis, treatment options might include medication, referral for surgery, dietary changes, exercise, physical therapy, speech therapy, other rehabilitation services, IDD therapy for back pain and lumbar spine disorders, Anodyne therapy for neuropathic pain, and a variety of other specialized treatments.  We manage implanted devices such as Deep Brain Stimulators (for Parkinson’s, tremor, and dystonia), Vagal Nerve Stimulators (for refractory epilepsy), and Intrathecal Baclofen Pumps (for spasticity), and offer Botox injection for dystonia, spasticity, and chronic migraine. 

We work closely with neurosurgeons, psychiatrists, neuropsychologists, rehabilitation specialists, pain management specialists, and primary care physicians to formulate a treatment plan appropriate for each individual.  Neurologists are especially skilled at management of chronic neurological disease, but also respond rapidly to acute and life-threatening disorders such as strokes and seizures that could require emergency care and hospitalization. 

We are responsible for administration of a Joint Commission certified Primary Stroke Center at St. Thomas Rutherford Hospital, and consult on a variety of adult and pediatric hospital cases there.  We have also been active in basic and clinical research, with several articles published in major research journals.