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What is Neurology?

Neurology is a branch of science and medicine concerned with the study and treatment of disorders affecting the nervous system – a complex and sophisticated system that is responsible for regulating and coordinating body activities.
This branch of medicine is divided into two major divisions:
1. Central Nervous system (CNS) which comprises the brain and spinal cord
2. Peripheral Nervous system which comprises other neutral elements, including skin, eyes, ears, and other sensory receptors

What does a Neurologist do?

A neurologist is a doctor who specializes in neurology, treating disorders affecting the brain, nerves and spinal cord, including:

1. Celebrovascular disease like stroke
2. Headache disorders
3. Demyelinating disease of the CNS like multiple sclerosis
4. Infections of the peripheral nervous system and brain
5. Seizure disorders like epilepsy
6. Movement disorders like Parkinson’s disease
7. Spinal cord disorders
8 Neurodegenerative disorders like Alzheimer’s disease and Amyotrophic Lateral Sclerosis
9. Speech disorders

However, a neurologist does not perform surgery. But if a patient requires surgery, he or she will refer him to one a neurosurgeon. 

Treatment techniques

• Headache
• Neck and Back Pain
• Stroke and Cerebrovascular Disease
• Dystonia
• Brain Tumors
• Carpal Tunnel Syndrome
• Concussion

• Syncope
• Parkinson's Disease
• Multiple Sclerosis
• Myasthenia Gravis
• Memory Difficulty and Dementia
• Neuropathy
• Balance Difficulty and Vertigo

• Obstructive Sleep Apnea
• Shift Work Sleep Disorder
• Restless Leg Syndrome
• Insomnia
• Narcolepsy
• Periodic Limb Movement Disorder
• Circadian Rhythm Disorder

• Sleep Walking and Talking
• Night Terrors 
• Rapid Eye Movement (REM) 
• Sleep Behavior Disorder

• Electromyography (EMG)
• Nerve Conduction Studies (NCT)
• Electroencephalography (EEG)
• Polysomnography (Sleep study)
• Botox Injections
• Occipital Nerve Blocks
• Lumbar Puncture

At Intermed Care PC we have helped several patients who have suffered from the diseases listed above. Below are some of the treating techniques in neurology:

1. Endovascular GDC Coils
Subarachnoid is a form of stroke that can be managed. It is characterized by bleeding into the subarachnoid (space between the skull and brain) due to rupture of a brain aneurysm. Small stainless steel platinum coils known as Endovascular GDC coils and are placed in a brain aneurysm’s lumen. They act as a blood clot to hinder blood from entering into the aneurysm.

2. Cerebral Angioplasty
A stroke occurs when blood flow to the brain is blocked (cerebral ischemia). Percutaneous cerebral angioplasty is an operation that can be carried out by an interventional neuroradiologist to dilate the lumen. Angioplasty is usually reserved for those with multiple TIAs. 

3. Ventricular Drainage
An elevation of pressure in the skull can cause complications. High intracranial pressure (ICP) may accompany stroke, brain infections, head injury, and brain tumors. The blood vessels to the brain may also leak fluid within the brain substance. A tubular instrument known as catheter can be placed in fluid filled cavities called ventricles. Intraventricular catheters allow the drainage of cerebrospinal fluid from the ventricles to lower the pressure in the skull.

4. Hypertensive Hypervolemic Hemodilution (“triple-H therapy”)
Has been used in treating ischemic neurologic deficits after subarachnoid hemorrhage to improve cerebral blood flow in areas of ischemia by elevation of blood pressure and cardiac output and reduction of blood viscosity. The treatment drives blood through/ around blocked arteries, potentially reversing the symptoms.

5. Thrombolysis
A blood clot can cause ischemic stroke. Thrombolysis uses drugs to restore normal flow in the artery by “breaking” a clot. The two general categories of this medication are intraarterial agents and intravenous agents. Thrombolytic therapy should begin within 3 hours of the beginning of strike.

While there are many treatment techniques in neurology, the decision regarding the method to use depends on the medication condition, cost of treatment, and your doctor’s recommendation.
At Intermed Care PC, our practice is multispecialty. Kindly give us a call for consultation services.