A neurologist is a medical doctor who is highly trained to identify and treat various diseases of the nervous system such as headache, stroke, neck and back pain, dizziness, Parkinson’s Disease, Alzheimer’s Disease, multiple sclerosis, and epilepsy. After obtaining a complete neurological and medical history, the neurologist does a thorough neurological examination and then discusses the findings with the patient and family to advise whether any further diagnostic testing is necessary and/or what medical treatment is indicated
- Bell’s Palsy
- Carpal Tunnel Syndrome
- Dizziness /Vertigo
- Migraines including chronic migraine treatment with Botox
- Memory Loss
- Movement Disorders
- Multiple Sclerosis (MS)
- Myasthenia Gravis
- Optic Neuritis
- Parkinson’s Disease
- Pseudotumor Cerebri, IIH
- Seizures ( Epilepsy)
- Stroke and TIA
- Spasticity treatment with botulinum toxin
- Torticollis/Dystonia treatment with botulinum toxin
Stroke (or “Brain Attack”)
Patients with stroke or transient ischemic attack (TIA) benefit from a treatment plan that is individually tailored to their needs, and that takes into account a number of factors, including the pathomechanism of the ischemic event, patient’s age, gender, co-morbidities, as well as other variables. “Brain Attack” is another way of describing a stroke. A stroke, like a heart attack, is a medical emergency that requires immediate medical care. The symptoms of stroke may include weakness, numbness or paralysis – particularly on one side of the body – sudden blurred or decreased vision, speech difficulty, dizziness, or sudden and severe headache. Acute ischemic stroke is the result of a blood clot that blocks the flow of blood to the brain. If symptoms are recognized within three hours, clot-dissolving agents, such as TPA, may be used for eligible patients to reduce disability.
Multiple Sclerosis (MS) is the most common neurological disorder diagnosed in young adults, with most people experiencing first symptoms between the ages of 20 and 40. There are some 400,000 reported cases of MS in the United States. MS symptoms can vary from person to person, depending upon the area of the nervous system affected. In some persons, symptoms may be mild, such as limb numbness, or severe, such as loss of vision of paralysis. Some patients may experience initial symptoms for a short time period and then be symptom-free for an extended period of time, while others may experience a more steady progression of disease. Common symptoms of MS may include: balance and coordination problems; blurred or double vision; depression; vertigo; fatigue; spasticity; slurred speech; swallowing disorders; tremor, and; limb weakness. While there is no cure for MS, effective treatments exist that can help reduce the severity and frequency of attacks and help to manage the symptoms of MS. The diagnosis of MS is based upon medical history, a complete neurological examination, imaging studies such as MRI, evoked potentials, and lumbar puncture.
The neurologists of Mid-Atlantic Epilepsy and Sleep Center have extensive experience in treating various types of headache and facial pain, including migraine, tension type headache, cluster headache, post-concussion headache, and Trigeminal Neuralgia. The majority of patients respond to medication, but a full range of surgical options is available for patients who do not respond to medicine. The optimum treatment plan for each patient will be developed on an individual basis.
A group of dedicated neurologists and neurosurgeons are available to evaluate and treat patients with a number of movement disorders, including Parkinson’s Disease, essential tremor, ataxia, dystonia, myoclonus, and spasticity. After a thorough evaluation, an optimal treatment plan is developed to treat individual patient’s needs. Treatment options include medications, Botox injections and, for appropriate patients, surgical options, such as implantation of a deep brain stimulator (DBS) that sends electrical impulses to specific parts of the brain. Implantation of the DBS is guided by high resolution MRI that localizes brain targets, and refined using sophisticated electrode brain mapping to ensure the highest likelihood of success. DBS can be beneficial for essential tremor, dystonia, and Parkinson’s Disease.
Paresthesia refers to a burning or prickling sensation that is usually felt in the hands, arms, legs, or feet, but can also occur in other parts of the body. The sensation, which happens without warning, is usually painless and described as tingling or numbness, skin crawling, or itching. Most people have experienced temporary paresthesia — a feeling of “pins and needles” — at some time in their lives when they have sat with legs crossed for too long, or fallen asleep with an arm crooked under their head. It happens when sustained pressure is placed on a nerve. The feeling quickly goes away once the pressure is relieved.
Chronic paresthesia is often a symptom of an underlying neurological disease or traumatic nerve damage. Paresthesia can be caused by disorders affecting the central nervous system, such as stroke and transient ischemic attacks (mini-strokes), multiple sclerosis, transverse myelitis, and encephalitis. A tumor or vascular lesion pressed up against the brain or spinal cord can also cause paresthesia. Nerve entrapment syndromes, such as carpal tunnel syndrome, can damage peripheral nerves and cause paresthesia accompanied by pain. Diagnostic evaluation is based on determining the underlying condition causing the paresthetic sensations. An individual’s medical history, physical examination, and laboratory tests are essential for the diagnosis. Physicians may order additional tests depending on the suspected cause of the paresthesia.