When do i need to see a neurologist bellevue medical group

When do I need to see a neurologist?

A neurologist is consulted for organic diseases of the brain, spinal cord, nerves and muscles. Neurologists treat the whole person. Accompany patients with chronic neurological diseases. A psychiatrist deals with all problems and abnormalities that affect a person's psyche. It takes six years to become a neurologist. Ends with a three-part specialist examination. After that, further specialized training is possible. Typical neurological clinical pictures are for example

What symptoms should lead to the neurologist?

Abnormal sensations in individual parts of the body, signs of paralysis, inability to stand or walk, changes in consciousness or unusual headaches should always prompt a neurological examination. He is also the expert for migraine, back pain and chronic pain. It should be noted that symptoms occur or are felt very differently in individual cases.

Dizziness, changes in hearing and speech, loss of vision – neurological symptoms can affect all sensory organs. Tremors, muscle stiffness, muscle weakness, back pain radiating to legs and arms should be clarified.

The onset of dementia may be manifested by confusion, increasing forgetfulness, loss of daily living skills, and behavioral changes. In the early stages, short-term memory and orientation cause problems. Affected people often have a tendency to withdraw in order to hide their weaknesses.

What does the neurologist do?

With the help of a detailed discussion of the symptoms that have occurred (anamnesis), an initial orientation takes place. During the clinical neurological examination from head to toe, the neurologist looks for external symptoms and checks nerve reflexes. He pays attention to gait and posture and records whether there is a disturbance in balance function. The examination is also used to detect changes in the skin and muscles and consequences of injury (fall).

Man has 12 cranial nerves. In case of brain diseases, injuries or inflammations the function of these nerves can be disturbed. As each cranial nerve has a specific task, this can be checked with functional tests (smelling, tasting, seeing, hearing, facial musculature…). As part of a neurological examination, the doctor also regularly checks mental and emotional functions and, if there are any abnormalities, carries out a memory test.

Depending on the findings, further diagnostics are carried out. This includes laboratory tests of blood. urine, possibly also a sampling of cerebrospinal fluid from the spinal canal (lumbar puncture).

– NLG: measurement of nerve conduction velocity – EEG: examination of brain waves (electroencephalography) – EMG: measurement of muscle activity (electromyography) – Evoked potentials: every sensory stimulus in the body triggers activity in the brain, which can be measured. – Doppler and duplex sonography: ultrasound examinations of the vessels and the brain – CT, MRI, PET: further imaging of the brain – dementia testing

After carrying out the necessary examinations in individual cases, one of the above-mentioned neurological diseases can usually be diagnosed as the cause.

If, for example, a circulatory disorder of the brain (stroke) is found to be the cause, then regular monitoring of risk factors and cerebral vessels (ultrasound) will also be necessary in the further treatment (usually medication).

The same applies if, for example, multiple sclerosis is found to be the cause of the symptoms. After initiation of acute therapy, regular clinical and imaging follow-up and preventive further treatment are necessary.

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