Neurodiagnostic Services

Treatments / Procedures:

• Nerve Conduction Studies (NCS) and Electromyography (EMG)
• Pulmonary Function Test
• Nutritional and respiratory support therapies
• Speech and Occupational Therapy
• Medications to slow progression and manage symptoms
• Assistive devices for mobility and communication

Treatments/Procedures:

Diagnostic Procedures

• Electroencephalography (EEG) – Measures electrical activity in the brain.
• MRI or CT Brain Imaging – Produces detailed images to detect and assess brain tumors.
• Biopsy – Collects tissue to confirm tumor type.
• Neuropsychological Testing – Assesses memory, attention, and other cognitive functions.
• Intraoperative Neuromonitoring (IONM) with Intracranial Mapping – Guides surgeons by monitoring brain function during surgery.

Surgical Treatment

• Surgical Tumor Removal (Craniotomy) – A procedure to access and remove brain tumors.

Radiation Treatments and Procedures:

• Stereotactic Radiosurgery (SRS) – A precise, noninvasive radiation treatment that delivers one or a few high doses of radiation to a specific area. Despite the name, it is not surgery. SRS uses detailed imaging and computer planning to focus radiation beams with great accuracy.
• Intensity-Modulated Radiation Therapy (IMRT) – Shapes and adjusts radiation doses to target the cancer while protecting nearby healthy organs and tissues.
• Volumetric Modulated Arc Therapy (VMAT) – A type of IMRT that delivers radiation in a continuous arc around the body, allowing for even greater accuracy and shorter treatment times.
• Image-Guided Radiation Therapy (IGRT) – Uses real-time imaging to guide each treatment, ensuring radiation is delivered exactly where it’s needed.

Additional Treatment:

• Chemotherapy – Uses medication to target tumor cells, sometimes in combination with radiation or surgery.

Treatment/procedure options:

• Nerve Conduction Studies (NCS)
• Electromyography (EMG)
• Wrist splinting
• Corticosteroid injections
• Physical therapy or hand therapy
• Carpal tunnel release surgery
• Non-surgical treatment options include rest, applying ice to the affected area, anti-inflammatory medications, injections, or use of a splint. Surgery may be appropriate if symptoms persist and do not respond to other treatments. Generally, two techniques are performed in the operating room: endoscopic surgery and open surgery. Both intend to increase the size of the tunnel to relieve pressure on the nerve.

Treatments & Procedures:

Treatment plans are personalized based on seizure type, frequency, and overall health, and may include:

• Medication management to reduce or prevent seizures
• EEG testing and video EEG monitoring (EMU) to diagnose and classify seizures
• Advanced brain imaging, such as MRI, CT, or SPECT scans
• Pre-surgical evaluations for drug-resistant epilepsy
• Epilepsy surgery, when appropriate, to improve seizure control
• Device-based therapies, including:
• Vagus nerve stimulation (VNS)
• Responsive neurostimulation (RNS)

Treatments / Procedures:

• Neurological examination and diagnostic testing
• MRI or brain imaging
• Medication management (e.g., levodopa for Parkinson’s disease)
• Botulinum toxin (Botox) injections for dystonia
• Deep brain stimulation evaluation
• Physical and occupational therapy

Treatments & Procedures:

Care for multiple sclerosis (MS) focuses on slowing disease progression, reducing relapses, and managing symptoms. Treatment plans are personalized and may include:

• Disease-modifying therapies (DMTs): Immunomodulatory medications that reduce relapses and help slow disease progression
• Steroid treatments: Used during flare-ups to reduce inflammation and shorten recovery time
• Infusion therapy: Intravenous medications, including biologic therapies such as ocrelizumab or natalizumab, that target the immune system to reduce inflammation and prevent further nerve damage
• Symptom management: Physical and occupational therapy, pain management, and mobility support to improve daily function
• Ongoing monitoring: Regular neurologic exams and imaging to track disease activity
• Diagnostic Testing and Monitoring, which may include:
• MRI of the brain and spinal cord
• Lumbar puncture (spinal tap)
• Visual evoked potentials (VEP) and somatosensory evoked potentials (SSEP)

Treatments & Procedures:

Neurodiagnostics

• Nerve conduction studies and electromyography (EMG) to evaluate nerve-muscle communication
• Blood tests to detect antibodies, including acetylcholine receptor (AChR) antibodies

Neurology

• Medications to improve nerve-muscle signaling and manage immune activity, such as acetylcholinesterase inhibitors, corticosteroids, and other immunosuppressive therapies
• Intravenous immunoglobulin (IVIG) to reduce harmful immune responses during symptom flare-ups
• Plasma exchange (plasmapheresis) to remove antibodies that interfere with nerve-muscle communication
• Neurology-led care coordination and ongoing monitoring to adjust treatment and manage symptoms over time
• Lifestyle and symptom management guidance, including balancing activity with rest and avoiding triggers such as stress or extreme heat

Thoracic Surgery

• Thymectomy (surgical removal of the thymus gland), often performed by a thoracic surgeon, to reduce symptoms in selected patients

Treatments / Procedures:

• Nerve Conduction Studies (NCS)
• Electromyography (EMG)
• Blood tests for underlying causes
• Medication for nerve pain relief
• Physical therapy to improve function
• Treatment of underlying conditions (e.g., diabetes management)

Treatments / Procedures:

• MRI or CT of the spine
• Nerve Conduction Studies (NCS) and Electromyography (EMG)
• Physical therapy or spinal exercises
• Epidural steroid injections
• Pain management strategies
• Surgical decompression if conservative treatments fail

Treatments / Procedures:

• EEG and EMU
• Brain imaging (MRI, CT, SPECT)
• Medication therapy for seizure control
• Seizure surgery evaluation
• Dietary therapies (e.g., ketogenic diet)
• Neuromodulation therapies (e.g., VNS, RNS)

Treatments / Procedures:

• Emergency Stroke Care
  • Clot-busting medicines (thrombolytics) for eligible patients
  • Endovascular procedures to remove a clot (mechanical thrombectomy)
  • Care from other specialists when needed
• Surgical & Advanced Procedures
  • Cerebral revascularization to restore blood flow in select cases
  • Intraoperative angiography to guide complex stroke surgery
• Tests & Monitoring
  • Brain imaging, such as CT or MRI, to identify stroke type
  • Carotid artery imaging and monitoring
  • Electroencephalography (EEG) when needed
• Recovery & Rehabilitation
  • Physical therapy to improve movement
  • Occupational therapy to support daily activities
  • Speech therapy for communication and swallowing
• Stroke Prevention
  • Medications to reduce future stroke risk
  • Personalized prevention strategies

Treatments / Procedures:

• Visual Evoked Potential (VEP)
• Brainstem Auditory Evoked Response (BAER)
• MRI or CT imaging of brain and pathways
• Referral for neuro-ophthalmology or neurotology evaluation
• Vision or hearing rehabilitation services