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Services

Consultations

All areas of general neurology

Specialist clinics

Rapid access clinics

Telehealth and phone advice for referring doctors

Diagnostic neurophysiology

Neuromuscular – nerve conduction studies, EMG

Small electrical shocks are applied to nerves in your arms and/or legs and responses recorded at carefully chosen points over nerves and muscles to build up a picture of nerve function. These tests are personalised for your particular clinical problem. We use non-invasive techniques. If an EMG is recommended a very fine recording needle is inserted briefly into certain muscles. This provides information about the condition of the nerve supply to the muscle and the state of the muscle itself.

Evoked potential studies

These tests study the integrity of sensory pathways from the peripheral nervous system to the brain and are useful for diagnosing problems of sensory nerves, nerve roots, spinal cord and brain. A train of sensory stimuli are given which may be visual (an alternating checkerboard), auditory (rapid clicking sounds through headphones) or sensory (tiny electrical stimuli). The brain’s response is recorded by electrodes on the scalp and averaged by a computer.

EEG

Small electrodes are placed in a grid over your scalp and the electrical activity of your brain’s cortex (grey matter) is recorded. Routine studies take about one hour, prolonged studies will take more than 3 hours but the use of ambulatory equipment allows you to move around and even go home during the test if necessary. Sometimes the test provides more information if you are tired and sleepy and you may be asked to have a sleep-deprived EEG.

Hearing and balance

We use a series of techniques to look at how well your vestibular system is working. You will be asked to wear special goggles which let us look at your eye movements in the dark with an infra video red camera. Warm and cool water run into your ear canals may make you feel briefly dizzy.

Cognitive

We use simple but reliable and standardised tests of memory and other cognitive abilities. The tests are conducted by one of our nurses. They are useful for diagnosis and for monitoring response to treatment. If more detailed assessment is necessary we will arrange for you to see a clinical neuropsychologist.

Second opinions and medicolegal

Second opinions

Challenging diagnostic and management problems

Workers compensation and insurance cases – by prior arrangement

Medicolegal opinions – by prior arrangement