Neurology

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Neurology

The Neurology Department provide comprehensive, safe and effective preventive, diagnostic and therapeutic health care services for adult patients who suffer from a wide range of nervous system disorders.

The Neurology Department is dedicated to the diagnosis and treatment of all disease categories involving the central, peripheral nervous system and its subdivisions, (the autonomic and the somatic nervous system); including their coverings, blood vessels, and all soft tissue, such as muscle.

 

The Neurology Department, as a Core of BDIH Primary Stroke Center (PSC), will provide the Stroke Team, 24/7 and the Stroke Unit with multidisciplinary team for management of Acute Stroke Patients.

BDIH Primary Stroke Center provides the best treatment of Acute Stroke Patients by implementation of intravenous and intra-arterial thrombolysis with tPA –Alteplase, following for suitable patients by intravascular mechanical thrombectomy. 

As the thrombectomy-capable stroke center we perform the following types of imaging 24 hours

a day, 7 days a week:

  • Catheter angiography
  • Computed tomography (CT) of the head
  • Computed tomography angiography (CTA)
  • Magnetic resonance imaging (MRI), including diffusion-weighted MRI
  • Magnetic resonance angiography (MRA)
  • Carotid duplex ultrasound
  • Transcranial ultrasonography
  • Trans-thoracic echocardiography (ECHO)
  • Trans-esophageal echocardiography (TEE)

a. The following practitioners and staff are available* 24 hours a day, 7 days a week:

  • Emergency physicians
  • Vascular neurologist
  • Intensivist-Interventional Neuro-radiologist
  • Diagnostic radiologist with complex stroke experience and/or a physician privileged to
  • interpret computed tomography (CT) and magnetic resonance imaging (MRI) of the brain
  • Certified radiology and MRI technologists
  • At least one endovascular catheterization laboratory technician

b. A physician privileged to perform mechanical thrombectomy is available on-site as soon as possible 24 hours a day, 7 days a week.

c. Practitioners with critical care privileges provide on-site, 24-hour care to patients in the dedicated neuroscience-intensive care beds (NSICU).

d. Physical and occupational therapists provide assessments and therapy.

e. One or more speech-language pathologists who are qualified to perform patient swallowing function assessments during the acute stroke phase are available* seven days a week.

f. For thrombectomy-capable stroke centers that provide neurosurgical services, a written plan for neurosurgical coverage and a neurosurgical call schedule is readily available to staff.

Footnote *: Availability can be demonstrated as on-site, on-call, or available remotely to meet patients’ needs.

The program has current reference and resource materials.

Location 

1st floor- Neurology Consultation Room in the Outpatient Department (OPD)

1st floor- Neurophysiology Laboratory (EEG and EMG), examination/procedure rooms in the Outpatient Department (OPD)

5th floor in the main building –Dedicated Neurology Ward 5B with ten (10) inpatient beds

2nd and 5th floor- Stroke Unit, located in ICU (3 NSICU beds) + Neurology Ward 5B – (5) beds

Intravenous Therapy Room OR Day Procedure Unit

Core Functions 

Comprehensive neurology care for all types of conditions   as listed, but not, limited to, below:

  • Chronic headaches and migraines
  • Cerebrovascular Disease
  • Acute stroke management including thrombolysis and intra-vascular thrombectomy (Primary Stroke Center -PSC), 24/7
  • Neuromuscular Diseases
  • Autoimmune disease such as multiple sclerosis and myasthenia gravis
  • Movement Disorders (Parkinson’s disease, Chorea, etc.)
  • Inflammatory Diseases of the central and peripheral nervous system
  • Dementia related disorders such as Alzheimer disease
  • Epilepsy
  • Infections of CNS and PNS

The following procedures are available in addition to complex laboratory investigations and state of the art radiological equipment:

  • Electroencephalogram (EEG)
  • Electromyography (EMG)
  • Nerve Conduction Studies
  • Evoked Potentials
  • Botulinum Toxin Injections in Movement Disorders and Spasticity
  • Lumbar Puncture
  • Tensilon Test
  • Peripheral nerve block

All activities and services are guided by established and approved policies and procedures by the Neurology Department, relevant institutional and organizational policies of BDIH, as well as Joint Commission International (JCI) 6th Edition standards.

Service Hours 

Outpatient Clinic

The Neurology Clinic provides consultation and treatment. Besides thorough assessment, diagnosis and treatment of patients, dedicated treatment and procedure rooms are available. It is located in the 1st floor of the main building within the OPD area. Consultation is provided by a dedicated specialist, cross referral to other specialists within the multidisciplinary team is organized in a comprehensive end efficient manner, ancillary services such as Imaging, Laboratory, Physiotherapy and Pharmacy are able to support patients during the opening hours.

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