The Department, in general, is interested in, and accepts the responsibility for tertiary care disorders pertaining to the central nervous system.  This includes particularly the following:        4Neurology        4Pediatric Neurology        4Psychiatry       4NeuroSurgery         4Clinical Neurophysiology Laboratory (CNPL)
Neurology
Diagnosis 4      Any acute or evolving undiagnosed conditions of the nervous system 4      Acute subacute coma of undetermined etiology 4      Undiagnosed Infections 4      Intractable Epilepsy 4      Acute Stroke   Management 4      Acute stroke 4      Intractable Epilepsy 4      Complex Movement Disorders. 4      Acute Disabling Multiple Sclerosis   Comprehensive Epilepsy Program The Majority of Patients with epilepsy, seizures can be well controlled with anti epileptic medication.  However, current estimate that 20 to 30% of patients with epilepsy are refractory to all form of medical therapy.  This medically intractable patient is a candidate for surgical treatment in attempt to achieve better seizure control. This program is designed to provide a comprehensive, diagnostic, and surgical treatment services primary to the patients with intractable epilepsy. Neurologists, Neurosurgeons, Nurses, Technologists, Psychologists and Coordinator staff with other specialized training and experience in the field. For more information, please contact Dr. Yousef Al-Said Director of Comprehensive Epilepsy Program at 667-7777, ext. 5819 or 5047, or Epilepsy Clinic at 667-7777, ext. 7267. Top
Pediatric Neurology
Diagnosis: 4      Acute and Evolving Neurological Disorders 4      Epilepsy 4      Degenerative & Metabolic Disorders 4      Headache and Migraine 4      Developmental Disorders 4      Muscle Disorders         Management: 4      Headache and Migraine 4      Epilepsy 4      Mental Retardation 4      Cerebral Palsy 4      Developmental Disorders 4      Stroke and Weakness         Programs 4      Pediatric Neurology Diploma Program (1-year accredited program for pediatricians interested in Neurology).  For more details and application, Please click here 4      Epilepsy Surgery Program 4      Spasticity Clinic (Botox therapy)     Top
Psychiatry
Diagnosis 4      Undiagnosed acute subacute mental retardation, dementia 4      Acute, undiagnosed neurosis, psychosis
Neurosurgery
1.       Cases which should always constitute tertiary care a.  Cerebrovascular Disorders o        SAH (Subarachmoid Haemorrhage) - Ruptured aneurysm (except grade IV and grade V) - AVM, ruptured or unruptured o        Carotid Artery Stenosis o        CCF (carotid-cavernous fistula) b.       Undiagnosed intracranial space occupying lesions, e.g., tumours, cysts, abscesses, etc. c.       Certain benign primary intracranial tumours (e.g., meningioma, cranipharyngioma, pinealoma, colloid cyst, acoustic schwanoma, etc.) d.       Certain intracranial tumours, complex by virtue of their location (e.g., colloid cysts of the third ventricle, pineal region, brainstem, skull base, etc.) e.       Those cases requiring endoscopy (e.g., third ventriculostomy, septal fenestration, intraventricular tumours, etc) f.         Miscellaneous complications of head injuries (e.g., CSF leaks) g.       Functional neurosurgery o        Insertion of medication pumps o        Epilepsy surgery o        Complex spine cases 2.       Cases which are rarely to be accepted (as they can nearly always be managed at routine neurosurgical centers): a.       Head injuries o        Adult o        Uncomplicated pediatric o        Definite uncomplicated spinal disorders   Top
Clinical Neurophysiology Laboratory (CNPL)
The CNPL provides electroneurodiagnostic services for patients with disorders affecting the central and peripheral nervous systems.
Procedures
1.       Electroencephalography (EEG) 4      Routine 4      Portable 4      Sleep-deprived 4      Video-EEG 4      Long-term Monitoring for Epilepsy (LTME) carried out in the Epilepsy Monitoring Unit (EMU) located on 1-South. 4      Electrocorticography during epilepsy surgery 4      Intraoperative EEG monitoring during other surgical procedures, such as, carotid endarterectomy 4      Multiple sleep latency test (MSLT)	2.       Electromyography (EMG) 4      Nerve conduction studies 4      Needle EMG 4      Botulinum Toxin (Botox) injections for patients with spasticity
Clinic 4 – Outpatient Department, Ground Floor
8:00 a.m. – 5:00 p.m.	Saturdays - Tuesdays
8:00 a.m. – 4.30 p.m.	Wednesdays
Contact Numbers
Manager	Ext. 7251; Pager 2280
Technologists	Ext. 7252
Technologist on-call	Pager 2985
Transcription	Ext. 7261
Clinic Fax	Ext. 8659

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