what is neurology?
the branch of medicine or biology that deals with the anatomy, functions, and organic disorders of nerves and the nervous system.
A Neurological Assessment begins with a history in which the presenting problem is discussed.
Further questions relating to the normal functioning of the nervous system are then also included in the history taking.
The patient is then examined and side-room investigations are performed as required.
If necessary blood tests as well as neuroimaging (CT scan or MRI) are then arranged.
If a diagnosis of epilepsy is considered an electroencephalogram (EEG) can also be performed.
When assessing for a condition of the peripheral nerves (such as carpal tunnel) nerve conductions can be performed.
Treatment is directed to the presenting condition and may either be symptomatic, facilitative or curative.
If a referral is required to another speciality (neurosurgery, psychiatry, genetics) the necessary arrangements are made.
Medication is prescribed according to recommended guidelines, in case of a neurodegenerative condition, patient and carer support through various established groups is also arranged.
Dr Nichol discusses the diagnosis, investigations and treatment with her patients in order that they may understand the implications of the disease process.
Patient's presenting with neurological disease often require multi-displinary management where various disciplines are involved in optimal management of the patient.
This would include the following disciplines: physiotherapy, occupational therapy, dietetics, biokinetics, psychology, orthotics
Dr Nichol works closely with the various disciplines and feedback is given regularly between therapists and Dr Nichol - this further optimalises patient care.