DEPARTMENT OF NEUROLOGY AT AL HILAL HOSPITAL

July 14, 2022

Written By: Dr. Roopchand P S
(MBBS, MD, DM Neurology)

A neurologist specializes in treating and evaluating all disorders or impaired functions of the spinal cord, brain, peripheral nerves, muscles, autonomic nervous system, and the blood vessels that connect to these structures. The disorders include brain and spinal tumors, stroke, muscular dystrophy, headache, and other pain, muscular dystrophy, meningitis, epilepsy, encephalitis, Alzheimer’s disease, Parkinson’s disease, other memory disorders, and effects of systemic diseases, like diabetes and high blood pressure, on the nervous system.

Neurologists analyze the underlying reason for neurological disorders, prescribe medication, order diagnostic tests, conduct physical exams, perform office procedures, and create strategies to treat neurological conditions. They oversee patients of all ages and work in hospitals, outpatient clinics, and medical facilities.

An initial Neurological exam closely analyzes a person’s nervous system and mental status paying particular attention to the nerves and brain. Some standard office procedures use simple testing tools such as a penlight and reflex hammer. In addition to this, a detailed medical history will be taken, including an evaluation of:

  • Speech
  • Motor Skills
  • Visual acuity and extraocular muscles
  • Coordination
  • Strength
  • Reflexes

Based upon the outcome of these in-office examinations, a Neurologist may then request additional tests and procedures such as:

  • Imaging of the spine or brain with MRI or CT scans
  • Blood and urine tests
  • Imaging of the brain or spine with MRI or CT scans
  • EEG (electroencephalograph) for evaluating brain function
  • EMG (electromyography) to assess nerve and muscle communication
  • Tensilon test to evaluate Myasthenia Gravis disorders

BEST NEUROLOGY SPECIALIST IN BAHRAIN

The department of Neurology in Al Hilal Hospital is regarded as one of the best neurology hospitals in Bahrain, with a legacy of innovation and excellence.

The department of neurology at Al Hilal Hospital in Bahrain is well equipped to treat neurological diseases including Headaches, Epilepsy, Neck and Back pain, Parkinson’s disease, different types of Nephropathy, Stroke, Pediatric Neurology, and many more, establishing it as one of the best hospitals for neurology treatment in Bahrain.

Our neurologists will check for the neurology diseases and conditions of the patient and provide treatment based on the observation.

The following are the facilities provided by Neurology Department at Al Hilal Hospital:

1. Electroencephalography (EEG): 

Electroencephalography is a test that detects abnormalities in your brain waves or the electrical movement of the brain. During the process, electrodes consisting of little metal discs with light wires are pasted onto your scalp. First, the electrodes detect tiny electrical charges from your brain cells’ activity. Next, the controls are amplified and appear as a graph on a computer screen or as a recording that may be printed on paper. Your healthcare provider then interprets the reading.

During an EEG, your healthcare provider evaluates the computer screens of activity. They give particular attention to the basic waveform and read brief bursts of energy and reactions to stimuli, such as the flashing of the lights.

Aroused potential studies are related methods that also could be accomplished. These analyses estimate electrical activity in your brain in response to sound, sight, or tactile stimulation.

2. Nerve Conduction Studies (NCS):

Nerve conduction studies (NCS) are tests to see how well your nerves work. The NCS test how healthy the signals travel along a nerve; they are performed by placing electrodes on the skin, over specific nerves and muscles, and recording the speed and strength of responses when electrical impulses are applied to the nerve. The tiny electric impulses cause a short, mild tingling feeling. Several nerves may need to be tested depending on the problem.

During the trial, your nerve is evoked, usually with electrode patches connected to your skin. Next, two electrodes are positioned on the skin over your nerve. The first electrode stimulates your nerve with a very soft electrical impulse. The other electrode documents it. Finally, another electrode records the resulting electrical activity. This is repeated for each nerve that has to be tested.

2. Electromyography (EMG):

Electromyography (EMG) estimates muscle reaction or electrical action in response to a nerve’s muscle stimulus. The test is used to aid neuromuscular abnormalities. During the trial, one or more tiny needles, called electrodes, are inserted via the skin into the muscles. The electrical action gathered by the electrodes is displayed on an oscilloscope. An audio amplifier is used so the motion can be heard. EMG calculates the electrical activity of muscle during rest, forceful contraction, and slight contraction. Muscle tissue doesn’t usually have electrical signals during rest. Therefore, when an electrode is inserted, a short period of activity can be seen on the oscilloscope, but no sign should be present.

After an electrode has been inserted, you may be asked to contract the muscles, for example, by bending or lifting your leg. The action potential that this makes on the oscilloscope delivers information about the power of the muscle to react when the nerves are evoked. As the energy is contracted more forcefully, more and more muscle fibers are activated, making action potentials.

4. Evoked Potential Studies (EPS):

Evoked potentials (EPs) are the electrical signals produced by the nervous system in response to an external stimulus. The term EPs was initially used to refer to the answers to sensory stimulation. Sensory EPs can be recorded following stimulation in any sensory modality. Still, visual EPs (VEPs), auditory EPs (AEPs), and somatosensory EPs (SEPs) are most often used for clinical diagnosis and testing, intraoperative monitoring (IOM), and neurophysiological research. More recently, responses mediated by the descending motor pathways have been used clinically, predominantly for IOM of central motor pathways. These signals are called motor EPs (MEPs) by analogy with sensory EPs.

5. Magnetic Resonance Imaging (MRI):

MRI is a non-invasive imaging technology that delivers three-dimensional elaborate anatomical images. It is usually used for illness detection, diagnosis, and treatment monitoring. It is based on advanced technology that inspirits and notices the difference in the direction of the rotational axis of protons found in the water that makes up living tissues.

6. Computerized Tomography (CT):

A CT scan integrates a sequence of X-ray images taken from diverse angles around your body. It utilizes computer processing to produce cross-sectional images of the bones, blood vessels, and soft tissues inside your body. As a result, CT scan images deliver more precise information than plain X-rays.

A CT scan has many benefits, but it’s especially well-suited to examine fast people who may have internal damage from car accidents or other types of trauma. In addition, a CT scan can be used to imagine nearly all body parts, analyze disease or injury, and schedule medical, surgical, or radiation treatment.

AL HILAL – THE TOP NEUROLOGY HOSPITAL IN BAHRAIN

The Neurology Department at Al Hilal Hospital, Bahrain, has been providing diagnostic and therapeutic services for neurologic diseases with experienced doctors. We are equipped with the most modern and advanced technologies and machines run by qualified professionals. We provide patients with neurological care backed by the most current research and treatment for the brain and nervous system.

Patient-doctor dynamics are of great significance to our department; we work to develop close connections based on trust and confidence with our patients throughout the entire treatment process. It is vital to keep in touch and continue relations with our patients for valid modifications in neurological medicines involving dose reductions or increases.