Neurology

Neurology is the branch of medicine responsible for diagnosing, investigating, and treating disorders and diseases of the central nervous system.

Neurology in Izmir

Neurology, which means "the science of neurons," is the medical field responsible for diagnosing, researching, and treating disorders and diseases of the central nervous system. Neurology deals with:

  • Issues related to the central, peripheral, and autonomic nervous systems,
  • Congenital or acquired structural and functional nervous system disorders.

Neurological diseases affect patients' overall health, reducing their quality of life and making them dependent on assistance. Technological diagnostic methods play a crucial role in the early detection of neurological diseases.

Technologies such as Computed Tomography (CT),Magnetic Resonance Imaging (MRI),Carotid-Vertebral Artery Doppler, EEG, and EMG facilitate disease diagnosis and monitoring.

Tests Performed in the Neurology Department

  • EEG (Electroencephalography)
  • EMG (Electromyography)
  • Magnetic Resonance Imaging (MRI)
  • Computed Tomography (CT)

1. EEG (Electroencephalography)

EEG is an imaging technique used to detect the brain's electrical activity. It helps diagnose conditions such as encephalitis, sleep disorders, certain psychiatric illnesses, epilepsy, and perception disorders. During EEG, the electrical waves in the brain are recorded while the patient is awake or asleep to detect abnormalities.

2. EMG (Electromyography)

EMG is a diagnostic method that records electrical signals in the nerves and muscles. It is used to diagnose diseases affecting peripheral nerve cells, motor nerve cells, muscle fibers, and neuromuscular transmission. EMG is beneficial for diagnosing conditions such as nerve compression, nerve injuries, muscle atrophy, and spinal cord diseases.

3. Magnetic Resonance Imaging (MRI)

MRI is frequently used to diagnose diseases affecting the brain, spinal cord, muscles, skeletal system, and neck region. It provides detailed information about patients' health conditions.

4. Computed Tomography (CT)

CT enables clear imaging of internal organs, including the brain and spine. This technology accelerates the diagnostic process in the neurology department.

Neurological Diseases Diagnosed and Treated

  • Alzheimer's Disease
  • Migraine
  • Headaches
  • Vertigo
  • Epilepsy
  • Parkinson’s Disease
  • Cerebrovascular Diseases
  • Dementia
  • Movement Disorders
  • Demyelinating Diseases
  • Polyneuropathies
  • Muscle Diseases
  • Neuromuscular Junction Disorders

1. Alzheimer's Disease

Alzheimer’s is a progressive brain disease that leads to cognitive decline. Patients gradually lose their ability to communicate, make decisions, and remember things. As a result, they struggle with daily activities and require assistance.

Causes of Alzheimer’s Disease The exact cause of Alzheimer’s remains unknown. However, it is believed to develop due to premature death of brain cells and abnormal protein accumulation.

Symptoms of Alzheimer’s Disease The primary symptom is forgetfulness, particularly regarding recent events, people, and learned information. Patients experience difficulty in daily tasks such as driving, handling money, and remembering bill payment dates. They may also become disoriented in familiar places and struggle to recognize rooms in their own homes.

Stages of Alzheimer’s Disease The disease begins with a preclinical stage without symptoms, followed by mild cognitive impairment where daily functionality is unaffected. The most commonly diagnosed stage is when forgetfulness and daily difficulties start to appear. In the advanced stage, patients require assistance for daily needs.

2. Migraine

What is Migraine? Migraine is a headache disorder caused by the excessive dilation of blood vessels in the head and the release of various chemicals from the surrounding nerve fibers.

Symptoms of Migraine

  • Unilateral throbbing pain
  • Worsening pain with movement (e.g., climbing stairs)
  • Accompanying nausea and vomiting
  • Sensitivity to light and sound
  • Persistent pain lasting over four hours, restricting daily activities

Migraine Treatment Treatment consists of pain relief and preventive measures. Patients experiencing 2-3 attacks per month are given appropriate painkillers during episodes. Preventive treatment involves medications taken daily to reduce attack frequency and severity.

Migraine Triggers

  • Skipping meals
  • Certain foods
  • Lack of or excessive sleep
  • Hormonal changes
  • Environmental factors
  • Stress

Foods That Trigger Migraine Attacks

  • Fermented alcoholic beverages, red wine
  • Excessive coffee and caffeine consumption
  • Artificial sweeteners
  • Pickles
  • Processed foods containing monosodium glutamate (MSG)
  • Foods with nitrates

3. Headaches

To determine the cause of headaches, factors such as the patient’s general health, age, pain characteristics, severity, location, triggers, frequency, and associated symptoms must be assessed. Understanding the patient’s sleep habits and family medical history is also beneficial.

Common headache types include:

  • Tension-type headaches: Mild to moderate pain caused by muscle tension.
  • Cervicogenic headaches: Originating from the neck, bones, discs, nerve roots, or joints.
  • Cluster headaches: Occurring in attacks, often aggravated by seasonal changes.

4. Vertigo

What is Vertigo?

Vertigo is a condition where a person perceives the external world spinning around them or feels as though they are spinning themselves.

Symptoms of Vertigo

  • Dizziness
  • Nausea and vomiting
  • Cold sweats
  • Ringing or buzzing in the ears
  • Pressure in the ears
  • Hearing loss
  • Blacking out or vision disturbances

Vertigo Treatment

Treatment depends on the underlying condition. The most common cause is inner ear balance disorders. In these cases, positional maneuvers serve as the primary treatment, complemented by medical therapy. In resistant cases, further advanced examinations may be necessary.

5- Epilepsy

Epilepsy is a neurological disorder caused by electrical changes in the brain, leading to involuntary movements and behavioral disturbances in the form of seizures. Genetic factors, toxic substances, and brain disorders can contribute to epilepsy.

There are different types of epilepsy, such as:

  • Juvenile Myoclonic Epilepsy: Begins in adolescence and requires long-term treatment.
  • Frontal Lobe Epilepsy: Seizures occur suddenly due to problems in the frontal region of the brain.
  • Temporal Lobe Epilepsy: Arises from issues in the temporal region of the brain.

6- Parkinson’s Disease

What is Parkinson’s Disease?

Parkinson’s disease is a chronic and progressive movement disorder caused by the reduction and dysfunction of dopamine-producing neurons in the brain.

Symptoms of Parkinson’s Disease

The classic symptoms include hand tremors, slowed movements, muscle stiffness, and postural instability.

How is Parkinson’s Disease Treated?

Treatment primarily involves medication to regulate dopamine levels in the brain. In advanced stages, deep brain stimulation (DBS) and surgical interventions may be considered.

Is Every Hand Tremor Parkinson’s Disease?

Parkinson’s disease typically occurs in older adults, but not every hand tremor indicates Parkinson’s. A proper clinical examination is necessary for diagnosis.

Stages of Parkinson’s Disease

  1. Stage 1: Symptoms are mild and affect only one side of the body without impairing daily activities.
  2. Stage 2: Symptoms worsen and may affect both sides of the body, causing difficulty in daily tasks.
  3. Stage 3: Symptoms become more pronounced, balance issues and falls start to occur, and tasks like dressing and eating become more challenging.
  4. Stage 4: Symptoms are severe, requiring assistance with daily activities and the use of walking aids.
  5. Stage 5: The most advanced stage, where the patient becomes bedridden or wheelchair-dependent and needs full-time care.

Important Considerations for Parkinson’s Patients

Patients should take their medication as prescribed, attend regular medical check-ups, engage in daily physical activities and exercises, and consume fiber-rich foods for better digestion.

7- Cerebrovascular Diseases

Cerebrovascular diseases occur due to factors such as genetic predisposition, high blood pressure, diabetes, obesity, alcohol consumption, physical inactivity, high cholesterol, infections, and congenital vascular disorders. These conditions can lead to thickening, narrowing, rupture, or blockage of blood vessels in the brain, which can have life-threatening consequences if left untreated. Examples include brain hemorrhage, strokes, and subarachnoid hemorrhages caused by vascular rupture.

8- Dementia

Commonly known as "senility," dementia is a general term for conditions characterized by a decline in cognitive abilities, including memory, communication, and thinking skills. Dementia is not a specific disease but a condition that results in memory loss, impaired thinking, and decreased quality of life. It can develop due to brain cell death, nerve damage over time, or traumatic brain injuries. When brain cell death is caused by vascular issues, the condition is referred to as vascular dementia.

9- Movement Disorders

Movement disorders result from the degeneration, damage, or dysfunction of neurons, leading to involuntary movements and cognitive decline. Examples of movement disorders include:

  • Parkinson’s disease
  • Wilson’s disease
  • Huntington’s disease
  • Dystonias
  • Dyskinesias
  • Restless legs syndrome
  • Essential tremor

The severity of involuntary movements may vary from slow to extremely rapid. Identifying the underlying cause is essential for managing symptoms and preventing disease progression. Early diagnosis and appropriate treatment can significantly improve a patient’s quality of life.

10- Demyelinating Diseases

Nerves receive messages from all parts of the body and transmit them to the brain, allowing for speech, vision, sensation, and thought. Nerve cells are covered with myelin, an insulating substance that facilitates fast signal transmission. When myelin is damaged, nerves transmit signals at a significantly slower rate, leading to demyelinating diseases. These conditions may arise due to infections, metabolic disorders, physical trauma, or oxygen deprivation.
Examples of demyelinating diseases include:

  • Multiple sclerosis (MS)
  • Acute disseminated encephalomyelitis (ADEM)
  • Transverse myelitis

11- Polyneuropathies

Polyneuropathy is a condition in which peripheral nerves are damaged due to various factors such as:

  • Guillain-Barré syndrome
  • Diabetes
  • Vitamin deficiencies
  • Infections
  • Toxin exposure
  • Genetic predisposition

Polyneuropathies can result from immune system disorders, metabolic diseases, toxins, or genetic factors.

12- Muscle Diseases

Muscles facilitate movement, but they can lose function due to various conditions such as:

  • Damage to nerves controlling the muscles
  • Inflammation
  • Genetic disorders
  • Injuries
  • Side effects of medications

Muscle atrophy, weakness, and degeneration due to these factors lead to muscle diseases (myopathies).

13- Neuromuscular Junction Disorders

Neuromuscular junction disorders occur when the communication between nerves and muscles is disrupted, leading to muscle dysfunction. These conditions can have genetic origins or be acquired over time.

Examples include:

  • Myasthenia gravis
  • Amyotrophic lateral sclerosis (ALS)

Private Ata Health Hospital offers specialized and high-quality neurological care in Neurology Clinic Izmir, equipped with advanced technology and expert neurologists.

ATASAĞLIKPrivate Ata Health Hospital
+90507 576 2303
Kazımdirik Neighborhood 297 St. No:1 (Metro Stadyum Station) Bornova Izmir Turkey
Email: info@atasaglik.com

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