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Neurological Consultation

Neurology is a medical specialty dealing with a wide range of conditions such as dementia, neuropathy, Parkinson’s
Disease, MS, radiculopathy, migraine, epilepsy….etc. Patients with symptoms such as numbness, weakness, tremor, vertigo, headache and pain could be due to an underlying neurological disorder. GP will be able to determine if a patient needs to see a neurologist.

A neurological consultation involves a detailed assessment of the patient’s presenting symptoms and thorough neurological examination. Relevant tests will be arranged. A diagnosis is then made. Appropriate management plan will be formulated. Referring GPs/specialists will receive written report promptly after each visit. Review visits will be arranged if necessary.

Please note that we do not see medico-legal or impairment assessment cases.

We welcome referrals for any neurological conditions. We only see patients age 16 or above.

Nerve Conduction Studies (NCS/EMG)

Nerve Conduction Test (NCS) is a diagnostic test for assessing nerve damage. It is helpful in diagnosing carpal tunnel syndrome, ulnar neuropathy or peripheral neuropathy. A small current electrical pulse will be delivered to your limbs and the computer will record the nerve responses. During the test, you will expect slight discomfort and muscle twitching. The test duration varies from 10-40 minutes depending on the complexity of the presenting problems. It is important to keep the relevant limb warm, dry, clean and free of any lotion or cream. It is also advisable you wear loose clothing as most of the time you are expected to expose your arms up to the elbows and legs up to the knees. Watches, rings or other accessories may need to be removed to allow adequate access to the fingers or wrists. It is considered safe in patients with a pacemaker but we will appreciate if you notified us.

Electromyography (EMG) is a diagnostic procedure which measures the electrical activity of muscles. The test is commonly done to assess for neck or lumbar nerve root compression from disc bulge. This involves putting a needle electrode into the muscles to assess their function and connection with the nerves. It will cause some discomfort but most patients tolerate it well. Small amount of bleeding is expected. It is important to inform us if you are on medications such as aspirin or Warfarin.

Once the test is completed, a report will be generated and your GP should receive it the next day by fax.

Botulinum toxin “BOTOX®” injection

Botulinum toxin is a purified protein extracted from bacteria. A small amount of it is injected to the relevant areas. It aims to temporarily paralyse the overactive muscles to achieve the desired therapeutic outcome. This procedure is used for treatment for spasm. It is useful also for chronic migraine. The needle used is very small and usually minimal discomfort is caused. We offer injection for neurological indications such as migraine, blepharospasm, hemifacial spasm, cervical dystonia, upper limb post stroke spasticity and hyperhidrosis.