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Neurologists are physicians who are specially trained to diagnose and treat diseases and disorders of the Nervous System. They have a particular interest in the brain, spinal cord, nerves and muscles of the body.
What is Neurology?
Neurology is the study of disorders of the nervous system. Neurologists are trained to diagnose and treat neurological disorders. This includes conditions that affect the brain, spinal cord, nerves and muscles.
What is a Neurological Exam?
Neurologists use neurological exams to gain important information about the functioning of a patient’s nervous system. A typical exam can be divided into seven parts:
Mental Status – This portion of the exam tests cognitive ability such as mental awareness, responsiveness, appearance, behavior, mood, thought processes, comprehension, attention span, memory, judgment, reasoning, speech and language.
Cranial Nerves – This set of 12 pairs of nerves are used to transmit messages to and from the brain to the body. They work to control motor and sensory functions such as vision, smell and movement. Examining the cranial nerves helps the neurologist identify central nervous system dysfunctions.
Motor System – The neurologist examines muscle strength and tone in order to identify abnormalities in the motor pathways of the brain, spinal cord, nerves and muscles throughout the body.
Sensory System – This portion of the exam is used to discover abnormalities in the patient’s sensory response. The receptors of the skin and muscles are stimulated by pain, temperature, pressure or position, to assess whether or not the sensation is transmitted normally through the nerve fibers.
Deep Tendon Reflexes – The neurologist will test the patient’s involuntary reflex response. Altered reflexes can often be a first sign of a neurological disorder.
Coordination – Coordination is directly controlled by the portion of the brain called the cerebellum. Testing coordination can reveal a problem in the cerebellum.
Gait – Gait describes the way a person walks. Since so many neurological functions are involved in walking, neurologist will observe a patient’s gait to help them make a diagnosis.
Patients will often have to undergo certain neurological diagnostic tests to detect neurological disorders. Some commonly used tests include:
- Computer-Assisted Tomography (CAT Scan) – This is a type of x-ray that is used to create two dimensional digital images of structures in the body.
- Magnetic Resonance Imaging (MRI) – MRI uses magnetic fields and radio waves to capture images of the brain & spinal cord.
- Electroencephalogram (EEG) – Electrodes are attached to the scalp and used to diagnose seizure or loss of consciousness.
- Electromyogram (EMG) – This test is conducted by placing needles into the muscle and recording their electrical activity.
- Nerve Conduction Velocity (NVC) Test – The NVC test can help recognize when the nerves are not properly transmitting signals to the muscles. Electrodes are used to stimulate the nerves.
- Evoked Potentials – This functional test examines the cause of sensory problems by using visual, auditory and tactile stimuli.
- Cerebral Spinal Fluid Analysis – Sometimes referred to as a “spinal tap”, this test uses a thin needle to extract fluid from the spine. The fluid is analyzed to reveal bleeding, hemorrhage, infection or other disorders.
Slocum-Dickson’s Board Certified Neurologists
Jameel Arastu, MD is trained in both adult and pediatric neurology. He completed his Fellowship in Child Neurology at Thomas Jefferson University Hospital in Philadelphia, PA and his Pediatric Residency at Columbus-Cabrini Medical Center in Chicago, IL. Dr. Arastu completed an Internship and received his Medical Degree at Osmania University, Hyderabad, India. Dr. Arastu is a member of the American Academy of Neurology and a fellow of the American Academy of Pediatrics.
Ramesh Cherukui, MD is Board Certified in Neurology. He completed his Clinical Neurophysiology Fellowship and Neurology Residency at SUNY Upstate Medical University. He earned his Doctor of Medicine at Antigua, College of Medicine and his Bachelor of Science Degree in Biology at Siena College in Albany, NY.
Lev Goldiner, MD completed his Neurophysiology Fellowship at the State University of New York University of Buffalo, NY. He completed his Adult Neurology Residency at the State University of New York Downstate Medical Center in Brooklyn, NY and his Internal Medicine Internship at Brooklyn Hospital in Brooklyn, NY. Dr. Goldiner earned his Medical Degree from Ross University School of Medicine in the Commonwealth of Dominica, WI.
Patrick Burke, MD completed his Neurophysiology Fellowship at the University of Arizona. He completed his Neurology Residency at the University of Arizona. Dr. Burke earned his M.S., Master of Science; Neuroscience and Physiology and Medical Degree from SUNY Upstate Medical University. He earned his B.A., Bachelor of Arts and Science; Psychology, Biology, Philosophy from SUNY Geneseo.
Neurology Nurse Practitioners & Physician Assistants
Working in collaboration with Dr. Goldiner and Dr. Cherukuri:
Anne Thomson, RPA
Anne earned her Master’s Degree in Physician Assistants Studies from St. Vincent’s Catholic Medical Center of Brooklyn and Queens. She earned her Bachelor of Science Degree from the University of Dayton in Dayton, OH. Anne is a member of the American Association of Physician Assistants.
Procedures & Services
Vagal Nerve Stimulation
Botox Therapy for migraines
Diagnosis and treatment for:
- Migraines, cluster headaches & tension headaches
- Epilepsy & seizures
- Degenerative disorders such as Alzheimer’s, Parkinson’s & ALS
- Stroke & transient ischemic attack
- Sleep disorders
- Cerebral palsy
- Infections of the brain and spinal cord
- Infections of the peripheral nervous system
- Tumors of the brain, spinal cord and peripheral nerves
- Parkinson’s, Huntington’s disease, hemiballismus, tic disorders & Tourette syndrome
- Multiple sclerosis, Guillain-Barre syndrome & chronic inflammatory disease
- Spinal cord disorders
- Peripheral nerve disorders
- Trauma to the brain, spinal cord & peripheral nerves
- Altered mental states
- Speech and language disorders