11180 Warner Avenue Suite 259, Fountain Valley, California 92708, United States
Appointments: 714-540-1840
Services
Neurological Assessment
Electroencephalography (EEG)
Electroencephalography (EEG)
A neurological assessment is an evaluation of a person’s nervous system, which includes the brain, spinal cord, and the nerves that connect these areas to other parts of the body. A neurological exam is done to assess for any abnormalities in the nervous system that can cause problems with daily functioning. A complete exam includes evaluation of an individual’s speech, awareness of environment, motor function and balance (walking ability, muscle strength, and tone), sensation, reflexes, coordination, and
cranial nerves. These nerves are involved in smell, vision, pupil activity, eye movement, taste, hearing, swallowing, and movement of the face, neck, and shoulders. Doctor use tools such as lights and reflex hammers to test these various functions of the body; the typical neurological exam will include a discussion of symptoms and medical history to put any neurological abnormalities into context.
Electroencephalography (EEG)
Electroencephalography (EEG)
Electroencephalography (EEG)
An electroencephalogram (EEG) is a test used to evaluate the electrical activity in the brain. Brain cells communicate with each other through electrical impulses. An EEG can be used to help detect potential problems associated with this activity. An EEG tracks and records brain wave patterns. Small flat metal discs called electrodes are attached to the scalp with wires. The electrodes analyze the electrical impulses in the brain and send signals to a computer that record the results. The electrical impulses in an EEG recording look like wavy lines with peaks and valleys. These lines allow doctors to quickly assess whether there are abnormal patterns. Any irregularities may be a sign of seizures or other brain disorders.
Preparation for the test:
Avoid any hair products, hair must be dry and clean.
Electromyography (EMG)
Botox For Headaches/Facial Spasm
Botox For Headaches/Facial Spasm
Electromyography (EMG) measures muscle response or electrical activity in response to a nerve’s stimulation of the muscle. The test is used to help detect neuromuscular abnormalities. During the test, one or more small needles (also called electrodes) are inserted through the skin into the muscle. The electrical activity picked up by the electrodes is then displayed on an oscilloscope (a monitor that displays electrical activity in the form of waves). An audio-amplifier is used so the activity can be heard.EMG measures the electrical activity of muscle during rest, slight contraction and forceful contraction. Muscle tissue does not normally produce electrical signals during rest. When an electrode is inserted, a brief period of activity can be seen on the oscilloscope, but after that, no signal should be present.
After an electrode has been inserted, you may be asked to contract the muscle, for example, by lifting or bending your leg. The action potential (size and shape of the wave) that this creates on the oscilloscope provides information about the ability of the muscle to respond when the nerves are stimulated. As the muscle is contracted more forcefully, more and more muscle fibers are activated, producing action potentials.
A related procedure that may be performed is nerve conduction study (NCS). NCS is a measurement of the amount and speed of conduction of an electrical impulse through a nerve. NCS can determine nerve damage and destruction, and is often performed at the same time as EMG. Both procedures help to detect the presence, location, and extent of diseases that damage the nerves and muscles.
Preparation for the test:
Avoid any type of lotion, oils or cream on the skin, so there's no interface with test.
Botox For Headaches/Facial Spasm
Botox For Headaches/Facial Spasm
Botox For Headaches/Facial Spasm
Botox is injected around pain fibers that are involved in headaches. Botox enters the nerve endings around where it is injected and blocks the release of chemicals involved in pain transmission. This prevents activation of pain networks in the brain.
Botox prevents migraine headaches before they start, but takes time to work. “I look to the second and third treatments to maximize effects. Patients see increasing benefit with an increase in the number of treatment cycles. One treatment lasts for 10-12 weeks, and patients reported that two Botox treatments reduced the number of headache days by approximately 50%.