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© ALS Independence 2003-11
Among the most frequent questions I am asked since I began
writing this column has been "What is a neurologist?" This is probably a good
time to backtrack a little and clarify the issue. A neurologist is a physician
who specializes in diagnosing and treating diseases of the nervous system.
Neurologists do not perform surgery, but instead rely on medications and various
physical therapies for treatment. Although there is some overlap, neurologists
and psychiatrists are very different in their approach to patients. Neurologists
claim no special qualification in treating psychiatric diseases.
A typical visit with a neurologist involves a detailed discussion of the
patient's complaint, as well as any symptoms they are experiencing. Relevant
past history and family history will be questioned.
The physical exam includes testing the cranial nerves, strength, sensation,
coordination and reflexes. Based on the results of the examination, tests such
as an MRI, EEG or electroneuromyography may be ordered.
Conditions often treated by neurologists include disorders affecting the brain
like stroke, epilepsy, brain tumors, Parkinson's disease, Alzheimer's disease,
migraine headaches and multiple sclerosis. Some neurologists specialize in
treating diseases of the spinal cord, peripheral nerves and muscles. Some of
these illnesses are amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease),
peripheral neuropathy, muscular dystrophy and myasthenia gravis.
The field of neurology involves many areas of medicine and requires a broad
range of medical knowledge and experience.
Neurologists must coordinate care with other specialists including primary care,
neurosurgery, pediatrics, oncology and rheumatology.
Dr. Anthony G. Alessi is a neurologist on the Backus Hospital Medical Staff and
is in solo private practice in Norwich, specializing in neurology and
electrodiagnostic medicine. He serves as a neurologic consultant to many
athletic organizations, including the University of Connecticut Athletic
Department, Norwich Free Academy and the Connecticut State Boxing Commission.
This column should not replace advice or instruction from your personal
physician.
MGM
© ALS Independence 2003-11