Each year, 50 million Americans experience a disorder of the brain or nervous system. These neurological disorders include stroke, brain tumors, ALS, sleep disorders, spine injuries, multiple sclerosis, chronic pain, Parkinson’s disease and more.
At Salt Lake Regional Medical Center, we’re equipped to help with a wide range of services and capabilities.
Our team includes neurologists, neurosurgeons and other healthcare professionals who specialize in neurological care. We use the most technologically advanced imaging equipment to diagnose and treat neurological disorders and injuries.
Deep Brain Stimulation for Parkinson’s Disease
Among our capabilities is a remarkably sophisticated new treatment that offers hope for those who suffer from Parkinson’s disease.
Nerve Conduction Study & Electromyography (EMG)
This test measures the electrical impulses produced by the nerves and the muscles. Nerve conduction study (NCS), measures how well and how fast a nerves can transmit an electrical signal. An electromyogram (EMG), evaluates the electrical activity of muscles at rest and during contraction.
This electrical activity measurement in muscles and nerves, can help establish the diagnosis for the peripheral nervous system diseases. These disorders include muscle tissue diseases such as myopathies and muscular dystrophies, peripheral nerve disorders such as neuropathies and radiculopathies and neuromuscular junction diseases such as Myasthenia Gravis. EMG and nerve conduction studies are often done together to give more complete information.
Botulinum Toxin Injections
Dystonia is an involuntarily contraction of the muscles. Symptoms can be mild or severe and often interfere with the performance of many usual tasks.
Dystonia symptoms may begin in a single region or involve several muscles. The impact of dystonia varies depending on the part of the body affected and the severity of contractions. Here are a few examples of focal dystonias:
- Blepharospasm: Frequent blinking
- Cervical dystonia Painful head twist and turn to one side
- Oromandibular dystonia: which can cause difficulty swallowing.
- Writer’s cramp or musician’s cramp: which causes pain during a single repetitive motion, such as writing or playing an instrument
Many cases of dystonia have no obvious cause, but sometimes there is an underlying neurological problem. The Neurologist will review each case and order appropriate work up whenever is needed. Dystonias are uncommon but can be disabling. Treatment options include oral medications, Botulinum toxin injections and Deep Brain Stimulation.
Mild cases of dystonia may respond to oral medications. However, there has been significant improvement in treatment options for dystonia due to successes with botulinum toxin injections. Botulinum toxin blocks the release of a chemical neuro-transmitter that triggers muscle contraction. The injections will temporarily weaken some muscle fibers, which may reduce or eliminate dystonic contractions. The effect wears off, and injections need to be repeated about every three months. For more disabling cases, deep brain stimulation is now being considered.
Botulinum toxin injections are very effective and safe once administered by a well-trained neurologist with enough experience in this field. At Salt Lake Regional Medical Center, we are capable of offering this valuable treatment option to our patients.
Electroencephalography (EEG) and Visual Evoked Potential (VEP)
An electroencephalogram (EEG) measures and records the electrical activity of the brain. Special electrodes are attached to the head and linked to a computer. The computer records the brain’s electrical activity and will generate a digital or paper record .
EEG has several implications in neurology. For instance, EEG is an useful tool to diagnose and classify seizure disorders. It can also help to determine if the patient is a candidate for epilepsy surgery. It is a valuable tool for intra-operative monitoring during brain surgeries.
Evoked potentials measure the electrical activity in different areas of the brain and spinal cord. Electrical activity is produced by stimulation of specific sensory nerve pathways. Evoked potentials reveal subtle problems along nerve pathways, which may not be detectable during a neurological examination or imaging studies.
Vagus Nerve Stimulation (VNS) for intractable Epilepsy
Vagus nerve stimulation (VNS) sends regular, mild pulses of electrical energy to the brain via the vagus nerve which will help to reduce the seizure frequency. These pulses are supplied by a small generator which is placed under the skin on the chest wall and a wire runs from it to the vagus nerve in the neck.
Once the generator is implanted, the neurologist programs the strength and timing of the impulses according to each patient’s individual needs. The settings can be programmed and changed without entering the body by using a computer.
In addition, we offer comprehensive rehabilitation programs to improve the quality of life of those experiencing a neurological disorder.
Comprehensive Neurology of Utah
82 South 1100 East, Suite 103
Salt Lake City, UT 84102
Meet Our Neurologists
M. Elena James, M.D.
American Board of Psychiatry and Neurology
Neurology, Univeristy of Texas Med. Branch
Univeristy of Texas Med. Branch
Mohammad Shoari, M.D.
American Board of Psychiatry and Neurology
Clinical Neurophysiology, University of Utah
Neurology, University of Utah
St Vincent Medical Center/MHP , Toledo, Ohio