Neurology is the science of the Nervous system composed of the central (brain and spinal cord) and the peripheral nervous system (peripheral nerves and muscles). The neurobiological processes of the human brain are multifactorial and complex and often require a multi-layered treatment.
Each neurological examination at Dr. Doerthe Schiess Neuro & BioFeedback Clinic starts with a comprehensive medical history followed by a physical examination focussing on the complex relationship between the brain and the peripheral nervous system or the function of individual nerves by testing the muscle strength (motor power) in general and single muscles, reflexes, tone and tensions of muscles, fine-tuning of movements (coordination), gait and balance, feeling (sensitivity), sensory perceptions such as hearing and sight, eye movements (function of cranial nerves), concentration, attention, memory, comprehension and speech etc. (cognitive brain functions).
Localization of the pathology is the key process which might require additional diagnostic tests as part of the evaluation for confirmation and appropriate therapy. Commonly employed tests in neurology include imaging studies such as computed tomography (CT) scans, magnetic resonance imaging (MRI) and ultrasound of major blood vessels of the head and neck. Neurophysiologic studies including electroencephalography (EEG), electro-myography (EMG), nerve conduction studies (NCSs), evoked potentials (EP) and lumbar punctures (LP) to assess the cerebrospinal fluid.