The Ambulatory clinics in Neurology support the following services:
- Routine New Patient Consultations,
- Follow-up Consultations, and
- Urgent Consultations. Clinic appointments can be scheduled at
two locations: TMC-Hospital Hill and at TMC-Lakewood.
Neurodiagnostic testing is currently available at Hospital Hill.
Limited services are available at Lakewood. These diagnostic
studies are non-invasive. Many of these tests are performed on an
- Electrocardiogram (EEG) - provides a recording of the electrical
activity of the brain. This test is often performed when patients
experience a brief staring spell/seizure or have a period of
confusion. Special sensors (electrodes) are attached to your head
and are hooked by wires to a computer. The computer records your
brain’s electrical activity onto a computer screen. Certain
conditions, like seizures, can change the normal pattern of brain
In neurology the main diagnostic application for the EEG is in the
care of patients with epilepsy or a seizure disorder. EEGs are also
ordered in the inpatient setting to monitor brain activity in patients
with tumors, traumatic brain injury, and post-stroke. Patients with
disorders of learning or memory, like Alzheimer’s disease, often have an
EEG as part of the diagnostic evaluation.
- Electromyography (EMG) - provides a recording of the electrical
activity of the muscles. This test is often performed when patients
experience weakness of the hand, arm, or leg. Electrodes are used to
detect the electrical activity of muscles.
- Nerve Conduction Velocity (NCV) - provides a recording of how
the nerves conduct electrical potentials. This test is often
performed when patients experience numbness and is usually performed
at the same office visit as the EMG.
EMG and NCV studies aid with the diagnosis of peripheral nerve injury
or compression (such as
carpal tunnel syndrome),
nerve root injury (such as
sciatica), and with other problems of the muscles (muscular
dystrophy) or nerves (diabetic neuropathy). These procedures can also
help diagnose less common neurological conditions including
amyotrophic lateral sclerosis (ALS), and myasthenia gravis.
Many patients with neurological conditions require radiological
studies such as MRI (magnetic resonance imaging) or CT (computerized
tomography) scans. The MRI and CT scan operate differently, and are
suited for different types of diagnoses. Both of these diagnostic
studies can be used to view the brain, the spine and injuries of the
head, neck, and back. Clinical scans show the anatomy or structure of
the brain, spine and spinal cord. Some imaging studies can show brain
function or dysfunction, including changes in blood flow. Our clinicians
work very closely with neuroradiology to provide the most up-to-date
imaging studies to enhance patient care.
When a hospital stay is necessary for neurological patients with
critical care needs, TMC has two telemetry units which provide
specialized care for patients who need continuous monitoring, and a
Critical care area is available. Our Neurology care is by Consultation
in conjunction with primary care physicians at Hospital Hill and at
Lakewood. Our goal is provide continuity of care with outpatient
follow-up for inpatient's and their families. We work closely with
providers in Rehabilitation Services, and we have a Social Worker to
provide additional personalized care to patients, families, and
For more information, or to set up an appointment, please call...