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Neurology

Neurology

The Department of Neurology provides care for a wide variety of disorders affecting the brain, spinal cord, peripheral nerves, and muscle, with a particular emphasis on cerebrovascular disease, neurodegenerative disease, autoimmune neurological disease, infectious disease, and headache.

Medical services

In the outpatient clinic, board-certified neurologists diagnosis and treat patients with various neurological diseases. In the inpatient ward, a full range of medical services is provided for patients by the department’s dedicated team of neurologists.

Diagnosis and treatment policy

At the first visit to the outpatient clinic, board-certified neurologists carry out a detailed medical interview, physical and neurological examinations, and necessary diagnostic tests. Based on these, we reach a diagnosis and select appropriate therapies. If necessary, we admit the patient for further diagnostic testing and treatment.

Specialties

Many patients are referred to our department from other hospitals for diagnosis and treatment. The Department of Neurology has neurologists that specialize in diagnostic testing that employs electrophysiology and neuropathology. Molecular diagnostic testing for many neurologic diseases is also carried out. The DBS clinic provides deep brain stimulation (DBS) for the treatment of Parkinson’s disease.

Target diseases

  • Neurodegenerative disease (Parkinson’s disease, amyotrophic lateral sclerosis, spinocerebellar degeneration, dementia, etc)
  • Autommune disease (multiple sclerosis, myasthenia gravis, myositis, etc)
  • Cerebrovascular disease (cerebral infarction, cerebral hemorrhage, etc)
  • Infectious disease (meningoencephalitis, etc)
  • Others (epilepsy, muscular dystrophy, peripheral neuropathy, etc)

Advanced treatments/ Specialized treatments

  • Genetic diagnosis of hereditary neurological disorders
  • Antibody measurement for immune neurological diseases
  • Muscle biopsy, peripheral nerve biopsy
  • Deep Brain Stimulation(DBS)
  • Memory clinic

Frequently performed tests

Outpatients
  • Imaging tests (CT, MRI, etc.)
  • Electrophysiological examinations (electroencephalography (EEG), electromyography (EMG), nerve conduction study, transcranial magnetic stimulation (TMS), nerve conduction study (NCS), etc.)
Inpatients
  • Lumbar puncture
  • PET (positron-emission tomography) for detailed imaging to study Parkinson’s and other diseases
  • Muscle biopsy, peripheral nerve biopsy

Major diseases and numbers of inpatients treated

Disease name Number of inpatients
1 Cerebrovascular diseases 128
2 Neurodegenerative diseases 126
3 Neuroimmunological diseases 77
4 Peripheral neuromuscular diseases 30
5 Others 31
6 Consulting 696

(2015)

Areas of expertise, treatment and examination methods

Diseases

Cerebrovascular diseases (such as cerebral infarction and hemorrhage); neurodegenerative diseases (such as Alzheimer's disease, Parkinson's disease,Dementia with Lewy bodies, Multiple-system atrophy; MSA
Huntington's disease, amyotrophic lateral sclerosis, and spinocerebellar degeneration); neuroimmunological diseases (such as multiple sclerosis, Guillain-Barré syndrome, myasthenia gravis, and myositis); infectious diseases (such as encephalitis and meningitis); headache; and others (muscular dystrophy, epilepsy, and mitochondrial encephalomyopathy).
We also treat common symptoms, such as forgetfulness, dizziness, and numbness.

Treatment methods

Intravenous application of recombinant tissue-type plasminogen activator, thrombolic therapy for cerebral infarction, steroid administration, steroid pulse therapy, plasma exchange, massive intravenous immunoglobulin injection therapy, anti-thrombin administration, and enzyme replacement therapy

Numbers of major operations and treatments performed

Name of operation/treatment Number
1 Electrophysiological examination with magnetic stimulation approx. 160
2 Genetic diagnosis approx.300
3 Nerve and muscle biopsies (including diagnoses requested by other medical facilities) approx. 220

(2015)

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