Neurology EEG – EMG TMS (Transcranial Magnetic Stimulation) Sleep Laboratory Newborn Hearing Test

Neurology is a science that involves non-surgical treatment studies examining the diseases of the brain, brainstem, spinal cord and peripheral nervous system and muscles. Neurology deals with diseases such as epilepsy, headaches, movement disorders, brain vascular diseases, dementia, sleep disorders.

The following diseases are treated in our Neurology Outpatient Clinic:

Electrophysiology
Epilepsy
Cerebrovascular diseases (strokes)
Dementia (Alzheimer)
MSLT Test
Multiple sclerosis
Low back and neck pain
Vertigo (Dizziness)
Headache
Botox treatments
EEG- EMG
Alzheimer (Dementia)
Vertigo (Dizziness)
Intelligence development
Strokes
Headaches
Movement disorders
Low back and neck pain
MS (Multiple Sclerosis)
Sleep disorders and snorin

EEG – EMG

Electroencephalography (EEG):

It provides examination of brain activities from scalp. It is most commonly used in the diagnosis and treatment of patients with seizures. It is also a method used in the evaluation of the diagnosis and treatment of brain tumors, head traumas, sleep disorders, degenerative diseases, dementia and some psychiatric disorders.

It is a painless and risk free procedure that can be applied to outpatients. After the electrodes are attached to the scalp with an adhesive, the patient is asked to lie down or sit without moving his head. Electrodes are devices that carry electricity and monitor electrical activity. During the shooting, the patient is asked to breathe deeply, to open and close his eyes. In addition, changes in brain activity are evaluated with light, sound and sometimes some medications.

Routine shots are taken for 30 minutes and the patient is asked to be full before this process. Sometimes it is planned to withdraw “sleep deprivation EEG” from patients, including longer periods of sleep. In such cases, the patient may be asked to sleep for a maximum of 2-3 hours the night before and come to the shooting without sleep.

Electromyography (EMG):

It is used to evaluate muscle, nerve and spinal diseases. It records the electrical activity of the nerves that control contraction in the muscles.

In nerve conduction studies (NCV), electrodes are placed on the nerve-related muscle or skin region (for the examination of sensory nerves) and the nerves to the muscle are stimulated and recorded. Shooting may take up to an hour.

In EMG, the needles that can transmit the electricity that is examined are immersed and the examination is performed while the muscle is stationary and contracted.

Patients often find the procedure uncomfortable and painful.

It is desired to stop the use of caffeine and cigarette 2-3 hours before the EMG and to keep the body temperature within normal limits.

Sleep Laboratory

Our internationally accredited sleep laboratory helps our patients with sleep apnea and sleep disorders. While our guests spend a night’s sleep in our center, the heartbeat and breathing status is monitored throughout the night, as well as camera and image recording. The records are monitored on the computer the next day, problems are identified and treatments are carried out. In addition, EEG and EMG examinations are carried out in our unit.

Sleep Apnea: Sleep apnea is also common in people who snore. During sleep, breathing stops for a certain period of time (usually 20-30 seconds).

Snoring: The sound in the form of noise that occurs when there is stenosis in the airway behind the mouth and nose is called snoring.

At least 45% of normal adult people occasionally snore and 25% of them snores constantly. Snoring problem is most common in fat men and it increases with age day by day.

Diseases Treated:

Sleep Behavior Disorder
narcolepsy
Insomnia
Hypersomnia Nightmare Disorder

TMS (Transcranial Magnetic Stimulation)

What is TMS (Transcranial Magnetic Stimulation)?

Transcranial Magnetic Stimulation (TMS) is a technique that aims to generate small and transient current in the cerebral cortex by a very strong magnetic field formed by a stimulating coil.

Why Tms?

Medications, such as anti-depressants, are systemic, meaning the drug can have many side effects.
TMS anti-depressants can be applied when they fail or when side effects are unbearable.
TMS treatment; There is also no sexual function loss and weight gain problems caused by antidepressant.

What Does One Feel During the TMS Application?

During the application, the device sounds ‘click’ at a certain time interval. This voice is at a level that will not disturb the person. It does not create any painful sensations.
The person remains awake throughout the application.

Treatment Areas

Standard treatments such as TMS drug therapy and self-help techniques are used when ineffective or when side effects are very severe in drug use. In many European countries, however, TMS has been approved for many common conditions, including:

Anxiety disorders such as OCD
Post Traumatic Stress Disorder (PTSD)
Stroke rehabilitation
Schizophrenia
Parkinson’s disease
Alzheimer’s disease
Chronic pain
Nicotine addiction
Depression
Bipolar
Eating disorders
Neuropathic Pain

TMS also gave hope in the unlabeled treatment of conditions such as fibromyalgia, autism spectrum disorder and multiple sclerosis.

To whom TMS Treatment cannot be done?

Since TMS uses magnetic energy, the people who have metal on their head or neck cannot benefit from this treatment.

Examples of metal objects that can prevent TMS treatment include:

Aneurysm clips
Stents
Deep brain stimulators
Metallic ear / eye implants
Shrapnel or bullet parts
Pacemakers

Common Side Effects

Headache
Scalp discomfort in the treated area
Tingling, spasms or twitching of facial muscles
Dizziness

Number of Sessions and Duration

The number of sessions is planned according to the person. Average application time is in the range of 30-40 minutes.

Healing Process

After the treatment, the person can continue her/his daily life after the treatment.

After TMS, your symptoms may completely heal or disappear for a long time. In this case, the person’s genetic predisposition and environmental factors are quite effective.

Newborn Hearing Test

What does hearing screening mean?

Hearing screening is to see if the baby’s ear is working with a simple test. It is a simple, initial test that can be done quickly, takes a very short time and can show that there is a problem or not. In cases where there is the impression that there is a problem, more comprehensive investigations will be required. Hearing loss in 1 in every 1000 babies; may cause learning disability in the child and not to communicate with his / her friends. Hearing loss, which seriously hinders social and physical development, can slow development if it is not diagnosed early and measures are not taken.

When should hearing screening be performed in newborn babies?

Hearing screening for newborns should be done while the baby is in the hospital. If, for any reason, the baby has left the hospital without testing, or the baby was born outside the hospital, the baby is asked to perform the test before the first 3 months. The baby or child, who has not passed the hearing screening test and is suspected to have hearing loss, is initially get examined and then evaluated with BEAP and audiometry hearing tests, at any age.

The most common hearing screening test is AOE (auto-acoustic emission) test. This test is done while the baby is asleep. The sound is given to the ear from one end placed at the entrance of the outer ear canal and the return reflection is measured. If there is a return reflection, that baby’s ear is considered to be hearing normally.

Diagnosing discomfort by carrying out these tests in the early period is of great importance in terms of deciding treatment.

In addition to newborns, hearing assessment should be done periodically in early childhood.

Some diseases passed in childhood,
medicines used,
Genetic disorders associated with progressive hearing loss etc.

For many reasons, hearing loss can be observed after the neonatal period. Since it may take time for the hearing loss to be recognized by the family in babies and children, it is important to follow the process with regular controls.

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