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A neurological exam is an examination to detect disorders of the nervous system. Neurosurgery is a field of internal medicine that specializes in the diagnosis, consultation and treatment of diseases related to neurological factors.1. What is an internal neurologic examination?
To know what is an internal neurological examination? It is important to know that neuroendocrinology is the place to monitor and treat neurological diseases that can be treated with drugs (such as migraine, epilepsy, cerebrovascular accident...). Unlike neurosurgery, which specializes in monitoring and treating neurological diseases that require surgical intervention (such as brain tumor surgery, traumatic brain injury...).
Neurological examination to help diagnose and treat diseases related to neurology, including:
Headaches: migraine, vascular headache, chronic daily headache ,... Treatment of neck and shoulder pain due to cervical spondylosis, cervical disc herniation,... Lumbar hip pain due to lumbar spondylosis, lumbar disc herniation, pain due to sacroiliitis ... Vestibular disorders ; Treatment of dizziness caused by cerebral ischemia; Counseling and treatment of sleep disorders: acute or chronic insomnia; Neurological examination and treatment of peripheral 7 nerve palsy: Inflammation of the cranial nerves and other peripheral nerves such as carpal tunnel syndrome, shoulder and elbow pain due to sports,... Neurological examination and treatment diagnosis of hemiplegia due to cerebral stroke; Dementia diseases: mild cognitive impairment, memory impairment, vascular dementia (post-stroke dementia), Alzheimer's; Movement disorders such as Parkinson's disease; Examination and monitoring of epilepsy treatment in adults and children; Encephalitis, polyneuritis, degenerative diseases of the nervous system, amyotrophic lateral sclerosis, myasthenia gravis, scattered cerebrospinal fibrosis; Infective neuropathy: meningitis, myelitis... Peripheral neuropathy: polyneuritis, polyneuritis (Guillain-Barre syndrome), root and plexus diseases nerves, intercostal nerves, paralysis of cranial nerves... Neuropathy due to metabolic disorders; Intoxication: Wilson's disease, alcoholism, deficiency of B1, B12... These are common neurological diseases that neurologists need a lot of experience to diagnose and treat. At the same time, paraclinical facilities such as electroencephalogram, electromyography, CT Scan, MRI, hematological diagnoses, immunology have effectively supported the medical team and doctors.
Thông qua phương pháp điện não đồ giúp chẩn đoán bệnh lý thần kinh
2. Neurological examination method
By convention, the patient is first asked, the neurological assessment is based on physical examination to check all functions from sensation, motor, muscle strength, muscle tone, reflexes, cranial nerves to activities. of the autonomic system and of mental function.
Maybe the doctor will order some tests to make an accurate diagnosis in the neurologic exam such as:
Screening tests for blood, urine or other body fluids can help the doctor diagnose the disease, understand disease severity and monitor levels of therapeutic drugs. Genetic testing of people with a family history of neurological disease can determine whether they carry one of the genes known to cause the disorder. An EEG aims to monitor the electrical activity of the brain through the skull. An EEG is used to help diagnose seizure disorders and metabolic, infectious, or inflammatory disorders that affect brain function. Electromyography or EMG is used to diagnose nerve and muscle disorders, spinal nerve root compression, and motor neuron disorders such as amyotrophic lateral sclerosis. EMG records electrical activity in muscles. Muscles develop abnormal electrical signals when there is nerve or muscle damage. Methods of neuroendocrine examination through imaging include:
Computed tomography (CT scan) uses X-rays to create two-dimensional images of organs, bones and tissues. A CT scan can aid in the proper diagnosis by showing the affected brain area. Magnetic resonance imaging (MRI) uses computer-generated radio waves and a strong magnetic field to create detailed images of body tissues. Using different pulse sequences, an MRI can show anatomical images of the brain or spinal cord, measure blood flow, or reveal minerals like iron. Positron emission tomography (PET) scans provide two- and three-dimensional images of brain activity by measuring radioactive isotopes injected into the bloodstream. PET scans of the brain are used to detect or highlight tumors and diseased tissues, show blood flow, and measure cell and tissue metabolism. Single-photon emission tomography (SPECT) is a nuclear imaging test that can be used to evaluate certain brain functions. As with a PET scan, a radioisotope, or tracer, is injected intravenously into the body.
Hình ảnh cộng hưởng từ (MRI) sử dụng sóng vô tuyến do máy tính tạo ra và từ trường mạnh để tạo ra hình ảnh chi tiết của các mô cơ thể
3. Caring for patients after neurosurgery
Neurological diseases often affect the daily life as well as the patient's health. Therefore, everyone should take care and protect their health properly to prevent disease even when there are no symptoms of the disease.
The following ways help you prevent and limit internal neurological diseases:
Periodic health check from 6 months - 1 year to monitor health status and detect early signs of abnormalities. Stress is one of the main causes of neurological diseases. Therefore, the pressure should be reduced by allocating reasonable time, relaxing regularly to prevent early. Diet full of nutrients, low in sugar to maintain the normal functioning of the body. Preventing diabetes helps reduce the cause of some neurological diseases. Sleep for 8 hours a day so that the nervous system is fully rested, avoiding weakness and disease. Sleep quality is also very important and should be given proper attention. Regular exercise by exercising, walking... every day for blood circulation, avoiding blockages and avoiding risks. In order to obtain the most accurate results for neuroendocrine examination, it is necessary to have a medical facility with full equipment and a team of experienced doctors and nurses specializing in neuroendocrinology.
Vinmec International General Hospital is one of the hospitals that not only ensures professional quality with a team of leading medical doctors, modern equipment and technology, but also stands out for its examination and consultation services. comprehensive and professional medical consultation and treatment; civilized, polite, safe and sterile medical examination and treatment space.
If you have a need for consultation and examination at the Hospitals of the National Health System, please book an appointment on the website for service.
Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.
