Neuroelectrodiagnostic Department

We have a rather busy department.

Our department based at the first floor of the main building beside the ward 1.

Available Services:

ELECTROMYOGROPHY & NERVE CONDUCTION STUDIES (EMG & NCV)

  • EMG and NCV are the tests to evaluate the nervous and muscular waves. They are a bit painful and are conducted by placing the electrodes and imposing the short bursts of slight shocks on the local nerve. The muscle waves are examined by inserting the small needle electrodes into the muscles. On few occasions EMG could be done by applying the surface painless electrodes. The tests are helpful to diagnose the diseases with symptoms like paresis, feeling numb, or tingling limbs.

Preparation for the tests:

  • Avoid wearing tight bracelets.
  • Try to wear comfortable clothes with short sleeves and loose trousers.
  • Check for not having cold hands and feet.

ELECTROENCEPHALOGRAPHY (EEG)
The test is taken to evaluate the brain waves by placing 22 electrodes. The test is pain-free and takes around half an hour. EEG could be of use in diagnosis of seizure and any other consciousness disorders as well as migraine.

Preparation for the Test:

  1. The patients’ heads must be clean.
  2. The patient must be sleep deprived at the previous night.

VEP – SSEP (Visual & Somatosensory evoked Potentials)

The test is to evaluate nerve conduction of visual, spinal cord & Brain pathways. These tests are of value for diagnosis of disease like Multiple sclerosis in which the visual & somatosensory conductions could be delayed .an electrode is placed on the brain sensory and visual area(, i.e. the parietal and occipital areas).

Preparation for the Test:

1-The patients’ heads must be clean.

Long-term video & EEG Monitoring (LTM)

This test is of a great value as it is capable of taking EEG, ECG & Video simultaneously for the longer period of time (24 hours or so). In case of any attacks, the patients are examined and rechecked during the process of the test. A portable device is applied to attach 22 to 23 electrodes to the head and the chest of the patients’ respectively. When taking the test, the patients are invited to perform their daily activities (eating, watching T.V…); meanwhile, the EEG is being reviewed by the technicians. The data will be later analyzed by the neurologists. The test makes a useful contribution in diagnosis of the patient’s attacks which unable to be discovered by a routine EEGs. This is also of value to diagnose the disorders in the patient’s whit comatose state (for unknown reasons) in Intensive Care unit.

To induce seizure during LTM there is a likelihood to reduce the dosage of the patient’s medications (i.e. antiepileptic drugs) or ask the patient to hyperventilate.

There are so many patients who have many attacks despite of tacking antiepileptic drugs for a long time. This test (LTM) could help such patients to evaluate the nature of their attacks for choosing proper treatment.

We also perform LTM at ICU and the patient bedside.

Preparation for the Test:

The patients must attend the center with:

  1. Clean washed heads
  2. Casual clothes
  3. All previously taken images

Available Staff:

  • 1 nursing expert
  • 2 technicians
  • 3 staff to take the long EEG

Available Technological Facilities and Medical Equipment:

  • EEG machines
  • EMG machines
  • Brain visual, sensory and brain stem auditory evoked audio potentials.
  • Long-term video-EEG machine

Working Hours of Department and Physicians’ Shifts:

The department is at the patients’ service from 7:00 a.m. to 7:00 p.m.

Neurologists are also available from 11:00 a.m. to 1:00 p.m. every day.

OUR DEPARTMENT PROSPECTIVE:

We plan to establish Intraoperative EMG & Somatosensory evoked potentials in near future.

This test will provide a valuable information about nerve functions during operations in which nerves are susceptible to damage.