Neurological clinic

In a patient with memory, thinking or behavioral disorders (from mild cognitive impairment to dementia), the diagnosis is made by talking to the patient, and often a description of the caregiver is also needed. When treating a patient with impaired movement (e.g. Parkinsonism) or involuntary movement (e.g. tremors, tics), video recordings can be very helpful. The examination is followed by testing of mental abilities (the patient should bring glasses) and/or motor functions, and then a plan for confirming the diagnosis, treatment with medication and - together with the caregiver - also more comprehensive psychosocial treatment.

Dizziness when standing up or standing for a long time is a common problem in people of all ages, ranging from a barely noticeable discomfort to a severe disorder in which activity in an upright position is severely limited or there are frequent losses of consciousness and falls. In young people, the most common causes are so-called reflex or vasovagal syncope and orthostatic tachycardia syndrome (POTS), which can also be accompanied by poorer tolerance of physical exertion and severe fatigue. In the elderly, disorders of the autonomic nervous system, heart disease and the influence of medications are at the forefront, which makes it impossible to regulate blood pressure in an upright position and, among other things, can pose a risk of falls. With a detailed clinical examination and specific tests, in the vast majority of cases we can determine the cause of the problem and recommend effective treatment.

There are few people who do not have headaches at least occasionally. Sometimes, however, headaches become a factor that limits a person's activities or (in a minority of cases) are a harbinger of another illness. Consultation regarding headaches makes sense when they are frequent or very severe, so that they interfere with normal activities or the person often takes painkillers because of them. It also makes sense in cases of new, severe headaches, especially if they are accompanied by other problems (e.g. dizziness, nausea, weakness). A good reason is also if a person is worried about headaches or wants a more detailed consultation about them in order to avoid escalating the problems.

The tilt table test is a non-invasive examination used to assess the response of the cardiovascular system to an upright position. It helps to identify the causes of transient loss of consciousness, dizziness and other symptoms that occur mainly on standing up or after prolonged standing.

The autonomic nervous system regulates numerous vital functions that take place automatically, without our conscious control. These include the regulation of blood pressure, heart rate, breathing, sweating, and the functioning of the digestive and urinary systems. Autonomic nervous system testing is a non-invasive examination.

A carotid artery ultrasound is used to assess changes in the neck arteries that carry blood to the brain. The most common reason is detecting plaque buildup in the artery walls due to atherosclerosis. Less commonly, changes are found due to inflammation or injury. Narrowing of the artery, regardless of cause, increases the risk of blood clots, which in the case of carotid arteries can lead to a stroke. Ultrasound allows for early detection and timely intervention.

Sudoscan is a non-invasive and rapid examination for assessing the function of small nerve fibres. It helps with the early detection of autonomic nervous system disorders and small fibre neuropathies, for example in diabetes.

Diabetes often damages the nerve fibres in the legs and arms, a condition known as diabetic neuropathy. Early detection of diabetic neuropathy is important and, at least for now, the only realistic way to slow the progression of the disease.

Memory problems are common, especially in older age. Early recognition of memory problems allows an early search for the cause, treatment of the cause when it can be eliminated, and relief of the consequences when it cannot.