Bangkok Neuroscience Center
The Neuroscience Center at Bangkok Hospital is committed to providing
the best possible care to patients with neurological disorders. Our team of specialized,
board-certified neurologists and neurosurgeons are on hand 24 hours a day to
diagnose, manage and treat serious neurological illnesses.. Aided by the latest
equipment and technologies, we provide the most advanced neurological testing,
treatment and surgery possible:
Clinics
To make treatment as effective and efficient as
possible, the Center has created several clinics to provide specialized
services for common neurological problems. They include:
- Botox and Movement Disorder Clinic
- Epilepsy Clinic
- Neuromuscular Diseases and Neurogenetics Clinic
- Pain and Headache Clinic
- Stroke and Cerebrovascular Clinic
Treatments & Neurosurgery
Our Neuroscience Center
offers a spectrum of subspecialty treatments designed to provide optimal care
for all types of neurological diseases and disorders, such as:
- Alzheimer's disease
- Brain, spinal cord, and peripheral nerve injuries
- Developmental disorders and genetic diseases
- Dizziness and vertigo
- Epilepsy, seizures, fainting spells and altered mental states
- Headaches, migraines, back pains and neck pains
- Memory problems resulting from dementia
- Multiple sclerosis and other muscle and peripheral nerve diseases
- Numbness or tingling of the trunk, limbs or face
- Parkinson's disease and other movement disorders
- Tumors in the brain or spinal cord
- Strokes
We are committed to applying a minimally invasive
approach to surgery whenever physical intervention is necessary. Relying on
state-of-the-art technology, common treatments carried out by the clinic
include:
- Cerebral hemorrhage, arteriovenous malformation (AVM) aneurysm and
spinal surgery
- Functional and stereotactic surgery for pain, Parkinson's disease,
movement disorders and epilepsy.
- Gamma Knife Radiosurgery
- Treatment of head trauma and spinal cord injuries
- Tumor and skull base surgery
Neurological diseases
manifest themselves in a variety of forms, and an accurate diagnosis requires
both experienced staff and sophisticated equipment.
Neuro Imaging
Accurate diagnosis often requires an image of the brain. At our Center this is
done in several ways, all of which are non-invasive.
- Computerized Tomography (CT) is a computer-assisted X-ray imaging
technique that produces pictures of the brain and cranium which can identify
blood clots, fractures, certain types of tumors, and other problems.
- Magnetic Resonance Imaging (MRI, MRA, MRV) equipment allows imaging of
the brain and body organs using radio frequencies generated by a revolving
magnetic field. The MRI can then identify small tumors, tissue
abnormalities, blood vessels and venous structures with remarkable detail.
- A Cerebral Angiogram is a well-established way of looking at the blood
vessels in the brain.. A long thin tube, or catheter, is inserted into a
blood vessel leading into the head, and a dye is released so that X-ray
images can show the arteries in question. It is an indispensable diagnostic
tool, especially in identifying abnormal blood vessel formation or an
abnormal connection between an artery and vein.
Clinical Neurophysiology
The central and peripheral nervous systems can be studied through the
recording of either spontaneous or stimulated bioelectrical activity. We offer
the following tests for examining bioelectrical activity.
- Electroencephalography (EEG) EEG is used widely as a functional testing
device for cerebral electrical activities. By using special electrodes
attached at various locations to the scalp, it can detect the possibility of
epileptic discharges, or abnormal cerebral conditions such as cerebral
hypoxia, hepatic encephalopathy, and uremic encephalopathy. EEG patient
monitoring is often conducted with a video camera, to provide more accuracy
in identifying or localizing abnormal areas of electrical activity in the
brain.
- Nerve Conduction Study (NCS) is a test commonly used to evaluate how
well the motor and sensory nerves of the body conduct electrical signals.
Our neuromuscular specialists or physiatrists perform this test in patients
with suspected nerve injuries resulting from physical damage, bone fractures
and inflammed or slipped discs.
VDO EEG Monitoring
NCS
- Electromyography (EMG) is a medical technique for evaluating and
recording the physiologic properties of muscles. An EMG is performed using
an instrument called an electromyograph that detects the electrical
potential generated by muscle cells when they contract and when they are at
rest. Our neurologists are then able to locate and identify the injured
nerves causing muscle weakness.
EMG
BAER
- Brain Stem Auditory Evoked Response (BAER) is a test designed to
evaluate how well the nerves between the ear and brain function. Since
auditory nerve response is involuntary, the test is frequently used to
evaluate hearing problems in young patients, including babies. It is very
useful in detecting tumors that can occur inside or adjacent to the auditory
nerves, often causing hearing problems in patients.
- Visual Evoked Response (VER) testing evaluates the conduction of
electrical impulses from the optic nerve to the occipital cortex of the
brain. The visual pathway is evaluated using a shifting black and white
checkerboard that the patient observes. Electrical response latencies
identify the area of optic damage from the retina to the visual cortex. This
test is frequently carried out in patients with optic neuritis and multiple
sclerosis.
- Somato Sensory Evoked Response (SSEP) is a test measuring the progress of a
sensory nerve impulse from an extremity through the spinal cord and brain stem
to the cortex. Using electrical stimulation, the test is performed to assess
damage to peripheral motor-sensory nerves. Nerve latencies are measured in the
spinal cord and brain cortex.
Testing for Sleep Disorders
In recent years, sleep disorders have become an increasing problem for a
large number of people. We can assist in alleviating sleep related conditions
utitlizing the following diagnostic and treatment methods:
- Sleep Test - Polysomnography (PSG) is a multi-parameter test used to
study sleep behavior. By measuring activity of the brain, eyes, heart and
skeletal muscules, doctors are able to evaluate sleep-related problems like:
- Excessive sleep (Narcolepsy)
- Uncontrollable leg movement
- Decreased oxygen level from airway blockage (Apnea)
- Excessive snoring
- Daytime sleepiness
Testing Blood Vessels and Blood Flow
We are able to examine blood flow and the condition of blood vessels using
the following tools:
- Carotid Ultrasound Imaging (CUI) uses high-frequency sound waves to show
the two carotid arteries feeding blood to the brain. This painless and
non-invasive procedure can be used to determine if there is an abnormality
or blockage of the carotid arteries that could lead to a stroke.
- Transcranials Doppler Ultrasound (TCD). Transcranial Doppler Ultrasound
is a safe, painless, noninvasive method for assessing blood flow in the
arteries that supply blood to the brain. TCD measures the velocity of the
blood flowing through an artery. This test is used to help diagnose arterial
narrowing or blockage, vessel malformation, or the sudden constriction of
blood vessels which can lead to a stroke and other problems.
Interventional Pain Control
This special treatment is for patients suffering excruciating pain from
cancer, nerve compression or other causes. This pain can be alleviated with
medication or in cases where a patient is non-responsive or where medication is
inappropriate, with a spinal cord stimulator.
- A Spinal Cord Stimulator (SCS) is a medical device implanted near the
dorsal surface of the spinal cord. An electric impulse is generated that
provides a tingling sensation, altering the perception of pain by the
patient.
- Drug Infusion System is a method of delivering pain-reducing medication
using a catheter inserted into the intrathecal space of the spine and
connected to a pump. This allows the medication to be delivered at constant
or variable flow rates.
For more information, please contact
Bangkok Neuroscience Center
Tel. (662) 310 3011, (662) 755 1011
Email : info@bangkokhospital.com