Neurology private practice and neurological examination

What is neurology, what neurological symptoms are covered by private neurological treatment, is it worth going to a private neurologist or a private neurological clinic – and what are the steps involved in a neurological examination?

What is neurology?

Neurology is a medical speciality that deals with disorders of the nervous system. More specifically, it deals with the diagnosis and treatment of all diseases that are associated with the central and peripheral nervous systems.

neurológiai vizsgálat

Neurological symptoms, groups of diseases with which you can come to our private neurological clinic!

Sleep disorders	Sleep disturbances (frequent awakenings, difficulty falling back asleep)	Dizzy spells
Snoring	Loss of consciousness	Persistent or recurrent concentration or memory problems, forgetfulness
Muscle fatigue or weakness not previously noticed (walking up stairs, getting up from a chair, washing, dressing, combing hair, shaving, mushrooming, talking, swallowing, chewing)	Recurrent or persistent neck or lower back pain (with or without limb weakness, numbness or tingling)	Previously undetected muscle weakness associated with twitching and/or numbness
Hearing complaints (hearing loss, tinnitus if a neurological cause is suspected)	Gait disturbances (unsteady gait, falls, tendency to stoop, misdirection when walking)	Visual disturbances (sudden loss of vision, visual impairment of non-ocular origin, double vision, colour and shape recognition problems)
Headaches that have been present for years or for a short time but are severe or worsening	Facial pain, eye pain for which no other specialist cause has been found	Change, worsening or loss of sense of taste or smell
Neurological fitness test (screening for sleep apnoea syndrome with respiratory pulse oximetry).	Transient confusion state	Complaints of speech disorder (speech impediment, speech difficulty, difficulty in pronunciation)
Unprecedented loss of muscle mass (thinning of the hand or leg)	Limb numbness (upper limb, lower limb, hand-foot, fingers, face, tongue)	Bowel movements – urinary disorders for which no other specialist cause has been found
Weakened or clumsy limbs (dropping objects, trips, falls)	Complaints about reading, speaking, swallowing	Burning sensation or numbness on a previously asymptomatic part of the body

The neurological examination procedure:

The neurological examination consists of two basic parts:

1. medical history (anamnesis).

The first part of the neuropsychological history is a general anamnesis (neurological history).

This is followed by a physical examination.

2. Physical examination (including state of consciousness)

This involves looking at abnormalities of the skull, spinal column, mental and gait disorders, possible speech disorders, function of the cranial nerves, muscle strength and mass, reflexes, sensory functions, coordination.

If necessary, other tests can and should be carried out to confirm the diagnosis and to rule out other possible pathologies. Depending on the suspected diagnosis, we may ask for imaging (CT, MRI), ultrasound (for blood supply problems in the brain), or an X-ray (usually for spinal disorders). If necessary, we may also need the opinion of another specialist or laboratory tests – this is always decided on the basis of the current situation.

Respiratory pulse oximetry device available at our institute and in our private neurology practice: in case of suspected sleep disorders, sleep apnoea syndrome, we issue a mobile monitor to the patient, which can be used in the patient’s home for 8 hours overnight to record parameters during sleep. After analysing the data, we issue an expert opinion on the driver’s licence and, if positive, on the existence and severity of the syndrome and, if necessary, on the further action to be taken (drug therapy and, if necessary, polysomnogaphic examination).

Post-covid neurological examination package

Neurological symptoms and complications may also be seen in the case of a recent coronavirus infection. It is advisable to consult a specialist in the following cases: