Dr Nicholas Tsarouchas

Professional statement

Dr Nick Tsarouchas is a Consultant in Neurology (Epileptology) and Clinical Neurophysiology in London and Kent, with expertise in seizures and Epilepsy, movement, behavioural, cognitive, affective and functional neurological disorders, dystonia, tremor and Parkinson’s disease, dementia & neurodegenerative conditions, carpal and cubital tunnel syndromes, focal and generalised peripheral neuropathies like Guillain-Barré syndrome, mononeuritis multiplex and diabetic neuropathy, radiculopathies, plexopathies, motor neuron disease, neuromuscular junction disorders like myasthenia gravis and muscle disorders like myopathy and myositis.

He privately practises at Kent & Canterbury Hospital, in the Department of Clinical Neurophysiology (Outpatients Clinic A) of East Kent University Hospitals NHS Foundation Trust. In addition, he is an honorary Consultant in Clinical Neurophysiology at King’s College Hospital London where he takes part in their Epilepsy Surgery Programme and continues his professional development.

With a focus on patient-centred care, Dr Tsarouchas continues to be at the forefront of neurology and clinical neurophysiology, ensuring that his patients receive the latest and most effective treatments available. He is available for both virtual and face-to-face consultations every weekend (Saturday and Sunday) and every evening after 17:00 at Kent & Canterbury Hospital (50 minutes by train from London St Pancras Station).

Dr Tsarouchas offers a ‘one-stop clinic’ at Kent & Canterbury Hospital with an efficient service that includes in ‘one-go’ neurological patient consultation, neurophysiological diagnostic testing (EEG, ENG, EMG, EEG-EMG Correlation, SSEP, VEP, TMS) and results within a short time frame, allowing patients to receive timely diagnoses, comprehensive management plans and effective treatments. Dr Tsarouchas is deeply committed to providing his patients with expert care in a supportive and understanding environment. His specialisation in clinical neurophysiology allows him to offer advanced diagnostic techniques and integrated therapeutic approaches, ensuring accurate assessments and tailored treatments for his patients.

His consultation extends the standard neurological examination making optimal use of videos of event semiology, neurophysiological and neuroimaging investigations, genetic information, pharmacological, neurostimulation and neurosurgical interventions to improve patient care and quality of life (for example, 2/3 of patients with seizures can be rendered free of seizures for long time, the rest 1/3 can experience reduction in their seizures). His book introduces the novel concept of oscillopathies as fundamental pathomechanisms for a range of behavioural, cognitive, affective, movement, sleep and seizure disorders, and opens the way for innovative forms of oscillotherapies based on cognitive-emotional-behavioural therapies, different medications, neurostimulation and neurosurgical treatment strategies (https://www.intechopen.com/chapters/84451)

Background
Dr Tsarouchas works as substantive Consultant in Clinical Neurophysiology and Neurology (Epileptology) at East Kent Hospitals University NHS Foundation Trust for the last 6 years. He delivers highly specialised clinical services, such as Electroencephalography (EEG), Electroneurography (ENG) and Electromyography (EMG), and Evoked Potentials (EP), for the adult and paediatric populations. He runs 2 complex neurology clinics weekly and every 3-months a transitional clinic for adolescents transitioning to adult neurology services. With more than >1000 patient encounters a year he has gained experience in the management of seizures and movement disorders in the background of epilepsy, strokes, brain tumours, neuroinflammation, infectious or autoimmune encephalitis or vasculitis, dementias, learning disabilities, metabolic derangements, intoxications, cognitive, affective, behavioural and functional neurological disorders.
Dr Tsarouchas has lived, trained and worked in Europe, USA, Canada, and the United Kingdom. He majored in Medicine and Neurosciences (MD) at the University of Szeged (2002), the university with 2 Nobel Prize laureates in Medicine. He rotated in Emergency and Intensive Care Medicine at Baylor College of Medicine, Texas Medical Centre and in Neurology at Krembil Neuroscience Centre, Toronto Western Hospital and was exposed to Neuroscience research at the Downstate Medical Centre, State University of New York. He was awarded a Master of Science and PhD in Biomedical Engineering and Neurophysiology from the National Technical University of Athens and the Medical University of Patras in 2010. Upon completion of his medical training in the United Kingdom he was awarded Membership with the Royal College of Physicians of London in 2014.
Dr Tsarouchas has undertaken most of his medical, neurological and more specialised training in clinical neurophysiology in the United Kingdom. He initially trained in Seizures and Epilepsies, Movement disorders, Peripheral Nerve and Neuromuscular disorders at the University Hospital of Wales in Cardiff, where he also served on-calls in Acute Neurology and Stroke, and conducted research at Cardiff University Brain Research Imaging Centre (CUBRIC). He was awarded a qualification in Clinical Neurophysiology (CCT) with the UK General Medical Council (2018) and a Postgraduate Certificate in Medical and Clinical Education (PGCME) from Cardiff University School of Medicine (2021). Lifelong studies of the brain and its functions, and his role as Honorary Consultant of Clinical Neurophysiology at King’s College Hospital London, have advanced his research and clinical practice.

Dr Tsarouchas’ clinical research work focuses on novel and ground-breaking approaches in the field of Neurology and Clinical Neurophysiology. His latest publication elucidates the underlying pathomechanisms of epilepsy from the neuron to the epileptogenic network level and models for first time seizure generation and therapeutic interventions via artificial neuronal network simulations (AI), providing a unique algorithmic approach for the classification of epilepsies, and optimization strategies for the pharmacological and non-pharmacological (neurostimulation and neurosurgical) management of epilepsies. https://www.intechopen.com/chapters/84451
 
Dr Tsarouchas has created an online resource of a comprehensive Neuroprognostication Tool specifically designed for ITU consultants and registrars to help them make critical ITU decisions based on combined electro-clinical information and EEG patterns. https://xerte.cardiff.ac.uk/play_16345 He has received a Clinical Excellence Award from Kent University Hospitals Foundation NHS Trust.
 
Through his company NeuroDiagnostic Medical Care, he has been developing technologies and delivering services in the diagnosis, monitoring and management of seizures, tremor and movement or sleep disorders, peripheral nerve, motor neuron and neuromuscular disorders, as well as neuromodulation and neuroplasticity methods (TMS and tDCS) for the rehabilitation of neurological and psychiatric conditions. This innovative therapeutic approach could target a wide range of affective, addictive and pain disorders (depression, anxiety, addiction, chronic pain), movement disorders (parkinsonism, tremor, dystonia, etc.), spasticity disorders (Stroke, MS, TBI, etc.) and neuro-degenerative conditions (dementias, Parkinson’s, motor neuron disease and neuropathies, etc.) as an alternative or adjunct to pharmacological treatments.