Understanding neurological assessments: What to expect

Written in association with: Dr Maria Papachatzaki
Published:
Edited by: Carlota Pano

A neurological examination, conducted by a neurologist, involves a thorough evaluation of a patient's brain, spinal cord, nerves, and muscles to identify any irregularities, inconsistencies, or disorders. Private neurological assessments play a crucial role in diagnosing conditions ranging from brain tumours and movement disorders to sensory and coordination problems.

 

Here, Dr Maria Papachatzaki, leading consultant neurologist at the renowned Dementech Neurosciences clinic, explains what to expect.

 

 

Addressing concerns about neurological evaluations

 

Neurological evaluations might seem daunting, but avoiding them when recommended poses a greater concern. At Dementech Neurosciences, we prioritise a supportive and accessible approach. If you feel unsure or anxious about your neurological exam, our guide is designed to walk you through the process and address any concerns. Our specialist neurologists are also available for further information.

 

Significance of neurological assessments

 

A neurological exam is an essential tool for evaluating brain and nervous system function. It aids in diagnosing various neurological disorders, including brain tumours, movement disorders, and sensory or coordination issues. Regular evaluations are crucial, especially for people with a history of neurological conditions, as they help detect problems early and prevent further damage to the nervous system.

 

Different neurological tests explained

 

During a neurological assessment, your neurologist employs various tests to evaluate different aspects of your nervous system, including movements, reflexes, coordination, sensation, vision, and speech. Common tests include physical exams, diagnostic imaging (CT or MRI scans), and laboratory tests (blood tests). Specialised tests like electroencephalography (EEG) or electromyography (EMG) may also be conducted.

 

Reasons for neurological tests and managing concerns

 

Neurological tests may be recommended for unexplained symptoms like weakness, coordination problems, or changes in vision. It is essential not to panic, as these evaluations are routine procedures to diagnose or rule out potential neurological conditions. Timely consultation with a specialist ensures the best possible treatment and management.

 

Preparing for a neurological exam

 

Before a neurological assessment, note down your symptoms and their onset dates, bring a list of medications, and any questions you may have. Wear comfortable clothing and be prepared to remove accessories. Remember, the neurological exam is routine and your neurologist is there to help – just relax, be honest, and let them take care of the rest.

 

Interpreting results and seeking further care

 

After a neurological exam, your neurologist interprets the results and explains their implications for your health. If needed, further testing or treatment may be recommended. It is crucial to follow up, even if results show no underlying conditions. Early detection and treatment improve outcomes, emphasising the importance of seeking specialised care when needed.

 

Your neurological examination in London: Expert care, specialist assessments

 

At times, a neurological exam is necessary for various reasons. Trust the experts at your private neurology clinic, who have your best interests at heart. Regular exams are crucial for ensuring mental health, safety, and happiness.

 

FAQs: Answers to your common questions

 

• What is done during a neurological assessment?

A neurological assessment typically involves the evaluation of mental status, cranial nerves, motor and sensory systems, reflexes, and coordination.

 

• Why does a neurologist look at your tongue?

Looking at the tongue helps evaluate cranial nerve function, providing insights into potential neurological issues.

 

• What is the duration of a neurological assessment, and is it painful?

The duration varies, typically taking 30-60 minutes and causing minimal discomfort.

 

• Can I drive or return to work following a neurological assessment?

Most patients can resume normal activities unless the exam involves procedures impairing driving ability.

 

• Are there any risks or complications associated with a neurological assessment?

Neurological evaluations are generally safe and well-tolerated, with minimal risks. Patients may experience brief discomfort during certain tests.

 

• How can I prepare for a neurological assessment, and what should I bring?

Gather your medical history, medication list, and relevant test results. Wear comfortable clothing and follow your neurologist's instructions regarding food and drink restrictions before the exam.

 

 

If you or a loved one is considering a neurological examination, don’t hesitate to reach out to Dr Maria Papachatzaki via her Top Doctors profile today.

By Dr Maria Papachatzaki
Neurology

Dr Maria Papachatzaki is a leading consultant neurologist based in London who specialises in multiple sclerosis (MS), epilepsy and related disorders. She privately practises at Dementech Neurosciences clinic and her NHS base is Mid and South Essex NHS Foundation Trust. 

Dr Papachatzaki is highly qualified, with MUDr, MSc and PhD qualifications. On completion of her MSc degree, she received a scholarship from the FOTEINOS Foundation in Heraklion, Crete, Greece. Furthermore, she was awarded funding by the European PENED research fund after completing her PhD in Neurosciences at the University of Crete.

Dr Papachatzaki worked as a post doctorate researcher in the MS team at the Blizzard Institute of the cell, QMUL/Barts Health NHS Trust in London. She worked alongside prestigious colleagues at the Royal London Hospital on many MS projects, involving clinical trials and leading projects on basic research on the pathogenesis and neurophysiology of MS disease under Professor Klaus Schmierer.

Her research has been published in various peer reviewed journals and she provides patients with access to clinical trials. Currently, she is participating as a site lead PI in a number of research projects including the UK MS Register and UK Pregnancy Register, and a multi-ethnic genetics study in MS (ADAMS).

Dr Papachatzaki also has wide experience in pharmaceutical clinical trials of DMDs and symptomatic drugs for PwMS, while she has worked as a sub-investigator for multiple clinical trials of commercial phase III trials that have led to licensed medications. 

Dr Papachatzaki is actively involved in teaching and activities that involves public and patient engagement including Digesting Science and MS Research Days.

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