Neurology

Neurology…

The brain, spinal system and nerves are all components of the nervous system. Among the most common neurological diseases or disorders are strokes, migraines, brain tumors, spinal cord disorders and multiple sclerosis. However, there is a wide range we can assess, identify and treat, including various seizure disorders, dementia, movement disorders and Alzheimers.

 

How We Reduce the Risks for You…

We have a board-certified neurologist on staff and we offer Electromyogram (EMG) and video Electroencephalogram (EEG) studies, to measure muscle and brain activity, respectively. These electrotherapy modalities are also used in the evaluation of chronic disorders. We have the expertise and tools to foretell the onset of severe headaches, migraines, seizures, atypical seizures, pseudoseizure disorder (non-epileptic and triggered by psychological causes). Some studies can be done at the patient’s home (video EEG) for seizure disorders and epilepsy.

 

“Our patients are basically from adolescence to geriatric:” Dr. Alexander Salerno, administrative head of Salerno Medical Associates (SMA).

 

The crux of what we do is preventative, interceding at an early stage or perhaps before the onset, with the potential of warding off chronic and short-term conditions. If we cannot cure, we can alleviate and educate to help you deal with some of these disorders and diseases and prolong quality of life..

These are especially critical for our geriatric patients (see “Geriatrics” service page), because of the threats of dementia, Alzheimers, vascular dementia (impaired blood supply to the brain), reversible dementia (from external factors and not degenerative) and delirium.

 

Following up on the types of dementia…

— Dementia has experienced steady , even alarming, proliferation all over the world. Our understanding of the illness, as well as its etiopathology, or determining the cause of an abnormal state, has also improved. Dementias due to degenerative and vascular pathology form the most common types of dementias resulting in cognitive impairment.

—Vascular dementia is a decline in thinking skills caused by conditions that block or reduce blood flow to the brain, depriving brain cells of vital oxygen and nutrients. However, these conditions usually lead to irreversible impairment and cause significant morbidity and mortality among patients.

—Reversible dementia is essentially a group of conditions where dementia follows a reversible course provided these conditions are identified and managed early. Some of the causes of reversible dementias are Vitamin B12 deficiency, normal pressure hydrocephalus, thyroid dysfunction, anticholinergic (blocking of nervous system impulses) medications and depression.

 

Our Foundation: Healthcare Report Cards…

One of the keys to success at SMA is continually updating healthcare report cards for all patients.  Healthcare report cards, based on U.S. Task Force guidelines, serve as a medical biography for all our patients, updated with every visit throughout the patient’s cycle. They include our patients’ medical histories, family factors and genetics that may predict risks for diseases.

 

Our diagnostic modalities meet and exceed national quality measures, including but not limited to:

?  Echocardiograms and vascular studies for both arteries and veins

? Transcranial dopplers measuring the flow in the brain’s blood vessels as a risk assessment of impending strokes (one of the top three killers in U.S.)

? Holters, portable home devices that record every heartbeat continuously for as long as 21 days in the patient’s home environment, monitoring circulation and pressures in blood vessels and the brain.

? Our board-certified staff neurologist provides neuroscience services that are essential by monitoring brain activity through an electroencephalogram (EEG).

? Board-certified neuroradiologists and a cardiologist are affiliated with our practice providing professional services.

 

Call us at (973)672-8573 or make an appointment online.