Disorders of our memory, memory gaps, listlessness, or personality changes can be symptoms of incipient dementia. Our goal is first the separation between a e.g. "Normal age forgetfulness" and a dementia in the sense of a progressive disease. Hand in hand with our neurological specialists in such a case is the longest possible assurance of the existing quality of life. To do so, we first examine the various causes of dementia, not least in order to find alternative explanations of the common causes such as Alzheimer's disease or circulatory dementia and then treat them more purposefully. A third pillar in the care of dementia patients is, in addition to diagnostics and therapy, the education and social support of those affected and their relatives.
Depression is one of the common mental illnesses and is often overlooked or diagnosed very late. In individual cases, this means long suffering for the patients. In addition to standardized diagnostics, we offer a combined therapeutic approach of modern pharmacological options and evidenced psychotherapeutic procedures. Our focus here is the care of "therapy-resistant" diseases and of people with multiple diagnoses, e.g. in combination with a physical illness.
Bullying is a personal emergency situation. In addition to practical life support and supportive care, it is important to recognize a differentiation to psychiatric disorders. Of course, stress situations such as bullying often lead to depressive symptoms. But this does not inevitably lead to depression in the medical sense. Relevance to this distinction in the question of a therapy. While reactive symptoms are more accessible to psychotherapeutic interventions, underlying disorders often require drug therapy.
Sleep disorders can be distressing. In addition to organic causes, which u.a. can be diagnosed by our ENT specialists and possibly treated, there are also non-organic sleep disorders. Disproportionately often you will find this mental disorders, which ultimately not only cause suffering at night. Therapeutically, the "sleeping pill" is always a temporary option. The aim of our treatment is an individual, long-term improvement of the symptoms.
"I do not just fancy that!" This is the most frequent train of thought of the patients, with whom one discusses the possibility of an at least partially psychodynamically borne, although clearly physically felt symptoms. It is also not about the complaints are conceited, the affected person thinks out the symptoms or even simulated. Somatoform discomfort means as bad a sufferer as a physically borne illness. We see our task in the, after definitive exclusion of organic causes, detection of such diseases. We address the topic with the patient and discuss possible therapeutic approaches.
The first epileptic seizure is always an event that involves many questions. If the actual cause of the seizure poses a medical challenge, the patient often has to ask other questions. Do I always have to expect seizures now? What will become of my driver's license? Can I continue my job? What will happen to my wish for a child? What do I have to pay attention to, what should I avoid? The answer to these questions requires a comprehensive diagnosis and individual examination of the life situation of the person affected.
Tumors of the nervous tissue and its appendages are often conspicuous in neurological diagnostics and usually delivered to a neurosurgical therapy at one of our clinical partners. During and after the therapy (surgery and for example chemotherapy or radiation) we also care for severely ill patients in intensive cooperation and close consultation with neurosurgeons and radiotherapists. In addition to the treatment of the possible sequelae of the disease (epilepsy, pain, nausea, mental changes), we also see ourselves as the first contact person for those affected and the relatives in this difficult time.
The carpal tunnel syndrome is a common disorder of the peripheral nervous system, more specifically the median nerve. Due to various causes, there is increased pressure on the nerves around the wrist. To decide on the right therapy strategy, a standardized electrophysiological quantification of the damage takes place. The diagnostic procedures become more complex in overlapping or competing damage mechanisms, e.g. with additional damage in the area of the cervical spine. Other so-called bottleneck syndromes (sulcus ulnaris syndrome, tarsal tunnel syndrome, etc.) are also diagnosed in our electrophysiological laboratory.
Headaches should first be examined in their cause. To this end, we standardize various technical investigations (MRI, EEG) to exclude a verifiable functional or structural aetiology. In a second step, an individual treatment plan is then prepared based on the presumed headache syndrome. This can range from non-drug to need-based drug treatments to complex prophylactic strategies.
The suspicion of a neurological systemic disease often arises in otherwise unclearly attributable complaints. Associated with this are fears and the comprehensible desire for a quick and comprehensive clarification. As a focus practice for neuroimmunologically mediated diseases, especially MS, we take these fears very seriously. We are able to carry out all decisive diagnostic procedures on an outpatient basis quickly (including lumbar puncture) and, as a rule, make a clear statement after a few days. In the case of an MS diagnosis, we offer the entire spectrum of all available therapeutics, from the tried and tested basic therapies to monoclonal antibody therapy, methotrexate or even the so-called "orals", ie the modern therapeutics in tablet form. In this context, we are particularly proud that we are able to offer therapeutics in the developmental stage through regular participation in clinical pharmacological studies, as well as gain experience in the use of these preparations in the case of authorization. The close cooperation with the in-house physical and cognitive forms of therapy completes the supply of these serious forms of illness.
The damage to the peripheral nerves for example, diabetes mellitus ("diabetic foot") is a common complication of metabolic diseases, intoxications or chemotherapy. In addition to the diagnosis and graduation, we can make statements on the prognosis and symptomatic therapy.
Back pain is one of the common complaints in medical practices. The causes may be functionally related to a dysbalance of the musculoskeletal system. However, structural changes such as the herniated disc can also lead to the painful symptoms. The nerve is in the majority of cases the "victim", rarely the actual cause. Nevertheless, a neurological diagnosis is often necessary. Whether to balance the different causes or to determine the extent of nerve damage, e.g. as the basis of an OP recommendation. In a neurological-pain-therapeutic combination, we can also provide recommendations for a definite therapy of the neuropathic component of the pain in addition to your care by the family doctor, the orthopedist or surgeon.
Dizziness can have many causes. Statistically, these are rarely found in the neurological field. However, the potential neurogenic causes are often associated with serious diseases, which justifies a related environmental diagnosis. In addition to a functional representation of the involved in the balance of brain structures, we therefore recommend in most cases, a high-resolution representation of the brain, including the brainstem (MRI).