|Mondays, Tuesdays & Thursdays||8:00am – 11:00am
2:00pm – 3:00pm
|Wednesdays, Fridays & Saturdays||8:00am – 11:00am|
As a consultant Neurologist and physician,
with acute stroke unit in Neuroscience Ward in Fatimah Hospital
I am treating acute stroke patients with intravenous thrombolysis procedure within window period
Aiming to improve clinical recovery of stroke patients as much as possible
Having world recognition from World Stroke Organization by attaining Diamond & Platinum Status for acute stroke care and as high performing centre in acute stroke thrombolysis in 2020.
Having physiotherapy with repetitive transcranial magnetic stimulation to maximise the rehabilitation outcome for stroke neurological deficit.
Offering Botox injection for post stroke spasticity to improve stroke recovery
Transcranial doppler to detect ongoing microemboli in stroke
Offering Epilepsy care service with 24 hour prolonged video EEG room to diagnose epilepsy and optimizing treatment for seizure and epilepsy cases with imaging of MRI brain epilepsy protocol.
Detect seizure, non epileptic seizure disorder and aim of achieving seizure free status in patients.
Evaluation and work up for possible epilepsy surgery in refractory seizure patients with prolonged video EEG.
Headache clinic with evaluation for headache causes including migraine, cervicogenic headache, tension headache, secondary headache including intracranial hypertension and infection. MRI brain to assess for cause of headache. Treatment to aim for headache free status.
Dementia , cognitive impairment and memory deterioration work up with MRI imaging and blood test work up. Treatment to improve memory and slowing down progression of memory deterioration, including degenerative disease like Alzheimer disease, Lewy Body dementia and frontal temporal lobe dementia. Detecting reversible causes of dementia.
Numbness and weakness symptoms which could be due to neuropathy, cervical or lumbosacral radiculopathy and brachial plexus pathology would be investigated and diagnosed followed by appropriate treatment. Aiming to reduce numbness to minimal. Evaluation is done by nerve conduction study and needle electromyography study and MRI spine.
Neuralgia pain symptoms to be investigated for secondary causes. Neuralgia include facial pain, tongue pain or ear pain like trigeminal neuralgia and glossopharyngeal neuralgia. MRI brain investigation to be followed with treatment to aim of pain free status.
Bell’s palsy or facial weakness to be treated promptly in order to achieve full recovery as much as possible with medication and physiotherapy and nerve conduction study.
Weakness bilateral upper limb and lower limb which could be acute sensory motor polyneuropathy or cervical myelopathy or myopathy to be investigated with nerve conduction study , needle Electromyography study and MRI spinal cord to assess for cause followed by treatment aiming for weakness recovery.
Eyelid drooping or proximal weakness and dysphagia possibility of Myasthenia gravis to be investigated with repetitive 3 Hz nerve stimulation study and treated.
Brain demyelinating disease like multiple sclerosis, neuromyelitis optica disease which could be improved with prompt treatment.
Brain infection like meningoencephalitis or brain abscess to be investigated with brain imaging and treatment based on infective agent.
Slowness and stiffness of limbs with tremor which are hallmark of Parkinson disease would be clinically assessed and treated. Aim of having a normal life quality by improving the movement of limbs with medication. Evaluation for further option of deep brain stimulation for Parkinson disease.
Other movement disorder would also be included with abnormal walking gait, blepharospasm, hemifacial spasm, chorea, tremor, ballismus, dystonia and cerebellar disorder for evaluation and treatment.
Botox injection for dystonia disorder.
Sleep study with Sleep lab in Neuroscience ward to diagnose patient with obstructive sleep apnea vs central sleep apnea. Aim to improve patients sleep pattern and sleep hygiene.
Detecting narcolepsy and cataplexy disorder with multiple sleep latency test in sleep lab.
Other medical illness like diabetes mellitus and hypertension control are also included in my service care.