Neurology practice for adult patients
Dr. Renáta Szentgyörgyvölgyi is a neurologist who performs the medical check-up and therapy of neurological diseases in our outpatient clinic:
- Sleep disorders
- pathologies with pain, sensation and movement disorders
- Stroke prevention and care
- Dementia (senile dementia, mental decline) and Parkinson’s disease care
Neurological assessment and the treatment procedure
We are waiting for our future patients after booking an appointment – if necessary by telephone – in our office in Ilosvai Street, in the 14th district of Budapest.
Neurological patients often need assistance to carry out daily activities or may have limited mobility in some conditions, so a relative may accompany the patient to the examination.
Important: neurological examinations (especially the first one), depending on the patient’s complaint and the thoroughness of the examining doctor, can sometimes take a long time.
About the neurological examination
The examination always starts with taking a thorough and accurate medical history, where previous illnesses, therapies, surgeries and interventions are discussed and recorded. At the first visit, it is advisable to bring along the patient’s previous medical records, a list of medications taken, blood test results preferably not older than 2 weeks and a blood pressure and/or headache diary kept at least for a one-week period. (See below for how to keep a pain diary.)
The neurologist will also ask about family history: whether there is anyone in the family with the same or similar complaints or diagnosed conditions.
The discussion of the complaint is followed by a physical examination, which consists of registering a shorter internal status and a longer neurological status.
If necessary, the attending physician may ask for further tests (laboratory, imaging, CT, MRI, etc.) in order to clarify the diagnosis or to choose the right therapy.
After a personalized therapeutic proposal, a discussion of the follow-up examination closes the examination.
Neurological treatment together with other specialties – if necessary
Neurological care is a team effort, which is based on close cooperation and collaboration between professionals from different specialties (doctors, nurses, physiotherapists, psychiatrists, dietitians, etc.). The involvement of other professionals is often necessary to achieve the right therapeutic result.
What is a pain diary good for?
A pain diary, kept at home, should include the following details:
– the exact location of the pain,
– the time when the pain occurs,
– the duration of the pain,
– nature of the pain (dull, stabbing, impact-like, throbbing, “ant crawling”-like etc.),
– is there a pain triggering factor, an antecedent (aura) or accompanying symptom?
– what triggers, increases and decreases the pain?
– does it affect or hinder the patient’s daily activities (should the patient stop what he/she is doing)?
Neurological diseases can be indicated by a variety of conditions accompanied by persistent pain, such as:
- facial nerve pain,
- spinal, back and neck pain
- disc herniation causing back and low back pain
- disorders of the blood supply to the brain (stroke)
and many other symptoms for which the pain diary can provide useful assistance in investigating and making an accurate diagnosis.