multiple sclerosis treatment

Neurology Services

Loss of feeling or tingling, weakness or loss of muscle strength, sudden loss of sight or double vision, confusion, slurred or garbled speech, tremors, seizures, persistent or sudden onset of a headache – all serious symptoms of a neurologic condition that shouldn’t be ignored. Luckily, because of Firelands Regional Medical Center’s partnership with Advanced Neurologic Associates, treatment for a neurologic condition can be found close to home.

Our compassionate and experienced team of doctors and nurses at Firelands Regional Medical Center are proud to offer the following neurology services, including Multiple Sclerosis treatment, in Sandusky, OH.

Certified Primary Stroke Center

Primary Stroke Centers take stroke seriously from the minute a patient walks through the door. Time lost is brain lost. Most often, patients who have suffered a stroke can receive comprehensive care right here, because Firelands is a certified stroke center.

Firelands earned this distinction after the Healthcare Facilities Accreditation Program (HFAP) conducted an extensive and objective review of the hospital’s stroke program. This Primary Stroke Certifications shows that Firelands has the capacity to stabilize and treat acute stroke patients, provide acute care and administer tPA and other acute therapies safely and efficiently.

Firelands has been certified as a Primary Stroke Center since 2007. The stroke care provided at Firelands includes emergency care, including TeleStroke technology, diagnostic care, physicians specializing in stroke care, comprehensive rehabilitation and services to assist patients in recovery from stroke.

Neurodiagnostic Services

Firelands Regional Medical Center provides Electromyography (EMG) and Electroencephalogram (EEG) services at our main campus facility. All exams are performed and/or reviewed by the physicians at Advanced Neurologic Associates.

When a person exhibits signs and symptoms stated below, they may undergo the following neurodiagnostic procedures:

Electromyography (EMG)/Nerve Conduction Study (NCS)

This diagnostic procedure examines the health of muscles and nerves in the peripheral nervous system, which can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission. Examination consists of a Nerve Conduction Study (NCS) using surface electrodes to measure the strength and speed of signals traveling along a nerve. This is followed by the insertion of a needle electrode directly into the muscle to measure and record electrical activity within the muscle.

Symptoms of a nerve condition that may be diagnosed via electromyography include:

  • Numbness or loss of feeling
  • Tingling sensation of the extremities
  • Pain
  • Muscle rigidity
  • Decreased sensation in the extremities
  • Weakness
  • Muscle Spasms
  • Balance problems
  • Lack of coordination
  • Muscle wasting

Electroencephalogram (EEG)

EEG is a diagnostic procedure used to detect abnormalities related to electrical activity of the brain such as seizures, loss of consciousness, and episodes of confusion, among many other neurological conditions. This exam uses small metal discs with thin wires (electrodes) that are placed on the surface of the scalp to analyze electrical impulses in the brain, which are then transmitted to a computer where the results are recorded and interpreted.
Electroencephalogram may be used to evaluate symptoms including, but not limited to:

  • Staring episodes
  • Loss of consciousness
  • Confusion
  • Altered mental status
  • Seizure disorder
  • New onset seizures

ICU 24 hour continuous video/EEG monitoring (Inpatient Service)

Firelands Regional Medical Center continues to strive for excellence in every aspect of Neurological care. In collaboration with Advanced Neurologic Associates, our facility uses state-of-the-art equipment and technology to provide advanced seizure detection and monitoring right here at home.

The purpose of 24 Hour Continuous Video/EEG, in the intensive care setting is to detect the presence of subclinical seizures or non-convulsive status epilepticus. This diagnostic procedure allows physicians to identify changes in brain function, which may not be evident by neurological examination alone. This includes:

  • Diagnosis of non-convulsive seizures, non-convulsive status epilepticus, and other paroxysmal events.
  • Assessment of the efficacy of therapy for seizures and status epilepticus.
  • Assessment of level of consciousness in patients receiving intravenous sedation or pharmacologically induced coma.
  • Prognostication of patients following cardiopulmonary arrest.
  • Identification of ischemia in patients at high risk for cerebral ischemia

Once a condition is diagnosed, and in partnership with our neurologists, Firelands provides neurology services for the following common neurological disorders:

  • Alzheimer's disease
  • Birth defects of the brain and spinal cord
  • Brain aneurysm
  • Brain injury
  • Brain tumor
  • Cerebral palsy
  • Concussion
  • Dementia
  • Epilepsy
  • Guillain-Barre syndrome
  • Multiple Sclerosis
  • Muscular dystrophy
  • Neuralgia
  • Neuropathy
  • Parkinson's disease
  • Scoliosis
  • Seizures
  • Spinal cord injury
  • Stroke
  • Vertigo

Multiple Sclerosis Treatment: Infusions & Services

The Infusion Center at Firelands Regional Medical Center provides a beautiful, peaceful environment for Multiple Sclerosis treatments. Each of the 15 treatment bays is equipped with comfortable chairs and televisions. Three private rooms are available for those patients desiring privacy. These services are overseen by the physicians of Advanced Neurologic Associates, and a physician referral is required.

Did you know Firelands Regional Medical Center is the only facility in the area certified in the Lemtrada REMS Program for Multiple Sclerosis treatment and, with a prescription from a neurologist, is able to prescribe, dispense, or administer Lemtrada?

Firelands is also proud to offer Ocrevus, the first and only approved therapy for Primary Progressive Multiple Sclerosis.

Our full list of Multiple Sclerosis treatment services includes:

  • Tysabri
  • Solumedrol
  • IVIG (Octagam)
  • Alemtuzumab (Lemtrada)
  • REMS Enrolled/ Authorized Infusion Center
  • Ocrelizumab (Ocrevus)
  • Patient teaching & education

The Infusion Center at Firelands provides Multiple Sclerosis treatment services, including Lemtrada , Monday through Friday from 8 a.m. to 5 p.m. For assistance after 5 p.m., please contact the Nursing Supervisor at 419-557-7400.

Cognitive Clinic

The Cognitive Clinic at Firelands Regional Medical Center was established to provide a collaborative resource for those dealing with attention, memory, and decision-making issues as well as motor and language difficulties.
With a physician referral, this outpatient service:

  • Uses a multidisciplinary evaluation to appropriately diagnose patients by assessing multiple potential causes of cognitive impairment. This includes a thorough assessment of how this impacts all aspects of a patient’s life.
  • Develops a personalized treatment plan that will promote overall cognitive health and improved quality of life for both patients and families.
  • The clinic is staffed by the Neurologists of Advanced Neurologic Associates and is directed by Steven Benedict MD.
  • During this comprehensive outpatient visit the patient will be evaluated by a Registered Nurse, Speech Therapist and Neurologist.
  • The purpose of this evaluation is to accomplish several weeks of assessments in one visit.
  • Appropriate patients will be referred for prompt evaluation for:
    • Laboratory Testing
    • Radiographic Studies
    • Physical Therapy
    • Occupational Therapy
    • Neuropsychological Evaluation

Talk to your primary care physician to see if the above neurology services are right for you. For more information, please call 419-557-7400.

Reviewed by Jordan Manlet RN, R.NCS.T on February 06, 2018

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