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neurologia

Neurology

 

Neurology is dealing with diagnosing and curing the diseases of the central and peripheral nervous system. The neurologist examines the function of the brain and the spinal cord (central nervous system), and the nerves starting from the central parts and extending to the whole body (peripheral nervous system). Neurological diseases have a broad variety of symptoms which are commonly not emerging alone, but in the form of complications of other organs or organ system’s diseases.

 

  • Migraine
Migraine is a special form of headache, the term is commonly used as the synonym for a strong, long lasting headache. The usually unilateral headache is commonly associated by a period called “aura”, during which the patients have visual disturbances eg. see vibrant lights. Movement disorders can also occur. This neurological disease affects 10% of the population. It is three times more common in women than in men. The pain is usually recurrent, pulsating, unilateral and presents itself as an attack. It can be associated by feeling and being sick and being hypersensitive to light and sound. The exact cause of the disease is not known, it is suspected that the symptoms are caused by the spasm and subsequent dilation of the cerebral vessels, and some functional disorder spreading as a wave from back to front. Its incidence has increased 2 or 3 fold in the industrial countries in the past 40 years, therefore it is presumed that the environmental and lifestyle factors also play a role in its development. In susceptible individuals, some substances or some situations may cause an attack. These include hormonal changes, stress, sleeping disorders and food. These factors differ from individual to individual and can be cleared up by keeping an accurate record of the attacks. The most common attack factors are stress, disturbed circadian rhythm, sleep deprivation or too much sleep and also environmental factors. In some cases attacks occur after the stress has subsided, eg. at weekends. The most common environmental factors are the weather and odours. In women the cyclic hormonal changes can also commonly cause an attack. Half of the women suffering from migraines are affected by this problem. The most susceptible time is the period after ovulation or the phase when inactive birth control pills are taken. Two thirds of the patients see a correlation between consuming certain foods or psychoactive substances and the occurrence of the attacks. The most common such substance is alcohol. Besides foods and psychoactive substances containing glutamate, tyramin, histamine and serotonin, such as red wine, chocolate and cheese can also commonly cause attacks. Coffee is also a common factor to blame. However several patients in the aura phase crave for some foods or psychoactive substances, and they erroneously correlate the craving with the attack. Thus the attack-causing role of food and psychoactive substances are overestimated. Some medicines, particularly NO releasing vessel dilator drugs can also cause attacks.

 

  • BPPV
The benign paroxysmal positional vertigo is a quite common dizziness disease of the inner ear. In medical documentation it is commonly referred to as benign paroxysmal positional vertigo or BPPV. The word paroxysmal means that the disease occurs in attacks. The disease is caused by small crystals present in one of the semicircular canals of the vestibular organ, which are responsible for the sensation of the rotational (non-linear) component of the movements. After changing the head’s position and after the cessation of the movement, the crystals – due to gravitation – start to sink towards the deepest point of the ear canal. This sinking generates a signal in the canal, as if there was a rotational movement. The level of dizziness provoked – depending on the size of the particle, the speed of sinking, the duration of the disease and presumably many other factors – can vary from mild to “devastating”.

 

  • Stroke
The acute cerebrovascular accident, commonly called a stroke, is a functional disorder caused by the slowdown of the oxygenic blood perfusion that can be the result of the occlusion of the supplying vessels due to atherosclerosis, or bleeding due to cracking or rupture of the vessel walls. The symptoms can have more causes. There are two main mechanisms of the cerebral vasculature perfusion disorder, which can - without medical intervention - cause palsy or even death: the occlusion of the arteries supplying the brain with oxygenous blood by ischaemic or thrombotic processes or a bleeding due to arterial embolisation, i.e. vessel wall rupture. However in the case of occurring stroke symptoms, such as unilateral palsy or insensitivity, speech disorder, cognitive disorder, dizziness, loss of vision, one cannot wait for a more precise or differential diagnosis because every moment counts in the effort to avoid death or even just paralysis. The patient needs immediate medical intervention within 3–4 hours. The required action in such case is to put a patient in a resting position, call the ambulance and take the patient to the nearest hospital. Immediate help is much more important than determining the accurate cause of the accident. The suddenly onset accident – stroke or brain infarction – must be immediately treated because that is how we can improve the survival ratio of the cerebrovascular accident.

 

  • Diabetic neuropathy
Neuropathy is one of the late complications of diabetes. It is a disease of the nervous system presenting with variable symptoms caused by mainly small vascular damage. Vascular damage results in the impairment of the myelin sheath of the nerves which leads to signal conduction process disturbances. The disease can also be painful: tingling sensation, pain or pricky sensations of the feet, as if you were wearing a sock when you’re not. Or it can be associated by weakness, muscle atrophy and it can also cause heart symptoms, erection problems and dyspepsia. It is a disease of the nerves which develops during diabetes. Its occurrence depends on the duration of the disease and the control of the blood glucose level. After 10 years of diabetes, 50% of the patients suffer from neuropathy. Its cause is not fully understood, presumably it is caused by glucose which damages the small vessels supplying the nerves. The most common form of the disease is the so called sensory neuropathy, which is the disease of the sensory nerves, and it is characterised by pain and numbness of the hand and feet as if you were wearing a sock or a glove when you are not. The pain sensation is diminished, and thus the patient does not notice the injuries or only at a later timepoint. There is a rarer form, the so called motor neuropathy, which causes muscular atrophy. The autonomic neuropathy is also a common form of the disease and can cause internal organ function disorders such as tachycardia, erection disorders, delayed gastric emptying, constipation or even diarrhoeal attacks. It is typical that the occlusion of the coronary vessels is progressing in a painless way (”silent heart attack”).

 

  • Parkinson’s disease
Parkinson’s disease or “shaking palsy” (paralysis agitans) is a slow progressing, degenerative neurological disease, similar to Alzheimer’s disease. According to the current state of medicine, the disease has no cure, but it can be well controlled. The disease is named after the English doctor James Parkinson (1755–1824), who published the first detailed description of it. The main pathological characteristic of the disease is the destruction of the brain’s basal ganglia. The first symptoms occur mostly between the patient’s 50s and 60s years of age. The basal ganglia which are responsible for the fine movements are destructed and the amount of the main neurotransmitter molecule dopamine is also decreased. The cause of the disease is mainly unknown, but it can be caused by neurologic infections and other degenerative diseases, and also medicines e.g. antipsychotics or even drugs. It has three main symptoms: shaking (tremors), muscle rigidity and slowness of movement (bradykinesia). Other symptoms are seborrhoea and “facial masking” (hypomimia). In later stages also postural instability and low blood pressure can also be present. The most difficult tasks for the patient are to start movements, like standing up and setting out. The disease is commonly associated by depression and slow thinking.

 

  • Epilepsy
Epilepsy is the common name of neurological diseases characterised by epileptic convulsions or fits. During an epileptic seizure, increased electrical activity can be detected at certain areas of the brain which can cause a variety of symptoms ranging from short impairment of consciousness, usually lasting no more than a few seconds to a so called “grand mal” fit affecting the whole body and lasting for minutes. Epileptic convulsions can also be caused by external impacts, but the epilepsy disease itself is characterised by spontaneous and recurrent fits. The diagnostic criteria for epilepsy is at least two spontaneous epileptic seizure occurring at least 24 hours apart. The exact cause of the epilepsy is unknown, however the role of some genes coding ion channels involved in the electric conduction of nerves has emerged. In some cases epilepsy is caused by another disease (eg. brain tumour, stroke, toxication), then it is called secondary epilepsy contrary to the unknown origin form called primary or idiopathic form. The diagnosis is mainly based on the observed convulsions and the EEG examination results of a provoked convulsion. In 70% of the patients convulsions can be controlled by appropriate medical treatment, in the remaining cases surgical intervention is necessary.

 

WHEN IS IT RECOMMENDED TO CONTACT A NEUROLOGY SPECIALIST?

  • Numbness, weakness, pain in the extremities
  • Palsy
  • Common dizziness
  • Permanent headaches
  • Sleep disorders
  • Common memory deficit
  • Balance problems
  • Transient loss of consciousness
  • Visual disturbances
  • Lower back pain

 

THE NEUROLOGY SPECIALIST EXAMINATION PROCEDURE

At first consultation, the neurologist listens to the patient’s complaints, their medical history and their potential genetic disorders. If the reports of previous neurology examinations are available, then the doctor reviews them. Afterwards the specialist performs the physical examination, during which he or she checks among others, the coordination, the reflexes, the function of the muscles and cranial nerves, and evaluates the level of the pain. Based on the results the specialist recommends an individual therapy, or if needed, further tests for the patient.

 

OUR SPECIALISTS

Dr. Horváth Rita

Dr. Horváth Rita

kaposzta zoltan profil1

Dr. Káposzta Zoltán PhD

szilagyi geza profil1

Dr. Szilágyi Géza PhD

 

HOW CAN I PREPARE FOR THE EXAMINATION?

Please bring all of your previous medical records to the first visit, in particular the results and data of neurological tests. If an X-ray, ultrasound, CT or MRI examination have taken place, then their report and scans should be brought (possibly on CD or other media).
  • Neurology

    OUR PRICES

    2018
    2019. jan. 01-től
  • Neurology specialist examination
    18 500 HUF
    19 500 HUF
  • Neurology specialist examination + ultrasound examination of the cervical vessels (carotid)
    25 900 HUF
    26 900 HUF
  • Neurology follow up examination
    14 500 HUF
    15 500 HUF
  • Neurology follow up examination + ultrasound examination of the cervical vessels (carotid)
    22 900 HUF
  • Prescription writing(based on prior specialist's examination by the same specialist)
    4 000 HUF
    4 000 HUF
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1132 Budapest, Visegrádi u. 74.

Parking:

On the street, fee paying zone
On working days between 8:30 AM to 06:00 PM: 440 HUF / hour

Mobile parking:

06 ## 763 0134 + ABC123
Please send your license plate number to the above phone number. The # means the prefixes (20/30/70) of your telecommunication service provider. On leaving please send the word "STOP" to the same number.