Clinical Neurophysiology Lab

Greater Rochester Neurology offers a recently updated, on site, clinical Neurophysiology Lab for your patients that require extensive electrical testing. Such as individuals that could have Multiple Sclerosis, Radiculopathies, focal and generalized neuropathies, and spinal cord disease.

Patients have easy access free parking and are scheduled in a timely manner. Our technologists conduct Evoked potentials and EEG’s in a relaxing environment. We accommodate all adult and adolescent pediatric patients for ambulatory routine and sleep-deprived EEG’s.

Additionally, each of our physicians has their own neurophysiology lab so that they can tailor the EMG/NCS based upon the patient’s physical examination and clinical history. Our physicians perform their own NCS, unlike many other Neurophysiology labs, where technicians are completing the electrical examinations.

Migraines

Migraine is a highly prevalent and frequently debilitating medical disorder, For the nearly thirty million Americans afflicted with Migraine, the pain and associated symptoms of a Migraine attack can lead to absenteeism, “presenteeism” with decreased work productivity, and missed time with friends and family. Quality of life is reduced for Migraine sufferers.

Over the past fifteen years, we have seen a virtual revolution in the diagnosis and management of Migraine. Migraine is more than just a headache. It involves activation of genetically prone brain cells. This eventually generates an electrochemical firing of the pain-modulating system in the brain stem. This is a highly complex region of the brain, rich in such neurotransmitting chemicals as serotonin and norepinephrine. The resulting flare-up activates the trigeminal vascular system on the surface of the brain which results in the throbbing pain of Migraine. What was learned recently is that the supporting glial cells in the brain stem perpetuate the inflammation by producing and releasing the highly irritating prostaglandins.

Migraine can be a progressive disorder. Our goal is to try to prevent frequent attacks. This involves using both pharmacologic and non-drug techniques. Life-style management is a key component in modulating such triggers as missing meals, too much or too little sleep, and stress. Any pleasurable aerobic exercise, three times a week can be preventative. Early interventions with disease-specific medicines [triptans] and anti-inflammatory agents have proven very effective in treating an acute attack. The goal is to attain sustained pain freedom within two hours and return to reasonable function.

New and effective preventative and abortive managements are just on the horizon. There is great hope for the future!