Dr Andrew Chancellor
MBChB, MD, FRACP, FRCP

Neurologist
Bay of Plenty, NZ
 

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Consulting Rooms
149 Crawford Road
RD1 Tauranga 3171
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Phone: 07-552 4624
Tuesday & Wednesday
8.30am - 12.30pm

Fax: 07-552 4579

 


About neurology and what a neurologist does


A neurologist is a specialist physician, expert in the diagnosis and management of medical illnesses involving the brain, spinal cord, nerve and muscle.

Examples of symptoms which may indicate a neurological disorder include:
• memory failure and other thinking difficulty Neurons are nerve cells that transmit nerve signals to and from the brain
• blackouts, seizures or other turns
• headache
• many visual symptoms including double vision
• dizziness and vertigo
• speech and swallowing problems
• tingling, numbness
• pain in the face or limbs
• weakness
• tremor or other excessive movements
• imbalance and walking difficulty
• muscle weakness
• fatigue

A neurologist must also recognise emotional and psychological health influences (neuropsychiatry) such as anxiety, depression and other reasons why the nervous system does not function properly.

Examples of important neurological disorders are: Alzheimer’s disease, stroke, migraine, epilepsy, Parkinson’s disease, multiple sclerosis, motor neuron disease, peripheral neuropathies and head injury but there are many other rare neurological disorders.

A visit to a neurologist may be necessary for confident reassurance that symptoms are not due to serious illness.

Brain scan imagesAn accurate diagnosis, as far as possible, is the starting point for appropriate treatment. Usually this can be established after hearing the history of the illness and conducting an office based neurological examination. Sometimes a diagnosis requires time and follow-up examinations to ensure accuracy. Blood tests, brain scans, electroencephalograms or electrical studies of nerve and muscle (electromyography) may also help clinical decision making.

Management of neurological disorders continues to evolve with many examples of modern, innovative treatments. A neurologist is experienced in selecting appropriate and timely treatments, including referral to a surgical colleague when this is necessary.
Sometimes, management of neurological disorders can be symptomatic, supportive or palliative, without direct or specific treatment of the underlying cause. This is an important aspect of a neurologist’s work, often in conjunction with other health practitioners experienced in the management of neurological illness.