Neurological practice Dr Fidzinski

Electrophysiological examinations 

With the help of so-called electrophysiological examinations, we can measure the function of your brain, peripheral nerves and muscles. 

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In neurology, a distinction is made between different types of electrophysiological measurements:

1) Electroencephalography (EEG):
An EEG measures the electrical activity of the brain via several electrodes attached to the surface of the head. The activity is recorded for about 20 min and then evaluated. The EEG is a helpful method for diagnosing functional disorders of the brain such as epilepsies, dementias or disorders of consciousness. The EEG is painless and free of side effects.

2) Electroneurography (ENG) & Electromyography (EMG):
With these examinations it is possible to directly record functional disorders of nerves and muscles. While ENG electrodes are taped to the skin and the nerves are activated with light current stimuli, in EMG the electrical activity is recorded directly in the muscle with ultra-thin needles. Both examinations are a little uncomfortable, but usually well tolerated.

3) Evoked potentials (EPs):
EPs are recorded on the head in a similar way to EEG upon stimulation of a sensory system, e.g. vision, hearing or feeling. EPs are used, among other things, for diagnosing multiple sclerosis. 


In neurology, ultrasound is used in a variety of ways: mostly for examinations of the vessels supplying the brain to assess the risk of stroke, but increasingly also for imaging individual nerves, for example in peripheral nerve syndromes.

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Sonographic examinations, also known as ultrasound, allow painless imaging of the internal organs, vessels and blood flows with few side effects. In neurology, ultrasound is most often used to visualise the vessels of the neck and brain - calcifications, constrictions and malformations can thus be detected. The technique is used in cases of suspected stroke to identify possible causes, but also in stroke prevention and aftercare in certain patient groups.
In addition to vascular ultrasound, nerve ultrasound is another possible application. Nerve ultrasound can help to detect damage to nerves in constriction syndromes. Nerve ultrasound is not currently offered in our practice.

Basic psychosomatic care

In addition to biological causes, psychological and social factors also contribute to the experience of illness. Basic psychosomatic care should help to recognise these factors in time and adapt the treatment accordingly.

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Every illness can be understood as an interplay between the biological cause and psychological and social factors. The aim of basic psychosomatic care is to recognise these complex processes during the doctor-patient contact. In further treatment, the psychosocial factors can then be better taken into account and treated, e.g. by using certain conversation techniques. In the case of more pronounced complaints that go beyond basic care, further treatment is carried out in an interdisciplinary manner with the cooperation of psychotherapeutically active colleagues.

Specialized care

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Under certain circumstances, such as rare diagnoses or cases that are difficult to treat, it may be necessary to seek outpatient or inpatient co-treatment in a specialized consultation or clinic. Here we can draw on an existing personal network of colleagues. After consulting with a specialist, the subsequent treatment can be continued in our practice.