Neurology Clinic
Neurology Clinic
The Neurology Clinic is highly specialized medical facility dealing with prevention, diagnosis and treatment of all neurological diseases (cerebral vascular diseases, multiple sclerosis, neuromuscular diseases, epilepsy, extrapyramidal disorders, demency, …) It boasts the state of the art medical equipment. It is the unique in Serbia for having introduced the multiple sclerosis stem cell therapy.
Procedures
The Clinic performs diagnostic and therapeutic procedures for the treatment of the following diseases:
Vascular diseases
• Brain attack;
• Color Dopler of blood vessels of the neck;
• Trancranial Doppler (TCD) of the blood vessels of the head;
• Emboli detection;
• Bubble test;
• Continuous TCD and TCD monitoring;
• Vasomotor reactivity, and
• Preparation for endarterectomy and stent placement.
Demielizing disease of the Central Nervous System (multiple sclerosis)
Neurology Clinic offers full range of diagnostic services which include:
• all evoked potential modalities (Somatosenzory evoked potentials-SSEP,
Visual Evoked Potentials-VEP, AEPMS, Motor Evoked Potentials-MEP, Cognitive Evoked Potentials-CEP), liquor analysis (cytochemical analysis, immunoglobulins, albumins, oligoclonal responses, IgG), and
• diagnostic procedures by which all alternative diagnosis can be excluded and which may be differentially diagnostically used upon establishing diagnosis of disseminated demielizing disease of the Central Nervous System;
• MRI of endocranium and medulla spinalis, in coordination with the Radiology Institute;
• Therapeutic procedures for acute deterioration of the diseases (relapses), symptomatic and physical therapies, and
• Immunodulatory therapies (interferon (INF) beta) performed with 10 year experience.
Neuromuscular diseases
• Myastenia gravis
- Diagnostics: clinical examination, repetitive stimulation test
- Therapy: per oral antiholinesterious and immunosuppressive therapy, timectomy, therapeutic exchange of plasma
• Polyradiculoneuritis accuta (Gullian-Barre)
- Diagnostics: clinical examination, lumbar tap, liquor analysis, electromioneurography (EMNG)
- Therapy: therapeutic exchange of plasma, physical therapy
• Polyneuropathiae and myopathiae (metabolic, hepaditarnal, immunologically related, paraneoplastic)
- Diagnostics: clinical examination, electromioneurography, lumbar tap, cytochemical, immunological and infectological analyses of liquor and liquor analysis for malignant cells along with all necessary laboratory blood analyses (complete blood count, vitamin B12 in the blood, thyroid gland hormones, immune complex and crioglobulins, daily glycemic profile, HbA1C, Borelia Burgdorferi, VDRL)
- Therapy: Immunodulatoral (therapeutic exchange of plasma), immunosuppressive and per oral therapies as well as physical therapy
• Amiotrophic lateral sclerosis (ALS)
- Diagnostics: clinical examination, electromioneurography, laboratory analyses of the blood and liquor, MRI of the head and the neck
- Therapy:
Epilepsies
- Diagnostics: clinical examination, laboratory analyses, drug concentration in the blood, standard EEG, sleep-deprived EEG , 24-48-hour EEG holter monitoring, EEG video monitoring in clinical setting.
- MRI, CT and MSCT in coordination with the Radiology Institute;
Sleep disorders
- Diagnostics performed using the state-of-the-art machine for polysomnography, 24-48-hour EEG holter monitoring, poligraphic recording of canals with the possibility of software analysis of the sleeping phase
Services of the Neurology Functional Diagnostic Unit (4th floor, Room No 52)
- Standard electroencephalography (EEG);
- EEG after sleep deprivation;
- 24 -hour EEG holter monitoring,
- sleeping EEG in children to 3 years of age;
- Standard electromioneurography (EMNG);
- Blink reflex;
- Neuromuscular transmission test;
- Somatosenzory evoked potentials (SSEP)
- Visual Evoked Potentials (VEP);
- Cognitive Evoked Potentials (KEP);
- Motor Evoked Potentials (MEP)
The Medical Neurology Service exists since 1924, and the current organizational structure of the Neurology clinic was adopted in 1984.
Organizational structure
The Clinic comprises two 24-bed clinical departments. So, it operates 48 beds all together. It also has Functional Diagnostic Unit and Neurology Ward operating within the framework of the Outpatient Diagnostic Clinic.
On average, the Clinic daily operates at 80% of its full capacity. The treatment and examination of civilian self-pay patients does not exceed 5 days. The average number of examinations range between 10 and 15, and about 20 patients per doctor are seen at the Neurology Cabinet each day. The Neurophysiology Ward performs 16 EMNG and 15 EEG on daily basis and 6 batteries of evoked potentials on Wednesdays. The Department performs between 8 and 10 ultrasounds imaging of the neck blood vessels and 2 to 3 TDCs.
As far as the treatment costs are concerned, the Neurology Clinic is one of the clinics with the least consumption rate for medical material.
Medical team
The Neurology Clinic’s experts are highly qualified and skilled. It can be illustrated by the fact that of all available doctors operating within the Neurology Service framework, 7 have defended their doctoral dissertation, 6 of whom hold the titles of professor, assistant professor, or fellow researcher. The Clinic also has well qualified and trained medical technicians.
Head of the Neurology Clinic
Col. Prof. Dr. Ranko Raičević
Head of the Neurology Clinic Department
LtCol. Assist. Prof. Toplica Lepić
Head of the Neurology Functional Diagnostic Unit and Ward
Maj. Prof. Dr. Tihomir Ilić, neurologist
Assist. Prof. Dr. Evica Dinčić, neurologist
Assist. Prof. Dr. Vesna Martić, neurologist
Assist. Prof. Dr. Dragana Obradović, neurologist
Assist. Prof. Dr. Dragana Veljančić, neurologist
Assist. Prof. Dr. Nenad rajšić, neuropsychiatrist
Assist. Prof. Dr. Snežana Stanković, neurologist
LtCol. Milovan Zečević, MD, neuropsychiatrist
Maj. Đole Jekić, MD, neurologist specialist
Maj. Željko Krsmanović, MD, neurologist specialist
Capt. Željko Bošković, MD, neurologist specialist
Smiljana Popović, MD, neurologist specialist
Vesna Čedić, MD, neurologist specialist
Jelica Veličković, neuropsychiatrist
Spomenka Živković-Proročić, MD, neuropsychiatrist
CONTACT:
Neurology Clinic, MMA, Belgrade, 17 Crnotravska St.
• MMA’s Information Office: +381 11 2661 122, 2662 755
• Head of the Clinic, Col. Prof. Dr. Ranko Raičević: +381 11 3608 113, 2663470
• Clinic’s Administration Office: +381 11 3608 113
• Neurology Ward: 381 11 3609 346
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