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NEUROLOGICAL DISEASES

My specialization lies in the diagnosis of various neurological diseases.

Female Medical Research Scientist Workin

FOCUS ON NEUROLOGY

Diagnostik und Therapien rund um Kopf und Nerven.

  • Headache

  • stroke

  • MS Multiple Sclerosis

  • epilepsy

  • Sleep disorder sleep medicine

  • Muscle and nerve diseases

  • Back pain

  • dementia

  • Parkinson

  • dizziness

  • Tinnitus

I offer diagnostics and therapy across the entire spectrum of neurology. This includes the treatment of common neurological conditions such as dementia, epilepsy, Parkinson's disease, multiple sclerosis, dizziness, meningitis, and strokes. A particular focus of neurology is the therapeutic treatment of headaches. Patients benefit primarily from my extensive experience in this field, with 2,000 consultations conducted annually.

NEUROLOGY IN THE CENTER

STROKE

A stroke often changes a person's life, as it can often lead to speech impairment, visual impairment, or paralysis. To reduce long-term damage, rapid acute care and early rehabilitation are essential.

Typical signs are

  • Language and speech disorders

  • Drooping corners of the mouth

  • Visual disturbances

  • Hemiplegia

  • Numbness on one side of the body

Diagnostics

  • Ultrasound examination of the arteries supplying the brain (Doppler / duplex sonography)

  • Computer and magnetic resonance imaging of the brain (including the vessels supplying the brain)

  • Catheter examinations of the cerebral vessels

  • Long-term recording of heart rhythm and blood pressure as well as all cardiological examination procedures

therapy

This includes, among other things,

  • Systemic and local thrombolysis

  • Interventional thrombectomy

  • Hemicraniotomy

  • Extraventricular cerebrospinal fluid drainage

MS MULTI SCLEROSIS

diagnosis
Multiple sclerosis usually begins in young adulthood and can develop and present in a variety of ways. New diagnostic criteria allow MS to be diagnosed at a very early stage. However, a very thorough examination is necessary to definitively rule out other causes.
therapy
Early initiation of treatment can delay disease progression and the onset of disability. For more severe cases, new medications are increasingly being developed, but these require intensive monitoring.
The Department of Neurology at Nordwest Hospital is one of the largest acute neurology departments in Germany. Because multiple sclerosis can affect a wide variety of areas of life, we have a multidisciplinary team (MS nurses, nursing and social counseling, neuropsychology, and physiotherapy) at your disposal.

EPILEPSY

Epilepsy ("falling sickness") is one of the most common temporary brain disorders. It is characterized by epileptic seizures: nerve cells (neurons) in the brain suddenly fire synchronous and uncontrolled impulses for a short period of time.

Such a seizure can vary in severity, and the effects are correspondingly variable. For example, some patients experience only a slight twitching or tingling of individual muscles. Others are briefly "absent." In the worst case, an uncontrolled seizure of the entire body occurs, leading to brief loss of consciousness.

Meningitis

  • The pathogens that cause meningitis are usually bacteria or viruses.

  • The characteristic symptoms of meningitis are headache, stiff neck and fever.

  • A final diagnosis is made after a lumbar puncture.

  • The treatment of meningitis depends on the causative pathogen.

  • Some vaccinations protect against the pathogens that cause meningitis.

PARKINSON

frequency

Parkinson's disease (Parkinson's disease) is one of the most common neurodegenerative diseases. Approximately 10 million people worldwide are affected by Parkinson's disease. In Switzerland, the number is over 15,000. The number is expected to increase in the coming years. The majority of patients are over 60 years old at diagnosis. Men are slightly more frequently affected than women.

Heritability

In rare cases (less than 10%) the disease is inherited and can be traced back to a specific genetic defect.

Life expectancy

The life expectancy of people with Parkinson’s disease is about the same as that of healthy people.

What happens in the body

Parkinson's disease is a neurodegenerative disorder characterized by progressive damage to dopamine-producing nerve cells in the brain (substantia nigra). The resulting deficiency of the neurotransmitter dopamine leads to various motor disorders. These can be effectively treated with L-dopa, the precursor to dopamine.
Early in the course of the disease, nerve cells in other regions of the brain that are unrelated to dopamine production also begin to die. This leads to a series of symptoms (e.g., autonomic dysfunction, pain, sleep disturbances, psychological symptoms) that become increasingly distressing for those affected as the disease progresses.

DEMENTIA

As society ages, memory problems and dementia play an increasingly important role. But when are memory problems still a sign of a normal aging process or are they early symptoms of the onset of dementia?


Diagnosis is often made late. This is primarily because those affected and their families attribute the symptoms to old age. However, early detection is crucial in dementia, especially to rule out other causes.


Causes of dementia


The most common form of dementia is Alzheimer's disease, and its cause remains unknown. However, mixed forms often occur, for example, with additional circulatory disorders, which is why differentiated diagnostics are so important.


Malnutrition, metabolic disorders, inflammation of brain structures, or disruption of cerebrospinal fluid flow can also be the cause of dementia. Since these conditions can usually be treated effectively, a thorough examination of patients with symptoms of dementia is essential.

Diagnostics and services

  • Neuropsychological testing for early detection/exclusion of pathological memory disorders

  • Diagnosis of other diseases with dementia symptoms using EEG, laboratory and cerebrospinal fluid diagnostics

  • Advice and therapy recommendations

  • Education and information for patients and relatives


therapy


Treatment depends on the cause. Medication is often considered.


Opening hours
Monday - Friday
8:30 - 12:30
2:00 PM - 5:00 PM

+41 52 222 03 03

Dr. med. (RO)
Nicoleta - Georgiana Schiess

Löwenstrasse 65

8001 Zurich

Reception on the second floor

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©2020 Practice for Neurology and Headaches.

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