Neurology diagnoses and treats disorders of the nervous system, including the brain, spinal cord, and nerves, as well as thought and memory.
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Neurology is the medical specialty focused on the diagnosis and treatment of disorders affecting the nervous system. This complex system includes the brain, spinal cord, and peripheral nerves, which control all body functions, from movement and sensation to thought and memory. A neurologist is a medical doctor who specializes in these disorders and treats a wide range of conditions that can impact a person’s quality of life.
For patients with vestibular schwannomas or meningiomas who undergo observation (a “wait and scan” approach) or radiation, regular MRI imaging is required. The goal is to detect any subtle growth early. Protocols typically involve annual scans for several years, then spacing out to every two or three years once stability is confirmed.
Hearing is also monitored serially. Even in stable tumors, hearing can deteriorate over time due to metabolic changes or subtle compression. Regular audiograms allow for the timely intervention with hearing aids or implants before auditory deprivation sets in.
Patients with cochlear implants, auditory brainstem implants, or bone conduction devices enter a lifelong partnership with their audiology team. The internal hardware is designed to last a lifetime, but the external processors are typically upgraded every 5 to 7 years to take advantage of new processing technology.
Routine maintenance involves checking the integrity of the skin over the implant and ensuring the magnet strength is appropriate. For bone anchored devices with skin penetrating abutments, daily hygiene is required to prevent local skin reactions or infections.
For patients who experience facial weakness following surgery or tumor growth, long term eye care is paramount. The inability to close the eye fully puts the cornea at risk for abrasion and infection. Lubricating drops, moisture chambers, and in some cases, gold weight eyelid implants are used.
Facial rehabilitation therapy helps patients regain symmetry and control. In cases of permanent paralysis, nerve transfer procedures (like masseteric facial nerve transfer) can be performed to restore movement. These require months of dedicated physical therapy to retrain the brain to use the new nerve source.
Living with chronic vestibular loss involves permanent lifestyle adjustments. Patients learn to rely more heavily on vision and proprioception. They may need to use night lights to navigate safely in the dark and use walking sticks on uneven terrain to prevent falls.
Travel requires planning. Airport security scanners can affect implants, and pressure changes during flight can cause discomfort. Patients are equipped with identification cards and specific protocols to manage their condition while away from home.
The invisible nature of hearing loss and balance disorders can lead to social isolation and anxiety. Long term care includes screening for depression and connecting patients with support groups. Meeting others who navigate similar challenges is often a critical component of emotional recovery.
Cognitive health is closely linked to hearing status. Untreated hearing loss is a risk factor for cognitive decline. By maintaining auditory input through devices and active listening, neurotology patients actively support their long term brain health.
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Typically, after 5 years of stability, the interval between scans can be extended to every 2 years, and eventually every 5 years, depending on your age and symptoms.
Most modern cochlear implants are MRI conditional, meaning scans are safe under specific conditions (like using a head wrap). You must always check your specific card and inform the radiology tech.
The internal part is designed to last your lifetime. Removal is only necessary in rare cases of device failure or infection. The external ear piece is what gets replaced and upgraded.
If you have single sided deafness, protecting your hearing ear is crucial. Wear hearing protection in noisy environments, avoid ototoxic drugs when possible, and treat any infections immediately.
Spontaneous recovery usually happens within the first 12-18 months. After that, improvement typically requires surgical intervention (like nerve transfers) followed by therapy.
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