There is the strict diagnostic
standard by various examination about neurological diseases. Our
clinic has no such large scale equipments, so we will discontinue
the consultation for patients of neurological disorder. However,
we can accept patients already diagnosed as neurological diseases.
other clinical department
The subjects of Neurology are macroscopically abnormal state such as organic disorders of brain, nerve system and muscles, symptoms due to these disorders, and related diseases with these disorders. Main target diseases are cerebral infarction, Parkinson syndrome (disease), dementia, epilepsy, headache, multiple sclerosis, encephalitis・meningitis, neuritis, muscle pain etc. Also, neurology's other subjects are numbness, tremor, drop of muscular strength etc.
between Psychosomatic medicine and Psychiatry
The subject of Psychiatry is mental disorder. The main diseases of Psychiatry are general atresia (schizophrenia), manic-depressive disorder, neurosis due to over stress, amsomnia and some psychosomatic disorders etc. Usually various examinations about brain and nerve system such as CT, MRI, Angiography, Electroencephalography, SPECT, Electromyography and some biochemical blood examination in these diseases show no organic abnormal finding, and also nerological examination doesn't reveal any abnormal finding. On the other hand, neurology deals some disorders due to inflammation, degeneration, tumors, vascular disorders, metabolic anomaly and hormonal disorders in nerve system including cerebrum, cerebellum, spinal cord, peripheral nerves and muscles (mentioned above).
(2) Psychosomatic Medicine
Psychosomatic Medicine is not so common as Neurology. The main subject of the psychosomatic medicine is the disorder related the stress (psychosomatic disorder). Some internal diseases caused by various stress due to mental and social factors in the patients' lives are the main target of the psychosomatic medicine. They are, for example, gastric ulcer (over-work and irregular dietary habits), acute pancreatitis (over-drinking), irritable bowel syndrome, asthma except allergic cause, some hypertension and some angina etc. The case with only mental disorder by anxiety etc is the subject of psychiatry, but the case that anxiety makes a person feel abdominal pain and diarrhea like irritable bowel syndrome, asthma seizure and elevation of blood pressure (these are the internal diseases) is the subject of psychosomatic medicine.
B）The affiliated departments with Neurology
Neurosurgery deals disorders of nerve system, but the subject is limitted to some diseases which need operation of brain and spinal cord. They are tumors of brain and spinal cord, aneurysm which can be a cause of subdural haemorrhage, chronic subdural haematoma and brain injury etc. Headache and cerebral infarction etc are common subjects to both neurology and neurosurgery.
The subject of orthopedics is similar to the subject of neurology. They are lumbar pain and numbness of extremities etc. The main targets of orthopedics are disorders of the skeletal structure, and numbness and pain due to these disorders. When you compain of deformity of the joint, inflammation and dislocation etc which their causes are clear, it is better to consult a doctor of orthopedics first.
The symptoms such as dizziness or vertigo, buzzing (tinnitus aureus), difficulty in hearing, hoarseness and difficulty of swallowing are also subjects of otolaryngology. Vertigo (dizziness), buzzing and difficulty of hearing are symptoms of both otolaryngology and neurology. In the former case, disorder of the inner ear (osseous semicircular canals) is suspected of the cause, and in the latter case, disorders of the brain stem, vestibular nerve and acoustic nerve are suspected of the cause. For example, difficulty of swallowing is a symptom of neurogical target diseases such as cerebral infarction, Parkinson's disease and other degenerative diseases as well as a symptom of otolaryngological target diseases such as disorder of larynx, throat and esopahgus.
Visual impairment is also a common symptom of both opthalmology and neurology. Diplopia, blepharoptosis and abnormal visual field are the symptoms of neurology. Generally, short sight (myopia), farsightedness (hyperopia) including due to old age and astigmatism which can be revised by glasses, and cataract, glaucoma, inflammatory diseases such as conjunctivitis etc, and disorders of the retina are subjects of ophthalmology..
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