New York Neurology & Sleep Medicine

Allen Towfigh, MD

Neurologic Disorders

Memory Loss

Memory loss can be a devastating condition and it affects many older adults. The diagnosis can be complex because symptoms of memory loss can be caused by different brain diseases, such as Alzheimer's disease or a tumor or cerebrovascular disease. While most adults suffer from a benign element of memory loss that usually does not progress, making an accurate diagnosis is crucial because it determines the treatment and helps patients and families understand what the future holds.

Evaluations for memory loss include a neurological and neurocognitive assessments and computerized tomography (CT) or magnetic resonance (MRI) brain scans as well as electroencephalography (EEG) and possibly more advanced studies such as amyloid imaging and lumbar puncture or genetic testing. All these studies can be performed in our office or on-site.

Concussions

Concussion and traumatic brain injuries are a major cause of disability worldwide. Concussions are common in many sports and recreational activities and even mild traumatic brain injury and concussion can lead to significant changes in mood as well as difficulty with concentration and cognition as well as sleep disturbances.

Concussions typically recover within 10 days of injury. However, some patients may experience a prolonged course or complications may develop leading to cognitive deficits, memory loss, movement disorders, depression and cumulative deterioration in brain function.

While concussions are often self-limiting, steps can be taken to hasten and optimize recovery and mitigate the risk of complications.

Headache

While most of us have experienced a headache from time to time, millions of people live with recurrent or chronic headaches. After an initial evaluation and thorough work up to identify the cause of your headache, our practice will outline a treatment plan to reduce or abate your headaches and create a strategy to effectively deal with headaches should they recur.

Our practice also offers urgent care for headache sufferers sparing a visit to an emergency room. We offer on-site & same day neuroimaging and treatments traditionally offered only in a hospital. We also offer emergent/same-day visits in most cases so you do not have to suffer from another painful headache without the attention and care you need.

Neck Pain & Lower Back Pain

Neck pain and lower back pain are common ailments affecting millions of people. While many of us may occasionally experience mild neck or lower back pain, those of us that experience a sudden onset of pain or severe or chronic pain should seek medical attention to ensure a proper diagnosis is made and treated to reduce the risk of permanent nerve injury or disability.

Stroke

A stroke or cerebrovascular accident (CVA) occurs when the blood supply to the brain is disrupted either by a blocked or ruptured artery. Symptoms of a stroke reflect a deficit in the part of the brain that is affected and can include weakness, numbness and tingling, difficulty with speech or balance, loss of consciousness and a myriad of other symptoms.

Stroke is now the leading cause of adult disability in the United States.

After a thorough evaluation in our office including neuroimaging and neurovascular studies we will identify and treat risk factors to reduce the risk of developing a stroke and we will also create a treatment plan to address any symptoms you may have from a prior stroke.

Epilepsy and Seizures

Epilepsy is a central nervous system disorder that predisposes individuals to recurrent seizures. Seizure can present as a change or abnormal behavior, strange sensation or a loss of consciousness and convulsive activity.

About 1% of individuals may have a seizure once in their lifetime but some go on to have recurrent seizures.

Seizure can be mild or they can be life-threatening and they require medical attention to ensure appropriate treatment to mitigate the risk of recurrent episodes.

If you suffer a seizure it is important to undergo a thorough evaluation to identify any treatable causes to reduce the risk of recurrence. It is also important to treat seizures to reduce the risk of recurrence and prevent permanent brain injury or disability.

Parkinson's Disease

Parkinson's Disease is a chronic, progressive central nervous system disorder that causes difficulty with movement and may begin insidiously with very subtle symptoms such as a tremor and can progress to cause significant difficulty in balance and walking.

Nearly one million people are living with Parkinson's Disease in the United States and while the cause is unknown and there is presently no cure for Parkinson's Disease, there are various treatments available including medications and surgical interventions which can be helpful in reducing symptoms.

There is also a group of disorder known as "atypical Parkinson's" or "Parkinson's Plus" disorders which can be a bit more challenging to treat and require further investigations. An experienced clinician can help distinguish these diseases and provide the correct treatment plan.

Gait Disorders and Falls

Gait disorders are a leading cause of injury and disability in the elderly population.

As we get older our balance tends to diminish for a host of reasons including loss of sensation in the legs and feet, vestibular disorders, various medications and slowed reaction time.

Identifying treatable and reversible causes of gait disorder is important to mitigate the risk of fall and injury. It is also important to participate in a physical therapy program to mitigate the risk of fall and injury.