{"id":17219,"date":"2022-05-05T18:18:36","date_gmt":"2022-05-05T16:18:36","guid":{"rendered":"https:\/\/neurologiaclinica.es\/diagnostics-and-treatments\/"},"modified":"2025-04-21T14:05:33","modified_gmt":"2025-04-21T12:05:33","slug":"diagnostics-and-treatments","status":"publish","type":"page","link":"https:\/\/neurologiaclinica.es\/en\/diagnostics-and-treatments\/","title":{"rendered":"Diagnostics and Treatments"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"17219\" class=\"elementor elementor-17219 elementor-667\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7b77917c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7b77917c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-39b4485b\" data-id=\"39b4485b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5ce7aeb8 elementor-widget elementor-widget-heading\" data-id=\"5ce7aeb8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Diagnostics and Treatments<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-81dc2d2 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"81dc2d2\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c3702f9\" data-id=\"c3702f9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-c0a6834 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"c0a6834\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3a4142d\" data-id=\"3a4142d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-708aba6 elementor-widget elementor-widget-accordion\" data-id=\"708aba6\" data-element_type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1181\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-1181\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Actigraphy<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1181\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-1181\"><ul>\n<li>This procedure is mainly indicated to study <strong>circadian cycle disturbances, Restless Legs Syndrome<\/strong> (RLS), and to determine the <strong>effect of drugs on sleep<\/strong> or in the case of suspected <strong>paradoxical insomnia<\/strong>.<\/li>\n<li>This ambulatory technique allows <strong>continuous recording of body activity<\/strong> during <strong>periods of 1 or 2 weeks<\/strong>.<\/li>\n<li><strong>Description of the procedure:<\/strong><br \/>In order for the study to be carried out properly, the following is available:<br \/> Outpatient<strong>neurological evaluation<\/strong>.<\/li>\n<\/ul>\n<p>Issuance of a <strong>personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/p>\n<p>At all times, the <strong>Neurology Department secretary<\/strong>, by <strong>telephone or in person<\/strong>, will schedule and <strong>coordinate any<\/strong> necessary <strong>complementary tests<\/strong> or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1182\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-1182\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Apomorphine infusion pump<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1182\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-1182\"><h6><strong>Treatment indicated for patients with advanced Parkinson&#8217;s disease, complicated with motor fluctuations and multiple off periods, and who are not candidates for surgical treatment. <\/strong><strong>who are not candidates for surgical treatment. <\/strong> <\/h6>\n<p>In patients with motor fluctuations who require <strong>many daily subcutaneous injections of apomorphine<\/strong>, the use of a <strong>portable infusion pump<\/strong> is preferable, which allows for 14-16 hours daily or even 24 hours.<\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li>Initial and daily <strong>neurological evaluation<\/strong> during admission by the Movement Disorders Program. Prior to admission, medical treatment is optimized.<\/li>\n<li>The patient is <strong>admitted to the hospital for 3-4 days<\/strong>.<\/li>\n<li><strong>Continuous neurological care<\/strong>, in presence and localized.<\/li>\n<li>Subcutaneous infusion of Apomorphine at decreasing doses until the appropriate dose is reached in each case.<\/li>\n<li>An evaluation of motor function by means of scales and fluctuation diary by a specialist neurologist is necessary.<\/li>\n<li>Monitoring of the infusion system and possible adverse effects during admission. In charge of a specialized nursing service. <\/li>\n<li>The use and maintenance of the infusion pump and its injection technique is taught to the patient and\/or family members.<\/li>\n<\/ul>\n<ul>\n<li>  Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge.<\/strong><\/li>\n<\/ul>\n<p>At all times, the<strong> Neurology Department<\/strong> secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1183\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-1183\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Levodopa infusion pump<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1183\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-1183\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1184\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-1184\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Differential diagnosis<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1184\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-1184\"><p><strong>Procedure indicated for patients in whom seizures persist despite treatment with antiepileptic drugs or the symptomatology is atypical.<\/strong><\/p>\n<ul>\n<li>The purpose of the procedure is to <strong>determine whether the drugs are ineffective because they do not have a correct diagnosis<\/strong>:<\/li>\n<\/ul>\n<p>Episodes diagnosed as syncope, psychiatric alteration, neurological alteration of another nature, heart disease, metabolic alteration, etc. that in reality are epileptic seizures.<\/p>\n<p>Episodes diagnosed as epileptic seizures that are actually of another cause (syncope, psychiatric disorder, other type of neurological disorder, heart disease, metabolic disorder, etc.).<\/p>\n<p><strong>Treatment description:<\/strong><\/p>\n<p>Admission to video-EEG monitoring room.<\/p>\n<p><strong>In order for the differential diagnosis to be carried out properly, the following are available:<\/strong><\/p>\n<p>Nursing team specialized in epilepsy and EEG in constant presence (ICU-like supervision) and with interaction during seizures.<br \/>Neurological evaluation prior to admission by a member of the Epilepsy Program. The patient will also be assessed daily.<br \/>Review of tests and history, treatments used throughout the clinical history and the results obtained.<br \/>Withdrawal of antiepileptic medication.<br \/>Continuous neurological care, in presence and localized.<br \/>Daily information to the patient and family members.<br \/>Specific neuropsychological study.<br \/>Psychiatric interview, if considered indicated.<br \/>Skull MRI with epilepsy protocol (high definition).<br \/>Presentation of the case in joint session with specialists from different areas (neurologists, neuroradiologists, neuropsychologists, psychologists, neurorehabilitators, etc.)<br \/>Management of antiepileptic medication before and during admission.<br \/>Daily review of video-EEG records, including critical records. <\/p>\n<p><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p>At all times,<strong> the Neurology Department secretary<\/strong>, by telephone or in person,<strong> will schedule and coordinate<\/strong> any <strong>necessary<\/strong> complementary tests or other <strong>appointments<\/strong>.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1185\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-1185\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Transcranial Doppler<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1185\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-1185\"><ul>\n<li>It is a <strong>non-invasive and innocuous technique<\/strong> that uses <strong>ultrasound<\/strong> to <strong>study cerebral blood flow<\/strong>.<\/li>\n<li>It is performed by placing a <strong>probe over certain areas of the skull<\/strong>, called &#8220;acoustic windows&#8221;, which are highly transparent to ultrasound. One of its main applications is the <strong>study of patients with cerebral ischemia<\/strong>, since it provides rapid and dynamic information on the <strong>presence and location of an occlusion or stenosis in the cerebral arteries<\/strong>. <\/li>\n<li>Other applications are the <strong>early diagnosis of vasospasm<\/strong> associated with <strong>subarachnoid hemorrhage<\/strong>, the study of cerebral circulation in patients with stenosis of the cervical arteries (carotid and vertebral) and the <strong>detection of a communication between the<\/strong> right and left <strong>chambers<\/strong> of the heart (right-left shunt). The latter study requires the intravenous injection of 9 ml of physiological saline solution. <\/li>\n<\/ul>\n<p>Issuance of a<strong> personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p>At all times, the <strong>Neurology Department secretary<\/strong>, by telephone or in person, <strong>will schedule and coordinate any<\/strong> necessary <strong>complementary tests<\/strong> or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1186\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-1186\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Echo-Doppler of supra-aortic trunks<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1186\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-1186\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1187\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-1187\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Intraoperative electrocorticography<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1187\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-1187\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1188\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-1188\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Electroencephalography (EEG)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1188\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-1188\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-1189\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-1189\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Electroneurography (ENG)\/Electromyography (EMG)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-1189\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-1189\"><h5>What is EMG?<\/h5>\n<ul>\n<li><strong>Muscle<\/strong> function requires the <strong>activation of its fibers by electrical impulses<\/strong>. The electromyogram <strong>records and evaluates the electrical activity of the muscle<\/strong>, both normal and when it is altered by diseases of the nervous system. <\/li>\n<\/ul>\n<h5>How is an EMG performed?<\/h5>\n<ul>\n<li>An <strong>intramuscular needle<\/strong> connected by a cable to the electromyograph is placed to <strong>visualize the activity of the muscle<\/strong> being assessed. It is usually necessary to study a variable number of muscles depending on the suspected disease and the observations of the physician performing the study. <\/li>\n<li>The objective of the test is to <strong>detect possible alterations in muscle activity<\/strong>, its intensity, location and other characteristics that help to find the causative disease.<\/li>\n<\/ul>\n<p><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p>At all times, the <strong>Neurology Department secretary<\/strong>, by telephone or in person, will schedule and <strong>coordinate any<\/strong> necessary <strong>complementary tests<\/strong> or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11810\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-11810\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Stereo-Electroencephalography (deep electrodes)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11810\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-11810\"><h6><strong>Surgical procedure aimed at localizing deep epileptic foci.<\/strong><\/h6>\n<p>This technique <strong>is indicated in adults and children with epilepsy caused by ill-defined foci<\/strong>, or if there is evidence of lesion in the magnetic resonance test. In order to determine whether surgery is an appropriate treatment, it is necessary to perform a<strong> study to locate the area where the seizures start<\/strong> in the cerebral cortex, and to assess whether this area can be safely resected. <strong>After the study it is possible to identify the epileptic focus and resect it in 80% of patients<\/strong>. <\/p>\n<h6><strong>Treatment description:<\/strong><\/h6>\n<ul>\n<li><strong> <\/strong>To perform the procedure <strong>the patient must be admitted for surgery<\/strong>.<\/li>\n<li><strong>Neurosurgeon and neurologist plan the position of the deep electrodes<\/strong>. To do so, they perform a <strong>three-dimensional MRI study using specific software<\/strong>. <\/li>\n<li><strong>Under general anesthesia<\/strong>, the neurosurgeon proceeds to the <strong>implantation of the deep electrodes<\/strong> (the insertion is guided by a Leksell stereotaxy arc).<\/li>\n<li>Once<strong> awake, the patient is transferred to the Video-EEG Unit<\/strong>. Here the patient is monitored by a team of nurses specialized in epilepsy who are in charge of the Epilepsy Program. During the following days the patient is subjected to <strong>electrical stimulation and continuous seizure recording<\/strong> (usually the period is 4 days but it depends on each case).  <\/li>\n<\/ul>\n<ul>\n<li>In order for the procedure to be carried out properly, the following are available:<\/li>\n<\/ul>\n<ul>\n<li>\n<ul>\n<li><strong>Neurological evaluation<\/strong> before and after admission by the Epilepsy Program. The patient will also be evaluated daily. <\/li>\n<li>The <strong>study includes<\/strong>:\n<ul>\n<li><strong>Recording of crises<\/strong> by video-eeg monitoring<\/li>\n<li> <strong> Analysis of brain structure<\/strong> by magnetic resonance imaging (MRI).<\/li>\n<li><strong>Assessment of cognitive functions<\/strong> by means of neuropsychological tests.<\/li>\n<li>If necessary, depending on the case, other tests can be performed (magnetoencephalography &#8211; MEG, positron emission tomography surgery, etc.).<\/li>\n<\/ul>\n<\/li>\n<li><strong>Management of antiepileptic medication<\/strong> during admission.<\/li>\n<li><strong>Continuous neurological care<\/strong>, in presence and localized, for the management of crises and possible side effects.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>\n<ul>\n<li>Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>At all times,<strong> the Neurology Department secretary<\/strong>, by telephone or in person,<strong> will schedule and coordinate<\/strong> any <strong>necessary<\/strong> complementary tests or other <strong>appointments<\/strong>.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11811\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-11811\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Extraoperative cortical stimulation<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11811\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-11811\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11812\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-11812\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Intraoperative cortical stimulation<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11812\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-11812\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11813\" class=\"elementor-tab-title\" data-tab=\"13\" role=\"button\" aria-controls=\"elementor-tab-content-11813\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Isolated fiber study (Jitter)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11813\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"13\" role=\"region\" aria-labelledby=\"elementor-tab-title-11813\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11814\" class=\"elementor-tab-title\" data-tab=\"14\" role=\"button\" aria-controls=\"elementor-tab-content-11814\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Multiple latency study (LTM)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11814\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"14\" role=\"region\" aria-labelledby=\"elementor-tab-title-11814\"><ul>\n<li>Its application is the <strong>study of pathological sleepiness of central origin, such as narcolepsy<\/strong>. The TLMS objectively measures the tendency to fall asleep. <\/li>\n<li><strong>Description of the procedure:<\/strong><\/li>\n<li>Admission in a room prepared for this type of technique<br \/><strong>Polysomnographic recording of 4 or 5 periods of sleep of 20 minutes<\/strong>during the day.for the study to be carried out properly<strong> is available<\/strong>:<\/li>\n<\/ul>\n<p><strong>Technician specialized in sleep and PSG<\/strong>, present during the whole registration.<br \/>Continuous medical attention, in presence and localized.<br \/>Ambulatory neurological evaluation.<\/p>\n<p><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p>At all times, the Neurology Department secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11815\" class=\"elementor-tab-title\" data-tab=\"15\" role=\"button\" aria-controls=\"elementor-tab-content-11815\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Video-electroencephalography study (Video-EEG)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11815\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"15\" role=\"region\" aria-labelledby=\"elementor-tab-title-11815\"><h3>Video EEG monitoring (24h, 48h, 72h or extended 5-day studies)<\/h3>\n<ul>\n<li>Diagnostic procedure indicated for <strong>patients who need a diagnosis or follow-up of their seizures.<\/strong><br \/>The purpose of the study is to obtain a <strong>differential diagnosis of paroxysmal episodes<\/strong> of daily frequency and\/or to<strong> quantify the seizures<\/strong>.<\/li>\n<\/ul>\n<p><strong>Indicated for patients with epilepsy in whom it is suspected<\/strong> that there may be subclinical seizures that go unnoticed or patients with a doubtful diagnosis in whom an extensive EEG study may demonstrate epileptiform discharges or seizures during sleep).<\/p>\n<ul>\n<li><strong>Description of treatment:<\/strong><br \/>Admission to video-EEG monitoring room for approximately one day.<br \/>For the study to be carried out properly, the following is available:<br \/>Nursing team specialized in epilepsy and EEG in constant presence (supervision similar to an ICU)<br \/>Neurological evaluation during admission by a member of the Epilepsy Program.<br \/>Continuous neurological care, in presence and localized.<br \/>Management of antiepileptic medication before and during admission.<\/li>\n<\/ul>\n<p>Issuance of a personalized report and, if required, communication with the referring physician.<\/p>\n<p>a <strong>communication with the referring physician<\/strong>.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11816\" class=\"elementor-tab-title\" data-tab=\"16\" role=\"button\" aria-controls=\"elementor-tab-content-11816\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Study of the autonomic nervous system<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11816\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"16\" role=\"region\" aria-labelledby=\"elementor-tab-title-11816\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11817\" class=\"elementor-tab-title\" data-tab=\"17\" role=\"button\" aria-controls=\"elementor-tab-content-11817\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Pre-surgical evaluation<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11817\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"17\" role=\"region\" aria-labelledby=\"elementor-tab-title-11817\"><p><strong>Procedure indicated for patients in whom seizures persist despite one year of treatment or after attempting seizure control with three drugs (drug-resistant epilepsy).<\/strong><\/p>\n<ul>\n<li>During this study a series of <strong>tests<\/strong> are performed <strong>to determine the location of the epileptogenic area<\/strong> and it will be necessary to be admitted for video-EEG monitoring in a room with <strong>intensive specialized surveillance<\/strong>. Generally, a<strong> controlled withdrawal of medication<\/strong> is performed, being necessary a close supervision by the Epilepsy Program team. With this procedure, a record of the seizures is made with monitoring and the patient is prevented from suffering inappropriate risks.  <\/li>\n<li>It is also necessary to <strong>complement the tests<\/strong> and admission with an extensive <strong>neuropsychological study<\/strong>, <strong>psychiatric interview,<\/strong> if deemed necessary, and <strong>cranial MRI with special epilepsy protocol<\/strong> (high definition machine required). Some patients require additional studies with <strong>PET, SPECT and intracranial electrodes<\/strong>. <\/li>\n<\/ul>\n<p><strong>Treatment description:<\/strong><\/p>\n<ul>\n<li>Admission to video-EEG monitoring room for 2 to 5 days.<\/li>\n<li>In order for the pre-surgical evaluation to be carried out properly, the following are available:<\/li>\n<li>Epilepsy and EEG nursing team in constant presence (ICU-like supervision) and interaction during seizures.<\/li>\n<li>Neurological evaluation prior to admission by a member of the Epilepsy Program. The patient will also be evaluated daily. <\/li>\n<li>Review of tests and history, treatments used throughout your medical history and the results obtained.<\/li>\n<li>Continuous neurological care, in presence and localized.<br \/>Daily information to the patient and family members.<br \/>Specific neuropsychological study.<br \/>Psychiatric interview, if considered indicated.<br \/>Skull MRI with epilepsy protocol (high definition).<\/li>\n<li>Presentation of the case in a joint session with specialists from different areas (neurologists, neuroradiologists, neuropsychologists, psychologists, neurorehabilitators, etc).<br \/>Management of antiepileptic medication before and during admission.<br \/>Daily review of video-EEG recordings to establish the immediate medical attitude (adding electrodes, reducing medication, drug administration, etc).<\/li>\n<\/ul>\n<p>Issuance of a <strong>personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p>At all times, the <strong>Neurology Department<\/strong> secretary, by telephone or in person, will schedule and <strong>coordinate any<\/strong> necessary <strong>complementary tests<\/strong> or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-11818\" class=\"elementor-tab-title\" data-tab=\"18\" role=\"button\" aria-controls=\"elementor-tab-content-11818\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Botulinum toxin injections for dystonia (with EMG)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-11818\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"18\" role=\"region\" aria-labelledby=\"elementor-tab-title-11818\"><h6><strong>Procedure indicated for patients with primary or secondary, generalized, segmental or focal dystonia such as occupational dystonia (scrivener&#8217;s cramp, musician&#8217;s dystonia), blepharospasm or cervical dystonia.<\/strong><\/h6>\n<p>The purpose of this technique is to <strong>administer botulinum toxin<\/strong> (type A or type B) in order to <strong>improve <a href=\"https:\/\/neurologiaclinica.es\/enfermedades\/distonias\/\" rel=\"nofollow\">dystonia<\/a><\/strong>, characterized by <strong>involuntary muscle spasms that produce abnormal movements and postures<\/strong>, as well as<strong> tremor and pain<\/strong>.<\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li>  An<strong> initial assessment of the affected muscles and their functionality<\/strong> is performed<strong>.<\/strong><\/li>\n<li>In the same consultation, <strong>botulinum toxin<\/strong> is <strong>injected<\/strong> through a needle\/electrode <strong>with electromyographic guidance to ensure precise localization of the infiltration in the target muscles of the extremities<\/strong>. <strong>Precision<\/strong> is very important to <strong>avoid side effects due to involvement of nearby muscles<\/strong> that are<strong> not<\/strong> <strong>involved in the dystonia<\/strong>. <\/li>\n<li><strong>If<\/strong> the <strong>affected<\/strong> region <strong>is the face<\/strong>, it is infiltrated with a fine needle and <strong>electromyographic guidance is not required<\/strong>.<\/li>\n<li><strong>Botulinum toxin<\/strong> treatment <strong>relaxes dystonic muscles<\/strong>, improving involuntary contractures.<\/li>\n<\/ul>\n<ul>\n<li>  Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/li>\n<\/ul>\n<p>At all times, the<strong> Neurology Department<\/strong> secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1f3426c\" data-id=\"1f3426c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-254f5d4 elementor-widget elementor-widget-accordion\" data-id=\"254f5d4\" data-element_type=\"widget\" data-widget_type=\"accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion\">\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3911\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-3911\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Botulinum toxin injections for spasticity<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3911\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-3911\"><h6><strong>Procedure indicated for patients with primary muscular spasticity or secondary to spastic paralysis, cerebral ictus, demyelinating lesions, spinal cord injuries, etc.<\/strong><\/h6>\n<p>The<strong> purpose of<\/strong> this technique<strong> is to administer botulinum toxin<\/strong> (type A or type B) in order to <strong>improve muscle spasticity, correcting forced postures and their long-term consequences<\/strong> (painful contractures, bone deformities, etc.).<\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li>  An<strong> initial assessment of the affected muscles and their functionality<\/strong> is performed<strong>.<\/strong><\/li>\n<li>In the same consultation, <strong>botulinum toxin<\/strong> is <strong>injected<\/strong> through a needle\/electrode <strong>with electromyographic guidance to ensure precise localization of the infiltration in the target muscles of the extremities<\/strong>. <strong>Precision<\/strong> is very important to <strong>avoid side effects due to the involvement of nearby muscles<\/strong> that are<strong> not<\/strong> <strong>involved<\/strong>. <\/li>\n<li><strong>Botulinum toxin<\/strong> treatment <strong>relaxes spastic muscles<\/strong> and therefore <strong>corrects forced and non-functional postures<\/strong> (e.g. adduction of lower limbs, claw hand, equinus foot, etc.). It is <strong>safe, self-limiting and with few side effects<\/strong>. <\/li>\n<li>The <strong>duration<\/strong> of each treatment is <strong>3-6 months<\/strong>.<\/li>\n<\/ul>\n<ul>\n<li>  Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/li>\n<\/ul>\n<p>At all times, the<strong> Neurology Department<\/strong> secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3912\" class=\"elementor-tab-title\" data-tab=\"2\" role=\"button\" aria-controls=\"elementor-tab-content-3912\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical brain monitoring<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3912\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"2\" role=\"region\" aria-labelledby=\"elementor-tab-title-3912\"><h3>Pre-surgical evaluation<\/h3>\n<ul>\n<li>Procedure indicated for patients in whom <strong>seizures persist despite one year of treatment or after attempting to control seizures with three drugs<\/strong> (drug-resistant epilepsy)<br \/>During this study a series of tests are performed to determine the <strong>location of the<\/strong> <strong>epileptogenic area<\/strong> and will require admission for video-EEG monitoring in a room with specialized intensive surveillance. Generally, a <strong>controlled withdrawal of medication<\/strong> is performed, being necessary a <strong>close supervision<\/strong> by the Epilepsy Program team. With this procedure, a record of the seizures is made with monitoring and the patient is prevented from suffering inappropriate risks.  <\/li>\n<li>It is also necessary to <strong>complement the tests<\/strong> and admission with an <strong>extensive neuropsychological study, psychiatric interview and cranial MRI with special epilepsy protocol<\/strong> (high definition machine required). Some patients require additional studies with <strong>PET, SPECT and intracranial electrodes<\/strong>. <\/li>\n<li><strong>Treatment description:<\/strong><br \/><strong>Admission<\/strong> to video-EEG monitoring room for 2 to 5 days.<\/li>\n<li>In order for the pre-surgical evaluation to be carried out properly <strong>, the following is available<\/strong>:<br \/><strong>Nursing team specialized in epilepsy and EEG<\/strong> in constant presence (supervision similar to an ICU) and with interaction during seizures.<br \/><strong>Neurological evaluation<\/strong> prior to admission by a member of the Epilepsy Program. The patient will also be evaluated daily. <br \/><strong>Review of tests and history<\/strong>, treatments used throughout your medical history and the results obtained.<br \/><strong>Continuous neurological care<\/strong>, in presence and localized.<br \/>Daily information to the patient and family members.<br \/><strong>Specific neuropsychological study<\/strong>.<br \/><strong>Psychiatric interview<\/strong>, if indicated.<br \/><strong>Skull MRI with epilepsy protocol<\/strong> (high definition).<br \/><strong>Presentation of the case in a joint session<\/strong> with specialists from different areas (neurologists, neuroradiologists, neuropsychologists, psychologists, neurorehabilitators, etc.).<br \/><strong>Management of<\/strong> antiepileptic <strong>medication<\/strong> before and during admission.<br \/><strong>Daily review<\/strong> of video-EEG records to establish <strong>immediate medical attitude<\/strong> (add electrodes, reduce medication, administer drugs, etc).<\/li>\n<li><strong>Issuance of a<\/strong> personalized <strong>report<\/strong> and, if required, communication with the referring physician.<\/li>\n<li>At all times, the Neurology Department secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3913\" class=\"elementor-tab-title\" data-tab=\"3\" role=\"button\" aria-controls=\"elementor-tab-content-3913\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical spinal cord monitoring<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3913\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"3\" role=\"region\" aria-labelledby=\"elementor-tab-title-3913\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3914\" class=\"elementor-tab-title\" data-tab=\"4\" role=\"button\" aria-controls=\"elementor-tab-content-3914\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">24-hour Video-EEG monitoring<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3914\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"4\" role=\"region\" aria-labelledby=\"elementor-tab-title-3914\"><p><strong>Diagnostic procedure indicated for patients who need a diagnosis or follow-up of their crises.<\/strong><\/p>\n<ul>\n<li>The purpose of the study is to obtain a <strong>differential diagnosis of paroxysmal episodes of daily frequency and\/or to perform a quantification of the seizures<\/strong>.<\/li>\n<li>Indicated for patients with epilepsy in whom it is suspected that there may be subclinical seizures that go unnoticed or patients with a doubtful diagnosis in whom an extensive EEG study may demonstrate epileptiform discharges or seizures during sleep).<\/li>\n<\/ul>\n<p><strong>Treatment description:<\/strong><\/p>\n<p>Admission to video-EEG monitoring room for approximately one day.<\/p>\n<p>In order for the study to be carried out properly, the following are available:<\/p>\n<ul>\n<li><strong>Epilepsy and EEG nursing team in constant presence<\/strong> (ICU-like supervision). <strong>Neurological evaluation<\/strong> during admission by a member of the Epilepsy Program.<br \/>Continuous neurological care, in presence and localized.<br \/>Management of antiepileptic medication before and during admission.<\/li>\n<li><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/li>\n<\/ul>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3915\" class=\"elementor-tab-title\" data-tab=\"5\" role=\"button\" aria-controls=\"elementor-tab-content-3915\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Polysomnography (PSG)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3915\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"5\" role=\"region\" aria-labelledby=\"elementor-tab-title-3915\"><p>Procedure indicated for the diagnosis and quantification of disorders and movements associated with sleep. Study of secondary insomnia. Analysis of sleep architecture.  <\/p>\n<p>In this procedure, the physiological parameters of brain electrical activity (EEG), body muscular activity (EMG), cardiac activity (ECG), eye movements (EOG), respiratory movements, nasal and mouth airflow, as well as snoring and body position are recorded simultaneously during one night. In this way the quality of sleep is analyzed, its efficiency and determines the existence of respiratory, motor, cardiac or sleep structure alterations. <\/p>\n<ul>\n<li><strong>Description of the procedure:<\/strong><\/li>\n<\/ul>\n<p>For this test, the patient must spend one night in the hospital, being admitted to a room adapted for this type of study.<\/p>\n<ul>\n<li>In order for the study to be carried out properly, the following are available:<\/li>\n<\/ul>\n<p><strong>Neurological evaluation<\/strong> prior to admission to <strong>determine which type of study<\/strong> is the most appropriate (the set-up may vary).<br \/><strong>Continuous medical attention<\/strong> in the presence and localized, if any incident arises.<br \/>A <strong>technician specialized in sleep and PSG<\/strong>, located in an adjoining room, <strong>will constantly follow the study<\/strong> to verify that the recording is running normally.<\/p>\n<p><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p>At all times, the Neurology Department secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3916\" class=\"elementor-tab-title\" data-tab=\"6\" role=\"button\" aria-controls=\"elementor-tab-content-3916\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Auditory evoked potentials (AEPs)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3916\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"6\" role=\"region\" aria-labelledby=\"elementor-tab-title-3916\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3917\" class=\"elementor-tab-title\" data-tab=\"7\" role=\"button\" aria-controls=\"elementor-tab-content-3917\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Somatosensory evoked potentials (SSEPs)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3917\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"7\" role=\"region\" aria-labelledby=\"elementor-tab-title-3917\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3918\" class=\"elementor-tab-title\" data-tab=\"8\" role=\"button\" aria-controls=\"elementor-tab-content-3918\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Visual evoked potentials (VEPs)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3918\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"8\" role=\"region\" aria-labelledby=\"elementor-tab-title-3918\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-3919\" class=\"elementor-tab-title\" data-tab=\"9\" role=\"button\" aria-controls=\"elementor-tab-content-3919\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Lumbar puncture (LP)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-3919\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"9\" role=\"region\" aria-labelledby=\"elementor-tab-title-3919\"><ul>\n<li>A <strong>lumbar puncture (LP)<\/strong> is a technique that consists of introducing a <strong>needle between two vertebrae<\/strong>, in the lumbar region, reaching the subarachnoid space, which contains cerebrospinal fluid<strong> (CSF).<\/strong><\/li>\n<li>This test is performed by our <strong>neurologists<\/strong> in the Cure Room. Before the test is performed, you will be given a detailed explanation of all the procedures and possible post-puncture effects (such as headache, localized pain in the area, etc.). <\/li>\n<li>Once the tip of the needle is placed in the right place, the<strong> pressure at which the fluid comes out<\/strong> is measured, a <strong>sample of fluid<\/strong> is withdrawn <strong>for analysis<\/strong> and\/or drugs or contrasts are introduced.<\/li>\n<li><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/li>\n<\/ul>\n<p>At all times, <strong>the Neurology Department secretary<\/strong>, by telephone or in person, will schedule and<strong> coordinate any<\/strong> necessary<strong> complementary tests<\/strong> or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39110\" class=\"elementor-tab-title\" data-tab=\"10\" role=\"button\" aria-controls=\"elementor-tab-content-39110\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Apomorphine test<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39110\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"10\" role=\"region\" aria-labelledby=\"elementor-tab-title-39110\"><h6><strong>Procedure indicated for patients with complicated Parkinson&#8217;s disease with motor fluctuations refractory to other therapeutic measures.  <\/strong><\/h6>\n<p>The purpose of this test is to <strong>identify the dose of apomorphine<\/strong> (a potent dopamine agonist that acts on D1 and D2 receptors and is administered subcutaneously) <strong>needed<\/strong> to produce a <strong>significant clinical improvement in a patient with<\/strong> complicated <strong>Parkinson&#8217;s disease<\/strong> with profound offs and refractory to oral therapy.<\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li><strong> <\/strong>The patient<strong> will be admitted to the day hospital<\/strong>, and depending on the severity of the disease, the stay will be<strong> 2-5 hours.<\/strong><\/li>\n<li>For the <strong>procedure<\/strong> to be <strong>successful<\/strong>:\n<ul>\n<li>A pre-treatment is performed, prior to admission, with Domperodone (60 mg), for 3 days.<\/li>\n<li><strong>Aniparkinsonian medication is suppressed for 12 hours<\/strong>.<\/li>\n<li>A <strong>subcutaneous injection of 2mg of Apomorphine<\/strong> is administered.<\/li>\n<li><strong>The motor response is observed and quantified<\/strong>, using scales. The clinical response to the different doses is evaluated by the movement disorders specialist. <\/li>\n<li>If the response received is insufficient, the dose is increased at 1-hour intervals until the adequate dose is found.<\/li>\n<li>During the test, the patient and\/or family members and\/or caregivers are taught how to handle the apomorphine dosing pen for subcutaneous application.<\/li>\n<\/ul>\n<\/li>\n<li>  Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/li>\n<\/ul>\n<p>At all times, the<strong> Neurology Department<\/strong> secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39111\" class=\"elementor-tab-title\" data-tab=\"11\" role=\"button\" aria-controls=\"elementor-tab-content-39111\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Gamma radiosurgery treatment<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39111\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"11\" role=\"region\" aria-labelledby=\"elementor-tab-title-39111\"><h6><strong>Procedure that replaces surgical treatment in some patients with epilepsy associated with small epileptogenic lesions.<br \/><\/strong><\/h6>\n<p>Treatment with<strong> stereotactic radiosurgery<\/strong>, using an Elekta Leksell Gamma Knife gamma ray system.<\/p>\n<h6><strong>Treatment description:<\/strong><\/h6>\n<ul>\n<li>  In order for radiosurgery treatment to be carried out properly, the following are available:<\/li>\n<\/ul>\n<ul>\n<li>\n<ul>\n<li><strong>Optimization of<\/strong> medical <strong>treatment<\/strong> prior to surgery.<\/li>\n<li><strong>Neurological evaluation<\/strong> before and after radiosurgery by the Epilepsy Program. The patient will also be evaluated daily. <\/li>\n<li><strong>Continuous neurological care<\/strong>, in presence and localized, for the management of crises and possible side effects of medication.<\/li>\n<li>Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>At all times,<strong> the Neurology Department secretary<\/strong>, by telephone or in person,<strong> will schedule and coordinate<\/strong> any <strong>necessary<\/strong> complementary tests or other <strong>appointments<\/strong>.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39112\" class=\"elementor-tab-title\" data-tab=\"12\" role=\"button\" aria-controls=\"elementor-tab-content-39112\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Ketogenic diet treatment<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39112\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"12\" role=\"region\" aria-labelledby=\"elementor-tab-title-39112\"><h6><strong>Treatment indicated for patients suffering from drug-resistant epilepsy that does not respond to treatment with various antiepileptic drugs.<br \/><\/strong><\/h6>\n<p>In some patients with drug-resistant epilepsy, greater seizure control can be achieved by the formation of ketone bodies in the blood. This is possible by modifying the diet to increase ketone bodies. <\/p>\n<h6><strong>Treatment description:<\/strong><\/h6>\n<ul>\n<li>To perform the treatment the patient must be admitted, a complete fasting is maintained and the family is instructed in the procedure.<\/li>\n<li>Gradually, with close neurologist-nutritionist collaboration, the diet is introduced.<\/li>\n<li>In order for radiosurgery treatment to be carried out properly, the following are available:<\/li>\n<\/ul>\n<ul>\n<li>\n<ul>\n<li><strong>Optimization of<\/strong> medical <strong>treatment<\/strong> before starting the diet.<\/li>\n<li><strong>Neurological evaluation<\/strong> before and after admission by the Epilepsy Program. The patient will also be assessed daily (evaluation and education of patient and family). <\/li>\n<li><strong>Management of antiepileptic medication<\/strong> during admission. Early identification of side effects. <\/li>\n<li><strong>Continuous neurological care<\/strong>, in presence and localized, for the management of crises and possible side effects of medication.<\/li>\n<li>Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/li>\n<li><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>At all times,<strong> the Neurology Service secretary<\/strong>, by telephone or in person,<strong> will schedule and coordinate<\/strong> any <strong>necessary<\/strong> complementary tests or other <strong>appointments<\/strong>.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39113\" class=\"elementor-tab-title\" data-tab=\"13\" role=\"button\" aria-controls=\"elementor-tab-content-39113\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical treatment of epilepsy<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39113\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"13\" role=\"region\" aria-labelledby=\"elementor-tab-title-39113\"><p><strong>Treatment indicated for patients who have undergone a pre-surgical evaluation and who have shown that surgery is an adequate alternative.<\/strong><\/p>\n<p>Once <strong>the pre-surgical evaluation has been carried out<\/strong>, the<strong> most appropriate surgical technique<\/strong> is performed in each case by means of<strong> focal resections<\/strong> (temporal lobectomy, extratemporal lobectomy, hemispherectomy), <strong>callosotomy, vagus nerve stimulator implantation, etc.<\/strong><\/p>\n<p><strong>Treatment description:<\/strong><\/p>\n<p>Preparation of treatment prior to surgery.<\/p>\n<p><strong>In order for the surgical treatment to be carried out properly, the following are available:<\/strong><\/p>\n<p>Presence of the Epilepsy Team during the intervention to assist the neurosurgeon in determining the extent of the resection.<br \/>Neurological evaluation before and after surgery by the Epilepsy Program. The patient will also be assessed daily.<br \/>Continuous neurological care, in presence and localized, including the stay in ICU in the post-surgical period.<br \/>Daily information to the patient and family members.<br \/>Specific neuropsychological study.<br \/>Management of antiepileptic medication before and during admission, with special attention to the possible appearance of crises related to the intervention (acute post-surgical crises).<br \/>Issuance of a personalized report and, if required, communication with the referring physician.<br \/>Follow-up after discharge by means of telephone consultation. <\/p>\n<p>At all times, <strong>the Neurology Department secretary<\/strong>, by telephone or in person, will schedule and <strong>coordinate any<\/strong> necessary <strong>complementary tests<\/strong> or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39114\" class=\"elementor-tab-title\" data-tab=\"14\" role=\"button\" aria-controls=\"elementor-tab-content-39114\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical treatment of dystonia<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39114\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"14\" role=\"region\" aria-labelledby=\"elementor-tab-title-39114\"><h6><strong>Surgical treatment of dystonia (intraoperative microregistration and stimulation, programming of stimulation parameters).<\/strong><\/h6>\n<p><strong>Treatment indicated for patients suffering from disabling generalized or segmental dystonia refractory to pharmacological treatment and botulinum toxin injections. <\/strong>Currently, the technique generally used is deep<strong> brain stimulation<\/strong> of the bilateral internal globus pallidus.<\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li>The patient is admitted to a room so that the procedure can be performed.<\/li>\n<li>Initial and daily <strong>neurological evaluation<\/strong> during admission by the Movement Disorders Program.<\/li>\n<\/ul>\n<h5>For a <strong>correct intervention<\/strong> it is necessary:<\/h5>\n<ul>\n<li>Existence of a multidisciplinary team: neurosurgeon, neurologist, neuroradiologist and anesthesiologist.<\/li>\n<li>Neuroimaging techniques are used to plan the surgical target.<\/li>\n<\/ul>\n<h5><strong>In the operating room<\/strong>, the target is specified:<\/h5>\n<ul>\n<li>By means of <strong>intraoperative microregistration techniques, an exact localization is achieved<\/strong> and neuronal discharge patterns are recorded, allowing the identification of the different anatomical structures.<\/li>\n<li><strong>Guided by the microregistration,<\/strong> definitive <strong>macroelectrodes are implanted<\/strong> and the patient is examined, awake and in the operating room, in order to confirm that there are no adverse effects.<\/li>\n<\/ul>\n<h5>In a <strong>second phase<\/strong>,<\/h5>\n<ul>\n<li>7-14 days later, <strong>the pulse generators<\/strong> connected to the electrodes <strong>are implanted<\/strong>, usually in the infraclavicular region.<\/li>\n<li>In the following weeks, the <strong>parameters of the deep brain stimulation<\/strong> are <strong>programmed and adjusted<\/strong>.<\/li>\n<li>During the following<strong> 9-12 months, close follow-up is required<\/strong> to make periodic therapeutic adjustments (electrical and oral medication) in order to obtain the <strong>maximum benefit from the surgery<\/strong>.<\/li>\n<\/ul>\n<p>Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/p>\n<p>At all times, the <strong>Neurology Department<\/strong> secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39115\" class=\"elementor-tab-title\" data-tab=\"15\" role=\"button\" aria-controls=\"elementor-tab-content-39115\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical Treatment of Parkinson's Disease<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39115\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"15\" role=\"region\" aria-labelledby=\"elementor-tab-title-39115\"><h6><strong>Treatment indicated for patients suffering from Parkinson&#8217;s disease complicated with motor fluctuations and disabling dyskinesias and\/or tremor refractory to medical treatment.<\/strong><\/h6>\n<p>The treatment is <strong>aimed at patients who suffer from Parkinson&#8217;s disease and who, given the stage and intensity, find it disabling. <\/strong>At present, the<strong> technique generally used is deep brain stimulation of the subthalamic nucleus<\/strong> or globus pallidus, unilateral or bilateral. This technique<strong> is performed under minimal sedation. <\/strong>  <\/p>\n<h5> <strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li>The patient is admitted to a room for a period of 3 to 7 days.<\/li>\n<li>Initial and daily <strong>neurological evaluation<\/strong> during admission by the Movement Disorders Program.<\/li>\n<\/ul>\n<h5>  For a <strong>correct intervention<\/strong> it is necessary:<\/h5>\n<ul>\n<li>Existence of a multidisciplinary team: neurosurgeon, neurologist, neuroradiologist and anesthesiologist.<\/li>\n<li>Neuroimaging techniques are used to plan the surgical target.<\/li>\n<\/ul>\n<h5> <strong>In the operating room<\/strong>, the target is specified:<\/h5>\n<ul>\n<li>By means of <strong>intraoperative microregistration techniques, accurate localization is achieved<\/strong>, neuronal discharge patterns are recorded and sensory\/motor tremor cells are identified, allowing the identification of different anatomical structures.<\/li>\n<li><strong>Guided by the microregistration,<\/strong> definitive <strong>macroelectrodes are implanted<\/strong> and the patient is examined, awake and in the operating room, in order to confirm improvement of parkinsonian symptoms and possible adverse effects.<\/li>\n<\/ul>\n<h5>In a <strong>second phase<\/strong>,<\/h5>\n<ul>\n<li>7-14 days later, <strong>the pulse generator<\/strong> connected to the electrode <strong>is implanted<\/strong>, usually in the infraclavicular region.<\/li>\n<li>In the following weeks, the <strong>deep brain stimulation parameters<\/strong> are <strong>programmed and adjusted<\/strong> and the <strong>patient&#8217;s medication<\/strong> is started to be <strong>modified<\/strong>.<\/li>\n<li>During the following<strong> 6-12 months, close follow-up is required<\/strong> to make periodic therapeutic adjustments (electrical and oral medication) in order to obtain the <strong>maximum benefit from the surgery<\/strong>.<\/li>\n<\/ul>\n<p>A<strong> personalized report<\/strong> is issued and, if required, a <strong>communication with the referring physician<\/strong> will be made.<\/p>\n<p>At all times, <strong>the Neurology Department secretary<\/strong>, by telephone or in person, <strong>will schedule and coordinate any necessary complementary tests or other appointments.<\/strong><\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39116\" class=\"elementor-tab-title\" data-tab=\"16\" role=\"button\" aria-controls=\"elementor-tab-content-39116\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical treatment of tremor<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39116\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"16\" role=\"region\" aria-labelledby=\"elementor-tab-title-39116\"><h5><strong>Treatment indicated for patients with disabling tremor refractory to pharmacological treatment.  <\/strong><\/h5>\n<p>Currently, the technique generally employed is deep brain stimulation of the ventral intermediate nucleus (VIM) of the thalamus.<strong> <\/strong><\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li>The patient is admitted to a room so that the procedure can be performed.<\/li>\n<li>Initial and daily <strong>neurological evaluation<\/strong> during admission by the Movement Disorders Program.<\/li>\n<\/ul>\n<h5>For a <strong>correct intervention<\/strong> it is necessary:<\/h5>\n<ul>\n<li>Existence of a <strong>multidisciplinary team<\/strong>: neurosurgeon, neurologist, neuroradiologist and anesthesiologist.<\/li>\n<li><strong>Neuroimaging techniques are<\/strong> used <strong>to plan the surgical target.<\/strong><\/li>\n<\/ul>\n<h5><strong>In the operating room<\/strong>, the target is specified:<\/h5>\n<ul>\n<li>By means of <strong>intraoperative microregistration techniques, through a microelectrode, an exact localization is achieved<\/strong>, neural discharge patterns are recorded that allow the identification of the different anatomical structures.<\/li>\n<li><strong>Guided by the microregistration, definitive macroelectrodes are implanted <\/strong>and the patient is examined to confirm that there are no adverse effects.<\/li>\n<\/ul>\n<h5>In a <strong>second phase <\/strong>:  <\/h5>\n<ul>\n<li>  7-14 days later, <strong>the pulse generators<\/strong> connected to the electrodes <strong>are implanted<\/strong>, usually in the infraclavicular region.<\/li>\n<li>In the following weeks, the <strong>parameters of the deep brain stimulation<\/strong> are <strong>programmed and adjusted<\/strong>.<\/li>\n<li>During the following<strong> 9-12 months, close follow-up is required<\/strong> for periodic therapeutic adjustments (electrical and oral medication) in order to obtain the <strong>maximum benefit from the surgery<\/strong>.<\/li>\n<\/ul>\n<p>Issuance of a<strong> personalized report<\/strong> and, if required, <strong>communication with the referring physician<\/strong>.<\/p>\n<p>At all times, the<strong> Neurology Department<\/strong> secretary, by telephone or in person, will schedule and coordinate any necessary complementary tests or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39117\" class=\"elementor-tab-title\" data-tab=\"17\" role=\"button\" aria-controls=\"elementor-tab-content-39117\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Surgical treatment of tremor (gamma radiosurgery)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39117\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"17\" role=\"region\" aria-labelledby=\"elementor-tab-title-39117\"><h6><strong>Treatment indicated for patients with disabling tremor refractory to pharmacological treatment, it is an alternative to surgical treatment.  <\/strong><\/h6>\n<p><strong>Treatment with stereotactic radiosurgery, <\/strong>using an<strong> Elekta Leksell Gamma Knife gamma ray <\/strong> system<strong>. <\/strong> <\/p>\n<h5><strong>Treatment description:<\/strong><\/h5>\n<ul>\n<li><strong>Initial<\/strong> and daily <strong>neurological evaluation<\/strong> during admission by the <strong>Movement Disorders Program<\/strong>.<\/li>\n<li>Prior to admission, <strong>medical treatment is optimized<\/strong>.<\/li>\n<li><strong>Continuous neurological care<\/strong>, in presence and localized, for the <strong>management of tremor after surgery<\/strong>.<\/li>\n<\/ul>\n<p><strong>Issuance of a personalized report<\/strong> and, if required, communication with the referring physician.<\/p>\n<p><strong>Follow-up after discharge<\/strong> by telephone consultation.<\/p>\n<p>At all times, the <strong>Neurology Service secretary<\/strong>, by telephone or in person, <strong>will schedule and coordinate any<\/strong>necessary <strong>complementary tests<\/strong>or other appointments.<\/p>\n<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-accordion-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-39118\" class=\"elementor-tab-title\" data-tab=\"18\" role=\"button\" aria-controls=\"elementor-tab-content-39118\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon elementor-accordion-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-closed\"><i class=\"fas fa-plus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-accordion-icon-opened\"><i class=\"fas fa-minus\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-accordion-title\" tabindex=\"0\">Video-oculography (VOG)<\/a>\n\t\t\t\t\t<\/div>\n\t\t\t\t\t<div id=\"elementor-tab-content-39118\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"18\" role=\"region\" aria-labelledby=\"elementor-tab-title-39118\"><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-4ed0954 elementor-widget elementor-widget-html\" data-id=\"4ed0954\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<script> \njQuery(document).ready(function($) { \nvar delay = 100; setTimeout(function() { \n$('.elementor-tab-title').removeClass('elementor-active');\n $('.elementor-tab-content').css('display', 'none'); }, delay); \n}); \n<\/script>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-158722b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"158722b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-e20db45 animated-slow elementor-invisible\" data-id=\"e20db45\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInDown&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2b92be2 elementor-position-left elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"2b92be2\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/quienes-somos\/#b2\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"Specialists\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Capa_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 28.3 28.3\" style=\"enable-background:new 0 0 28.3 28.3;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{fill:#007399;}<\/style><path class=\"st0\" d=\"M2.7,14.1c0-6.3,5.1-11.4,11.4-11.4s11.5,5.1,11.5,11.4s-5.2,11.5-11.5,11.5S2.7,20.5,2.7,14.1z M14.1,3.2 C8.1,3.3,3.3,8,3.2,14C3.2,20.2,8,25,14,25.1c6.1,0.1,11-4.8,11-10.8C25.1,8.1,20.2,3.3,14.1,3.2z\"><\/path><g id=\"_x39_Rcob2_1_\">\t<g>\t\t<path class=\"st0\" d=\"M10.5,12.7c0-0.6,0-1.1,0-1.7c0-0.4,0.2-0.6,0.6-0.6c0.5,0,1,0,1.5,0c0.3,0,0.6,0.2,0.6,0.5   c0,0.3-0.2,0.5-0.6,0.5c-0.3,0-0.6,0-0.8,0c-0.1,0-0.2,0-0.2,0.2c0,0.8,0,1.6,0,2.4c0,1.3,0.9,2.3,2.1,2.5c1.4,0.3,2.9-0.8,3-2.3   c0.1-0.9,0-1.8,0-2.7c0-0.1-0.1-0.1-0.1-0.1c-0.3,0-0.6,0-0.9,0c-0.3,0-0.6-0.2-0.6-0.5c0-0.3,0.2-0.5,0.6-0.5c0.5,0,1,0,1.5,0   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data-settings=\"{&quot;animation&quot;:&quot;fadeInDown&quot;,&quot;animation_delay&quot;:300}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4824374 elementor-position-left elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"4824374\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"What are we dealing with?\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Capa_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 28.3 28.3\" style=\"enable-background:new 0 0 28.3 28.3;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{fill:#007399;}<\/style><path class=\"st0\" d=\"M2.7,14.1c0-6.3,5.1-11.4,11.4-11.4s11.5,5.1,11.5,11.4s-5.2,11.5-11.5,11.5S2.7,20.5,2.7,14.1z M14.1,3.2 C8.1,3.3,3.3,8,3.2,14C3.2,20.2,8,25,14,25.1c6.1,0.1,11-4.8,11-10.8C25.1,8.1,20.2,3.3,14.1,3.2z\"><\/path><path class=\"st0\" d=\"M19.5,12.9c0-0.4-0.2-0.6-0.6-0.6c-0.8,0-1.6,0-2.4,0c-0.3,0-0.3,0-0.3-0.3c0-0.8,0-1.6,0-2.4 c0-0.5-0.1-0.7-0.7-0.7c-0.5,0-1,0-1.4,0c-0.5,0-1,0-1.5,0c-0.5,0-0.6,0.2-0.6,0.6c0,0.8,0,1.6,0,2.4c0,0.2,0,0.2-0.2,0.2 c-0.8,0-1.6,0-2.4,0c-0.5,0-0.6,0.2-0.6,0.6c0,1,0,2,0,2.9c0,0.5,0.2,0.6,0.6,0.6c0.8,0,1.6,0,2.4,0c0.2,0,0.2,0,0.2,0.2 c0,0.8,0,1.6,0,2.4c0,0.5,0.2,0.6,0.6,0.6c1,0,2,0,2.9,0c0.5,0,0.6-0.2,0.6-0.6c0-0.8,0-1.6,0-2.4c0-0.3,0-0.3,0.3-0.3l2.4,0 c0.4,0,0.6-0.2,0.6-0.6C19.5,14.8,19.5,13.9,19.5,12.9z\"><\/path><\/svg>\t\t\t\t<\/a>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\" >\n\t\t\t\t\t\t\tWhat are we dealing with?\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tSpecialized professionals\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-bdc91c5 animated-slow elementor-invisible\" data-id=\"bdc91c5\" data-element_type=\"column\" data-settings=\"{&quot;animation&quot;:&quot;fadeInDown&quot;,&quot;animation_delay&quot;:600}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-50af086 elementor-position-left elementor-view-default elementor-mobile-position-top elementor-vertical-align-top elementor-widget elementor-widget-icon-box\" data-id=\"50af086\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<a href=\"https:\/\/www.neurologiaclinica.es\/contacto\/quiere-cita\/\" class=\"elementor-icon\" tabindex=\"-1\" aria-label=\"Request an appointment\">\n\t\t\t\t<svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" id=\"Capa_1\" x=\"0px\" y=\"0px\" viewBox=\"0 0 28.3 28.3\" style=\"enable-background:new 0 0 28.3 28.3;\" xml:space=\"preserve\"><style type=\"text\/css\">\t.st0{fill:#007399;}<\/style><path class=\"st0\" d=\"M2.7,14.1c0-6.3,5.1-11.4,11.4-11.4s11.5,5.1,11.5,11.4s-5.2,11.5-11.5,11.5S2.7,20.5,2.7,14.1z M14.1,3.2 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us\n\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-02c72a5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"02c72a5\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-a6c6dd5\" data-id=\"a6c6dd5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-325b4e9 elementor-widget elementor-widget-heading\" data-id=\"325b4e9\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">GET INFO:<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-84cc5d5 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"84cc5d5\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-lg\" href=\"https:\/\/www.neurologiaclinica.es\/neurologos-en-madrid\/\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">About our Programs, Units and Treatments<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Actigraphy This procedure is mainly indicated to study circadian cycle disturbances, Restless Legs Syndrome (RLS), and to determine the effect of drugs on sleep or in the case of suspected paradoxical insomnia. This ambulatory technique allows continuous recording of body activity during periods of 1 or 2 weeks. 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