Health care provider pointing at brain images on hand-held device.

Neurology

Neurologists diagnose and treat common and complex conditions affecting your brain, spine and nervous system.

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If something goes wrong with your nervous system, seeing a neurologist is key to getting an accurate diagnosis for the best treatment plan possible. Avera neuroscience experts specialize in caring for patients with brain and spine disorders and treating a wide variety of neurological conditions.

Neurological Services

Avera neurologists have advanced education and experience for uncovering conditions that are difficult to diagnosis. Some of their special interest areas include:

  • Amyotrophic lateral sclerosis (ALS)
  • Electrodiagnostics
  • Headaches and migraines
  • Movement disorders such as Parkinson’s disease
  • Multiple sclerosis (MS)
  • Stroke

Conditions We Treat 

Brain, nervous system and spine care covers a wide spectrum of disorders, including:

  • ALS or Lou Gehrig’s disease
  • Balance disorders and dizziness
  • Carpal tunnel syndrome
  • Cervical dystonia: disorder that causes neck muscle contractions
  • Cognitive disorders affecting speaking, learning, memory, perception and problem solving
  • Degenerative nerve disease, including dementia and Alzheimer’s
  • Headaches, including migraines, clusters and tension
  • Movement disorders including Parkinson’s disease and tremors
  • MS
  • Myopathies: broad term that describes any disease affecting muscle tissue
  • Nerve injuries
  • Neuromuscular disease including myasthenia gravis
  • Neuropathy: condition affecting nerves outside brain or spinal cord
  • Occipital neuralgia: injury or inflammation occurring to occipital nerves
  • Restless leg syndrome (RLS)
  • Seizures and epilepsy
  • Sleep disorders
  • Stroke
  • Transient ischemic attack (TIA): a temporary interruption of blood flow to the brain
  • Trigeminal neuralgia: chronic pain condition where you feel severe pain in the your face, usually on one side
  • Vertigo: type of dizziness causing an intense spinning sensation
  • Weakness due to loss of muscle strength because of nervous system issue

Take Care of Your Brain, Spine & Nervous System

Count on us to coordinate your care. Comprehensive brain and spine services are available in Sioux Falls, SD. Neurology care is also available in Yankton, SD, as well as at outreach sites and via telemedicine. Ask your doctor if a referral is right for you.

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What to Expect at a Neurological Evaluation

At your evaluation, a brain and spine physician may order advanced imaging, lab work and neurological testing based on your symptoms. These tests will help accurately diagnose your condition and plan the right treatment.

Advanced Imaging & Neurophysiologic Tests

  • Autonomic Testing Lab
  • Brainstem auditory evoked response (BAER): a hearing test
  • Electroencephalogram (EEG): test for recording brain waves
  • Electromyographic (EMG) studies: tests for recording electrical signals from the brain, nerves and muscles
  • Magnetic resonance imaging (MRI): detailed imaging of the brain, spinal cord or optic nerve
  • Neurovascular ultrasound: detailed imaging to assess blood flow in the brain and neck
  • Nerve conduction studies (NCS): electrodiagnostic tests that assess muscle function and nerve conduction
  • Polysomnography (PSG): sleeping patterns study
  • Videonystagmography (VNG): eye movement test for balance and dizziness

Patient-Centered Services

Depending on diagnosis, your treatment plan may involve services such as:

  • Concussion care
  • Deep brain stimulation (DBS)
  • Headache care, including botulinum toxin injections (BOTOX®)
  • Endovascular neurosurgery and stereotactic radiosurgery (Gamma Knife®)
  • Infusions and medications
  • Interventional pain services (referral needed)
  • Interventional spinal injections
  • Nonsurgical endovascular procedures
  • Physical, occupational and speech therapy
  • Prosthetics and brace care, including amputee care
  • Stroke and aneurysm care
  • Ultrasound-guided injections
  • Vagal nerve stimulation (VNS)

Male provider looking at brain scan.

Autonomic Testing Lab

The autonomic nervous system controls bodily functions that we don’t think about — like digestion and breathing — until something goes wrong. Many different symptoms can arise from a malfunction of the nervous system. That’s when physicians with the Autonomic Testing Lab can help.

Non-Invasive, Comfortable Test

Rather than a typical symptom-based evaluation, the lab provides an objective evaluation to pinpoint the reason behind symptoms that can’t be explained by standard tests or procedures. 

Advanced Diagnostic Technology

Our tools provide physicians and patients with answers they need to determine the best therapy and treatments moving forward. Sometimes a malfunction of the autonomic nervous system is a clue to another underlying condition. 

Uncovering Answers Faster

With the Autonomic Testing Lab, patients often get answers sooner without having to go from specialist to specialist. The lab can help diagnose the reason behind unexplained symptoms, such as pain, paresthesia, generalized fatigue, fainting or tingling. 

Neurology FAQ

Your neurologist and care team are your most reliable sources for accurate information and answers. Explore frequently asked questions to learn more.

How do neurological disorders affect daily life?

Neurological disorders can affect your movement, coordination, sensation, cognition, communication and overall independence. Depending on the specific disorder and its severity, it can potentially cause challenges with activities like:

  • Bathing
  • Dressing
  • Driving
  • Eating
  • Maintaining relationships
  • Speaking
  • Working

Specialized neurological care and physical, occupational and speech therapy help maximize function and quality of life for patients living with disorders.

What are the signs of multiple sclerosis?

Multiple sclerosis (MS) is an autoimmune disorder with no exact known cause or cure. Initial signs may seem minor yet worsen over time, or they may come and then not return for months. While MS can vary greatly from person to person, patients first report symptoms such as:

  • An increase in trips, slips or general clumsiness
  • Double vision or blindness in one eye
  • Slurred speech or trouble with choosing words
  • Weakening or numbness

A CT or MRI of the brain and spine can uncover any potential lesions. If lesions are found, specialists perform a spinal tap to test spinal fluid to confirm the diagnosis. Treatment is available to help patients successfully manage their MS symptoms.

What is a deep brain stimulation procedure?

Deep brain stimulation can be a life-transforming procedure for patients living with movement disorders, Parkinson disease, tremors and dystonia. While this surgery does not offer a cure, it is effective at easing symptoms, decreasing medications you need and improving your quality of life.

This safe and effective surgical procedure equips you to manage some of the most disabling symptoms, such as tremors, stiffness, difficulty walking and slowed movement. Ask your doctor if a referral is right for you.

How can I improve cognitive health as I age?

Taking care of your brain is just as important as caring for your body. The brain affects how we think, feel and act. By keeping your brain active and engaged, you can maintain or improve your brain health.

Getting enough sleep and regular exercise provides a good foundation for your brain health, including your mental health. Avoiding unhealthy habits like smoking and excessive alcohol use helps too.

If you’re noticing issues with cognition, such as memory loss, visual spatial function issues and speech, be sure to bring this up to your doctor in a timely manner. Addressing mental and cognitive health issues early on is the best way to keep your brain functioning well throughout your lifetime.

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