IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00 Neurology Treatments and Procedures IAC (028) 35 11 33 33 Emergency (028) 35 11 35 00 Neurology Treatments and Procedures From medication management to specialist procedures, a full range of neurological treatments delivered by experienced hands. Botulinum Toxin (Botox) for Neurological Conditions Botulinum toxin is one of the most versatile tools in modern neurology. At FV, it is used not for cosmetic purposes but for treating debilitating neurological conditions including: Chronic migraine (injections every 12 weeks for patients with 15 or more headache days per month) Cervical dystonia (painful, involuntary neck muscle contractions) Hemifacial spasm Spasticity following stroke or brain injury Blepharospasm (involuntary eyelid closure) Injections are precisely targeted using anatomical landmarks and, where needed, EMG guidance to ensure accuracy. Infusion Therapies Several neurological conditions require intravenous treatment that cannot be administered orally. At FV, these are delivered in our dedicated daycare infusion unit with specialist monitoring: Intravenous immunoglobulin (IVIG) for Guillain-Barré syndrome, CIDP, and myasthenia gravis Methylprednisolone for MS relapses and acute demyelinating episodes Disease-modifying therapies for multiple sclerosis Rituximab and other immunotherapies for autoimmune neurological conditions Epilepsy Management Effective epilepsy care is more than prescribing the right medication, it is finding the right medication for the right seizure type in the right patient, adjusting as the condition evolves, and knowing when surgery should be considered. Our neurologists manage the full spectrum of epilepsy, from first seizure through to complex drug-resistant cases, in coordination with the neurosurgery team for patients who may benefit from surgical intervention. Headache and Migraine Clinic Chronic headache is one of the most disabling, and most undertreated, neurological conditions globally. At FV, we offer a structured approach to headache management including: Detailed headache diary analysis and trigger identification Preventive medication optimisation Acute rescue therapy planning Botulinum toxin for chronic migraine CGRP antagonists for patients who do not respond to conventional prevention [Note to FV team – Important: Please confirm whether CGRP antagonists (erenumab, fremanezumab, etc.) are currently available and prescribed at FV. These are the most significant recent advance in migraine prevention and worth highlighting if accessible.] Coordination with Neurosurgery and Interventional Radiology Some neurological conditions require more than medicine. At FV, the pathway from neurology to neurosurgery or interventional radiology is seamless: Brain tumours diagnosed by neurology are reviewed at the multidisciplinary tumour board Drug-resistant epilepsy is evaluated jointly for surgical candidacy Stroke patients requiring thrombectomy transition directly to the Cath Lab team Cerebrovascular conditions including aneurysms and AVMs are managed jointly This is not a referral system with weeks of waiting. It is a team that shares a building, shares patient information, and makes decisions together.
