เทคโนโลยีการรักษา

V-Beam Laser

V-Beam Laser

Safe and Effective Treatment for Redness, Rosacea, and Vascular Lesions Introduction V-Beam Laser is a state-of-the-art pulsed dye laser (PDL) that effectively treats vascular skin conditions such as redness, rosacea, spider veins, port wine stains, and post-acne marks. At Vibhavadi Hospital, we offer FDA-approved V-Beam Perfecta technology to provide patients with safe, non-invasive, and proven solutions for clearer and healthier skin. Our dermatology team combines deep clinical expertise with advanced laser technology to ensure patients achieve visible, lasting results with minimal discomfort and downtime. What Is the V-Beam Laser? The V-Beam Laser is a 595 nm pulsed dye laser specifically designed to target blood vessels in the skin without damaging surrounding tissues. It works by delivering controlled pulses of laser energy that are absorbed by the hemoglobin (red blood cells) in dilated or abnormal vessels, causing them to collapse and fade over time. This laser is particularly effective for red-colored lesions and inflammatory skin conditions, making it a go-to treatment for both medical and cosmetic concerns. Conditions Treated with V-Beam Laser Medical Applications V-Beam is FDA-approved for treating various dermatological and vascular conditions, including: Rosacea: Redness and visible capillaries on the cheeks and nose Telangiectasia: Small dilated blood vessels or spider veins Port Wine Stains: Congenital capillary malformations Hemangiomas: Benign vascular tumors in infants and adults Poikiloderma of Civatte: Sun damage and pigmentation on the neck and chest Red birthmarks and vascular malformations Cosmetic Applications V-Beam is also widely used for aesthetic improvements, including: Facial redness or flushing Post-acne redness or scars Stretch marks (early red ones) Cherry angiomas Broken capillaries on the face and legs Why Choose V-Beam Laser at Vibhavadi Hospital? Advanced Technology – V-Beam Perfecta We utilize the latest V-Beam Perfecta model, which features Dynamic Cooling Device (DCD) technology. This integrated cooling system protects the skin by spraying a burst of cryogen before each laser pulse, minimizing discomfort and the risk of side effects. Board-Certified Dermatologists Our skin specialists are trained in laser safety and treatment protocols, with extensive experience in managing both cosmetic and medical skin concerns using V-Beam technology. Customized Treatment Plans Every patient receives a personalized consultation and treatment plan based on their skin condition, skin type, and individual goals. How Does the V-Beam Laser Work? The V-Beam laser emits a yellow-colored light at a wavelength of 595 nm, which is selectively absorbed by oxyhemoglobin in blood vessels. This results in photothermolysis, which safely destroys the target vessels while preserving the surrounding tissue. Each pulse treats a small area (spot size can range from 3–10 mm), and a full session may take 15–30 minutes, depending on the size of the treated area. What to Expect During Your V-Beam Treatment Before the Procedure Avoid sun exposure and tanning for at least 2 weeks Do not apply irritating skincare products (e.g., retinoids or AHA) 2–3 days before Inform your doctor of any medications or history of cold sores During the Procedure You’ll wear protective eyewear The laser handpiece will deliver gentle bursts of energy while the skin is cooled simultaneously Patients often describe the sensation as a mild snapping or tingling After the Procedure Mild redness or swelling may occur for a few hours Some patients may develop temporary bruising or purpura (especially in higher settings) Most can return to normal activities immediately Apply sunscreen and avoid harsh skincare for several days How Many Sessions Are Required? The number of sessions depends on the type and severity of the condition: Condition Recommended Sessions Rosacea 2–4 sessions Post-acne redness 1–3 sessions Port wine stains 4–10+ sessions Spider veins 2–3 sessions Stretch marks 3–5 sessions   Treatments are typically spaced 4–6 weeks apart for optimal results. Benefits of V-Beam Laser Treatment Non-invasive and no downtime Safe for most skin types Treats multiple vascular conditions effectively Minimal side effects with proper aftercare Stimulates collagen and improves skin texture in some cases Often requires fewer sessions than other vascular lasers Who Is a Good Candidate? V-Beam is ideal for patients who: Suffer from persistent redness or broken capillaries Have vascular birthmarks or hemangiomas Want to improve post-acne inflammation or mild scarring Are looking for non-surgical skin rejuvenation Do not have recent sun exposure or tanning However, V-Beam may not be suitable for: Very dark skin tones (risk of pigmentation changes) Those with photosensitivity disorders Pregnant patients (consultation required) Possible Side Effects and Risks Although rare, side effects may include: Temporary redness or swelling Mild bruising or purpura (lasting 3–5 days) Blistering or crusting (uncommon, usually due to improper aftercare) Hyperpigmentation or hypopigmentation (usually temporary) Our dermatologists ensure proper energy levels and cooling settings to reduce the risk of side effects. V-Beam vs IPL (Intense Pulsed Light) Feature V-Beam Laser IPL Light Type Single-wavelength laser Broad-spectrum light Precision More targeted for vessels Less specific Effectiveness Stronger for vascular issues Moderate for redness Safety Lower risk of side effects Higher risk on darker skin   V-Beam is generally more effective for deep and resistant vascular lesions than IPL. Cost and Packages at Vibhavadi Hospital Treatment cost depends on: Treated area (full face, nose, cheeks, etc.) Severity and number of sessions required Optional pre- or post-treatment care We offer single-session pricing and treatment packages, along with consultation for customized plans. Contact our dermatology center for current promotions and insurance eligibility. Frequently Asked Questions (FAQ) Q1: Is the V-Beam Laser painful? Most patients describe the sensation as a mild snap or warm prick, similar to a rubber band. Cooling spray ensures minimal discomfort. Q2: Is there any downtime? Generally, no. You may experience slight redness or swelling, but you can resume normal activities immediately. Q3: How long do results last? Results are long-lasting, especially if the underlying cause is managed. Some conditions (like rosacea) may require maintenance sessions. Q4: Can V-Beam treat acne? V-Beam does not treat active acne but is very effective for post-acne redness, scarring, and inflammation. Q5: Can I combine V-Beam with other treatments? Yes. It can be combined with treatments like chemical peels, microneedling, or topical medications, depending on your condition and skin type. Conclusion The V-Beam Laser is a powerful and versatile treatment for a wide range of vascular and inflammatory skin conditions. At Vibhavadi Hospital, our combination of cutting-edge technology and experienced dermatologists allows patients to receive personalized, safe, and effective care for clearer, healthier-looking skin. Whether you're struggling with persistent redness, rosacea, or cosmetic vascular marks, the V-Beam Laser offers a non-invasive path to skin confidence—all under the expert care of Vibhavadi's trusted professionals.

CT Brain Scan Preparation

CT Brain Scan Preparation

A CT Brain Scan (Computed Tomography of the brain) is a vital imaging tool that helps detect structural abnormalities, brain injuries, strokes, tumors, and other neurological conditions. At Vibhavadi Hospital, we offer state-of-the-art CT scanning technology backed by a team of experienced radiologists and neurologists. Our advanced imaging capabilities allow for fast, non-invasive, and highly accurate diagnosis to support timely treatment decisions for patients experiencing neurological symptoms. What Is a CT Brain Scan? A CT brain scan uses X-ray technology combined with computer processing to create cross-sectional images of the brain. Unlike regular X-rays, which provide only a flat view, CT scans can show detailed images of soft tissues, blood vessels, and bones in the head. This imaging method is commonly used to assess: Head trauma or injuries Stroke and bleeding in the brain Brain tumors or cysts Brain swelling (edema) Hydrocephalus Skull fractures Brain infections or abscesses Why Choose Vibhavadi Hospital for Your CT Brain Scan? High-Speed Multi-Slice CT Scanners Our hospital is equipped with multi-slice CT scanners that allow for quick image acquisition with high resolution, reducing scan times and improving diagnostic precision. Experienced Radiology Team Our board-certified radiologists and neurologists collaborate closely to interpret results with accuracy, ensuring comprehensive evaluation and diagnosis. Patient-Centered Safety Protocols We use low-dose radiation techniques and rigorous quality control to minimize patient exposure while preserving image quality. Immediate Results and Diagnosis For emergency cases such as stroke or head injury, we provide real-time imaging and rapid interpretation, ensuring patients receive immediate care and interventions if needed. Who Should Get a CT Brain Scan? You may need a CT brain scan if you experience any of the following symptoms or conditions: Symptoms Sudden severe headaches Loss of consciousness or fainting Seizures Sudden vision changes Numbness or weakness, especially on one side Difficulty speaking or confusion Head trauma from accidents or falls Medical Conditions Suspected stroke or transient ischemic attack (TIA) Traumatic brain injury (TBI) Brain tumors Neurological infections such as meningitis or encephalitis Monitoring known brain conditions CT Brain Scan Procedure at Vibhavadi Hospital Before the Scan You may be asked to remove metal items like jewelry or eyeglasses. If contrast dye is required, you may need to fast for 4–6 hours prior. Inform the technician of any allergies or existing medical conditions, especially kidney problems or pregnancy. During the Scan You’ll lie on a motorized table that slides into the CT scanner. You must remain still during the scan, which typically lasts 5–15 minutes. If contrast is used, it will be administered via an IV injection to enhance blood vessel visibility. After the Scan You can usually resume normal activities immediately. If contrast dye was used, drinking water can help flush it from your system. Scan results are typically available within a few hours and will be reviewed by your doctor. Contrast vs. Non-Contrast CT Brain Scans Depending on your symptoms or condition, your physician may order either a non-contrast scan or one that uses intravenous contrast dye. Non-contrast CT is often used for trauma, stroke, or bleeding detection. Contrast-enhanced CT provides better visualization of tumors, infections, or vascular abnormalities. At Vibhavadi Hospital, our team evaluates the medical necessity of contrast use, prioritizing patient safety while enhancing diagnostic clarity. Advantages of CT Brain Scans Fast and painless procedure Excellent for detecting acute conditions like stroke or trauma More widely available and quicker than MRI Useful in emergency settings Can be repeated if needed for monitoring CT Brain Scan vs. MRI Brain Scan: What’s the Difference? Feature CT Scan MRI Scan Speed Fast (5–15 mins) Slower (30–60 mins) Radiation Uses low-dose X-rays No radiation Image detail Better for bone and acute bleeding Better for soft tissues and nerves Availability Widely available and less costly Higher cost and longer wait times In cases of acute trauma, suspected bleeding, or stroke, a CT scan is typically the first-line imaging choice. Services for Stroke and Emergency Brain Conditions Vibhavadi Hospital offers a dedicated stroke care program, where CT scans are an integral part of rapid diagnosis and treatment planning. Our 24/7 emergency team is equipped to respond to brain-related emergencies, ensuring swift intervention and better outcomes. Cost and Insurance Coverage The cost of a CT brain scan varies depending on: Use of contrast agent Type of scan (routine vs. emergency) Additional diagnostic services At Vibhavadi Hospital: We offer transparent pricing and assistance with insurance claims. Our billing team works directly with several local and international insurance providers. Please contact our service desk or visit our website for current pricing and available health packages. How to Schedule a CT Brain Scan at Vibhavadi Hospital Booking your CT scan is easy: Consult your physician to get a referral or request. Call our appointment center at 02-XXXX-XXXX or book online via our official website. Bring your doctor’s order, ID, and any previous imaging results to your appointment. Our staff is ready to assist you every step of the way—from preparation to post-scan consultations. Meet Our Radiology and Neurology Experts Vibhavadi Hospital is proud to have a team of highly experienced: Radiologists with subspecialties in neuroimaging Neurologists trained in stroke management and neurocritical care Technicians certified in advanced imaging protocols Our collaborative approach ensures accurate diagnostics and personalized care for each patient. Frequently Asked Questions (FAQ) Q1: Is a CT scan of the brain safe? Yes. It’s a safe procedure, especially when medically indicated. The radiation dose is minimal, and we use the ALARA principle (As Low As Reasonably Achievable) to minimize exposure. Q2: Can I get a CT brain scan without a referral? You can request an evaluation at our hospital, but a physician’s order is usually required to ensure the scan is medically necessary. Q3: How long does it take to get the results? In most cases, results are ready within a few hours. For urgent conditions, our radiologists provide immediate reporting to guide emergency care. Q4: Is the scan painful? No. The procedure is completely painless. If contrast dye is used, you may feel a brief warm sensation during injection. Q5: Can children undergo CT brain scans? Yes, but we take special precautions to reduce radiation dose for pediatric patients. Our pediatricians work closely with radiologists in these cases. Conclusion A CT brain scan is an essential diagnostic tool that enables early detection and treatment of critical neurological conditions. At Vibhavadi Hospital, we combine advanced imaging technology with expert interpretation and compassionate care, making us a trusted choice for patients seeking precision diagnostics. Whether you're experiencing sudden neurological symptoms or managing an ongoing condition, our team is here to provide you with accurate diagnosis, quick turnaround, and comprehensive support throughout your medical journey.

Bladder Scan Urine meter with 3D high frequency waves

Bladder Scan Urine meter with 3D high frequency waves

Bladder Scan Volume Meter     Bladder Scan is a device that measures the amount of urine remaining after urination. Using ultrasound equipment to examine the abdominal area. Previously, measuring the amount of urine remaining in the bladder required inserting a urinary catheter directly into the urethra. It can cause irritation and disturb the privacy of the patient. But nowadays tools have been developed. This is to facilitate measurement and there is no need to insert the tube into the urethra. Makes the patient feel no pain and reduces irritation from the urinary catheter by using a Bladder Scan to see the amount of urine remaining after urinating. Measuring the amount of remaining urine. It is important in caring for patients who have urinary problems, such as enlarged prostate, cystitis, and overactive stomach. How to do it            1. Drink 500 - 1,000 CC of water from home (the amount can be reduced depending on the distance from home to the hospital).            2. Hold a small amount of urine for about 30 minutes until you feel severe pain and then urinate. By urinating into the urine measuring bottle provided.            3. A Bladder Scan was performed to measure the amount of urine remaining in the bladder.            4. See a doctor to hear the results and proceed with treatment. Ultrasound examination with Bladder Scan can help in diagnosing your symptoms such as:            1. Burning and burning urination that comes and goes, chronic.            2. Normal color urine such as cloudy urine, urine with sediment. or has blood in it To monitor and monitor stones in the urinary system.            3. Difficulty urinating, frequent urination, inability to urinate.            4. People with chronic back pain or lumbar pain    

เครื่องฉายแสงอาทิตย์เทียมอัลตร้าไวโอเลตบี (UVB Phototherapy)

เครื่องฉายแสงอาทิตย์เทียมอัลตร้าไวโอเลตบี (UVB Phototherapy)

เครื่องฉายแสงอาทิตย์เทียมอัลตร้าไวโอเลตบี (UVB Phototherapy) การฉายแสงอาทิตย์เทียมด้วยรังสีอัลตร้าไวโอเลตบี คือ อะไร? Excimer เป็นส่วนหนึ่งของแสงอาทิตย์อยู่ในรังสียูวีบีที่มีความยาวคลื่น 308 นาโนเมตร ซึ่งให้ประสิทธิภาพในการรักษาโรคผิวหนังได้หลายชนิด ได้แก่ โรคด่างขาว (Vitiligo)    โรคสะเก็ดเงิน (Psoriasis)  โรคผิวหนังอื่นๆ ได้แก่ กลุ่มอาการผื่นแพ้อักเสบเรื้อรัง (Eczema, Atopic Dermatitis, EAC, Pityriasis Alba ในเด็ก), โรคผมร่วงเป็นหย่อมๆ (Alopecia Areata)          โรคสะเก็ดเงิน เป็นการอักเสบเรื้อรังของผิวหนัง ส่งผลต่อคุณภาพชีวิตของคนที่เป็น โดยอาการจะเป็นปื้นนูนแดงปกคลุมด้วยสะเก็ดสีเทาเงิน มักพบบริเวณ ข้อศอก เข่า หนังศรีษะ ซึ่งการรักษาจะเริ่มตั้งแต่ทายา หากไม่ดีขึ้นต้องใช้การฉายแสงอาทิตย์เทียมอัลตร้าไวโอเลตบี รวมถึงโรคด่างขาว โรคผิวหนังผื่นแพ้อักเสบเรื้อรัง ก็ใช้วิธีการรักษาด้วยการฉายแสงอาทิตย์เทียมนี้ด้วย   เครื่อง Excimer 308 เหมาะกับผู้ป่วยแบบไหน?    1.เป็นทางเลือกสำหรับผู้ป่วยในกรณีที่รักษาด้วยยาแล้วไม่เห็นการเปลี่ยนแปลง    2.ผู้ป่วยที่มีรอยโรคทุกบริเวณ รวมถึงบริเวณที่เข้าถึงยากและบริเวณเล็กๆ เช่น ไรผม ข้อพับ ริมฝีปาก หนังศีรษะ    3.ผู้ป่วยที่มีรอยโรคไม่เกิน 20% ทั่วทั้งร่างกาย    4. มีความปลอดภัยสูง อาการข้างเคียงน้อย สามารถใช้ในการรักษาได้ทั้งเด็กและผู้ใหญ่             การรักษาด้วยการฉายแสง มีข้อควรระวังอะไรบ้าง?        1. ผู้ป่วยตั้งครรภ์หรืออยู่ในช่วงให้นมบุตร        2. ผู้ป่วย SLE, HIV        3. ภาวะด่างขาวจากโรค Hyperthyroidism       4. ผู้ป่วยที่ใส่เครื่อง Pacemaker       5. ผู้ป่วยที่ได้รับการรักษาด้วยยาที่มีความไวต่อแสง       6. มีประวัติเป็นโรคมะเร็งผิวหนัง   ขั้นตอนการรักษาด้วยเครื่อง Excimer 308 การเตรียมตัวก่อนเข้ารับการรักษา    1. ทำความสะอาดผิวหนังในบริเวณที่จะรับการรักษาหรือทำ MED Test (Minimal Erythema Dose)    2. สำหรับผู้ป่วยโรคสะเก็ดเงินสามารถทา Salicylic acid ในช่วงกลางคืนก่อนวันที่เข้ารับการรักษาได้    3. แนะนำให้ทำการทดสอบแสง (MED Test) เพื่อหาระดับพลังงานที่เหมาะสมในการรักษา โดยจะทดสอบที่บริเวณท้องแขนหรือหลัง แพทย์จะอ่านผลภายใน 24 ชั่วโมงภายหลังจากการทดสอบ          **ผู้ป่วยโรคด่างขาวและศีรษะล้านเป็นหย่อมๆ สามารถทำการรักษาได้ทันทีโดยไม่ต้องทดสอบ MED Test    4. งดการทาผลิตภัณฑ์ประเภท  Oil ,  ครีมกันแดด  ก่อนเข้ารับการรักษา   ขณะได้รับการรักษา    1.ผู้ป่วยควรเปลี่ยนชุด หรือ เปิดเสื้อผ้าบริเวณที่จะทำการรักษา เพื่อให้บริเวณรอยโรคได้รับแสง    2. ขณะทำการรักษา  ควรอยู่นิ่งๆ ไม่เล่นโทรศัพท์หรือพูดคุยโทรศัพท์    3. ควรสวมใส่แว่นตาเพื่อป้องกันรังสียูวีบี ทั้งผู้ป่วยและแพทย์ผู้ทำการรักษา ในกรณีที่มีรอยโรครอบดวงตา ให้ผู้ป่วยหลับตาตลอดทั้งการรักษา การดูแลปฏิบัติตัวภายหลังได้รับการรักษา    1.หากเกิดอาการคัน ผู้ป่วยไม่ควรแกะเกาในบริเวณที่ได้รับการรักษา รวมถึงหลีกเลี่ยงการถูกขีดข่วนในบริเวณที่เป็นโรค    2.หลีกเลี่ยงปัจจัยที่ทำให้โรคมีอาการกำเริบหรือมีอาการรุนแรงเพิ่มขึ้น ได้แก่ การดื่มแอลกอฮอล์ การสูบบุหรี่ ความเครียด    3. ควรรักษาสุขอนามัยของร่างกาย อาบน้ำทำความสะอาดร่างกายด้วยสบู่อ่อนๆ    4. ควรนอนหลับพักผ่อนให้เพียงพอ    5. ปฏิบัติตามคำแนะนำของแพทย์อย่างเคร่งครัด ผู้ป่วยต้องมาเข้ารับการรักษานานแค่ไหน?       ในช่วงแรกผู้ป่วยต้องมาเข้ารับการรักษา 2-3 ครั้งต่อสัปดาห์ โดยเว้นระยะห่างในแต่ละครั้ง ไม่น้อยกว่า 48 ชั่วโมง เมื่ออาการของรอยโรคตอบสนองต่อการฉายแสงได้ผลดี แพทย์จะเป็นผู้ประเมิน และสามารถเว้นระยะห่างเป็น 1-2 ครั้งต่อสัปดาห์ และหากรอยโรคหายแล้ว สามารถลดการฉายแสงให้เหลือสัปดาห์ละ 1 ครั้งจนกระทั่งหยุดฉายได้ ผลการรักษา เป็นอย่างไร?       ผู้ป่วยโรคด่างขาว : ขึ้นอยู่กับบริเวณและความรุนแรงของโรค โดย  จำนวนครั้งในการรักษาที่เห็นผลประมาณ 20-25 ครั้ง       ผู้ป่วยโรคสะเก็ดเงิน : จะเห็นผลการรักษาประมาณ 15-20 ครั้ง ทั้งนี้ขึ้นอยู่กับความหนาของสะเก็ดและความรุนแรงของโรคด้วย       ผู้ป่วยโรคผื่นผิวหนังอักเสบเรื้อรัง และอื่นๆ : จะเห็นผลในการรักษาประมาณ 4-8 ครั้ง ทั้งนี้ขึ้นอยู่กับความรุนแรงของโรคด้วย การรักษาด้วยการฉายแสง มีผลข้างเคียงหรือไม่?       อาจพบอาการข้างเคียงภายหลังจากการได้รับการรักษา เช่น คัน แสบ ผิวหนังแห้ง ลอก รวมถึงผิวหนังที่ได้รับการรักษาและผิวหนังรอบบริเวณที่ทำการรักษาอาจมีสีที่คล้ำหรือเข้มขึ้นในช่วงที่ได้รับการรักษา แต่สีผิวที่เข้มขึ้นนั้นจะค่อยๆ จางลงภายหลังหยุดการรักษาด้วยการฉายแสง สอบถามรายละเอียดเพิ่มเติม        ศูนย์ผิวหนัง โรงพยาบาลวิภาวดี ชั้น G อาคาร Tower B โทร 02-561-1111 หรือ 02-058-1111 ต่อ 1123, 1124

Electroencephalogram (EEG)

Electroencephalogram (EEG)

Electroencephalogram (EEG) Physicians, in conjunction with past medical history and physical examinations, rely on electroencephalogram or EEG to diagnose, distinguish, and provide the correct treatment plans for specific types of epilepsy. A number of electrodes with wires are attached to the patient’s scalp, and will detect as well as record any changes in electrical activity by neurons in the brain. Results will be amplified and presented as a graph (on paper and screen), and then physicians can analyze and detect abnormalities.    Uses for EEG 1. Patients with suspected epilepsy, symptoms including loss of consciousness, seizures, uncontrollable jerking, headaches, vertigo, behavioral changes, and psychological symptoms with no known cause. 2. Diagnosing different types of epilepsy such as absence seizures, generalized seizures, and pseudoseizures. 3. Diagnosing conditions such as hepatic encephalopathy, Creutzfeldt-Jakob Disease (CJD) or mad cow disease, and brain tumors. 4. Using EEG as a monitoring device to provide treatment plans for patients with status epilepticus. 5. To find suitable antiepileptic drugs for patients. 6. To help plan the discontinuation of antiepileptic drugs in epilepsy patients. 7. Using video EEG monitoring to help prepare for surgery in patients with refractory epilepsy. 8. Diagnosing and planning suitable treatments for patients suffering from sleep disorders such as obstructive sleep apnea and narcolepsy, via polysomnography (sleep study). 9. To confirm brain death. 

(Transcranial Magnetic Stimulation, TMS)  

(Transcranial Magnetic Stimulation, TMS)  

Transcranial Magnetic Stimulation (TMS) Transcranial magnetic stimulation is a noninvasive procedure using electromagnetic induction through a coil, to diagnose and treat neurological disorders such as paralysis, paresis, Parkinson’s disease, neuropathy, migraine, and depression.   Stimulation through electromagnetic induction can be done in 2 ways: 1. Repetitive TMS uses high frequency stimulation applied for more than 1 cycle per second. Suitable for patients with paresis, paralysis, Parkinson’s disease, and depression. 2. Single pulse TMS uses low frequency stimulation applied less than 1 cycle per second to help inhibit activity of the brain in migraine patients. Indications for TMS: Depression, mood instability after brain trauma, sudden and chronic pain, neuropathic pain, neurological disorders such as paralysis, paresis, Parkinson’s disease, and so on. How it’s done: Physicians will use the TMS device to stimulate patient’s brain once a day for 20-30 minutes. For best results, it is advised to receive treatment for 5-10 consecutive days. During the stimulation, physicians will observe and ask for feedback throughout the session. Results The magnetic stimulation is beneficial for the neural circuits in the brain and has a direct effect on neurotransmitters like serotonin; found to be related to migraine headaches, pain, stress, muscle tension, and depression. Contraindications Those with a pacemaker, those who have metal implants in the skull such as surgical clipping following a brain aneurysm or anywhere else in the body, and those with epilepsy. Adverse effects Warm sensation at the site of stimulation as the procedure can slightly increase intracranial temperature, headaches and scalp discomfort, nausea, and dizziness. More serious adverse effects include seizures and mood disturbances in psychiatric patients. What you need to know before the procedure 1. Your physician will inform you about the indications, contraindications, and general advice regarding TMS. 2. Before the actual procedure, your physician will stimulate your peripheral nerves to help you get accustomed to the sensation, strength, and rate of the stimulation used in TMS. 3. When you feel comfortable, your physician will continuously stimulate the brain area in rounds; corresponding to specific issues such as paralysis, paresis, and the opposite hemisphere for muscle weakness. For more information please contact Vibhavadi Hospital Neuroscience Center                                                                                Tel. 0-2561-1111 ext. 1214

Electromyography (EMG)

Electromyography (EMG)

Electromyography (EMG) is an electrodiagnostic procedure used to measure the health and response of muscles and nerves. This procedure can detect dysfunction of the nerves, allowing physicians to provide the correct and accurate treatment for patients who are suffering from symptoms such as numb hands and feet, and muscle weakness. What is EMG and how does it work? EMG relies on our understanding of the electrical impulses present in motor neurons, for diagnosis purposes. Generally, there are 3 types of tests available: 1. Nerve conduction study A diagnostic procedure using weak and safe electrical impulses to stimulate different nerves in the body. It can detect abnormalities and dysfunction, which may be present in patients with diabetes neuropathy, or pinched nerve in the wrists and elbows. 2. Needle Electromyographic Study A diagnostic procedure using small needles to detect abnormalities in the muscles and nerves, resulting from pinched nerves in the neck and back area. It can also be used to detect nerve damage and neuromuscular abnormalities. 3. Evoked Potentials (Eps) A diagnostic procedure using sensory stimulation such as electricity, light, touch, and sound to stimulate activity in the brain, which signals will then travel through the nerves and allow for any abnormalities to be detected. Benefits of the aforementioned tests EMG tests are beneficial for the accurate diagnosis of neuromuscular diseases and disorders, furthermore it can be a very useful tool for treatment planning. How safe is the test? EMG tests are considered safe, in both children and adults. Patients undergoing the test may feel mild electric shocks or slight pain in procedures involving intramuscular needles. Potential risks and side effects Soreness in areas tested using needles, however the discomfort should go away in a few days. Though rare and manageable, iatrogenic pneumothorax can be a possible complication of tests involving superficial muscular needles in the chest area. Symptoms include chest tightness, pain, and shortness of breath. Inform your physician prior to scheduling a test if you: Have a history of bleeding disorders such as hemophilia, or are taking medication that can cause bleeding (for EMG tests that require needles) Have a pacemaker implanted Have skin inflammation or infection at the site of test Note: Patients who are taking Mestinon (for Myasthenia gravis) must stop taking the medication 1 day prior to testing No fasting necessary For more information please contact Rehabilitation Center, Vibhavadi Hospital Tel: 02-561-1111 ext. 1118-9