Clinical Neurophysiology

Clinical Neurophysiology is a diagnostic branch of neurology that offers a wide range of testing and treatment for various neurological disorders. Wayne Health’s Clinical Neurophysiology team is dedicated to providing exceptional patient care through evaluation, monitoring and treatment of disorders affecting the brain, spinal cord, peripheral nerves and muscles, using a combination of clinical assessment and neurophysiological testing. 

Wayne Health specialists care for patient with seizures and epilepsy at a Level 4 North American Epilepsy Centered (NAEC) accredited site that can help them navigate the nuances of diagnostic testing and treatment. Our center offers services ranging from routine electroencephalography, to an inpatient Epilepsy Monitoring Unit, to highly-specialized surgical treatments, including vagus nerve stimulation, responsive neurostimulation, laser ablation and traditional brain resection surgeries. Our specialists also care for patients with neuromuscular conditions of the spinal cord, peripheral nerve diseases and muscular problems, offering a variety of diagnostic procedures, including nerve conduction and electromyography studies. In addition, we are the only site in southeast Michigan that offers diagnostic non-invasive neuromuscular ultrasound testing.

• Nerve conduction studies and electromyography, including:
  • Single-fiber EMG (SFEMG)
  • Repetitive nerve stimulation 
  • Bedside skin biopsies for peripheral nerve diseases
• Neuromuscular ultrasound diagnostics
• Electroencephalography (EEG) services, including:
  • Routine EEG
  • Ambulatory at-home EEG
  • Inpatient Epilepsy Monitoring Unit
  • WADA testing for epilepsy surgery candidates
  • Ictal and interictal SPECT services
  • FDG-PET scans for epilepsy diagnostics
  • Electrocorticography and subcortical grid and stereo-EEG recordings
  • Monitoring and programming of vagus nerve stimulators, responsive neurostimulation
• Evoked potentials (EP), including: visual evoked potentials, somatosensory EP and brainstem auditory EP 

Treatments offered for:

• Epilepsy and other seizure disorders, including:
  • High-risk Pregnancy and Epilepsy Clinic
  • Epilepsy in the Elderly Clinic
  • Pediatric-to-Adult Transitional Epilepsy Clinic
  • Epilepsy Dietitian Specialty Clinic
• Neuromuscular conditions including:
  • Peripheral neuropathies, such as Charcot-Marie-Tooth disease
  • Motor neuron disease, such as ALS
  • Neuromuscular junction disorders, such as myasthenia gravis
  • Muscle disorders, such as muscular dystrophies and myopathy

An ultrasound uses high-energy sound waves to generate a live image. Using this machine, patients with nerve and muscle disease can use this non-invasive technique to look at the anatomy of their peripheral nervous system for diagnostic purposes. Based on the imaging results, specialists can help diagnose conditions and determine how much they are affected.

Wayne Health physicians and researchers are also faculty members at Wayne State University School of Medicine who conduct basic research and clinical studies. This makes the latest treatments and clinical trials available to our patients sooner than other providers without a medical school affiliation. 

For more information, please visit the links below at the WSU School of Medicine.