To Schedule An Appointment
Call 925.938.5252
Offices:
We Provide Comprehensive Evaluations and Treatment for Many Neurologic Conditions
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Alzheimer's Disease
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Dementia
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Parkinson’s Disease
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Essential Tremor
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Dystonia
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Other movement disorders
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Epilepsy/Seizures
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Stroke/TIA (Transient Ischemic Attack)
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Double Vision
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Vertigo
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Carpal Tunnel Syndrome
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Post Concussive Syndrome
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Ulnar Neuropathy
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Radiculopathy/ Pinched nerves in neck and back
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Peripheral Neuropathy
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Myasthenia Gravis
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CIDP
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Muscle disease (myopathy or myositis)
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Neurologic complications of systemic disorders
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Multiple Sclerosis
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Restless Leg Syndrome
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Supraorbital Neuralgia
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Lewy Body Dementia
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Normal Pressure Hydrocephalus
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Increased Intracranial Hypertension
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Headaches
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Hemorrhagic Strokes
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Intracranial Bleeding
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Vascular Dementia
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Horner's Syndrome
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Migraine
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Cluster Headache
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Spasticity
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And MORE!
Services Offered:
Comprehensive Neurologic Evaluation and Treatment
Electroencephalogram (EEG)
Electromyography/ Nerve Conduction Study (EMG/NCS)
Botox Injections
Infusion Treatments
Comprehensive Neurologic Evaluation and Treatment
Regardless of your neurologic issue, we are here to listen, examine, and formulate the best plan we can suitable to your needs. We offer an extensive, comprehensive neurologic evaluations that are professional and thorough. The evaluation involves reviewing your intake forms, taking a history, and doing a complete neurologic examination. Only after we have reviewed your history and laid out all your present concerns and questions will we formulate a meaningful, personal treatment plan that is specific to your needs. We will help facilitate additional referrals, labs tests, or imaging we recommend to help elucidate the cause or treat your symptoms. At the end of your visit, we will provide you a summary of the treatment plan. In follow-up, we will revisit your history, monitor your treatment plan and effectiveness, and make adjustments as needed. We will also address any new concerns or questions that may arise.
Electroencephalogram (EEG)
Electroencephalogram (EEG) is a test that detects electrical activity in your brain using small, flat metal discs (electrodes) attached to your scalp. Your brain cells communicate via electrical impulses and are active all the time, even when you're asleep. This activity shows up as wavy lines on an EEG recording. A typical recording can take up to 1 hour, but sometime extended recordings are done.
EEG is one of the main diagnostic tests for epilepsy. An EEG may also play a role in diagnosing other brain disorders.
Electromyography/ Nerve Conduction Study (EMG/NCS)
Electromyography (EMG) is a diagnostic procedure to assess the health of muscles and the nerve cells that control them (motor neurons). Motor neurons transmit electrical signals that cause muscles to contract. An EMG translates these signals into graphs, sounds or numerical values that a specialist interprets.
An EMG uses tiny devices called electrodes to transmit or detect electrical signals. During a needle EMG, a needle electrode inserted directly into a muscle records the electrical activity in that muscle.
A nerve conduction study, another part of an EMG, uses electrodes taped to the skin (surface electrodes) to measure the speed and strength of signals traveling between two or more points.
EMG results can reveal nerve dysfunction, muscle dysfunction or problems with nerve-to-muscle signal transmission. Although chiropractors, pain specialists, and pmr physicians sometimes do EMG/NCS, only a neurologist specifically board certified in EMG is trained specifically is interpreting and diagnosing these disorders. At East Bay Neurology, Dr. Timothy Wei is certified in EMG/NCS training, and provides interpretation and guidance based on the testing results.
Botox (onabotulinum toxin A)
What is Botox?
Botox, or onabotulinum toxin, is actually the toxin produced from a bacteria. It is modified and used in small doses for many medical conditions. Neurologic conditions in which it is used include hemifacial spasms, cervical dystonia, and of course, chronic migraines.
People use Botox for neurologic conditions?
Yes! The Federal Drug Administration (FDA) approved the use of Botox injections for people suffering with chronic migraines, spasticity (which can result sometimes after stroke), cervical dystonia, or blepharospasm.
What should I expect?
Should Botox be a possible therapeutic option for you, we will discuss in depth the procedure and expectations before your first treatment. We follow the approved FDA protcol and general guidelines. Treatment is repeated once every three months as all effects usually wear off after ninety days.
Why do it here?
Physicians here have done extensive training in residency and fellowship with botox. We can give you accurate description of the process and expectations to make sure you make the most educated decision in your care.
What should I expect?
Should Botox be a possible therapeutic option for you, we will discuss in depth the procedure and expectations before your first treatment. Treatment is repeated once every three months as all effects usually wear off after ninety days.
How does it work?
Botox works by blocking signal transmission from the nerve to the muscle, thereby in essence paralyzing the muscle. Although this may play a part in relieving muscle tension that can sometimes be involved with headaches, we now know there are likely more chemical modulatory effects involving the nerves and brain itself in decreasing migraine severity and frequency. Much of this is still being scientifically investigated.
Why does it take so long to get approved by my insurance?
Although Botox is effective, it is an expensive treatment. Most patients will go seek insurance authorization although direct pay options for Botox treatments are also available. There are several steps involved, including obtaining authorization, and, if a Specialty Phamracy is involved to deliver your medication, setting of shipment of your medication. The initial authorization process can be initially cumbersome, but we have trained staff specifically to help you navigate this field for expedited treatment. For a reference to the authorization process, please click here.
For more information on Botox for chronic migraines, please visit:
Infusion and Injection Clinic
Don't waste time in Urgent Care of the Emergency Room. Get treatment for your issue without delay.
The infusion suite is a special room we have designed specifically with our patients in mind. It is a peaceful setting where patients can come and get the infusion and treatments they need in a tranquil environment.
In the infusion suite, we give treatments of issues such as acute headaches, migraines, multiple sclerosis flare-ups, and more.