Neurology in Dubai

Neurology is a branch of medicine that focuses on the diagnosis and the treatment of diseases of the nervous system. The nervous system is a complex and sophisticated system that regulates and coordinates our body activities. It is divided into two major parts:

• The central nervous system: the brain and spinal cord
• The peripheral nervous system: all nerves branching out from the brain and spinal cord, and extend to other parts of the body, including organs and muscles.

Since the nervous system is complex, there are numerous subspecialties within the field of neurology, including:

• Neurodevelopmental disabilities
• Pediatric or child neurology
• Neuromuscular medicine
• Pain medicine
• Hospice and palliative care neurology
• Headache medicine
• Vascular Neurology (stroke care)
• Sleep medicine
• Autonomic disorders
• Brain injury medicine
• Neuropsychiatry
• Epilepsy
• Neurointensive care

A doctor who specializes in treating diseases of the nervous system is called a neurologist. Symptoms that often require a neurologist help may include coordination problems, muscle weakness, confusion, dizziness, and a change in sensation. People who are having problems with their senses, such as vision, touch, or smell, may also require to see a neurologist since problems with senses are sometimes caused by disorders of the nervous system.

A neurologist may also treat patients with:

• Stroke
• Seizure disorders, such as epilepsy
• Migraines and headaches
• Brain aneurysms
• Brain tumors
• Peripheral neuropathy
• Multiple sclerosis
• Infections of the nervous systems, such as meningitis, encephalitis, or brain abscesses
• Neuromuscular disorders, such as myasthenia gravis
• Neurodegenerative disorders, such as Alzheimer’s disease and Lou Gehrig’s disease
• Sleep disorders
• Spinal cord disorders, such as autoimmune and inflammatory disorders
• Speech and language disorders

Keep in mind that neurologist does not perform surgery. If you need surgery, you will be referred to a neurosurgeon.

What does Neurology Involve?

A wide variety of different tests and procedures are used to diagnose and treat neurological conditions. On your first appointment with a neurologist, a physical and neurological exam is likely to be performed. A neurological exam is done to test muscle strength, coordination, and reflexes.

Because different diseases can have similar symptoms, more than one testing may be required for your neurologist to make a diagnosis.

Some of the procedures that fall into the field of neurology may include:

Electromyography

Electromyography (EMG) is used to measure how well your muscles react to electrical stimulation from motor neurons, which are specific nerves controlling muscle movement. It can help neurologists diagnose general muscle or nerve dysfunction, as well as spinal cord disease.

During an EMG, small needles called electrodes are inserted into the muscle by a specially trained technician. The electrodes can measure the different electrical activity occurring in muscle tissue during periods of movement and rest.

Electroencephalogram

Electroencephalogram (EEG) is performed to assess and record electrical activity in your brain. Neurons in our brain communicate with other neurons through electrical impulses, which an EEG can record. Brain wave patterns can also be tracked by an EEG. It is used to help diagnose conditions of the brain, including tumors, inflammation, injuries, as well as psychiatric disorders, epilepsy, and seizures.

During an EEG, electrodes are placed on your head. The electrodes are connected to a computer, which converts electrical signals into patterns that can be seen from a screen or printed on a piece of paper.

Lumbar puncture

Lumbar puncture is done to test your spinal fluid. It involves inserting a needle into your spine after numbing it with an anesthetic. Using the needle, a sample of your spinal fluid is taken.

A lumbar puncture can help diagnose the following conditions:

• Meningitis
• Encephalitis
• Leukemia
• Myelitis
• Dementia
• Autoimmune diseases, such as multiple sclerosis (MS)
• Bleeding in the brain

The procedure can also be used to treat conditions affecting the spinal cord. Your neurologist may inject anesthetics, cancer treatments, or antibiotics using a lumbar puncture needle.

Tensilon test

To help diagnose myasthenia gravis, your neurologist may perform a tensilon test. It involves the injection of a medicine called Tensilon. Then, your neurologist observes how medicine affects your muscle movements.

Sleep study

Chronic sleep problems are diagnosed in a Sleep Study. Also known as a Polysomnogram (PSG), this procedure involves monitoring patients during sleep and physiological data is recorded electronically.

Other tests

Other types of tests may be used by your neurologist to make a diagnosis. These may include:

• Magnetic resonance imaging (MRI scan)
• Computed tomography (CT scan)
• Positron emission tomography (PET scan)
• Biopsy
• Genetic testing
• Angiography

Botox injections

Botox injections can be done to treat some neurological conditions, such as cerebral palsy, that can cause your limbs to pull in toward your center. Sometimes, these contracted muscles can be relaxed with Botox injections.

Botox injections involve injecting tiny amounts of botulinum toxin into your skin of muscles using a thin needle.

Brain tumor treatment

A range of treatments can be done to treat a brain tumor. If your neurologist believes that you need surgery, you will be referred to a neurosurgeon who will remove as much of the brain tumor as possible through surgery.

A brain tumor may also be treated with radiation therapy, which uses high-energy beams to kill tumor cells.

Brain tumor treatment may be integrated between the departments of neurology and oncology.

Brain rehabilitation therapy

Brain rehabilitation therapy is used to help you relearn functions that are lost as a result of a brain injury. Brain rehabilitation therapy is usually integrated between specialty teams in the departments of neurology, sports medicine, psychiatry and psychology, neuroradiology, and the vestibular/balance laboratory.

Deep brain stimulation

During deep brain stimulation, electrodes are implanted within certain areas of the brain. The electrodes generate electrical impulses that can regulate abnormal impulses. These electrical impulses may also affect certain chemicals and cells within the brain.

Deep brain stimulation can be done to treat numerous conditions, including dystonia, essential tremor, epilepsy, and Parkinson’s disease. It is also being studied as a potential treatment for multiple sclerosis and stroke recovery.

Spinal stenosis treatment

Spinal stenosis is a condition that occurs when the spinal canal narrows and pinches the nerves, leading to back and leg pain. Spinal stenosis may be treated with pain medications, physical therapy, steroid injections, decompression procedure, or surgery. Surgery is usually performed if other treatments have not helped.

How Long Should I Stay in Dubai?

Your length of stay depends on the type of procedure you have, you may be allowed to leave the hospital on the same day or you will stay for several days. For diagnostic procedures, you should be allowed to leave the hospital on the same day. However, you should wait until the results of the test are ready before you can fly home, which may take as long as 7 days, sometimes even longer. If you undergo brain tumor treatments or other types of treatment, especially treatments that involve surgical intervention, you should aim to stay in Dubai at least for 10 days.

What's the Recovery Time?

The recovery time can be different for each procedure. It may also depend on the reason why you are having the procedure and your overall health. Your neurologist and neurosurgeon will give you a recovery timeline for each procedure. The recovery period for diagnostic procedures is typically short and you may be able to resume your normal activities within a week or so. For surgical procedures, you may need to wait 4 weeks or months until you can go back to your daily routine, including work and exercise.

What About Aftercare?

A detailed aftercare instruction will be given to you following your procedure. While the instructions will be different for each procedure, they typically include a diet plan, exercise, restrictions, and wound care (if any surgical intervention is involved). You should follow these instructions carefully in order to have a speedy and smooth recovery.

You may also need to attend follow-up checkups to monitor your overall condition and healing. For brain tumors, you may need to attend regular checkups to ensure the tumor has not come back.

What's the Success Rate?

The field of neurology is constantly advancing. The success rate of each procedure is typically high, particularly when performed by highly skilled and experienced medical professionals. Still, some procedures may carry some risks, such as bleeding, infection, and nerve injury.

Are there Alternatives to Neurology?

Since neurology is the branch of medicine to diagnose and treat problems of the nervous system, there are no other alternatives. However, if your doctor found that your disease or illness is found to be caused by other problems unrelated to the nervous system, your doctor will recommend you to see the relevant doctor.

Neurology in and around Dubai

About Dubai

Dubai is one of the seven emirates of the UAE and it is the second largest in size and has the biggest population of over 3 million people. The population of the UAE lives there tax-free as there is no VAT on food or consumer goods, and it is certainly one of the reasons why a large number of expats are attracted to this country and 84% of the population are non-nationals. Dubai prides itself upon the fact that it is one of the swiftest growing economies in the world. The tourism industry is one of the principal strategies of the Dubai government to keep foreign cash flowing into Dubai.

The private sector has been building state of the art facilities and also caters to medical tourism. Dubai has two healthcare free economic zone for hospitals and medical facilities. The industry consists of 35,000 medical professionals from 110 nationalities. There is a 12-year master plan, which includes adding 40 healthcare and three new hospitals.

The country aims to provide a 1000-bed medical care unit catering to inpatients and outpatients, with five-star hotel facilities and varied mélange of services. By the year 2020 Dubai Health Authority (DHA) plans to attract 500,000 annual international medical tourists to the city, 

Hospitals such as the NMC Specialty Hospital, Medeor 24x7 Hospital, Medicare Hospital, Aster Hospital are some of the more popular ones in the City. Expats from all over the world turn to Dubai for solutions to address ailments from non-invasive beauty treatments to surgeries, depression, and mood disorder treatments. The most popular treatments are Orthopaedics, Dermatology and Ophthalmology, Plastic surgery, and Aesthetic Practices and surgeries. It is also attracting Medical tourism from around the world due to:

• Dubai follows strict quality protocols and has specialists from all over the world working in its hospitals.
• The best medical technology is available and is on par with any world-class facility.
• The government and other stakeholders are working continuously to establish a world-class healthcare system in Dubai.
• Large investments from the government and private sector in the medical tourism industry.

Popular Areas in Dubai

Dubai is a paradise for shoppers. You can shop in the souks that are dotted around the city or visit the stylish shopping malls. From spices to the latest high street fashion and gold jewelry, you can buy everything at reasonable prices including electronic gadgets as the Vat rate is only 5%.

Burj Khalifa is the tallest building in the world and Burj Al Arab in Dubai which is the most luxurious hotel in the world is located in this building. You can buy a ticket to its observation deck located on the 124th floor from where you can see the panoramic view of the city. If you want to experience the tradition and history of the city, there are numerous museums to visit. If you love adventure, desert safaris will take you on some amazing activities that include dune bashing, camel rides, sand boarding and you will get to taste the local cuisine in the middle of the desert.

IMG Worlds of Adventure is the largest indoor theme park in the world. The IMG Worlds of Adventure is very big and is the size of 28 football fields. High and fast roller coasters, fine dining, and retail outlets are all in abundance within this theme park.

Weather and Climate in Dubai

Dubai, being a desert city, is hot for most of the year. August is the hottest month and January is the coldest one. The temperatures can range between 24 °C in winter to 45 °C in summer and humidity is very high in Summer. Dubai winters are from November to April and this is the best time to visit Dubai. 

Getting around in Dubai

Dubai has one of the busiest airports in the word and the airport is an important transit hub between Asia and Europe. Most of the airlines that fly to Asia, connect through Dubai airport that is known for its luxury and has many concourses and terminals and there are interconnecting metro trains between the terminals.

Dubai is famous for establishing the first metro service in the entire Arabian region and it has been investing and expanding the train network over the past few decades.

Port Jebel Ali is the biggest man-made harbor in the world and is a major point of entry to the country. Port Rashid is Dubai’s second major port. Apart from the major ports, it also has local boats and ferries that help people travel between different parts of the city. It has an excellent road network that connects to all the other Emirati cities. As Sharjah is the nearest Emirati city to Dubai, it has good public bus service connections to Sharjah. There are numerous taxi services and buses with reasonable fares, available for tourists to commute around the city.

Tourist Visas in Dubai

You can get a non-extendable visit visa or a tourist visa for 30 days or 90 days. Many job seekers use visitor visas to find work and convert their visitor visa to a work visa during their stay. Citizens of GCC countries and the European Union, USA, and the UK, Canada, Russia, China, Australia, and many other countries can get a visa on arrival. However, all passports must be valid for at least six months from the date of entry.

Additional Information

1. Local Currency- AED or Arab Emirate Dirham (Dhs) is the local currency.
2. Money & Payments -You can exchange money in numerous money exchangers. Major currencies that are traded in Dubai are Pounds, Euros, Australian and American Dollars. Most places accept credit cards and international debit cards for payments, Yet, it is better you carry some local currency with you while visiting small shops or traveling in taxis. ATMs are also available from where you can withdraw the local currency. In fact, many ATMs are free in Dubai and do not incur any banking charges.
3. Tipping is not compulsory, but it is customary to tip in restaurants and hotels. Tipping anywhere between 10 and 15% of your bill is about right. As taxis are cheap, people even tip the drivers for good service.
4. Arabic is the official language and English is the most spoken language here. People from Asian countries living in Dubai speak Hindi, Urdu, Persian.
5. The official religion of the country is Islam. It is, however, the most liberal city in the Gulf region. You must be careful to respect the local traditions and wear simple conservative clothes.
6. Eid Al Fitr and Eid Al Adha are two major religious holidays. Islamic New Year, Prophet’s birthday, UAE’s national day, and Commemoration Day are the other significant holidays. The religious festivals are dependent on the sightings of the moon and may occur on different days every year.