Neurology in South Korea

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 South Korea?

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 South Korea 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 South Korea

About South Korea

South Korea’s population is 51 million and it's capital Seoul is a major world city. 50 percent of the country’s population lives within the Seoul Capital Area which includes Seoul, Incheon, and Gyeonggi-do. The capital is situated in the north-west region of the country.

The Republic of Korea has immense potential for medical tourism with futuristic hospitals, sophisticated technologies, and advanced procedures. The government is taking all measures to make the country a top medical tourism destination. By 2022, it is looking to receive 998,000 medical tourists in the country.

Tourists from the USA, UAE, and Japan travel to Korea for affordable treatments. Some medical institutions in South Korea offer price packages, especially for plastic surgery, and help the medical tourist to save up to 40 percent on the treatment, even after adding travel and accommodation costs.

The Country has 27 accredited JCI-certified state-of-art hospitals. Severance Hospital, Seoul National University Hospital, and JK Plastic Surgery Centre are the most renowned hospitals within South Korea for medical tourism. The Doctors are well-educated to international standards of certifications and training.

The country is popular for treatments and procedures in several medical specialties, with an excellent track record for success and survival rates. Cancer treatment, plastic surgery, cardiovascular procedures, orthopedics, and preventive health check-ups are the top five areas for medical tourism in Korea.

Popular Parts of South Korea

When considering South Korea, it would be a mistake to overlook its many offerings that stretch way beyond the confines of its dynamic capital, Seoul. This vibrant nation is the embodiment of a perfect blend of advanced urban slickness, serene yet majestic rustic charm, awe-inspiring scenic beauty, and serene coastal landscapes with pristine beaches. Everywhere you go, each region unravels a story and invites you to become part of its unique narrative.

Notably, South Korea teems with places that make for intriguing and memorable visits. These locales, scattered across the country, are an intriguing cocktail of experiences, extending from modern high-tech cities shrouded in electrifying energy to tranquil, time-honoured folk villages nestled amongst nature's wonder, where tranquillity prevails and tradition holds sway.

1. Seoul – The capital city is a mix of pop and party culture, modern architecture, scenic parks, and glittering promenades and it is also rich in history and culture. The National Museum, War Memorial, Changdeokgung Palace, and Bukchon Hanok Village are some of the key attractions in Seoul.
2. The Korean Demilitarized Zone (DMZ) – DMZ is one of the most important places in South Korea as you will get a better knowledge of the troubles between North and South. When you book a DMZ 3rd tunnel tour, make sure it includes the tram ride up and down the tunnel, or you will be in for a long walk. You can also get a glimpse of North Korea from the Observation Post in DMZ.
3. Busan - Is the second largest city of South Korea and is well known for hosting Asia’s biggest international film festival. It is also a unique blend of modern skyscrapers, majestic mountains, picturesque beaches, and magnificent Buddhist temples. Haedong Yonggungsa Temple and the Jagalchi fish market are some of the popular sites.
4. Jeju Island –Has beautiful white sandy beaches, volcanic craters, and lava caves, and the botanical gardens will take your breath away. Hyeopjae & Hamdeok beach, Cheonjiyeon Waterfalls, and Seongsan Sunrise Peak are some of the interesting places on this island.
5. Gyeongju –This coastal city has a large collection of cultural and historical sites dating back a thousand years. It gives you a peek into its cultural roots through the UNESCO World Heritage site, Bulguksa Temple, and the National Museum.

Seoraksan National Park, Incheon, and Pyeongchang County are a few other places to visit in South Korea.

Weather and Climate in South Korea

South Korea's climate is particularly noteworthy as it is blessed with distinct four seasons, each acquiring a unique charm. The rhythm of nature's cycles is quite pronounced and experienced vividly throughout the country. Spring flamboyantly arrives with blooming flowers and warmth, followed by summer's bright and sunny constitution. Autumn then takes over, painting the landscapes with artistic hues of red and gold, and finally, winter wraps up the cycle by painting the country white with its quiet snowfall.

• Summers are from June to August and are hot, humid, and rainy. There can be heavy rainfall in July and August.
• Winters are from late November to mid-March. During winter, it is freezing cold in the north and the interiors and mild along the southern coasts and snowfalls are rare.
• Spring is from mid-March to May. It is cold at the beginning of the season and gradually becomes milder. Rainfall becomes more frequent with the formation of low-pressure systems.
• Autumn is from September to late November and this is a pleasant season and during October the highest temperature is around 68 to 72°F. Rainfall is considerably less than in spring.

The average temperature in Seoul in January is around 73.4 to 81.5°F and in July its 71° to 75°F.

Getting Around in South Korea

Incheon International Airport at Seoul handles many daily flights from North America. Many of which are non-stop from San Francisco, Los Angeles, and Atlanta. Korean Air, United, and Delta Airlines operate a lot of these flights. Seoul is also reachable from its other Asian neighbors, Europe, and the middle-east. Other international airports in South Korea are located in Busan, Cheongju, and Jeju.

Gimpy International Airport, also in Seoul, handles domestic flight operations. You can connect to the Seoul Subway System, and to Incheon Airport by the Arex Train System.

Train travel is the most convenient and economical way to get around in South Korea. You can buy a KORAIL rail pass when you arrive at the airport. South Korea’s high-speed bullet train, the KTX, connects Seoul to Busan within 3 hours and It also connects to the other major cities within South Korea.

The Seoul Bus Terminal and the Central City Terminal operate buses to all of the cities. Bus travel is inexpensive and efficient, and fairly empty traveling to the smaller cities. Renting a car is also an option, but expensive.

Tourist Visas in South Korea

South Korea has an agreement with 117 jurisdictions for a visa-waiver. Visitors from countries under the visa-waiver program, such as the USA, Japan, EU countries, and New Zealand can enter the country without a tourist visa. Tourists can stay for up to 90 days with a valid passport. Canadians can enter visa-free and stay up to 180 days.

For citizens hailing from most Asian countries, including India and China, and also from Russia, planning a trip to South Korea involves obtaining a tourist visa. The South Korean government enforces travel protocols that require individuals from these nations to secure proper documentation prior to their visit, ensuring that travel regulations are adhered to and creating a simple and systematic process.

This prerequisite visa policy is a standard procedure which intends to streamline the influx of tourists and visitors from these specific nations. Each application undergoes a careful assessment to guarantee that all rules and regulations proposed by the South Korean authorities are in place. It constitutes a critical aspect of aiding security measures, maintaining immigration transparency, and promoting cultural exchange in a regulated manner. Thus, it is an imperative that citizens of these countries, such as India, China, and Russia, procure a tourist visa before embarking on their journey to discover the marvels of South Korea.

Additional Information

1. Korean Republican Won (KRW) is the currency of Korea. One US dollar converts to 1,342.95 KRW.
2. You can exchange most of the major currencies to KRW in banks and currency exchanges. US dollars and Euros are the easiest to convert.
3. You can withdraw money from the many ATMs. Or you may even use credit cards for payments in South Korea.
4. Korean and Korean Sign Language are the official languages of South Korea. Hangul is the formal script.
5. 56.9% of the people are non-religious. Among the religious population, the majority are Christians. Others follow Korean Buddhism.
6. The culture of South Korea is a blend of ancient Korean culture with ancient Chinese and Japanese cultures. Respect for elders is an important aspect of their culture.
7. New Year Day (falls in February as per lunar calendar), The Birthday of Buddha (early May), Independence Day (March 1), Memorial Day (June 6), Constitution Day (July 17) are a few important holidays in the Republic of Korea.