Neurology in Spain

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 Spain?

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 Spain 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 Spain

About Spain

Historic Spain is home to the third-highest number of UNESCO World Heritage Sites, after Italy and China. Part of the Iberian Peninsula, along with Portugal, Spain also shares borders with France and the less well-known, Andorra. The country itself is made up of several regions, both on the mainland and out at sea, with the Canary Islands closer to Morocco than Spain - they are located in the Atlantic Ocean, whilst the Balearic Islands are a little closer to home, in the Mediterranean Sea. On the mainland there is Central Spain, home to the capital, Madrid, Catalonia in the East, home to the second city, Barcelona, and the Basque Country in the North, to name but a few. 

Spain sees an estimated 100,000 medical tourists each year, many of which travel for Neurology procedures. The biggest target market is from the UK, accounting for one in four of Spain's 60m annual tourists. An excellent healthcare system combined with warm temperatures and competitive prices means that Spain is now one of the more popular destinations in Europe for medical tourism. The most popular procedures tend to be cosmetic surgery, fertility treatments, bariatric surgery, cardiac surgery, orthopedics, urology, and bone marrow transplants.

Popular Parts of Spain

Spain has diverse landscapes, dynamic cities, influential art, and delightful food.

• Madrid is the capital of Spain. Modern infrastructure and historic neighborhoods blend nicely in the city. Known for its glorious fashion, food, and nightlife, the city has a lively spirit. Rest in El Retiro Park under the sun or take a guided tour in Palacio Real. Tourists who love sports can watch a Real Madrid soccer match.
• Barcelona has a plethora of attractive architecture, unique food beautiful beaches, and a vibrant nightlife. It is the most popular tourist destinations in the country. Visit Picasso Museum, Enjoy Gaudi’s Architecture the church of the Sagrada Família, or visit the Barcelona History Museum and enjoy the beach.
• Valencia is Spain’s third-largest city. The city is filled with an array of art nouveau buildings as well as Gothic and Renaissance monuments. Try all the food that the city offers, especially the famous paella. Be inspired by the stunning Cuidad de las Artes y las Ciencias, a massive building in the old Turia riverbed.
• Palma de Mallorca is a very welcoming city for international tourists. It has a number of historical attractions, Gothic churches, and the beautiful Mediterranean Sea at its feet. Shopping and gastronomic scenes are two of the best things in the city. Tourists can relax in the seafront cafés after a long day.
• Seville is a stunning artistic, cultural, and financial capital of southern Spain. Being a big university town, it has a very youthful vibe everywhere. Spend a day exploring Parque de Maria Luisa, tour Casa de Pilatos, get lost in the maze of Jewish Quarter’s small streets, and discover what the town has to offer on a bike.
• Ibiza is known to have some of the best nightclubs in the world. It is a beautiful island with dozens of amazing things to discover.

Weather and Climate in Spain

Spain has wonderful weather all year-round. Summer starts from June to August and tends to be nice. Tourists can expect warm and sunny weather. The temperature can get as high as 30 °C, sometimes even higher. Summer is the peak season for tourism so prices can increase by up to 50%.

Spring (April to May) and Autumn (September to October) are great times to visit. The weather is mild and perfect to do outdoor activities, although sometimes it can be unpredictable. The country is not as crowded as during summertime.

Winter in Spain is cold but the temperature does not drop too low. The average temperature is between 4 °C to 10 °C. Northern Spain and the mountainous areas sometimes experience snowfall and rain showers.

Getting Around in Spain

The main international airport in Spain is Adolfo Suárez Madrid-Barajas and Barcelona El Prat Airport. Madrid-Barajas is the largest airport in the country. It operates domestic and international flights. The airport connects Madrid with almost every country in the world. It serves several budget airlines such as Iberia Express, Ryanair, and EasyJet. It is the hub for Air Europa and Iberia.

Barcelona El Prat Airport also serves domestic and international connections with almost every country globally. Budget airlines such as Ryanair and WestJet operate flights from this airport. It is the hub for Level and Vueling.

To get to the city center, both airports provide taxis, buses, and metro. Taxis are the most convenient transportation mode but usually more expensive. Tourists who travel to Madrid are advised to buy the Madrid Tourist Travel Pass which can be used on any Metro, bus, or suburban train for just 5 EUR.

Spain has a well-designed public transportation network. Tourists can get around Spain by train. There are high-speed (AVE) and regular service trains (Talgo) for long-distance or medium distance travel, the fares are based on a 1st and 2nd class system. For short destinations, tourists can use local trains. It offers one class of seats and makes a lot of stops. 60-year-old and older travelers can get a discount between 25 to 40 percent for train tickets. Children under the age of 13 also qualified for discounts. Buses are another excellent option. Intercity buses are affordable, clean, and safe.

Renting a car gives more flexibility for tourists. International car rental agencies are widely available in the country. The highway system is easy for foreigners to follow. Parking can be quite hard in some cities and historic towns because it can get really crowded.

Taxis have a reasonable price. Spanish taxi drivers are usually trustworthy and don’t cheat. The taxi can be hailed on the street or from a taxi stand (parade de taxi). Available taxis have green lights or signs that say “libre” on them. Taxis run on meters, but if you’re traveling a long distance, you will have to agree on the fare in advance.

Tourist Visas in Spain

Citizens of the European Union, Norway, Liechtenstein, Iceland, and Switzerland can travel to Spain with their identity cards only. Citizens of Australia, Canada, Israel, Japan, the United States, and New Zealand are granted visa-free entry and can stay for up to 90 days. Other countries can check with their nearest Spanish embassy or consulate. Spain is a member of the Schengen Convention. If you hold a Schengen visa, you cannot extend it.

Additional Information

1. Local Currency: the official currency is the euro (EUR). 1 USD converts to 0.85 EUR.
2. Money & Payments: ATMs are available. Tourists can withdraw money from ATMs that display the relevant symbols such as Visa and MasterCard with a charge of 1.5% to 2%. Credit and debit cards can be used for most purchases, tourists will often be asked to show a passport. Tipping is optional, tourists can leave small change or up to 5% tip in restaurants.
3. Local Language: the official language is Spanish. People in major tourist cities speak good English; it is also widely spoken in coastal resorts.
4. Local Culture and Religion: The largest religion in the country is Catholic Christianity with 67.5% of the population follows the religion. There are small groups of Muslims, Jews, Buddhists, Hindus, Pagans, Taoists, and Bahá'ís.
5. Public Holidays: Spain celebrates Christian holidays. Known as the country of fiestas and festivals, numerous festivals such as The Holy Week, La Tomatina, and The Fallas of Valencia are hosted annually.