Neurology Specialists of Monmouth County Neil R. Holland, MD F. Bernard Ponce, MD Noah Gilson, MD Paul Gennaro, MD Chris P. Anayiotos, MD Martin N. Herman, MD Home Page
Our Services

IN OUR OFFICE

  1. Neurologic consultation in the office:
    Patients are referred to us for evaluation of a variety of neurologic complaints, including:
    1. Numbness and tingling
    2. Neuropathy and nerve injuries
    3. Carpal tunnel syndrome
    4. Neuropathic pain and neuralgia
    5. Weakness of the limbs and trunk
    6. Muscle diseases and dystrophy
    7. Double vision
    8. Myasthenia Gravis
    9. Spine problems and herniated discs
    10. Poor balance and difficulty walking
    11. Headache and facial pain
    12. Parkinsons disease, tremor, and other abnormal movements
    13. Stroke and TIA
    14. Multiple sclerosis
    15. Seizures, epilepsy and other spells of altered awareness.

    2. EMG Procedure
  2. Electrodiagnostic testing, also known as electromyography (EMG):
    We perform electromyography in our office for patients with suspected nerve disorders (neuropathy), muscle disorders (myopathy), nerve entrapments (pinched nerves) or spine disease. Two of our physicians have subspecialty training and additional board certification in electrodiagnostic testing. Testing usually involves recording nerve conduction responses from surface electrodes as well as inserting a small needle to record muscle responses. These tests are not performed in a standard manner, and testing is individualized to each patient depending on their symptoms. Therefore, this type of testing is best combined with neurologic consultation, and considered an extension of a more extensive neurologic evaluation. Otherwise, electromyography may be done unnecessarily, or result in misdiagnosis.

    Click here for EMG patient instructions.

  3. Electroencephalography:
    We perform electroencephalography (EEG) and evoked potentials (EP) in our office. EP studies are often used to evaluate patient with suspected multiple sclerosis. EEG is used to evaluate patient with spells or seizures. Sometimes we ask for patients to come for EEG first thing in the morning after keeping themselves awake the night before. This is called a sleep-deprived EEG and improves the sensitivity of the test. Studies are read by one of our physicians who has subspeciality training and board certification in electroencephalography.

    Click here for instructions for Evoked Potentials patient instructions.
    Click here for instructions for EEG patient instructions.
    Click here for instructions for sleep-deprived EEG patient instructions.

  4. Botox injections:
    Dr. Ponce administers EMG guided botox (Botulinum Toxin) injections for patients with focal dystonia (hemifacial spasm, torticollis and writers cramp), muscle spasms-spasticity (post-stroke or multiple sclerosis, failed neck and back surgeries), and chronic migraine headaches.
  5. Nerve root blocks:
    Dr. Gennaro administers spinal nerve root blocks for relief of low back pain and sciatica. He also administers nerve blocks for relief of neuropathic pain from specific nerve injuries.
  6. School evaluation for ADD and hyperactivity:
    Dr. Gilson treats children age 5 and above with Attention Deficit Disorder and Hyperactivity (ADHD), and he evaluates children for learning disabilities for several school systems.
    7. (link): Wash and dry your hair completely the morning of your appointment. Please refrain from using hairspray, styling gel or mouse. You may eat and take your usual medications normally before the test.

AT THE HOSPITAL:

  1. Consultation:
    Our physicians have privileges to see in-patients for neurologic consultation at Monmouth Medical Center and Riverview Medical Center.
  2. Sleep studies:
    We interpret and review sleep studies (polysomnograms) are performed in the sleep laboratories at the hospital to evaluate patient with insomnia, restless legs syndrome, sleep apnoea, narcolepsy REM sleep behaviour disorder and other parasomnias.
  3. Video-EEG monitoring:
    Continuous video-EEG monitoring is sometimes necessary to determine whether spells of altered behavior and awareness is from epilepsy or some other disorder. Dr. Herman is medical director of a state of the art 2-bed video-EEG monitoring unit at Riverview Medical Center.
  4. Lumbar puncture:
    We refer some of our patients for lumbar puncture This diagnostic test is performed by one of our physicians in the medical day stay unit at the hospital.

    Click here for lumbar puncture patient instructions.
  5. MDA clinic:
    Drs. Anayiotos and Holland direct an MDA clinic held on Monday afternoons at the Rehabilitation Hospital of Tinton Falls [a joint partnership between Monmouth Medical Center and Health South. We evaluate patients with neuromuscular disorders in a multidisciplinary environment with the help of physical, occupational and speech therapists and nursing case managers.
  6. Teaching:
    Our physicians hold teaching (clinical faculty) appointment at Drexel University College of Medicine. Medical students from Drexel come to our office for clinical rotations in neurology. We also teach medicine and orthopedic residents from the Monmouth Medical Center.