Neurology

General Overview

American Hospital Tbilisi Neurological Service includes a multidisciplinary service, which in turn is divided into inpatient and outpatient parts;

The hospital is intended for patients with a general neurological profile, which, depending on severity, consists of ward and intensive care units; long-term EEG monitoring , sleep disorders and PSG monitoring units.

The neurological department is staffed by: highly qualified neurologists, physical therapist, speech and occupational therapist, neuropsychologist and psychiatrist, qualified nursing service.

The hospital offers neurological care of the latest standards, with new techniques and clinical research, based on modern guidelines.

Outpatient Services

We offer the following outpatient service:

Management of after-stroke condition;
Diagnosis and treatment of neuromuscular diseases;
Epilepsy diagnosis and treatment;
Diagnosis and treatment of sleep disorders;
Management of headache;
Management of post-Covid-19 functional neurological disorders;
Management of various dementias;
Diagnosis and management of peripheral nervous system diseases;
Management of movement disorders
Management of vegetative and functional neurological disorders;
Management of multiple sclerosis.

Dr. Ioseb Dushashvili

Since the very first meeting with Dr. Dushashvili, one can easily notice the outstanding professional experience gained through twenty-three years of continuous development. Ioseb Dushashvili is Chief of the Neurology Department at American Hospital Tbilisi (AHT). After receiving his medical education in Tbilisi, while working in various leading hospitals, his main matter was to execute modern approaches in stroke treatment, which is performed in the AHT. he gained experience in Europe (Germany) as well. At his initiative, the Department of Epilepsy and Sleep Disorders, a Neuromuscular and Headache unit was established in our hospital. Ioseb Dushashvili also heads other outpatient and inpatient departments for neurological disorders.

Assoc. Prof. Dr. Nino Gzirishvili

Catchy PhD, full of enthusiasm and positiveness has dedicated her life to professional development. Neurologist Nino Gzirishvili is head of the Epilepsy and Sleep Disorders Department at AHT. As she states, training programs, workshops and conferences are the best ways to improve skills, so she is regularly familiarized with the practices of countries around the world.
She underwent qualification programs in preoperative diagnosis of epilepsy and epilepsy at the world’s leading centers. She gained her vast experience at training centers in many countries, like Germany, the USA, Turkey, and the UK. Nino Gzirishvili is an assistant professor and lecturer at the Georgian-American University School of Medicine. The Health Administration Specialist is also the author of scientific articles and publications.

Dr. Nino Jimsheladze

“The most important thing in my profession is trust between doctor and patient, which is one of the crucial factors in managing an illness,” said Nino Jimsheladze, a neurologist at AHT. Neurological system disorders impact a patient’s quality of life, mood, and behavior. In the 21st century, these types of diseases are more common, and we should confront this with timely diagnosis and treatment. Nino Jimsheladze has gained professional experience in leading clinics in Georgia. She has a specialization in clinical electroencephalography and clinical electroneuromyography.

American Hospital Tbilisi – AHT Department of Neurology offers patients a modern, evidence-based medical service with a multidisciplinary approach! The AHT Department of Neurology manages neurological diseases of the central nervous system (head / spinal cord), peripheral part (nerve stems, plexuses, neuromuscular connections, and muscle damage):

Epilepsy (severe, uncontrollable forms of epilepsy);
Sleep disorders;
Stroke (treatment of acute stroke with medical and mechanical means);
Memory impairments;
Movement disorders;
Inflammatory / infectious diseases;
Head, face, and other pain syndromes;
Other neurological pathologies.

The involvement of a physician neurologist is required in the case of urgent neurological disorders such as:

Acute stroke;
Heart palpitations;
Severe headache;
Restriction of movement;
Change of consciousness (drowsiness, coma) – in such cases, call 112 immediately and hospitalization will be carried out.

In case of chronic or other, acute disorders, when there are no life-threatening signs (change in consciousness, sharp fluctuations in blood pressure, etc.), the patient should visit a neurologist in the ambulatory care unit, for example:

Mild forms of epilepsy or change in consciousness (when there is no strong convulsive attack);
Headache;
Pain in the spine or limbs;
Sensitivity and movement disorders (when severe forms are not suddenly detected);
Memory impairment;
Dizziness;
Imbalance;
Neurotic (fears, obsessive-compulsive disorder, functional disorders) condition.

Department of Neurology of AHT offers patients EEG research that is innovative for Georgia:

Ambulatory EEG monitoring – with electrodes attached to the head, the patient is allowed to leave the clinic and the recording of 24 hours is made at home settings (as during Holter monitoring);
Cerebral cortex “mapping” – an invasive procedure during which electrodes are attached to the surface of the brain to delineate as accurately as possible the seizure onset zone in the event of uncontrolled seizures for further surgical intervention;

There is a neurophysiological laboratory in the hospital:

EEG (short-term, long-term, 24-hour sleep monitoring), polysomnography;
Electromyography (in diseases of the nerve, neuromuscular and motoneuron);
Duplex scanning of the arteries feeding the brain with a high-tech device;
MRI T3 of different modalities;
Catheterization laboratory – endovascular interventions: stenting, thrombectomy, “coiling” – Excision of aneurysms;
Laboratory – determination of the concentration of certain antiepileptic and psychotropic drugs in the blood.

American Hospital Tbilisi – AHT Department of Neurology is headed by a neurologist, Ioseb Dushashvili.

Neurology

Dr. Ioseb Dushashvili

Assoc. Prof. Dr. Nino Gzirishvili

Dr. Nino Jimsheladze

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009 009

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