Welcome - Neuro-La-Côte - Neurology Center

Daily Excellence

Dr Carota and Dr Menetrey welcome you in our center that is located in Gland, near the city of Nyon, in the region of La Côte, a natural region facing Lake Geneva, between Geneva and Lausanne. The center provides diagnostic and therapeutic management of neurological diseases of the central nervous system and the peripheral nervous system, excluding mental illnesses. In this sense, neurology is different from psychiatry, which supports depression, anxiety, and bipolar illness. Neurons and nerves are found in all parts of the body and neurology is interested in many diseases, very different from each other such as: stroke, Alzheimer’s disease and dementia, Parkinson’s disease and movement, headache and migraine, epilepsy, multiple sclerosis (MS), stiffness and spasticity, mono and polyneuropathies. The neurological conditions we are dealing with are summarized here. We perform cognitive exams with test sets for dementia diagnosis and monitoring. We perform Electroencephalography (EEG), Electroneuromyography (ENMG) and Evoked Potential (EP) exams We carry out treatments of repetitive transcranial magnetic stimulation (rTMS) (learn more) and mesotherapy for pain syndromes of neurological origin. Our mission is to strive for excellence in everyday life . This means referring to clinical and scientific (evidence-based-medicine (EBM) Swiss and international neurology and at the same time to adapt them to the individual. Neurology is a fascinating medical discipline that requires extensive knowledge and clinical experience. The complexity of the subject must make the neurologist even more attentive to the needs of patients and their families.

Experienced

More than twenty years of experience

Empathic

We listen to you, we understand you

Professional

Results-oriented

We are exploring new opportunities for prevention, early diagnosis, parametric assessment, and treatment of neurological conditions.

In view of the enormous, unparalleled development of neuroscience over the last 20 years, we are looking towards the future.

We perform in our center repetitive transcranial magnetic stimulation (rTMS)(find out more).

Share with us some of your neurons

We are committed to providing high quality clinical and instrumental assessment tailored on you

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Headache consultation at home.Due to the lockdown for the coronavirus, we offer you consultation via video conferencing.Headache is the most common reason for consultation in neurology.However, for the general population, it is estimated that more than 50 % of patients with headache do not have accurate diagnosis or proper treatment.Headache is a local pain felt at the head or sometimes the neck.The most common headaches (90 % of cases) are:• Tension type Headache (30 to 70 % of the population, often associated with depression and anxiety)• Migraine (12 % of the population, 18 % women), with a strong family componentNeurological symptoms (generally visual) of migraine is the aura (migraine with aura).These two conditions (tension type headache and migraine) are an example of primary headache, that is, a condition in itself and not related to another condition (e. g high blood pressure, head injury, drug misuse, brain tumor, Horton’s disease [elderly patients], or other neurological pathologies).We say secondary headaches, if the cause is another disease.Other common primary headache: "Cluster headache, paroxysmal hemicrania, nummular headache".Less known are the hypnic headache (which occurs during sleep), SUNCT, headache associated with cough or sexual activity, and ice peak headache, migraine related to a genetic condition (family migraine migraine).The explosive headache ("thunder" with maximum pain intensity [10/10] of the appearance in 1-2 minutes) is still a neurological emergency.• The difference diagnosis includes aneurysm rupture, subarahcnoid bleeding, venous sinus thrombosis and arterial dissection.• In some occations a change of the type of headache in amigraneous patient could be related to another cause.The duration and intensity of headache are very different.While some headaches may last for a few minutes or hours, others may last for several days.Pain can often be unbearable, affecting the ability to work and carry out routine activities.Headache is chronic, if mannifested more than 15 days / month for at least 3 months.To get a diagnosis you may need to consult a neurologist, perform a neurological exam, brain or cervical magnetic resonance, blood tests. However, in general, the most important element for diagnosis is a detailed history of pain, associated symptoms, evolution and response to remedies already tempted.The treatment depends on the diagnosis:Migraine:• Pharmacological treatments (crisis medicine by Triptans, background treatments, mesotherapy)• immunological treatments (anti-receiver of calcitonin discomfort)• Physical treatment (magnetic magnetic stimulation, skin stimulation, relaxation, acupuncture, yoga, meditation, cryotherapy).For drug overuse headache, withdrawal of pain medication by a neurological protocol may be necessaryFor chronic headaches, it is important to remember that there is no quick solution.For migraine, a good knowledge of the factors involved and the proper treatment reduces "fear" of the crisis. This is the most common cause of over-consumption of pain pain.Sigmund Freud had migraine. The end of the crisis brought him a Boost of creativity.We offer you neurological teleconsultations.Contact us to learn more. … See MoreSee Less

30/03/20

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Post éducatif 👏🏻

Assess your memory at homeThe risk of exposure to the coronavirus is high: that is why people at risk (population over 65 years old) must stay at home.Our center offers the possibility of teleconsultations on different digital platforms or simply by smartphone.Let’s focus on memory issues:A reduction in memory capacity is often the first symptom of Alzheimer’s disease.After 40, all of us notice some memory problems: we forget the goal of an ongoing activity or the place of objects (keys, cell phone or glasses).However, we can forget one detail, but not the whole thing.It is not normal searching for objets for hours or findining the glasses in the fridge.A red flag is the repetition of the same questions, especially when they were answered.The other signals are:– difficult to perform usual tasks (for example cooking)– the search for words or the use of circumlocutions (for example: "the thing for the mouth" instead of toothpaste). Although a word can be missed, this is not usually the case for common objects– errors for the distances and using the objects (e.g. things that fall or car accidents in the parkings)– disorientation in time and space is never normal. We may be wrong about the date of the day, but not with the month and year. It is not normal to be wrong more than an hour for the present time. Getting lost in stores is an evocative sign– errors of judgement and calculations. Making decisions becomes difficult because they are influenced by minor details.– planning a trip, managing your accounts and payments can cause problems.– keeping one-self clean– change of character and mood: the person becomes suspicious (fear of being stolen) or jealous for no reason.– depression or unmotivated anxiety can be the first sign.– loss of initiative and interest in the usual activities; the patient is less involved in conversations, he stands alone.When you see these signs of alarms in a relative who is more than 65 years old, now is the time to act, even in case of isolation due to the health crisis.An accurate diagnosis is never a waste of time.If you are confined at home because of the coronavirus, we invite you to contact us for a first online or telephone consultation that could be followed by more specific cognitive tests by teleconference (French, English, Italian). … See MoreSee Less

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24/03/20

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Oui je suis d'accord, mais quand vous etes seule est que vous devez quand meme faire vos courses pour manger comment on fait est surtout si il n'y a personnes qui vient vous aider, oui comment faire????

Ici on discute de la télé consultation de neurologie , c'est-à-dire de consulter le neurologue par téléphone ou téléconférence chez soi, sans sortir.

Neuro-la-côte : situation actuelleNous espérons vivement qu’avec cette période de crise sanitaire, vous et tous vos proches vous vous portez bien.La plupart des établissements (restaurants, écoles, etc…) sont désormais fermés en Suisse mais les cabinets médicaux, les cliniques et les hôpitaux, continuent leur activité. Le but est de conserver votre capital santé.Le centre Neuro-la-côte reste ouvert et nous acceptons les patients (bien sûr la priorité reste pour les cas urgents ou les personnes fragiles). Le personnel de la santé est aussi confronté au coronavirus lorsque nous examinons, soignons et conseillons nos patients.Les personnes particulièrement à risque pour le coronavirus sont ceux de plus de 65 ans ou ceux qui sont connus pour hypertension artérielle, diabète, maladies cardiovasculaires, maladies chroniques des voies respiratoires, un cancer et une faiblesse immunitaire due à une maladie spécifique ou à un traitement pharmacologique.Nous allons prêter une attention maximale aux recommandations actuelles de l’OFSP pour la prévention de la propagation du coronavirus et la protection individuelle (www.vd.ch/fileadmin/user_upload/accueil/coronavirus/affiche_nouveau_coronavirus_voici_comment_nou…).Pour cette raison, sauf en cas d’urgence neurologique, pour garder les distances sociales (et éviter aussi de vous déplacer) nous proposons un premier entretien par téléphone ou téléconsultation.Nous espérons que tout se passera pour le mieux pour vous et vos familles et que cette situation pourra se terminer au plus vite.Notre priorité est votre santé. … See MoreSee Less

19/03/20

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Daily Excellence

Experienced

Empathic

Professional

Share with us some of your neurons