Neurology

Neurological services for children and adults are provided by physicians at our facility on Tuytenbridge Road in Lake Katrine. A Neurological Evaluation examines the nervous system (brain, spinal cord and nerves). The physicians who provide Neurological services that come to our Center have experience working with individuals who have various types of neurological disorders and disabilities.

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Our Neurology services are available to anyone in the community. We accept Medicaid, Medicare and self- pay.  As a convenience, we will process commercial insurance forms but we are not a participating provider for commercial insurances.

Indications for Neurological Evaluation and/or follow-up (at CP of Ulster) may include one or more of the following diagnoses or concerns:

  • Suspected or diagnosed seizure activity
  • Developmental delay(s)
  • Atypical muscle tone or movement, including muscle weakness,
  • Decline, or change in functional skills, such as decreased language, motor and/or cognitive skills
  • Atypical levels of activity (underactive or hyperactive)
  • Autism spectrum disorders ( Aspberger’s, PDD, ADHD, etc)
  • Cerebral palsy, Spina Bifida
  • Muscular Dystrophy, Multiple Sclerosis
  • TBI –Traumatic Brain Injury
  • Stroke
A  Neurological Evaluation and/or follow-up appointment may include:
  • Discussion between the doctor and patient and/or care giver regarding medical and social history
  • The physical exam may include use of a small flashlight, tuning fork and/or a reflex hammer for testing sensation, reflexes, etc.
  • Assessment of medications and need for further testing and/or evaluations
  • Assessment of cranial nerve function , such as the nerves that control the eyes, sense of smell, vestibular system (balance/inner ear), movement of the tongue, swallowing and facial movements
  • Assessment of  speech and language by talking to the patient and/or care giver
  • Assessment of mental status (level of awareness and interaction with the environment) by observing the patient and asking him/her to follow directions or answer appropriate questions, if possible.
  • Assessment of motor skills, muscle strength, muscle tone, reflexes, balance and coordination by observing the patient’s movement and by moving his/her arms and legs
  • Sensory testing of touch, pain, etc.

The doctors may prescribe CT Scans, MRI’s and/or blood work as part of the evaluation process. Based on the result of all of this information, the neurologists may prescribe medication, therapy, further evaluation by other professionals, and other types of treatment.  Reports from these supplemental evaluations should be sent to the neurologist for continued follow-up. After evaluating the child or adult, the doctor may refer the patient to another specialist for consultation if there is a need for other types of evaluation(s).

If you or your family member is in need of a neurological evaluation, please discuss this with your health care provider. If your health care provider recommends a Neurological Evaluation for you or a family member, please contact us at our Tuytenbridge site (845.336-7235).

The Community Rehabilitation Center is conveniently located off of Rt. 9W, past the Hudson Valley Mall heading north toward Saugerties, behind the Lake Katrine Post Office.