patient portal columbia neurological

What can I do with the online patient portal?

Our online patient portal provides a secure, convenient way to manage your personal health care and receive communication directly from your doctor. Use it at any time of day or night to: Review and update your personal health history and demographic information

How do I enroll in the patient portal?

You can be enrolled if you currently have an appointment with us or are an established patient. Click the link below to request a PIN. Within 1 business day we will send you a Patient Portal welcome email with your PIN and login instructions.

Are there programs that connect neurologic patients and caregivers with the Arts?

Various programs around the country connect neurologic patients and caregivers with the arts. One such example is Arts & Minds, an organization founded by Dr. James M. Noble A welcome message to the Department of Neurology from the Chair, Richard P. Mayeux, MD, MSc.

Who is the chair of the Department of Neurology at UCSD?

A welcome message to the Department of Neurology from the Chair, Richard P. Mayeux, MD, MSc.

ColumbiaDoctors Neurology

Welcome to ColumbiaDoctors Neurology! Whether you are visiting for the first time or have an established health care relationship with one of our physicians, we want your patient care experience to be the best it can be. After your visit, please let us know how we are doing by emailing us at columbianeurology@columbia.edu (link sends e-mail) .

Online

Please fill out our online appointment request form and a member of our scheduling team will contact you during business hours to confirm your appointment.

Columbia Connect

Telehealth appointments are currently available across all of our neurological specialties. A Connect Patient Portal account is suggested for all patients and is REQUIRED for access to Telehealth appointments.

Art Programs Engage Patients and Educate About Neurologic Disorders

Various programs around the country connect neurologic patients and caregivers with the arts. One such example is Arts & Minds, an organization founded by Dr. James M. Noble

PANDA Symposium

William Black Medical Research Building, 650 W. 168 St., New York, NY 10032 Alumni Auditorium

Message from the Chair

A welcome message to the Department of Neurology from the Chair, Richard P. Mayeux, MD, MSc.

What is neuro-icu?

A Neuro-ICU employs a variety of innovative drug therapies which have proven useful in treating serious neurological illness. Pentobarbital and Propofol are two medications which are specialized for the management of patients in a neurological critical care unit:

What is neurocritical care?

Neurological diseases and emergencies tend to be complex and relatively uncommon, and are best treated by Neurocritical Care specialists who have been highly-trained to meet the specific, often dire needs of critically ill neurological patients. In addition to our expert neurologists, the Neurocritical Care Unit at NewYork-Presbyterian/Columbia University Medical Center provides constant surveillance by neurocritical care nurses and on-call neurologists with the expertise to act immediately to administer specialized interventions. This highly-specialized team approach to patient care makes it possible to correct or reverse worsening medical conditions that might otherwise lead to permanent brain damage or death.

What are the most common neuromuscular diseases?

If this weakness affects the muscles of respiration then a patient's breathing can be dangerously compromised. Myasthenia Gravis and Guillain-Barré syndrome are the two most common neuromuscular diseases. Both disorders are caused by the presence of antibodies in the bloodstream which are directed against part of the neuromuscular system. In the case of myasthenia gravis the antibodies are directed against the nerve-muscle junction, and in Guillain-Barré syndrome antibodies become directed against the lipid (myelin) sheath which insulates nerves.

What is a stroke in ICU?

A form of stroke commonly managed in a Neuro-ICU is subarachnoid hemorrhage, a bleeding into the subarachnoid space between the brain and the skull. This bleeding usually occurs as the result of the rupture of a brain aneurysm. A brain aneurysm is a swelling or ballooning of a small segment of an artery in the brain. Unfortunately such aneurysms commonly rupture a second time, resulting in a dangerous rebleeding of the brain aneurysm. Endovascular GDC Coils are small, stainless steel platinum coils which are placed inside the lumen of a brain aneurysm. The coils are packed inside the swollen portion of the artery until the aneurysm sac is completely filled with coils. Essentially, these coils act as a blood clot (or thrombus) which prevents blood from flowing into the aneurysm. Also, the metallic coils are coated with thrombogenic fibers to aid in clot formation. The aneurysm is thus prevented from bursting a second time and causing a rebleed.

What is the maximum intracranial pressure?

A common complication of many serious neurologic conditions is an elevation of the pressure within the skull, the intracranial pressure or ICP. In adults, the average ICP ranges from 0-10 mm Hg. 20 mm Hg is considered to be the maximal upper limit of desirable ICP and pressures exceeding 40 mm Hg are considered extremely elevated. Intracranial pressure may be high for several reasons. ICP can be elevated if there is a rise in the pressure of the fluid circulating around the brain (the cerebrospinal fluid). This condition is known as hydrocephalus. Alternatively, the blood vessels supplying the brain can leak fluid into the brain causing the brain to swell, a situation referred to as cerebral edema. Whatever the underlying cause an increase in intracranial pressure is extremely dangerous.

How does an EEG work?

An electroencephalogram or EEG is a device used to measure electrical potentials in the brain by attaching electrodes to the scalp. An EEG is often employed to monitor brain wave patterns during seizures and to give critical information concerning the level of functioning of the central nervous system. A Neuro-ICU is specialized to take continuous EEG recordings. A single recording is a mere sampling and often does not accurately reflect the patient's overall condition. Continuous EEG monitoring has several advantages over a single EEG reading. A continuos EEG profile often leads the ICU staff to a correct diagnosis and gives a much better indication of the patient's prognosis. Furthermore, continuous recording allows physicians to monitor a patient's response to drug therapy as well as identify complications.

What is invasive hemodynamic monitoring?

Invasive hemodynamic monitoring refers to the assessment of blood flow and blood pressure via devices placed within blood vessels. In many medical settings these devices are used to measure circulatory function in the presence of heart or lung disease. A Neuro-ICU uses these techniques to ensure that the brain is being properly perfused with blood. The instruments used to measure circulatory function are known as catheters. Blood pressure is recorded by a fluid-filled catheter and this pressure is transmitted to a transducer which converts the information into an electrical signal visible on a monitor. There are two general techniques to monitor blood pressure: