What We Do.

MIND is home to highly specialized and dedicated neurologists, neuro-radiologists, nurse practitioners, certified technicians, highly trained nursing staff and associated patient care support staff, all working together to address the many needs—medical, physical, emotional and lifestyle—of our patients.

With state-of-the-art technology and cutting-edge resources onsite, we’ve created a one-stop shop for the diagnosis, treatment and management of adult and pediatric neurological disorders. We are also active educators and researchers, keeping us on the forefront of the newest practices in neurology.

MIND provides individualized, all-in-one care to our patients, from diagnostic tests to services that treat conditions or help manage and improve symptoms, to assisting with emotional and lifestyle needs.  A sampling of our services are described below.

Concussion Clinic

Americans suffer nearly 1.7 million concussions per year, many of which include student athletes. Any trauma to the head, even a minor head injury that may seem trivial, may result in a concussive injury. In June 2013, Michigan passed legislation that requires any athlete suspected of having a concussion be immediately removed from participation in athletic activity until they receive written clearance from an appropriate health professional.

Symptoms of a concussion may be subtle, which can prolong and complicate the diagnosis. The severity and longevity of post concussive symptoms can negatively affect the student’s academic performance and school attendance. Concussions can cause a myriad of cognitive, physical and behavioral impairments including:

  • Headaches
  • Impaired Concentration
  • Nausea
  • Sleep Disturbance

At MIND, we recognize the growing need in our community for prompt concussion management. Our goal is to evaluate any patient suspected of having a concussion on an urgent basis, within 72 hours after the injury. During an evaluation, we will be able to determine the extent of injury, construct an individualized treatment plan and educate our young patients and their families to assist in expediting recovery. Based on the child’s evaluation, we will determine if additional studies, such as an MRI of the brain, are needed. We aim to assure the patient is back to “normal” before returning to play to prevent future complications.

Our concussion management specialists are credentialed ImPACT Consultants (CIC) who utilize an advanced computer-based evaluation system to assess the neurocognitive function of an athlete. We have been working with local schools and sports organizations to establish baseline testing for student athletes prior to starting the season. Once the baseline function of an athlete in known, deficits in cognitive function can be easily identified should the player suffer a head injury. Even without knowing the baseline function of an athlete, testing may still be beneficial to identify cognitive deficits and monitor for improvement.

Electrodiagnostic Services

EMG

Electrodiagnosis means the use of electronic devices for diagnostic purposes. The nature of the disease is determined through the observation of changes in electrical activity. MIND’s highly trained physicians are pleased to provide the following types of electrodiagnostic services:

Electroencephalography (EEG)

The EEG is a painless, non-invasive way of observing human brain activity. The procedure entails attaching small, flat metal discs (electrodes) to the scalp to detect electrical activity in the brain. The electrodes send these signals to a machine that converts them into patterns. An EEG is one of the main diagnostic tests for epilepsy.

Electromyography (EMG)

The EMG is a procedure to assess the health of muscles and the nerves cells that control them (motor neurons). Motor neurons transmit electrical signals that cause muscles to contract. An EMG translates these signals into graphs, sounds or numerical values that are then interpreted by a specialist. The procedure is used to reveal nerve and muscle dysfunction.

Evoked Potentials

Evoked potentials studies measure electrical activity in the brain in response to stimulation of sight, sound or touch. Electrical signals evoked by this stimulation travel along the nerves and through the spinal cord to specific regions of the brain. They are picked up by electrodes, amplified and displayed for interpretation. There are three major types of evoke potential studies:

Brainstem Auditory Evoked Response (BAER)

For a BAER test, electrodes are placed on the scalp and earlobes. Auditory stimuli, such as clicking noises and tones, are delivered to one ear. The BAER test can diagnose hearing ability and can indicate the presence of brain stem tumors and Multiple Sclerosis.

Visual Evoked Response (VER)

During a VER test, electrodes are placed along the scalp. The patient is asked to watch a checkerboard pattern flash for several minutes on a screen, while the electrical responses in the brain are recorded. The VER test can diagnose problems with the optic nerves that affect sight.

Somatosensory Evoked Potential (SSEP)

For the SSEP test, electrodes are attached to the wrist, the back of the knee or other areas. A mild electrical stimulus is applied through the electrodes. Electrodes on the scalp determine the amount of time it takes for the current to travel along the nerves to the brain. This test can detect problems with the spinal cord as well as address extreme numbness and weakness.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, or MRI, is the most advanced imaging technology available. It allows your doctor to see inside the body without x-rays or surgery. MRI uses harmless magnetic and radio frequency waves to examine muscles, fat and internal organs. It produces clear and extremely detailed pictures, or images, that allow your doctor to make a more accurate diagnosis.

MIND is home to two open bore MRI machines: a 1.5 Tesla MRI and a 3.0 Tesla MRI, which both accommodate larger patients or those who are uncomfortable or uneasy in smaller spaces. Both machines are of the latest technology and are operated by highly skilled technicians.

MIND MRI Form

MDA/ALS Clinic

Since 1992, MIND has been home to the Detroit area’s Muscular Dystrophy Association Clinic. The clinic is one of the largest of its kind in the country, offering a broad range of services onsite and providing care to over 1,500 patients with Muscular Dystrophy and Amyotrophic Lateral Sclerosis (ALS).

Every week, patients from all over Michigan and nearby states visit the clinic to see physicians, physical therapists and occupational therapists. With the assistance of clinical directors and coordinators from the MDA, the clinic offers unparalleled expertise and the newest research in treatment options.

The MDA/ALS Clinic at MIND offers:

  • Diagnostic testing
  • Private consultation with physicians, physical therapists and occupational therapists
  • Physical therapy evaluations
  • Occupational therapy evaluations
  • Referrals for both equipment and services
  • A special ALS (Amyotrophic Lateral Sclerosis) clinic that includes a professionally staffed support group for families of patients with ALS
  • Opportunity to participate as guests on the MDA Labor Day Telethon hosted by MDA President Jerry Lewis

For More Information

While we are unable to give medical advice over the phone, MDA/ALS Clinic staff is happy to give you more information about our facility and services. Please call (734) 416-7076 to talk with someone directly.

For immediate information about this condition and what services are provided at our MDA/ALS Clinic, please visit:

The Muscular Dystrophy Association is a nonprofit health agency dedicated to finding treatments and cures for the disease by funding worldwide research. MDA maintains a network of MDA Clinics across the country. Learn about what you will find at our MDA clinic here.

MDA’s ALS Division is a world leader in the search for treatments and therapies for ALS. This page has up-to-date information and many helpful resources.

Movement Disorders

Botox

Botox is injected under the skin or into the muscle using small needles. These injections are used as treatment in a variety of disorders that result in abnormal postures or movements. Botox reduces excessive muscle activity and/or spasm and pain. The injections weaken muscle activity enough to reduce a spasm but not enough to cause paralysis.

Deep Brain Stimulation

Deep brain stimulation involves implanting electrodes within certain areas of the brain. These electrodes produce electrical impulses that regulate abnormal impulses. The amount of stimulation in this treatment is controlled by a pacemaker-like device placed under the skin of the upper chest. A wire under the skin connects the device to the electrodes in the brain. Deep brain stimulation is used to treat essential tremor, Parkinson’s disease and dystonia. Deep brain stimulation is also being studied as an experimental treatment for epilepsy, cluster headaches, Tourette syndrome, chronic pain and major depression.

OCT

OCT

Optical Coherence Tomography (OCT)

An OCT is a non-invasive imaging test that uses light waves to take cross-section pictures of the retina, which is the light-sensitive tissue lining the back of the eye. With OCT, each of the retina’s layers can be seen, allowing a specialist to map and measure their thickness. This helps with early detection, diagnosis and treatment guidance of retinal conditions.

Pain Management

Epidural Injection

An epidural injection is the delivery of powerful anti-inflammatory medicine directly into the space outside of the sac of fluid around the spinal cord. The injection can help relieve back pain by reducing inflammation. Although this outpatient procedure won’t stop all pain, it typically breaks the pain cycle, helping to boost recovery speed. The amount of medication and its effectiveness varies from person to person.

Research

MIND is pleased to offer patients access to research studies in several neurological diseases. As part of our commitment to education and innovative treatment, a research study or clinical trial may be offered to patients who qualify.

To learn about Multiple Sclerosis studies, please contact the MS Center at (248) 553-0010.

 

For information on clinical trials for other disorders, visit the Quest Research Institute site or call (248) 957-8940.