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DCND Services

DCND offers the most advanced diagnostic testing available. Our medical staff and technicians take pride in being the very best in their field.

Diagnostic Tests and Procedures

EMG

An Electromyography (EMG) is a diagnostic test used to measure the electrical activity between the nerve and muscle.  This test can evaluate for possible injury to the nerves and muscles by stimulating the nerve and recording how each nerve conducts a signal.  It can detect injuries resulting from nerve compression, primary nerve or muscle disease, or secondary injuries related to other diseases.  The EMG results help your physician determine if your nerves and muscles are healthy or if there is a nerve or muscle injury. To prepare for an EMG, we ask that you do not apply any lotions, oils or perfumes. For your comfort we also ask that you wear clothing that is easy to remove.  Any further test preparation will be discussed when scheduling your appointment.

EEG/AEEG

An Electroencephalogram (EEG) and Ambulatory Electroencephalogram (AEEG) are tests used to detect problems in the electrical activity of the brain cells.  The technologist will apply electrodes (small metal disks) to the scalp with an adhesive gel or paste. The electrodes are connected by wires to a computer which records and displays the brain's electrical activity as wavy lines. This is a painless procedure and the gel or paste is easily removed after the test. The test can assist the physician in the diagnosis of seizures, causes of confusion, sleep disorders, and to evaluate head injuries, tumors, degenerative diseases, such as Alzheimer's disease, and abnormal changes in the body chemistry that affects the brain.  To prepare for an EEG/AEEG, we ask that you have recently washed hair and do not use any conditioners, hair sprays, gels or oils. For your comfort, it is advised to wear a button down shirt. Any further test preparation will be discussed when scheduling your appointment.

MRI/MRA/MRV

Magnetic Resonance Imaging (MRI) uses radio waves and a magnetic field to create images of the soft tissues and bones.  A MRI assists the physician in diagnosing and treating many medical conditions. Sometimes a special dye (contrast material) is injected intravenously during a MRI.  The dye makes blood vessels more visible on the images. This contrast does not contain iodine.  Please notify the staff if you are claustrophobic. Preparation for this testing will be discussed when scheduling your appointment. 

CT/CTA

The Computed Tomography (CT) is a computer that converts two-dimensional x-ray cross-sectional images into three-dimensional slices of internal organs and soft tissue.  Sometimes a special dye (contrast material) that contains iodine is injected intravenously during a CT scan. The dye makes blood vessels more visible on the images. This is known as CT angiography (CTA).  Please notify staff if you have an allergy to iodine.  Preparation for testing will be discussed when scheduling your appointment.

Lumbar Puncture

A Lumbar Puncture (LP) is a procedure that is performed by a physician to aid in the diagnosis of certain medical conditions. The physician will collect a sampling of the fluid that surrounds the brain and spinal cord for analysis.  Preparation for testing will be discussed when scheduling your appointment.  It is advised to wear comfortable clothing.

Evoke Potentials

An Evoke Potential (EP) test records the electrical activity from the brain, spinal nerves or sensory receptors in response to a specific external stimulation.  The three types of evoke potential tests are the Brainstem Auditory Evoke Response (BAER), the Visual Evoke Response (VER/VEP) and the Somatosensory Evoke Potential (SSER).  Preparation for testing will be discussed when scheduling your appointment.

Neuropsychometric

A Neuropsychological Evaluation involves the administration of standardized ability tests to assess for changes in brain function.   This assessment helps the physician diagnosis many conditions, such as memory impairment, etc.  Preparation for testing will be discussed when scheduling your appointment.

Sleep Study

A Sleep Study is used to confirm a sleep disorder diagnosis.  This test will document the electrical activities of the brain, muscles, eyes and heart while in a sleep state.  It will record and measure breathing patterns, snoring, body position and blood oxygen levels.  Preparation for testing will be discussed when scheduling your appointment.

Botulinum Toxin Injections

Botulinum toxins are injected by a physician for various conditions including dystonia, spasticity and refractory headaches. 

Punch Biopsy

A Punch Biopsy is an outpatient procedure, used to detect the presence of small fiber peripheral neuropathy by examining the number and quality of epidermal nerves in a small sample of skin.  This information gives the physician an objective measure of small nerve disease, predicts the onset of neuropathy and provides a baseline so the benefits of therapeutic agents may be measured.  To prepare for a biopsy, we ask that you do not apply any lotions or oils to the lower extremities.