The Division of Neurology offers a wide range of services in neurological disorders and other related
problems. Our broad spectrum of comprehensive services covers a continuum of care from preventative
programs to accurate and timely diagnosis, and an effective treatment complemented by world class
rehabilitation therapy. The provided care is greatly supported by cutting edge technology in advanced
neurological diagnostics, including advanced brain imaging, perfusion scans as well as nuclear medicine
Pet CT and SPECT CT. The ultimate aim is to treat individual patients at the origin of their diseases and
reduce risks of recurrence and complications.
Our team include Consultants staff who are certified in their corresponding discipline and received
dedicated training primarily or as subspecialty fellowship training. All of them are registered & licensed
to practice by the Saudi Council.
We are proud to be designated as the first Comprehensive Stroke Center in Saudi Arabia and the third
one in the middle east region , the highest level of certification available from the American Heart
Association/American Stroke Association.
We care for all strokes, ischemic and hemorrhagic like those caused by ruptured brain aneurysms. Our
stroke team is a dedicated team working 24/7 to provide the most advanced treatment options and
rigorous standards, including fast and timely thrombolysis in addition to minimally invasive catheter
procedures. Dedicated neuroscience intensive care unit is available with the ability to perform complex
neurovascular procedures, such as brain aneurysm clipping, vascular malformation surgery and carotid
endarterectomy. We receive patients transferred from other hospitals or primary stroke centers
Our multidisciplinary care comprises teamwork with neurologists, neurosurgeons, spine surgeons,
orthopedic surgeons, rehabilitation specialists, physiotherapists, psychiatrists, mental health specialists,
nurses, pharmacists, and other medical personnel specialized in neurological care.
Patients can be rest assured that their needs and quality of life will be taken into great consideration
while they receive the highest integrated appropriate treatment here in the neurology division for both
inpatient and outpatient offering a wide spectrum of care to our community.
Our dedicated services include:
• Sleep disorders
• Parkinson’s disease and movement disorders
• Memory disorders such as Alzheimer’s disease
• Disorders of peripheral nervous system
• Brain tumors
• Other brain and neurological disorders
The Department of Neurosurgery is responsible for the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply and its sheaths, as well as for the pre- and postoperative care of patients.
We focus on the treatment of brain and spinal cord tumors, vascular processes of the central nervous system, acute and chronic ischemic stroke and degenerative spinal diseases in adult and pediatrics.
Inpatients are cared for in an intensive care unit and neurosurgical wards. The team consists of doctors, physiotherapists, occupational therapists, speech therapists as well as medical nursing staff and administrative staff.
Outpatient care for patients is provided by neurosurgical outpatient clinics as part of the Neuroscience Outpatient Clinic. In addition, the Department of Neurosurgery has the following special outpatient clinics:
1.General neurosurgical outpatient Clinic
2.Special Outpatient Clinic for Brain Tumor, Vascular Pathologies, Pediatric neurosurgery and CSF disorder
A selection of the most commonly treated diseases:
- Tumors of the brain and its environment, as well as the spinal cord and its surroundings
- Skull base Tumor
- Stereotactic neurosurgery, Biopsy of deep brain lesions
- Acute injuries to the brain and skull as well as chronic sequelae in pediatric and adults
- Non-accidental bleeding of the brain, spinal cord and its surroundings
- Vascular diseases of the brain and spinal cord, such as aneurysms, vascular malformations, arteriovenous fistulas, open and endovascular intervention without open surgery.
- Endovascular embolization of all skull base tumor and chronic subdural hematoma
- Disorders of cerebrospinal fluid (“cerebrospinal fluid”) dynamics, such as hydrocephalus, “age-related intracranial pressure”, cyst formations, etc.
- Neuro-endoscopy for Hydrocephalus without shunt and ventricular lesions
- Spinal diseases, such as intervertebral disc disease, instability diseases, chronic collapse of vertebral bodies, etc.
- Vertebroplasty for patients with pathological spinal fractures
- Minimal invasive spinal surgery, endoscopic procedures, neuroforamen nerve blockade, fact joint ablation
- Implantation of Baclofen and morphine pump for chronic and spastic patients
- Vagus stimulation for treatment of certain forms of epilepsy
- Muscle and Nerve biopsy in patient with muscle disorders
- Diseases of the pituitary gland (pituitary gland), such as pituitary adenomas, craniopharyngiomas, Rathke’s cysts
- Neurovascular decompression in Pain conditions that cannot be treated with medication, such as trigeminal neuralgia, High frequency thermocoagulation of trigeminal ganglion
- Compression syndromes of peripheral nerves, such as carpal tunnel syndromes, tarsal tunnel syndrome, ulnar nerve compression and peripheral nerve tumor
Neurosurgical diseases of child, Brain Tumor and cyst, vascular malformation, congenital anomalies such spina bifida, myelomeningocele, tethered cord
To ensure high-quality healthcare services to all patients, our outpatient team works with utmost enthusiasm and dedication with patients, and their families to provide a patient-centered health service.
Outpatient clinics covers: brain diseases, spinal cord diseases, peripheral nerves which require a comprehensive evaluation and regular care.
Our consultants provide diagnostic evaluation and consultations to treat neurobehavioral and memory disorders, neuromuscular diseases, cardiovascular and movement disorders, headaches, seizures, sleep disorders (obstructive sleep apnea – insomnia), brain tumors, headaches, and Alzheimer’s
Neurophysiology Diagnostic Laboratory
Neurophysiology is primarily an investigative (diagnostic) discipline that uses computers, electrical, magnetic, and electronic means to record the brain’s function, spinal cord, spinal cord roots, peripheral nerves, and muscles to diagnose functional disorders of the nervous system.
Using technologies include:
- Nerve conduction study.
- Monitoring during operations.
- Evoked potential.
Monitoring during operations:
t is used for monitoring during surgical procedures to reduce the incidence of neurological diseases during surgical treatments. This monitoring aims to identify changes in the brain, spinal cord, and peripheral nerve function before hard-to-repair damage occurs.
It is also effective in positioning anatomical structures, including peripheral nerves and the sensorimotor cortex, guiding surgeons during autopsies. Surgical procedures using this technique include scoliosis surgery, carotid endarterectomy, and brain resection surgery.
A stroke is the result of a circulatory disorder in the brain. Symptoms can range from paralysis, sensory disturbances, swallowing and speech disorders, and impairment of cognitive abilities. A stroke is always an emergency and has to be treated immediately. This finding is based on the experience that all improvement measures within the first 3 hours (preferably in the first hour) have the best effect. Following acute treatment, lost skills can be partially or fully recovered in a specialized rehabilitation facility.
Stroke is the fifth-leading cause of death in Kentucky. Getting treatment as soon as a stroke occurs can make a huge difference in survival and recovery.
Our stroke program is a key part of ASH Neurosciences center. There is a dedicated, inpatient stroke unit with the most advanced stroke service is staffed full-time by our talented vascular neurologists. Leading-edge treatments for ischemic stroke that we can offer include intravenous thrombolysis, intra-arterial thrombolysis
Stroke team formed by one Consultant cerebrovascular and Endovascular Neurosurgeon, Four Consultant Neurologists and one Consultant interventional radiologist can efficiently handle such top emergencies.
Time is Brain!” is a direct way of conveying that stroke is a top medical emergency. It simply means that the more time passes before a stroke patient receives a definitive treatment, the worst the repercussions will be. But it also means that if the stroke is treated immediately, brain damage will be minimized.
The Epilepsy Clinic at ASH is focused on helping you gain control over your seizure disorder. Our doctors have experience in managing myriad of seizure disorders, with expertise in the latest seizure medications and vagal nerve stimulation to treat epilepsy. Our goal is “no seizures, no side effects,” Adult Epilepsy: Sunday 16:00 – 20:30 Dr. Saber A. Rahman Adult Epilepsy: Sunday 16:00 – 20:30 Dr. Mahmoud Al Hajji Pediatric Epilepsy: Sunday 16:00 – 20:30 Dr. Hussein Al Hajji
What is epilepsy: It is a disorder in the cerebral cortex cells, that leads to loss of consciousness in most cases, with seizures in one or more of the body limbs, the origin of these convulsions is related to abnormal and excessive epileptic discharges in certain brain region.
- Clinical data to determine the type and causes of epilepsy
- EEG to determine the location, severity, and type of epilepsy
- Radiological investigation, especially MRI, helps to identify tumors and congenital defects that lead to epilepsy, and there are advanced types of radiology tools that help to determine the Epilepsy-focus for pre-epilepsy surgery.
Epilepsy has many treatment methods:
If the cause is known, epilepsy and seizures could be cured
Drug- therapy (medications) is available to all ages and women during pregnancy, or patients with other epilepsy-related diseases.
Interventional treatment, such as (vague nerve stimulation VNS) that helps to control epileptic seizures.
Surgical treatment, in brain tumor cases or structural changes in a part of the brain, whether acquired or hereditary
Diet therapy (ketogenic diet)
Removing the epileptic-focus surgically (epilepsy surgery)
How to deal with epileptic patient?
During seizures you shall know the right way to deal with the epileptic Attack:
- Do not resist the patient, and do not try to prevent muscle movements even if they are violent.
- Place him in a safe place, preferably on the ground.
- Do not attempt to place objects or liquids in the patient’s mouth or between his teeth.
- Place him on his side
- Release the belts and release of buttons
- Make sure that he is breathing properly
- Keep him away from any source of danger (such as fire, vehicle traffic, presence in the pool or high surfaces)
- Call the ambulance immediately
- Stay with the patient until he regains consciousness fully
AS an epileptic patient … What should you do!
- Record the epileptic seizures and ask those around you about the form of epilepsy that occurred.
- Take your medications regularly and do not change the times or type of medication without consulting your doctor.
- Do not expose yourself to dangerous places or drive any vehicle until medical permission given to you.
- Contact your doctor in case of pregnancy for women or if you are going to do surgery.
Head immediately to the ER if any of those happened:
- Frequent seizures
- If the patient did not regain his consciousness within 5 to 10 minutes after the seizure
- Frequent seizures lasting more than 5 minutes.
- Seizures complications such as fractures, scratches, burn… Etc.
- Recurrent seizures even with proper intake of medications
- Side effects of epilepsy drugs.
- Epilepsy patient should be treated as a normal person, in order to avoid the psychological, social and academic drawbacks that the epileptic patient may suffer more than the disease itself
- Epilepsy is not transmitted or infectious diseases. On the contrary, they have natural intelligence and can engage in school, daily activities, sports and travel.
(There are special precautions for each type of epilepsy you should ask your doctor about.)
Mental Health Services
People can experience different types of mental health problems. These problems can affect their thinking, mood, behavior, relationships, and whole life. We Here at Almoosa provide pharmacological and non-pharmacological interventions for such cases.
We offer a range of options for people who need treatment. Mental health services for adults and pediatrics include:
- Clinical assessment and treatment in a clinic-based setting.
- Consultation and liaison psychiatry services providing consultation, support and assessment to patients and their families in a health service. Consultation-liaison psychiatry (Psychosomatizing medicine) provides a multidisciplinary team with all medical/surgical units such as bariatric cases, and critical units such as, ICU, Hemodialysis, and Oncology.
- Outpatient services (screening, diagnosing and treating) for a different range of cases.
- Consultation and emergency psychiatric services.
- Educational Training for students and residents.
Our multidisciplinary team includes:
- Phonetic (speech therapist)
- Other specialties as needed
Treatment and interventions include the following disorders:
Anxiety Disorders: People with anxiety disorders respond to certain objects or situations with fear and dread. Anxiety disorders can include obsessive-compulsive disorder, panic disorders, and phobias.
Behavioral Disorders: Behavioral disorders involve a pattern of disruptive behaviors in children that last for at least 6 months and cause problems in school, at home and in social situations. Examples of behavioral disorders include Attention Deficit Hyperactive Disorder (ADHD), Conduct Disorder, and Oppositional-Defiant Disorder (ODD).
Eating Disorders: Eating disorders involve extreme emotions, attitudes, and behaviors involving weight and food. Eating disorders can include anorexia, bulimia, and binge eating.
Mood Disorders: Mood disorders involve persistent feelings of sadness or periods of feeling overly happy, or fluctuating between extreme happiness and extreme sadness. Mood disorders can include depression, bipolar disorder, Seasonal Affective Disorder (SAD), and self-harm.
Obsessive-Compulsive Disorder If you have OCD, you have repeated, upsetting thoughts called obsessions. You do the same thing over and over again to try to make the thoughts go away. Those repeated actions are called compulsions.
Somatoform disorders: The somatoform disorders are a group of psychiatric disorders that cause unexplained physical symptoms. They include somatization disorder, conversion, pain disorder, body dimorphic disorder.
Personality Disorders: People with personality disorders have extreme and inflexible personality traits that are distressing to the person and may cause problems in work, school, or social relationships. Personality disorders can include antisocial personality disorder and borderline personality disorder.
Psychotic Disorders: People with psychotic disorders experience a range of symptoms, including hallucinations and delusions. An example of a psychotic disorder is schizophrenia. –
Suicidal Behavior: Suicide causes immeasurable pain, suffering, and loss to individuals, families, and communities nationwide.
Trauma and Stress-Related Disorders: Post-traumatic stress disorder (PTSD) can occur after living through or seeing a traumatic event, such as war, a hurricane, rape, physical abuse or a bad accident. PTSD makes you feel stressed and afraid after the danger is over.
Child Development Specific Conditions:
- Attention-Deficit/Hyperactivity Disorder (ADHD)
- Autism Spectrum Disorders
- Sleep disorders
Depression is a serious medical illness, causes a persistent feeling of sadness and loss of interest. Also called major depressive disorder or clinical depression, it affects how you feel, think and behave and can lead to a variety of emotional and physical problems. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isn’t worth living.
At the Psychiatry Clinic at Almoosa Specialist Hospital, we offer:
- Complete assessment and diagnosis of the health and psychological condition.
- Tests that rule out the organic causes of depression.
- A treatment program developed after discussion and long dialogue with the patient, consisting of a treatment plan that uses a drug approach and another that uses psychotherapy (through a program of cognitive-behavioral therapy or psychoanalysis).
- An integrated team of psychiatrists, psychologists, and social workers. In addition, a visit program to monitor the progress of treatment is usually every 6 months.
Migraine is one of the most common diseases that afflict millions of people in the world. Headache affects daily behavior and reduces his productivity at work.
The causes of migraines differ, and the treatment methods differ. There are many headaches, such as migraines, cluster headaches, tension headaches, headaches caused by structural problems such as bleeding, vascular diseases, and tumors, all of which we treat at Almoosa Specialist Hospital, specifically Migraine.
People with Migraine may have the following symptoms:
- Sensitivity to light and noise.
- Feeling sick and fatigue.
- Eye pain.
- Nausea and vomiting.
- Lack of clarity of vision.
- Visual halos, such as bright spots and floating objects.
The Migraine Program at Almoosa Specialist Hospital provides accurate diagnosis and comprehensive care for treating various types of acute and chronic headaches and provides health care that meets the expectations that every patient aspires to and hopes to get the care and attention they deserve. The diagnosis is made by examining the personal history of each patient’s condition, as well as through a physical examination, and with the use of a set of tests that exclude other causes that may be the cause of headaches, and a group of different procedures, including laboratories, x-rays, and neurophysiology, to ensure the diagnosis Correct triggers for headaches.
When registering a patient in the headache program, the neurologist evaluates each patient’s condition and makes sure that structural diseases such as tumors, vascular diseases, and others do not cause the headache.
The treatment plan is also prepared per the patient’s treatment and type of headache, including treatment with a neurosurgeon referral. If the origin of the headache is physical, such as benign tumors or cancers, treatment can be planned with medication.
Botox injections: Botox was approved for use with chronic migraine, and many patients are reporting success, Botox is FDA-approved for chronic migraines, which means headache on 15 or more days a month. “The more frequent the headaches, the better the patient does with Botox
Do not let headaches disrupt your daily life and your usual accomplishment; if you have a headache, do not hesitate to consult us, we are here for you!
Why ASH Neuroscience Center?
- Comprehensive diagnostic and therapeutic services, both surgical and non-surgical.
- we are here for you 24\7
- We provide an optimal patient experience while choosing an integrated diagnostic and therapeutic approach using the latest international methods and the highest quality standards.
- Excellent results in terms of patient satisfaction and rates of surgeries.
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