This document provides information about neurophysiology services available in Cumbria. It describes diagnostic tests like nerve conduction studies, electromyography, and electroencephalography. These tests can help diagnose nerve and muscle conditions like neuropathies, radiculopathies, myopathies, and epilepsy. The document lists outpatient clinics located in Penrith, Keswick, Kendal, and Ulverston, as well as inpatient neurophysiology services. It concludes by noting recommendations to increase staffing of clinical neurophysiologists and expand services through telemedicine and additional inpatient monitoring capabilities.

1. Cumbria
Neurophysiology

2. What is it?
• Nerve Conduction Studies (NCS)
• Electromyography (EMG)
• Evoked Potentials
• Transcranial Magnetic Stimulation
• EMG guided botulinum toxin

3. Nerve Conduction Studies

4. Nerve Conduction Studies

5. Nerve Conduction Studies

6. EMG

7. EMG

8. EEG

9. EEG

10. What can we help diagnose?
EMG/NCS
– Entrapment Neuropathies
– Peripheral Neuropathies
• Axonal
• Demyelinating
– Radiculopathies
– Plexopathies
– AHCD
– Neuromuscular Junction Disorders
– Myopathies

11. What can we help diagnose?
EEG
–Epilepsy
•Focal
•Generalised
•Syndromes
•Status Epilepticus
–Encephalopathies

12. Clinics
• Penrith EMG/NCS
• Keswick EMG/NCS
• Kendal EMG/NCS
• Ulverston EMG/NCS
• Inpatient Service
• Penrith EEG
• Inpatient Service

13. The future
• The RCP “Consultant Physicians Working for
Patients” 4th
Edition recommends 1.5 WTE Consultant
Clinical Neurophysiologists per 500,000 population.
• Technician shortage
– Private sector initiatives
– Equipment advances
• EEG Headset
• Telemedicine
• Increase Service Provision
– Inpatient Videotelemetry Service
– More satellite clinics