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Thomas Drazin MD, Hawaii Neurology

Honolulu Neurology Services

Many people with neurological disorders experience crippling pain, limited function or even paralysis, balance problems, and more. Neurologist Thomas Drazin, MD, in Honolulu, Hawaii treats adults with all types of neurological conditions. He is also a vestibular (inner ear) disorder specialist, treating patients with vertigo, dizziness, and balance problems.

Specializing in Dizziness and Fall Prevention

Balance and dizziness can result from vestibular (inner ear) and neurological disorders, such as a stroke, cerebrovascular disease, brain tumor including acoustic neuromas, or multiple sclerosis. These changes can impact your nervous system, vision, inner ear (vestibular system), and musculoskeletal system (muscles and joints), hindering your body’s ability to coordinate natural movements like walking.

Untreated balance problems can cause significant disability, including injuries from falls. Dr. Drazin will assess the way your brain processes the information received by your eyes and ears to evaluate your symptoms. The goal for treatment is to decrease dizziness, improve balance function, improve visual motor control, prevent falls, and help you be safe and independent.

Conditions Treated

Dr. Drazin treats vestibular and neurological disorders including:

  • Cerebrovascular Disease
  • Stroke
  • Headaches
  • Seizures / Epilepsy
  • Carpal Tunnel Syndrome
  • Pinched Nerves
  • Neuropathy
  • Sleep Disorders
  • Vertigo
  • Whiplash
  • Multiple Sclerosis
  • Parkinson’s Disease and movement disorders
  • Bell’s Palsy
  • Dementia

Advanced Neurological Testing

Dr. Drazin utilizes advanced diagnostic testing to diagnose vestibular and neurological disorders and then develops an individualized treatment plan.

Balance disorders are diagnosed by evaluating your visual, hearing, nervous, and musculoskeletal systems. Diagnostic testing may include video electronystagmography to provide information about how your body’s systems function and interact.

Dr. Drazin may perform an EMG and/or nerve conduction study to diagnose neuromuscular disease, neurological disorders, muscle disease, and nerve abnormalities associated with pain or numbness.

Video Electronystagmography (VNG)

Videonystagmography (VNG), or video electronystagmography (ENG), consists of a series of tests performed to help determine whether damage to the structures or nerves in the inner ear or brain is causing dizziness or vertigo.

An infrared camera inside a set of goggles allows us to see and record specific eye movements, known as nystagmus, during testing. These eye movements occur normally when the head is moved. However, spontaneous or prolonged nystagmus may be associated with certain conditions that affect the nerves or structures of the inner ear or brain, such as vertigo, stroke, mild traumatic brain injury, or concussion.

VNG is one of the only tests available today that can determine whether there is a problem in only one ear or whether both ears are affected. The test usually lasts about 30 minutes.

Electromyography (EMG) and Nerve Conduction Studies

Electromyography (EMG) is an electrodiagnostic test that measures the electrical nerve impulses in muscles during contraction. Nerve conduction studies (nerve conduction velocity) measure how well individual nerves can transmit electrical signals. These two tests are often done together to help detect the presence, location, and extent of diseases that can damage muscle tissue or to locate the actual site of nerve damage.

The tests typically last 30 to 45 minutes. Fine needle electrodes are inserted through the skin and into the muscles that a nerve controls. The electrodes transmit information about the nerve/muscle electrical activity. A computer records nerve impulses while the muscle is at rest and during movement. More than one muscle is typically tested.

Electroencephalography (EEG)

Dr. Drazin also reads EEGs that have been previously performed. This test records the electrical activity of the brain. Sensors attached to your head are connected to a computer that records your brain's electrical activity. Certain brain abnormalities, such as those that cause seizures, can be detected by observing changes in the normal pattern of the brain's electrical activity.

Leading the Field of Neurology in Hawaii since 1988

Dr. Drazin is one of Honolulu’s leading neurologists not only because of his experience, but because he provides personalized care using only the most advanced treatments available. In 1988, he was the first physician in Hawaii to perform BOTOX® injections for movement disorders including spasms of the eyes, face, and neck and he has continued helping patients in Hawaii for over 25 years.

To make an appointment with an experienced and dedicated neurologist in Honolulu, Hawaii, call the office of Thomas Drazin, MD at (808) 536-7042. Have your doctor refer you today. You’ll be glad you did.