Four diagnostic laboratories are
administrated by the Case Department of Neurology. These
laboratories are essential to many aspects of
The Autonomic Laboratory evaluates patients with
disorders affecting the autonomic nervous system. These
disorders include multiple system atrophy, pure
autonomic failure, reflex sympathetic dystrophy,
hypotension, postural orthostatic tachycardia
syndrome (POTS), fainting, abnormalities of sweating,
bladder and sexual dysfunction.
The laboratory is
located in the fifth floor of the
Bolwell Health Center
at University Hospitals - Case Medical Center. Satellite
laboratories are located at the Westlake Health Center
and the Chagrin Highlands Health Center. All testing is
non-invasive and includes tilt table, quantitative sudomotor reflex testing (QSART), whole body sweat
testing and laser Doppler flowmetry. Studies are
supervised and interpreted by Drs.
Bashar Katirji, Daniel
Koontz and Mark Buczek.
EEG (Electroencephalography) is performed for
outpatients in the EEG suite located on the third floor
Lakeside building at
University Hospitals - Case Medical Center.
Over 3000 studies are done annually on outpatients. In
addition, the laboratory also does an large number of
portable studies on patients hospitalized on the wards
and intensive care units. There are seven staff
neurologists between the Department of Neurology and the
Division of Pediatric Neurology that interpret EEGs.
adult and pediatric studies are performed in their
Video-EEG Monitoring Units. These are inpatient units
where patients undergo continuous monitoring as long as
This unit is most helpful in determining if a patient's
intermittent symptoms are due to seizures or not.
Monitoring is also frequently used to assess the
efficacy of anticonvulsant medicines and in the
pre-surgical evaluation of patients before possible
The Pediatric Video-EEG Monitoring Unit is located on the seventh
Rainbow Babies and Children's
and the adult unit is located on the fourth floor of the
Nerve conduction studies and electromyography (EMG) are
available for the diagnosis of most peripheral nerve and
muscle disorders. The EMG laboratory evaluates over 2000
patients per year at five locations, including the 5th
floor of the
Bolwell Health Center,
at Case Medical Center, the
University Suburban Health Center, the
Health Center, the
Westlake Health Center, the Richmond
Bedford Medical Center.
are staffed by five full time technicians along with
seven Neurology staff physicians, Drs.
Buczek, and Daniel
Koontz. Services available include nerve conduction
studies, needle electromyography, single-fiber EMG,
ischemic forearm blood testing and EMG guided Botox. The
EMG laboratory is extremely user friendly with the
ability to schedule patients easily at multiple sites,
without significant waiting, with the report usually
available the same day. Important information for
patients about electromyography testing is available