Neurology specialists in Richmond, Virginia

The expert neurologists at Chippenham Hospital provide comprehensive care for the most complex brain, spine and nervous system conditions. From diagnosis and treatment to rehabilitation and recovery, our neurological care teams provide expert treatment for optimal results.

To learn more about our neurological care services, call our Consult-A-Nurse line at (804) 320-3627.

Neurological disorders we treat

Our neurologists are specialized in treating numerous neurological disorders and injuries.

Some disorders we treat include:

  • Acute hemorrhagic and ischemic strokes
  • Aneurysms and vascular disease
  • Arterial venous malformations (AVMs)
  • Brain tumors
  • Brain and spinal cord injuries
  • Chronic migraines
  • Epilepsy
  • Neurotrauma
  • Pulsatile tinnitus
  • Seizures
  • Spinal cord tumors

Aneurysm treatment

An aneurysm is an enlargement of an artery caused by a weak artery wall. Many times, an aneurysm can be harmless, however, a ruptured aneurysm can cause symptoms and serious complications.

If you experience a severe, sudden headache or other symptoms related to a ruptured aneurysm, our neurological care team will conduct a series of tests. This is to determine if there is bleeding in the space between your brain and the surrounding tissue (subarachnoid hemorrhage). If bleeding is present, we will quickly determine if the cause is a ruptured aneurysm and provide the appropriate treatment.

Our neurologists and neuroradiologists use the following diagnostic tests for aneurysms:

  • Cerebral angiogram
  • Cerebrospinal fluid test
  • Computerized tomography (CT) scan
  • Magnetic resonance imaging (MRI) scan

Traumatic brain injury care

A traumatic brain injury (TBI) occurs when an object penetrates brain tissue.

This can include:

  • A vehicle or bicycle incident
  • An abrupt impact, such as falling and hitting your head
  • Sports injuries
  • Violence, such as gunshot wounds

Any type of violent movement that causes a significant jolt to the head or body can cause a TBI.

Mild cases of TBIs may affect your brain cells temporarily, but serious incidences can cause bruising, torn tissues, bleeding and other permanent physical damage to the brain. Serious cases can also result in long-term complications or even death.

Knowing the signs and symptoms of a TBI can help you know when to seek treatment from our neurologists.

Symptoms of a mild TBI

  • Anxiety or depression
  • Bad taste in the mouth
  • Changes in the ability to smell
  • Difficulty sleeping or sleeping more than usual
  • Fatigue or drowsiness
  • Headache
  • Loss of balance
  • Loss of consciousness for a few a seconds to a few minutes
  • Memory problems or inability to concentrate
  • Mood swings
  • Nausea or vomiting
  • No loss of consciousness but a prolonged state of being dazed, confused or disoriented
  • Problems with speech
  • Ringing in the ears
  • Sensitivity to light or sound

Symptoms of a moderate to severe TBI

  • Clear fluids draining from the ears or nose
  • Combativeness, agitation or other unusual behavior
  • Convulsions or seizures
  • Dilation of one or both pupils of the eyes
  • Inability to awaken from sleep
  • Loss of consciousness for several minutes to hours
  • Loss of coordination
  • Numbness or weakness in the fingers or toes
  • Persistent headache or headache that gets progressively worse
  • Recurrent vomiting
  • Significant confusion
  • Slurred speech

Stroke treatment

A stroke happens when blood flow to an area of the brain is cut off. Brain cells are deprived of oxygen and begin to die. A stroke can cause you to permanently loose speech, movement and memory.

When it comes to a stroke, time is life. The sooner you can get treatment for a stroke, the higher likelihood of a better recovery. Knowing the signs and symptoms of a stroke can help you know when to seek treatment.

If you think you or a loved one might be experiencing symptoms of a stroke, call 911 immediately.

Signs of a stroke

Signs of a stroke can occur suddenly and may include:

  • Confusion, trouble speaking or trouble understanding
  • Numbness or weakness in the face, arm or leg, especially on one side of the body
  • Severe headache with no known cause
  • Trouble seeing in one or both eyes
  • Trouble walking, dizziness or loss of balance or coordination

If you think someone you know is having a stroke, remember to act "FAST." "FAST" is an acronym that stands for:

  • Face—Ask the person to smile. Does one side of the face droop?
  • Arms—Ask the person to raise both arms. Does one arm drift downward?
  • Speech—Ask the person to repeat a simple phrase. Is their speech slurred or strange?
  • Time—If you observe any of these signs, even if they've gone away, call 911 immediately. Take note of what time the symptoms appeared.

Stroke risk assessment

Advanced Primary Stroke Center

When you receive treatment at Chippenham Hospital, a Joint Commission-Certified Primary Stroke Center, you know you’re in good hands. The neurological care department at our hospital is a five-star recipient of stroke two years in a row (2016 to 2017) as awarded by Healthgrades™.

Telemedicine services for stroke

Telemedicine increases the quality and convenience of healthcare services. It can help provide patients with better, faster and more specialized care. Doctors can provide more convenient, real-time neurological assessments of patients and improve communications with other medical staff from almost any device, such as a computer, laptop or tablet.

Our expert doctors use on-site examinations and telemedicine capabilities to quickly access a neurologist at Johnston-Willis Hospital, another HCA Virginia hospital, who can also evaluate the patient through a camera and microphone.

In addition, the patient can see and interact with the neurologist and see scans and reports of their tests, which can also be shared with a specialist. The neurologist can view head scans, prior reports and records in order to make an informed decision about care.

Rapid administration of tissue plasminogen activator (tPA) is critical for acute ischemic stroke. tPA is a clot-busting drug for blockages in the arteries in the brain. The sooner it is given, the more brain tissue is preserved.

Telemedicine leads to faster administration of tPA, which can lead to improved outcomes in as little at six months. It is more convenient for the patient, as he or she can receive specialized care faster.