For most people, the differences between neurology, psychiatry and psychosomatic medicine are probably hard to tell. When we use the word ‘nerve’, there are two meanings in general. For example, ‘nerve’ as used in ‘feeling nervous’ or to ‘have a lot of nerve’ is different from that in ‘removal of a nerve’. The former refers to a mental or psychological meaning, whereas the latter refers to nerves as part of organs such as the brain, spinal cord and peripheral nervous system. In neurology, nerves mean the latter: when nerves as part of organs are impaired and cause illness, neurologists examine and treat them in the manner of internal medicine. Psychiatry, on the other hand, handles mental illness without impairment of nerves as organs. psychosomatic medicine is concerned with physical symptoms (e.g. hearth palpitations, chest pain, stomach ache) and illnesses (e.g. gastric ulcer, hypertension) that are caused by psychological stress. Neurology covers a wide area: apoplexy (e.g. cerebral hemorrhage, cerebral infraction), dementing disorders (e.g. Parkinson’s disease, spinocerebellar degeneration and Alzheimer’s disease), infectious diseases (e.g. meningitis, encephalitis), autoimmune diseases (e.g. multiple sclerosis, Guillain-Barre syndrome), spinal diseases (e.g. cervical spondylosis, lumber spondylosis), peripheral neuropathy caused by diabetes, vitamin deficiency and neuromuscular diseases (e.g. myasthenia gravis, polymyositis). Common subjective symptoms are headaches, vertigo, limb numbness, limb weakness, physical dullness, walking difficulty, and liability to fall. Patients with shoulder stiffness and lumbago are also advised to visit us. Our Outpatient Unit can be visited if you have no mental disorders. If you need hospital treatment, you can be admitted to our hospital or referred to other hospitals if necessary.
If you have the following symptoms, visit us.
Temporay headache due to cold is usually not serious, but chronic and persistent headache, headache associated with vertigo and sickness and severe headach you have never experienced may be due to apoplexy (e.g. subarachnoid hemorrhage) or cervical spondylosis. Some headaches, such as migraine or muscle contraction headache, improve with medication.
Three causes may be considered. First, a brain related disease. Second, disorder of a blood vessel leading to the brain, which causes abnormal cerebral blood flow. Third, disorder in the inner ear. The cause must be detected before appropriate treatment can be made.
- Difficulty in walking (inability to walk straight or stand upright, difficulty in standing up and liability to fall)
- Movements have become dull or slow
- Difficulty with speech or coming up with words, difficulty in swallowing food
- Body (or part of body) weakness
- Weakening muscles or muscle pain without excercise
- Involuntary movement of the body (or part of the body), including trembling hands
- Abnormality of sensation such as paralysis and nerve pain or difference in sensations between the right and left sides of the body
- The following symptoms in the head, face or neck:
- Seeing double, drooping eyelids
Eye diseases may also be suspected in case of double vision (especially in one eye), declining eyesight or visual field defects. Also consult an ophthalmologist.
- Difficulty in raising the neck when lying on your back
- Numbness or pain in the face
- Seeing double, drooping eyelids
Our Clinic and Inpatient Care
Our Outpatient Clinic is open in the morning from Monday to Friday (the reception closes at 11a.m.).If you are visiting other hospitals, it is better, but not necessary, to bring a referral letter. Two full-time board-certified specialist doctors work for the Clinic.
We provide inpatient care mainly for patients with psychiatric disorders complicated by neurological diseases (e.g. gait disturbance due to Parkinsonism, cerebrovascular disease, and disturbance of consciousness), as well as those with neurological diseases associated with complicated or worsened mentalsymptoms or dementia, which are difficult to treat at home or at general hospitals.
We also provide inpatient care for neurological diseases without psychiatric complications at our Internal Medicine Ward (open ward). Please note that as Matsuzawa Hospital specializes in psychiatry, we may lock the ward entrance for safety of patients.