Trusted Neurological Care

Coastal Neurology Services has been providing adults and children with comprehensive and trusted care since 1983. Our board-certified physicians specialize in the prevention, diagnosis and management of an array of neurological disorders, including headaches, autism, ADHD, neuropathy, sleep disorders, small-fiber polyneuropathy, stroke and more.

Coastal Neurology's experienced, fellowship-trained physicians in clinical neurophysiology are board certified in the care of epilepsy & seizures, neuropathy & neuromuscular conditions, sleep disorders and movement disorders.

We also offer in-office diagnostic services, including EMG / Nerve Conduction Studies, as well as test interpretations for EEGs, sleep studies and more. 

Botox injections are also available right here at the office for the treatment of certain neurological conditions, including migraines, dystonia and blepharospasm. 

Conditions We Treat

• Headaches/Migraines/Concussions
• Stroke/TIA
• Sleep Disorders, including sleep apnea, periodic limb movement disorder, restless leg syndrome, narcolepsy and cataplexy
• Pediatric neurological conditions, including headaches, autism, ADHD, developmental delays, cerebral palsy, Tourette's syndrome and epilepsy
• Neuromuscular disorders, including peripheral neuropathy, muscle disease (myopathy), muscular dystrophy, myasthenia gravis, small fiber neuropathy, motor neuron disease (ALS or Lou Gehrig’s disease)
• Multiple Sclerosis
• Movement Disorders, including Parkinson’s disease, Huntington’s disease, dystonia, tremors
• Epilepsy and Seizures

Diagnostic Testing & Test Interpretations

• Nerve Conduction Study/Electromyography (EMG/NCV)
• Skin Biopsy
• Electroencephalogram (EEG) - Routine, Ambulatory Video EEG, Inpatient Long-term Video EEG Monitoring
• Sleep Studies (in-home and in-lab) and Multiple Sleep Latency Test (MSLT)
• Visual Evoked Potential (VEP)
• Evoked Potentials

Massachusetts General Hospital Collaborations

Epilepsy Clinic

World-class epilepsy care is available right here on the Seacoast. Through Wentworth-Douglass Hospital’s affiliation with Massachusetts General Hospital, patients will have direct access to expect sub-specialty care for epilepsy and related disorders. 

Coastal Neurology’s Epilepsy Clinic, led by Mass General Neurologist Daniel Hoch, MD, PhD, provides consultation, diagnosis, testing and EEG monitoring, and disease management to improve the lives and health of patients experiencing seizures.

For more information, please call the office at (603) 749-0913. 

Small-Fiber Polyneuropathy

Dr. Khosro Farhad works in collaboration with Mass General's Dr. Anne Louise Oaklander to research and treat dysfunction of a specific type of peripheral nerve cells, the “small fibers.” These neurons, outside the brain and spinal cord, can’t be seen under a microscope and aren’t detected by common nerve damage tests. 

Through this collaboration, Coastal Neurology offers skin biopsies for small-fiber neuropathy that are analyzed at Mass General. The two doctors are developing a standardized neurological exam to detect SFPN and enable patients to be tracked to assess the effects of various treatments. Their recent research, published in Therapeutic Advances in Neurological Disorders, discusses an effective treatment of intravenous immunoglobulin that had the potential to improve nerve damage in patients diagnosed with what appeared to be autoimmune SFPN.

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