Conditions We Treat
Explore the neurological conditions Dr. Sami evaluates and treats. Open a category to learn more, then call 203-630-1000 to discuss an appointment. Your care plan and treatment eligibility are based on an individual assessment.
Migraine: Recurrent headaches may include nausea, sensitivity to light or sound, and visual disturbances. Care may include preventive and acute medicines, CGRP-targeted therapies, therapeutic injections and selected infusion treatments.
Chronic daily headaches: Headaches on at least 15 days per month need assessment of their causes and an individualized treatment plan.
Tension-type headaches: Pressure or tightness around the forehead, temples or back of the head may be managed with appropriate medicines, lifestyle changes and other therapies.
Cluster headaches: Severe pain around one eye can occur in repeated attacks. Evaluation focuses on treatment to relieve attacks and help prevent further episodes.
Occipital neuralgia: Shooting or electric shock-like pain may start at the back of the head. Medicines and targeted nerve blocks may be considered.
Trigeminal neuralgia: Sudden, electric shock-like facial pain may be triggered by chewing, brushing teeth or touching the face. Treatment is tailored to the individual.
Cervicogenic headaches: Pain originating in the neck may extend toward the head. Care may include physical therapy, medicines or selected injections.
Post-traumatic headaches: Persistent headaches after concussion, a motor vehicle accident or other head injury are evaluated alongside associated symptoms.
Peripheral neuropathy: Damage to nerves outside the brain and spinal cord may cause numbness, tingling, burning pain or weakness. Evaluation can include a neurological examination, laboratory tests and EMG/nerve conduction studies.
Diabetic neuropathy: Diabetes-related nerve damage can affect sensation in the hands and feet. Assessment and treatment aim to manage symptoms and reduce complications.
Carpal tunnel syndrome and ulnar neuropathy: Compression of a nerve can cause hand numbness, tingling or weakness. Nerve conduction studies and EMG may help clarify the diagnosis.
Cervical and lumbar radiculopathy: Irritated or compressed nerve roots in the neck or lower back may cause pain, numbness or weakness extending into an arm or leg.
CIDP: Chronic inflammatory demyelinating polyneuropathy is an immune-mediated peripheral nerve disorder. Care may include IVIG when appropriate.
Myasthenia gravis: Fluctuating muscle weakness may affect vision, eyelids, speech or swallowing. Specialized assessment guides treatment.
Muscle disorders and myopathies: Weakness, fatigue or muscle pain may need examination, laboratory testing and EMG to identify the cause.
Multiple sclerosis (MS): This immune-mediated condition affects the brain and spinal cord. Symptoms may include numbness, weakness, vision changes, fatigue and difficulties with balance or walking. Care includes diagnosis, neurological monitoring, symptom management and discussion of disease-modifying therapies.
Neuroimmunological disorders: Immune system activity can affect the brain, spinal cord, peripheral nerves or muscles. Evaluation helps clarify the diagnosis and identify appropriate treatment. Dr. Sami’s supplied services include care for selected patients with CIDP and myasthenia gravis.
Treatment choices depend on the diagnosis, previous treatments and individual medical needs. Medicines described by the practice include Ocrevus, Kesimpta and IVIG when clinically appropriate. Ask the office which services are available at your location.
Parkinson’s disease: Tremor, stiffness, slower movement and changes in balance or walking may need assessment and ongoing care. Treatment is tailored to symptoms and everyday needs.
Essential tremor: Involuntary shaking, often during writing, eating or holding objects, may be managed with medicines or other therapies chosen according to severity.
Cervical dystonia: Involuntary neck muscle contractions can cause abnormal head position, discomfort or spasms. Therapeutic botulinum toxin injections may be considered.
Blepharospasm and hemifacial spasm: Involuntary contractions around the eyes or on one side of the face may be treated with individualized therapeutic injections.
Muscle spasticity: Abnormal muscle tightness may follow stroke or occur with MS and other neurological conditions. Care may include medicines, selected injections and rehabilitation recommendations.
Memory loss and mild cognitive impairment: Memory difficulties can have several causes, including medicines, sleep problems, vitamin deficiencies and neurological conditions. Evaluation helps identify contributing factors and guide next steps.
Alzheimer’s disease: This progressive neurological condition affects memory, thinking and everyday functioning. The practice offers assessment, ongoing medical management and evaluation for advanced treatments. Selected patients may be considered for anti-amyloid therapies following appropriate testing, counseling and monitoring.
Dementia: Different conditions can affect memory, reasoning, language, behavior and daily activities. Assessment helps clarify the type of dementia, address potentially reversible contributors and support long-term care planning.
Bringing a trusted family member and examples of changes can help your consultation. Treatment eligibility and availability depend on individual medical needs and office location.
Epilepsy: Recurrent unprovoked seizures involve abnormal electrical activity in the brain. Assessment may include EEG testing, medicine management and ongoing monitoring.
First-time seizures: A first seizure can have several causes. Neurological assessment and diagnostic testing help determine whether treatment or further monitoring is needed.
Episodes of altered awareness: Unexplained confusion, staring or loss of awareness may be associated with seizures or other conditions. Your clinician may recommend EEG, brain imaging or other studies.
Follow-up includes discussion of seizure tracking and everyday safety.
Dizziness and vertigo: Symptoms may include spinning, lightheadedness or a sense of unsteadiness. Neurological evaluation helps assess possible causes and guide appropriate care.
Balance and gait disorders: Changes in walking, coordination or stability can affect independence and daily activities. An assessment can help identify contributing neurological conditions and inform a care plan.
Tinnitus: Ringing or other sounds in the ears may sometimes accompany dizziness or balance symptoms. Dr. Sami can assess neurological concerns and recommend further evaluation when appropriate.
Stroke follow-up: Neurological care after a stroke focuses on ongoing assessment, recovery needs and reducing the risk of another event. Dr. Sami brings experience in stroke care and program leadership to this work.
Transient ischemic attack (TIA): Temporary stroke-like symptoms need prompt medical evaluation. Follow-up may include review of diagnostic studies and a plan to address risk factors.
Post-stroke spasticity: Muscle tightness and spasms may affect movement and comfort. Selected patients may benefit from targeted treatment, including therapeutic botulinum toxin injections when appropriate.
Seek immediate medical care for sudden stroke-like symptoms.
Concussion: A concussion can affect thinking, balance, sleep and daily function. Assessment helps guide follow-up and an individualized recovery plan.
Traumatic brain injury: Neurological evaluation can help assess ongoing symptoms after a head injury and determine appropriate next steps.
Persistent post-concussion symptoms: Headaches, dizziness, concentration difficulties and other lasting symptoms may benefit from further neurological assessment and coordinated care.
Work-related neurological injuries: Dr. Sami also provides evaluation of work-related injuries, including workers’ compensation and independent medical examinations when applicable. Please contact the office about the type of evaluation you need.