Neurology is the medical specialty concerned with the diagnosis and treatment of disorders of the nervous system -- the brain, the spinal cord, and the nerves.

Neurologists at The Texas Brain and Spine Institute specialize in diagnosis and treatment of patients with all types of neurologic illnesses. This includes evaluation in the office or in-hospital consultation. A neurologist is always on call for emergency consultation.

While the neurologic examination remains the cornerstone of diagnosis, neurologists at TBSI use all available tools and technology to diagnose neurologic illness, including MRI and CT imaging, EEG, EMG, and CT angiography. Neurologists at TBSI work closely with the neurosurgeons and other specialists of the Institute in a comprehensive, multidisciplinary team approach to patient care.

 

 

Meet Our Neurologists

 
Uma Saligram, M.D.

Dr. Uma Saligram

Dr. Uma Saligram has been a member of TBSI since August of 2015.  She is a Board Certified General Neurologist with a special interest in neuromuscular diseases, Dementia, and MS.   Prior to attending medical school, Dr. Saligram received a Ph.D. in Medical Physics from Oakland University/Henry Ford Hospital in Michigan.  Her area of study was Temporal Lobe Epilepsy and Migraine Headaches.  Her research focused primarily on DC-MEG findings in both kindling models and human subjects with Temporal Lobe Epilepsy.   Dr. Saligram attended medical school at the University of Kentucky in Lexington and received her residency training in Neurology at West Virginia University School of Medicine.   Being a General Neurologist, Dr. Saligram treats all neurological diseases pertaining to the brain and spine.

Deepal Shah, M.D.

Dr. Deepal Shah

Dr. Deepal Shah is an ABPN Board Certified General Neurologist with a subspecialty in Epilepsy.  She attended the University of Mississippi School of Medicine where she completed her General Neurology residency followed by training in the Epilepsy Fellowship where she furthered her Clinical Research.  During her final year of residency, she was Chief Resident of the Neurology Program during which she was responsible for the education of medical students as well as junior residents.   During the Epilepsy Fellowship, Dr. Deepal Shah was educated in the following:  Inpatient and outpatient Epilepsy, extensive EEG monitoring in all settings (ICU, inpatient, outpatient, and ambulatory), continuous EEG monitoring, extensive video EEG monitoring, intracranial EEG, surgical treatment of Epilepsy, Vagal Nerve Stimulator management, surgical treatment of epilepsy, cortical mapping, Electrocorticography, WADA testing, multi-modality evoked potentials, intraoperative monitoring, and functional MRI.  Dr. Deepal Shah joined TBSI in October of 2015 where she specializes in treating seizure disorders for both the adult and pediatric population.

Jinal Shah, M.D.

Dr. ​Jinal Shah

Dr. Jinal Shah is an ABPN board certified general neurologist who treats conditions related to the brain, spine and peripheral nervous system.  He attended the University of Mississippi School of Medicine where he completed his residency training and joined the St. Dominic’s Hospital in Jackson, Mississippi.   During the 4 years he spent in private practice at St. Dominic’s Hospital, he along with other Neurologists helped the facility achieve a Certificate of Distinction from The Joint Commission as a Primary Stroke Center.   Dr. Jinal Shah has experience in treating patients with a wide variety of neurological conditions and has performed procedures such as Botox injections for migraines, Baclofen pump management for spasticity, EMG/NCV for diagnosis of muscle and nerve diseases and Deep Brain Stimulators for patients with Parkinson’s disease, essential Tremors and Dystonia.   He joined the TBSI team in the fall of 2015 where he continues his Neurology practice.

 

 

Neurological Conditions ​We ​Treat

Neuromuscular

  • ALS
  • Myasthenia Gravis
  • Multiple Sclerosis and Muscular Dystrophy
  • RLS
  • Tourette’s
  • Parkinson’s disease
  • Dystonia
  • Huntington’s disease
  • Tremors
  • Chorea
  • Gait and balance disorders

Pain

  • Headache
  • Carpal Tunnel
  • Occipital Neuralgia
  • Peripheral Neuralgia
  • Trigeminal Neuralgia
  • Transverse Myelitis

 

Brain/Spine

  • Epilepsy
  • Dementia/Memory Loss
  • Traumatic Brain Injury
  • concussion
  • Stroke
  • Sleep disorders
 
 

 

Procedures

Our Neurologists offer several procedures in which they specialize.  They are able to evaluate the patient during their initial visit and follow up appointments with procedures such as EMG/NCV, Lumbar Punctures, Botox, and Nerve Blocks.  Here is a brief description of what each of these procedures entails.

EMG/NCV

Your doctor may order an EMG/NCV if you are experiencing tingling, weakness, numbness or pain in the extremities. The EMG and NCV are most commonly performed in conjunction to one another and are scheduled as two separate appointments.  Following the initial consultation, the procedure will be scheduled as availability allows on your provider’s procedure days.  As a service to you, an associate from your physician’s office will be in contact with you to give you a cost estimate prior to the day of your scheduled procedure. This estimate is based on the contract for services your provider may have with your insurance carrier.

EMG (electromyography) is a diagnostic procedure that tests the overall health of muscles and their motor neurons. During an EMG procedure, needles are inserted into certain muscles to detect their electrical signals. The EMG translates the emitted signals from the muscles into sounds, numbers or graphs that the Neurologist interprets. This test is especially useful when ruling out the presence of neuromuscular diseases. 

In correspondence to the EMG, an NCV (Nerve Conduction Velocity) test is an electrical test that determines the conductivity of nerve impulses as they are electrically stimulated; this is done via electrodes in the form of adhesive tabs that are placed on the surface of the skin.  The NCV test measures the strength and speed of impulses between two points and helps the Neurologist detect any possible nerve damage.

Lumbar Puncture

A Lumbar Puncture is a procedure that involves the removal of spinal fluid from the lumbar region of the spine through a needle.   Prior to having a Lumbar Puncture, it is highly recommended to come to your appointment well hydrated and wearing comfortable clothing. On the scheduled procedure day, the patient will be sterilely prepped and a local anesthetic will be applied.  A hallow needle will then be inserted into the spine and spinal fluid will be collected.  The fluid will then be sent off for analysis and results will be discussed with your physician at your follow up visit.  Following your lumbar puncture, the patient is allowed a 20 minute period of rest; Caffeine and water are suggested at this time to avoid any headaches that may occur.

Botox

Botox is a common treatment for patients that experience migraine headaches and spasticity.  Patients that have also been diagnosed with Cerebral Palsy and stroke victims may benefit from Botox to improve gait and to reduce pain in stiff muscles.  Initially, your Botox must be approved by your insurance company before proceeding with the procedure.  On the day of your visit, the Botox will be drawn up and administered in multiple injections into multiple muscles depending on the diagnosis.  Subsequently, a follow up will be scheduled to assess the effectiveness of the procedure.

Nerve Blocks

An Occipital Nerve Block is a combination of a steroid with a numbing medication that is injected into the occipital nerve via a hollow needle.  By doing so, the steroid helps reduce inflammation of the tissue surrounding the occipital nerves; thus, relieving pain.  This procedure is also a neurological remedy for patients with migraine headaches.  A follow up in clinic may be scheduled following the procedure as advised.