Diagnostic Neurology and Neuromuscular Consultation: 
When you come for your initial visit we will take a detailed history, do an interview and physical examination. Please bring your records, MRI and CT reports, and medications for our analysis.   Dr. Lopez will review her findings and recommendations with you and schedule additional studies as indicated.  A full report will also be faxed to your physician(s) within 24-48 hours.  A follow-up appointment will be arranged before you leave our office to return to review the results of any tests ordered and to monitor your progress.

Electromyography and Nerve Conduction Studies:
The study is composed of two parts, nerve conduction studies (NCS) and electromyography (EMG), which are performed to measure your muscle and nerve function.  The results will be reviewed with you before you leave and a full report faxed to your physician(s) within 24-48 hours.  You may follow-up with your physician for additional recommendation.  Additional information may be found on our EMG web page through this hyperlink: Electromyography and Nerve Conduction Studies

Cosmetic Botox Therapy:
Botox Therapy for cosmetic purpose works wonderfully and is the most sought after cosmetic procedure for good reason. Botulinum toxin type A (Botox) works by blocking the release of a neutrotransmitter necessary for muscles to contract. The effects of botox last 3-6 months, with subsequent reactivation of the nerves and muscles. Botox has been available and used for therapeutic uses since 1980.

Botox treatment has consistently been the top cosmetic procedure, with >2.7M procedures in 2007. Botulinum toxin type A for cosmetic use was approved in the U.S. in 2002 under the name "Botox Cosmetic".

Possible adverse events are usually mild and resolve on their own within a few days, but may include headache, swelling, pain at the injection site, bleeding, and bruising. Diffuse weakness is possible.

Dr. Lopez has 10 years of experience with Botox and can offer injections for wrinkles in the forehead, frown or glabellar lines, arch lifts, neck wrinkles/bands, frown lines/oral commisure, gummy smile where gums show, perioral lines around the mouth, crow's feet, and the chin/Peau d'orange. Costs start at $259.00 which includes your initial medical consultation! See picture under the Botox tab.

Call today for your appointment @252-413-2222 x1.


Medical Botox Therapy:
Botox is Botulinum Toxin Type A, a neurotoxin that has been used therapeutically for over 20 years to treat a variety of disorders. Dr. Lopez has experience using Botox to treat torticollis, hemifacial spasms, dystonia, blepherospasm, and spasticity associated with stroke or cerebral palsy.

Botox has also been used with great success for the management of chronic headaches which the FDA approved in the fall of 2010! If you suffer chronic headaches for greater than 15 days out of the month and more than 4 hours on those days with nausea, vomiting, or light and sound sensitivity, you should qualify for Botox! Call our office and ask your primary physician to arrange your consultation today.


Sleep Consultation:
The Cleveland Clinic is offering a link for its online sleep clinic. They offer support from online coaches and tips for good sleep from their successful clinical setting. The link is

Lumbar Puncture:
A diagnostic spinal tap procedure is performed to measure an opening pressure and to obtain cerebral spinal fluid to perform laboratory studies for white and red blood cell counts, protein, glucose levels, and to perform various cultures for bacterial, viral, and fungal infections.

Patient Education: 
We have extensive literature in our office, a patient media area with videos on various conditions on our Video web page and written literature on our Patient Education link: Health Information and Wired MD Videos.

...providing quality care with kindness and compassion