PAID PROMOTION: Mediclinic Newcastle
Within the tranquil environment of Mediclinic Newcastle’s Kintsugi Wellness Centre, the work of Nomthandazo (Nomthi) Ntshangase stands as a testament to the power of modern neurophysiology and compassionate care. A dedicated neurophysiologist, Ntshangase provides a spectrum of highly specialised in-hospital services, supporting doctors in the diagnosis and management of complex neurological conditions.
Her deep clinical knowledge and patient-centred approach continue to make a profound difference in the lives of those she serves.
Taking this into consideration, it is important to note that a neurophysiologist is a medical professional who studies the functions of the nervous system, focusing on how nerves, muscles, and organs interact. They investigate electrical and chemical processes in the brain, spinal cord, and peripheral nerves to understand normal function and diagnose or treat disorders like epilepsy, Parkinson’s, or nerve injuries.
Moreover, they often use techniques like electroencephalography (EEG), which measures electrical activity in the brain, and electromyography (EMG), which assesses muscle and nerve electrical activity, along with nerve conduction studies. They may work in research, clinical settings, or both.
With this in mind, Ntshangase explained that one of the main services she offers is running diagnostics on her patients, searching for any abnormalities within her patients’ brain function.
“It is important to remember, that just like the heart, the brain uses electricity and we use specialised equipment to monitor the electricity function on one’s brain to ensure there are no issues such as epilepsy, brain fog and so forth,” she noted.
With this in mind, we now take a closer look at the services that Ntshangase offers her patients to ensure they are able to lead their lives to the fullest.
Polysomnogram (Sleep Study)
Among the vital services Ntshangase offers is the polysomnogram, or sleep study. This comprehensive overnight test evaluates sleep patterns and identifies a range of disorders, including sleep apnoea, insomnia, restless legs syndrome, narcolepsy, and sleep paralysis. The study measures brain waves, oxygen levels, heart rate, and breathing to ensure a precise diagnosis. In many cases, undiagnosed sleep conditions significantly impair daily functioning, and early intervention can transform a patient’s quality of life.
Discussing this service, Ntshangase explained that when conducting a sleep study, she runs diagnostics to determine exactly why her patients are struggling to sleep. “When it comes to sleep loss, people often go and see their doctors, who then examine them and often the patient is given sleeping tablets, but in many cases, the individual still struggles to sleep. We have equipment which we attach to the patient and then monitor their sleeping habits and determine the cause of sleep loss in their brain activity while running the necessary diagnostics on them,” said Ntshangase, who added that once the necessary testing was done, she would then work with the patient’s doctor and find a solution to assist with the problem, and potentially leave sleeping tablets.
CPAP Treatment Trials for Sleep Apnoea
Another issue which she focuses on is sleep apnoea, which Ntshangase noted occurred predominantly among larger built individuals or overweight people. Following a confirmed diagnosis of sleep apnoea, which is rather common, Ntshangase facilitates Continuous Positive Airway Pressure (CPAP) treatment trials.
These trials allow for a tailored approach, helping patients adapt to CPAP therapy—widely considered a gold standard in managing obstructive sleep apnoea. By maintaining open airways during sleep, CPAP not only improves rest but significantly reduces long-term cardiovascular and metabolic risks.
Long-Term Video EEG for Encephalopathy
For individuals with suspected encephalopathy or other brain-related conditions, long-term video EEG monitoring is available. This sophisticated service combines continuous brainwave monitoring with video capture to provide an in-depth evaluation of neurological activity over an extended period. The detailed data aids clinicians in diagnosing epilepsy and similar disorders, facilitating more accurate and effective treatment plans.
24-Hour EEG Electroencephalogram
Additionally, Ntshangase also offers 24-hour EEG services, which capture brain activity over a full day. This allows for the detection of intermittent abnormalities that may not surface during standard EEG testing. It is particularly beneficial in evaluating conditions like epilepsy, seizure disorders, and certain sleep disturbances, ensuring no crucial diagnostic information is missed.
Furthermore, Ntshangase pointed out that this machine is also used to monitor people who suffer from insomnia. “We have the necessary equipment at Mediclinic and we set the machines up and let it run for 24 hours to determine the causes of the patient’s insomnia. While people with insomnia will have it for the rest of their lives, by running this, we are able to assist them and ensure they receive the right form of medical attention,” she noted.
Nerve Conduction Study (NCS)
Moreover, Ntshangase runs nerve conduction studies that are instrumental in identifying a wide array of neuromuscular conditions. Ntshangase focuses on detecting diabetic peripheral neuropathy, which remains one of the most prevalent and debilitating complications of diabetes. Early diagnosis is essential, as undetected neuropathy may lead to progressive nerve damage and paralysis. The service also includes evaluation for spinal cord nerve compression (radiculopathy)—a key diagnostic step in determining whether further imaging such as MRI is necessary or if surgical intervention is appropriate.
Discussing this further, Ntshangase noted that this form of testing was essential as it allowed her to run tests, tracing the nervous system, running from the neck down the spine to locate any nerves that may be damaged or attended to. Some of the symptoms that may highlight an issue with one’s nerves, Ntshangase explained, included severe neck and back pain, struggling to pick things up or one’s hands suddenly losing grip and dropping items.
Electromyogram (EMG)
Often conducted alongside NCS, electromyography (EMG) provides further insight into the health of muscles and the nerves controlling them. This diagnostic tool assists in evaluating conditions like muscular dystrophy, ALS, and nerve injuries. Ntshangase’s proficiency in EMG ensures accurate interpretation, enabling tailored patient management and rehabilitation strategies.
Intraoperative Monitoring (IOM)
A newer addition to her service portfolio is Intraoperative Monitoring (IOM). This advanced technology is employed during surgical procedures to protect vital neurological functions. Utilised by neurosurgeons during brain tumour removals and by spine specialists such as Drs Mgele and Buthelezi, IOM provides real-time feedback, helping to prevent complications such as paralysis. It is also used during thyroidectomies to ensure vocal cord function is preserved and during facial nerve repair surgeries to maintain facial muscle integrity.
The tool has significantly enhanced patient safety, with Radiology noting fewer cases of revision surgeries since its implementation. General and ENT surgeons at Mediclinic Newcastle continue to incorporate IOM into their surgical planning, offering patients additional peace of mind, as Ntshangase explained that she worked alongside surgeons during surgeries to ensure that no further strain could be added to damage nerves.
Reflecting on the above, Nomthandazo Ntshangase is a cornerstone of diagnostic excellence at Mediclinic Newcastle. Her unwavering commitment to providing specialised neurophysiological services not only supports physicians in delivering precise, effective treatments but also empowers patients to reclaim their quality of life.
For those experiencing neurological symptoms, from unexplained fatigue or sleep disturbances to nerve pain or muscle weakness—a referral to Ms. Ntshangase could be the turning point. Her work exemplifies the integration of cutting-edge technology with empathetic care, and she continues to play a pivotal role in improving health outcomes in the region.
To access these services, patients are encouraged to consult with their medical practitioners for a referral. Ms. Ntshangase’s expertise may well provide the clarity and direction needed for a healthier future.
