Martin Gizzi, MD, PhD
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Neurologists
Neurosurgeons of New Jersey
Edison, NJ
Matthew J. Ryan, MD
Voorhees, NJ
Atlantic Medical Group Comprehensive Multiple Sclerosis Center at Bridgewater
Bridgewater, NJ
Atlantic Medical Group Comprehensive Multiple Sclerosis Center at Bridgewater
Bridgewater, NJ
JFK Neuroscience Institute
65 James St
Edison, NJ 08820
About
Martin Gizzi, MD, PhD
Dr. Gizzi is a neurologist with subspecialty expertise in neuro-ophthalmology (fellow, North American Neuro-Ophthalmology Society), balance disorders (fellow, American Neurotology Society) and stroke (board certified in vascular neurology, fellow, American Heart Association).
Primary Specialty
Neurologist
Gender
Male
Education
Univ Of Miami Sch Of Med, Miami Fl 33101
Training
Mt Sinai Sch Of Med, Neurology; New Rochelle Hosp Med Ctr, Internal Medicine
Services
Patients with neuro-ophthalmological disease report symptoms that relate to the eyes, including unexplained loss of vision, loss of peripheral vision, pupillary abnormalities, double vision, and twitching of facial and eyelid muscles. Because of the difficulty in diagnosing these symptoms, patients may have seen several physicians prior to receiving a clear-cut diagnosis. The neuro-ophthalmologists at the NJ Neuroscience Institute are board-certified and are fellows of the North American Neuro-Ophthalmology Society (NANOS).
Types of Neuro-Ophthalmological Conditions
Eye movement disorders
Unexplained visual loss
Double vision
Facial movement disorders, Blepharospasm, Hemi Facial Spasm
Abnormalities of the pupil
Some specific examples of these include:
Thyroid Eye Disease
Myasthenia Gravis
Ocular motor nerve disorders
Gaze Palsies and Nystagmus
Double vision
Post Traumatic Visual Disorders
Papilledema (including Pseudotumor Cerebri)
Ischemic Optic Neuropathy (including Temporal Arteritis)
Compressive Optic Neuropathy
Pituitary and other brain tumors
Optic Neuritis (including Multiple Sclerosis and Devic’s Disease)
Blepharospasm
Hemi Facial Spasm
Services:
Fundus Photography
Vision Function Tests:
Humphrey Automated Perimetry
Tangent screen visual ffields
Contrast sensitivity
Color vision testing by anomaloscope
Visual evoked potentials
Pupillography
Binocular infrared video oculography
Computerized Electronystagmography (ENG)
Pupil Testing
OCT (Ocular Coherence Tomography)
Pupillography
Pharmacological pupil testing
Balance Disorders
Patients suffering from vestibular disorders – typically called dizziness – report symptoms of spinning, whirling, floating, sinking, nausea, vision problems, being off-balance or having a funny feeling in their head. Unfortunately, patients who do suffer from dizziness often consult with several physicians before their symptoms are diagnosed correctly. While dizziness is one of the most common problems patients report to their doctors, few realize that it may point to a serious condition.
At the Neuroscience Institute at JFK Medical Center, our physicians specialize in balance disorders and are active in research that keeps them abreast of the latest advances. They are supported by a multidisciplinary team of professionals, including audiologists, neurosurgeons and physical therapists, who are dedicated to creating a comprehensive program of care for each individual patient.
Causes
Inner ear problems cause 85 percent of all balance disorders. The labyrinth of the inner ear controls balance. When it malfunctions, patients experience vertigo and other symptoms. Many factors can cause vestibular malfunction, including:
Infections that may lead to labyrinthitis
High doses or long-term use of certain antibiotics
Meniere’s disease
A reduction or block in the blood flow to the inner ear
Head injury
Stroke
Degenerative conditions of the central nervous system
Acoustic neuromas
Crystals (otoconia) in the wrong part of the inner ear
Diagnostic Services
Diagnoses and treatment begins with a complete examination and assessment by a neurologist and physical therapist. Subsequent testing may follow to evaluate the vestibular system, vision, oculomotor function and hearing.
Computerized Electronystagmography (ENG)
Infrared video oculography provides a more reliable measurement of two-dimensional eye position than a traditional ENG. High-speed digitization of eye movements allows a quantitative analysis of oculomotor function and computerized waveform analysis of caloric and positional nystagmus patters provide greater sensitivity in diagnosis.
Computerized Rotary Chair Testing
Valuable in assessing the functional response of patients to rotational motion, the rotary chair can distinguish between central nervous system and labyrinthine dysfunction.
Computerized Dynamic Posturography (EQUITEST)
This examines patients’ use of information about body orientation, vision and joint position in the maintenance of balance and can be used to diagnose disorders of visual, vestibular, somatosensory or motor function contributing to balance problems. It is also useful to physical therapists in designing a therapeutic regimen and establishing a pre-therapy baseline of performance to assess progress.
Brainstem Auditory Evoked Responses (BAER) and Audiograms
These tests are used to evaluate the integrity of the peripheral and central auditory pathways in suspected cases of retrocochlear pathology.
Electrocochleograpy (ECoG)
This is a specialized audiological test that evaluates for Meniere's Disease.
Treatment Options
Many balance disorders can be overcome with proper diagnosis and treatment. In mild cases, symptoms have been known to subside on their own as the inner ear heals or the nervous system learns to compensate for the disorder.
Even in persistent cases, some patients can be cured completely, while othe
Types of Neuro-Ophthalmological Conditions
Eye movement disorders
Unexplained visual loss
Double vision
Facial movement disorders, Blepharospasm, Hemi Facial Spasm
Abnormalities of the pupil
Some specific examples of these include:
Thyroid Eye Disease
Myasthenia Gravis
Ocular motor nerve disorders
Gaze Palsies and Nystagmus
Double vision
Post Traumatic Visual Disorders
Papilledema (including Pseudotumor Cerebri)
Ischemic Optic Neuropathy (including Temporal Arteritis)
Compressive Optic Neuropathy
Pituitary and other brain tumors
Optic Neuritis (including Multiple Sclerosis and Devic’s Disease)
Blepharospasm
Hemi Facial Spasm
Services:
Fundus Photography
Vision Function Tests:
Humphrey Automated Perimetry
Tangent screen visual ffields
Contrast sensitivity
Color vision testing by anomaloscope
Visual evoked potentials
Pupillography
Binocular infrared video oculography
Computerized Electronystagmography (ENG)
Pupil Testing
OCT (Ocular Coherence Tomography)
Pupillography
Pharmacological pupil testing
Balance Disorders
Patients suffering from vestibular disorders – typically called dizziness – report symptoms of spinning, whirling, floating, sinking, nausea, vision problems, being off-balance or having a funny feeling in their head. Unfortunately, patients who do suffer from dizziness often consult with several physicians before their symptoms are diagnosed correctly. While dizziness is one of the most common problems patients report to their doctors, few realize that it may point to a serious condition.
At the Neuroscience Institute at JFK Medical Center, our physicians specialize in balance disorders and are active in research that keeps them abreast of the latest advances. They are supported by a multidisciplinary team of professionals, including audiologists, neurosurgeons and physical therapists, who are dedicated to creating a comprehensive program of care for each individual patient.
Causes
Inner ear problems cause 85 percent of all balance disorders. The labyrinth of the inner ear controls balance. When it malfunctions, patients experience vertigo and other symptoms. Many factors can cause vestibular malfunction, including:
Infections that may lead to labyrinthitis
High doses or long-term use of certain antibiotics
Meniere’s disease
A reduction or block in the blood flow to the inner ear
Head injury
Stroke
Degenerative conditions of the central nervous system
Acoustic neuromas
Crystals (otoconia) in the wrong part of the inner ear
Diagnostic Services
Diagnoses and treatment begins with a complete examination and assessment by a neurologist and physical therapist. Subsequent testing may follow to evaluate the vestibular system, vision, oculomotor function and hearing.
Computerized Electronystagmography (ENG)
Infrared video oculography provides a more reliable measurement of two-dimensional eye position than a traditional ENG. High-speed digitization of eye movements allows a quantitative analysis of oculomotor function and computerized waveform analysis of caloric and positional nystagmus patters provide greater sensitivity in diagnosis.
Computerized Rotary Chair Testing
Valuable in assessing the functional response of patients to rotational motion, the rotary chair can distinguish between central nervous system and labyrinthine dysfunction.
Computerized Dynamic Posturography (EQUITEST)
This examines patients’ use of information about body orientation, vision and joint position in the maintenance of balance and can be used to diagnose disorders of visual, vestibular, somatosensory or motor function contributing to balance problems. It is also useful to physical therapists in designing a therapeutic regimen and establishing a pre-therapy baseline of performance to assess progress.
Brainstem Auditory Evoked Responses (BAER) and Audiograms
These tests are used to evaluate the integrity of the peripheral and central auditory pathways in suspected cases of retrocochlear pathology.
Electrocochleograpy (ECoG)
This is a specialized audiological test that evaluates for Meniere's Disease.
Treatment Options
Many balance disorders can be overcome with proper diagnosis and treatment. In mild cases, symptoms have been known to subside on their own as the inner ear heals or the nervous system learns to compensate for the disorder.
Even in persistent cases, some patients can be cured completely, while othe
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