Headache, migraine, and dizziness
Margarita Marchukneurologist · psychiatrist · psychotherapistEvidence-based neurology
Neurological consultation: from scattered symptoms to a clear care pathway
A structured review of concerns, neurological history, investigations, and treatment, separating clinically important information from incidental findings.
WHEN TO SEEK HELP
Concerns we can begin working with
Numbness, weakness, tremor, or muscle twitching
Back and limb pain
Memory, attention, or sleep difficulties
Neuromuscular disorders and indications for EMG
A second opinion on a diagnosis, MRI, test results, or treatment
HOW THE PROCESS WORKS
From psychiatric assessment to a treatment protocol
Clinical question
We clarify what needs to be established: the cause of symptoms, risks, diagnosis, or treatment effectiveness.
History and examination
Timeline, neurological symptoms, comorbidities, medications, and the assessment possible remotely.
Review of investigations
MRI, CT, EMG, and laboratory results are interpreted in relation to symptoms, not in isolation.
Care pathway
An explanation of the clinical conclusion, the minimum necessary investigations, treatment, and criteria for follow-up.
PROOF OF QUALIFICATIONS
Verifiable facts
2018—2020specialisation in Neurology
Kyiv City Clinical Hospital No. 4inpatient neurology experience
Feofaniyawork in an acute stroke unit
EMGtraining in functional diagnostics
Diagnosis begins with the history
A carefully documented timeline often provides more useful information than an unfocused, extensive list of investigations.
A finding is not always the cause
MRI or laboratory findings are interpreted only in the context of the clinical picture.
Safe scope of online care
If an in-person examination or urgent assessment is needed to make a safe decision, this will be stated clearly.
SPECIALIST BACKGROUND
Training and experience in this field
Education and qualifications
Specialisation in Neurology
Postgraduate training at Kyiv City Clinical Hospitals No. 3 and No. 4.
Postgraduate research training in neurology
Bogomolets National Medical University; research focused on myasthenia gravis.
EMG training
A course in functional diagnostics at the Romodanov Institute of Neurosurgery.
Physical and rehabilitation medicine
Additional specialist training covering the pathway from acute illness to functional recovery.
Where the experience was built
Kyiv City Clinical Hospital No. 4 · Neurology Department No. 2
Inpatient management of neurological, neuromuscular, and myasthenia cases.
Feofaniya Clinical Hospital · acute stroke care
Emergency neurology, thrombolysis, and participation in the mechanical thrombectomy pathway.
Aximed · neurology and EMG
Outpatient consultations, functional diagnostics, and clinical interpretation of investigations.
Bogomolets National Medical University
Assistant at the Department of Neurology and clinical teaching of medical students.
PUBLIC CREDENTIALS
Publications, presentations, and professional facts
2025 · OBM Genetics · Open Access
C1QBP-associated late-onset progressive external ophthalmoplegia
A genetics publication on a rare neuromuscular disorder.
Open the original source ↗2021 · Brain Sciences · Open Access
Sarcotubular Myopathy Due to Novel TRIM32 Mutation in Association with Multiple Sclerosis
A clinical genetics publication available in full through PubMed Central.
Open the original source ↗2019 · ECTRIMS
Cognitive status and neurophysiological response in multiple sclerosis
Scientific ePoster EP1471 presented at the international ECTRIMS congress.
Open the original source ↗20+
Scientific works in the professional portfolio
Publications cover neuromuscular disorders, neurogenetics, myasthenia, and clinical case reports.
First step