A neurologist adds diagnostic precision in dementia: distinguishing between types, identifying reversible contributors, and interpreting imaging and biomarkers. That matters because different dementias respond differently and some are dangerous to treat generically. Neuropsychological testing profiles the deficits in a way a brief screen cannot, and is available within this practice's memory service.
A neurologist adds diagnostic precision in dementia: distinguishing between types, identifying reversible contributors, and interpreting imaging and biomarkers. That matters because different dementias respond differently and some are dangerous to treat generically. Neuropsychological testing profiles the deficits in a way a brief screen cannot, and is available within this practice's memory service.
Beyond confirming that cognitive change is present, the neurologist's job is working out which condition it is. Alzheimer's disease, vascular cognitive impairment, Lewy body dementia and frontotemporal dementia present differently, progress differently and are treated differently. The order in which abilities changed is often the most useful clue, and neuropsychological testing profiles the deficits in a way a brief screen cannot. Testing is available within this practice's memory service.
Cholinesterase inhibitors help in Alzheimer's and often notably in Lewy body dementia, show limited benefit in vascular dementia, and are not recommended in frontotemporal dementia where they may worsen behaviour. Antipsychotics carry serious risk in Lewy body dementia specifically. In vascular dementia, treating blood pressure and atrial fibrillation influences the course. So the diagnosis determines both what is prescribed and what must be avoided.
Primary care is a reasonable first step and most insurance plans other than commercial ones expect it. Neurology becomes clearly useful where onset is early in life, where behaviour or language leads rather than memory, where progression is faster than expected, where the picture is atypical, or where the type remains unclear after initial workup. Imaging and any biomarker testing are arranged externally, since these offices have no imaging suite.
Clinical Neurology Specialists has been physician-owned since 1998, when Leo Germin, M.D., FAANEM founded it. Five board-certified neurologists and four advanced practice providers see patients at the Las Vegas and Henderson offices, each with its own AANEM-accredited electrodiagnostic laboratory.
Clinical Neurology Specialists is an adult outpatient neurology practice for patients 18 and older. The practice performs no surgery and operates no imaging suite, infusion suite or interventional pain programme, and provides no emergency or inpatient care.
Physician-reviewed. Reviewed by the physicians of Clinical Neurology Specialists — board-certified neurologists, AANEM-accredited electrodiagnostic laboratories, physician-owned since 1998. Reviewed 1 August 2026. This article is general education for adults 18 and older and is not a substitute for a consultation.
Sources and further reading: MedlinePlus: Alzheimer disease; National Institute on Aging; American Academy of Neurology.
Adults 18 and older, at the Las Vegas and Henderson offices. Call 702-804-1212 or request an appointment online.