Dr. Robert M. Miska M.D.
Neurologist | Neurology
370 9th Ave #106 Salt Lake City UT, 84103Rating
3/5
About
Dr. Robert Miska is a distinguished Neurologist in Salt Lake City, UT. Dr. Miska specializes in diagnosing, treating, and managing disorders of the brain and nervous system. With expertise in handling complex conditions like epilepsy, multiple sclerosis, and migraines, Dr. Miska employs advanced techniques and personalized treatment plans to improve patient outcomes. As a neurologist, Dr. Miska is committed to staying abreast of the latest developments in neurological research and therapies.
Education and Training
Med Coll of Wi, Milwaukee Wi 1983
Medical College of Wisconsin 1983
Board Certification
Psychiatry and NeurologyAmerican Board of Psychiatry and NeurologyABPN
Provider Details
Dr. Robert M. Miska M.D.'s Expert Contributions
Is it safe to get pregnant on seizure medications?
There really are no guaranteed-safe antiseizure medicines, nor indeed any guaranteed-safe pharmaceutical medications of any kind during pregnancy (other than prenatal vitamins, which aren't really medications per se), but it's accurate to say that both levetiracetam (Keppra) and lamotrigine (Lamictal) are fortunately not known to be associated with any particular risks to fetal health during pregnancy, which is of course not quite the same thing as saying that those RX are known to be completely safe. (This is in contrast to certain other anti-seizure Rx which do have known and defined safety risks during pregnancy, though you're not taking those, and in any case the risk is most important for most Rx of any kind during the first three months of pregnancy, when the baby is going through his earliest development.) You should understand that the risk to the baby from uncontrolled seizures is higher than any risk from your Rx, so you should definitely not stop taking your Keppra or Lamictal. You should take prenatal vitamins, especially folate, if you do become pregnant. Your primary care physician or obstetrician-gynecologist can advise you about these things in greater detail, but you should not fear to become pregnant while on the medications you mentioned. READ MORE
Do MRIs explain why some people have vertigo?
Generally no, since most vertigo has to do with problems in the "balance organs" in the temporal bones (above and behind your cheek bones, but down deep), and the problems there are typically microscopic in nature. MRI won't show that type of detail. Sometimes (much less often), vertigo is caused by a brain, brainstem or 8th cranial nerve problem, though, and MRI usually will show problems in those areas, if evidence of such things as tumors or Multiple Sclerosis are present. READ MORE
Is a nerve conduction test painful?
It's always difficult to reliably predict someone else's experience of discomfort. That said, I would describe the nerve conduction (NC) test as merely trivially annoying or minimally uncomfortable, not painful. It involves delivery of brief small-current shocks to peripheral nerves in order to elicit and record both motor and sensory responses. Most instruments used for NC studies can deliver a maximum current (DC) of 0.1 Ampere, which is quite small, yet would feel like a fairly good "jolt" when delivered to an individual nerve. Almost all shocks used in testing are considerably smaller than this, however. Some patients find that it helps to take a dose of 400-800mg of ibuprofen before the test. Having performed thousands of these tests, I've found that almost all patients tolerate them quite easily. READ MORE
Difference between dementia & Alzheimer's?
Dementia is a label for a type and degree of cognitive dysfunction, the operational definition of which requires: 1.) cognitive decline or loss in 2 or more spheres of cognitive function (e.g., memory, judgement, calculation, language, spatial orientation; not memory alone); 2.) that said cognitive decline is stable or progressive over a period of 6 months or more; 3.) that the cognitive decline is of sufficient degree as to interfere with social or occupational function. Dementia of Alzheimer type is merely the commonest of the dementias. There are other types, such as Frontotemporal Dementia, Subcortical Dementia, and Vascular Dementia, as well as mixtures. (FWIW, we cannot actually speak entirely accurately of Alzheimer's Disease without having a tissue diagnosis, via biopsy or necropsy, showing senile plaques and neurofibrillary tangles. It is more precise to speak of Dementia of Alzheimer type, otherwise, when a patient's dementing illness shows the features commonly identified with Alzheimer's Disease during life.) READ MORE
Expert Publications
Data provided by the National Library of MedicineTreatments
- Peripheral Neuropathy
- Neuropathy
- Parkinson's Disease
- Epilepsy
- Pain
- Migraine
Dr. Robert M. Miska M.D.'s Practice location
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Dr. Thomas L Lombardi M.D.333 S 900 E Salt Lake City UT 84102![]()
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Dr. Dorothy L. Williams MD2295 Foothill Dr Salt Lake City UT 84109![]()
Dr. Massimo Testa M.D.389 S 900 E SALT LAKE CITY UT 84102![]()
Dr. Maya Thomas M.D.5323 Woodrow St Salt Lake City UT 84107
Nearest Hospitals
SALT LAKE REGIONAL MEDICAL CENTERl
1050 EAST SOUTH TEMPLE SALT LAKE CITY UT 84102LDS HOSPITALl
8TH AVENUE AND C STREET SALT LAKE CITY UT 84143SHRINERS HOSPITALS FOR CHILDREN - S L Cl
FAIRFAX ROAD AT VIRGINIA STREET SALT LAKE CITY UT 84103