Neurophysiology and Neuro-otology Services

The Neurophysiology department at Spire Bushey Hospital opened in April 2012. It offers a unique and specialised service to patients of all ages, carried out by a team of highly trained, experienced staff, who use the very latest technology and techniques to perform a wide range of investigations on the brain, nerves, muscles or balance mechanisms.

Neurophysiology testing

The Neurophysiology team consists of Consultant Neurophysiologists Dr Santiago Catania and Dr Bryan Youl, along with Consultant Neurologist and Neurophysiologist Dr Michael Gross. Highly specialist practitioners in clinical neurophysiology and neuro-otology are supported by a team administrative co-ordinator. The team aim to respond to all patient enquiries within 24 hours and offer a rapid turnaround for all reports. 

Spire Bushey Hospital provides a wide range of neurophysiology and neuro-otology services* including:



  • Gaze testing
  • Random saccade
  • Horizontal pursuit
  • Optokinetic pursuit
  • Positional tests
  • Dix/Hallpike manoeuvres
  • Bithermal caloric irrigation
  • BAEP

Our Services

This is the recording of the electrical activity arising naturally from the brain. It is used as an aid to the diagnosis and classification of epilepsy or the diagnosis of other conditions affecting the brain, eg space occupying lesions, encephalitis, degenerative (eg dementia), cerebrovascular (eg strokes) and metabolic (eg liver dysfunction) disorders, and is helpful with headaches, blackouts and syncope. 

We provide a wide range of different modalities of evoked potentials. These tests are helpful in the evaluation of multiple sclerosis, optical neuritis and clinically silent lesions, acoustic neuromas, Transverse Myelitis and spinal cord lesions.  

We offer a full range of vestibular function investigations, along with Brain Stem Auditory Evoked Potentials (BSAEP), which are offered as a package or individually in order to assist in the diagnosis of balance disorders such as Benign Paroxysmal Positioning Vertigo (BPPV), early acoustic neuromas, labrynthitis and Ménière's Disease. These test packages are often used to assist in the production of medico-legal reports in industrial or road traffic accidents.  

Electromyograph and nerve conduction studies are used in the diagnosis and assessment of disorders involving different parts of the peripheral nervous system, entrapment neuropathies (eg Carpal Tunnel Syndrome), traumatic nerve injuries, generalised peripheral neuropathies (eg Diabetic Neuropathy), diseases of the motor neuron, brachial or lumbosacral plexopathies, cervical or lumbosacral radiculopathies, primary muscle diseases and disorders of neuromuscular transmission (e.g. Myasthenia Gravis).

To book an appointment or for further information, call the Neurophysiology department on 020 8901 0326, or email

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Contact the Neurophysiology team

To book an appointment or for further information, call the Neurophysiology department on 020 8901 0326, or email

© Spire Healthcare Group plc (2016)