BASIC COMPREHENSIVE EXAMINATION PROGRAM 

We offer patients a Basic Comprehensive Examination Program, which includes a clinical examination by a physician, an electrophysiological diagnostic test (EMG, EEG, or BAEP), and optionally blood tests (in cooperation with Spadia Lab Brno, s.r.o.). All services are provided conveniently in one location at the Dům zdraví Marty Hartlové. A referral from another doctor is not required, but it is recommended to bring any previous test results the patient has undergone. This program is not covered by public health insurance.

How does it work

The patient schedules a clinical examination with the physician and is also given an appointment for EMG, EEG, or BAEP. Appointments can be made by phone at +420 545 424 747 (landline) or by email at neurologie@neurologiemistrikova.cz.

For operational reasons, EMG, EEG, or BAEP examinations usually take place on a different day than the clinical examination. If the patient wishes to undergo optional blood tests, they can visit the Spadia Lab collection center located on the ground floor of the Dům zdraví Marty Hartlové with a requisition form provided by us. The patient will receive complete results, including interpretation and recommendations, in the final medical report during the follow‑up consultation with the physician.

Pricing for the Basic Screening Examination Program (self‑pay patients)

Prices for individual programs are listed below. The patient pays for the clinical examination, the electrophysiological test (EEG, EMG, BAEP), and the final summary medical report directly at our neurology clinic. The summary medical report can be sent to the patient via email or to their data mailbox.

Blood collection and laboratory tests are paid directly at the Spadia Lab collection center. The table lists approximate prices; the exact price is specified in the valid price list of Spadia Lab s.r.o.

Appointment availability: depending on the current capacity of our neurology clinic, typically within 2 weeks. At present, EEG, EMG, and BAEP examinations are usually performed on Tuesday afternoons.

Price list valid from 2 September 2025

Polyneuropathy/peripheral neuropathy

is a condition affecting the peripheral nerves, most commonly in the lower limbs, although involvement of the upper limbs is not unusual. Patients may experience sensory disturbances, motor impairment, and autonomic dysfunction. Symptoms are often described as numbness (such as a feeling of swollen soles), burning pain, weakness, tingling, or pins‑and‑needles sensations in the lower limbs, and sometimes in the upper limbs as well. In cases of lower‑limb polyneuropathy, patients may also notice difficulty walking — a sensation of "walking on moss," an unsteady "drunken‑like" gait, or frequent tripping.

The causes of polyneuropathy vary. It most commonly occurs in patients with diabetes mellitus, thyroid disorders, vitamin deficiencies (especially B‑vitamins), after chemotherapy, or due to excessive long‑term alcohol consumption. In some patients, it may have autoimmune origins. Among people over the age of 60, it affects up to 20% of the population. Treatment depends on the underlying cause.

Pokud chceš, můžu k tomu doplnit i text o diagnostice, léčbě nebo preventivních op

BASIC COMPREHENSIVE EXAMINATION PROGRAM – LOWER‑LIMB POLYNEUROPATHY:

• Interview with the physician – medical history taking Assessment of the nature of the symptoms, past illnesses, and other relevant medical information.

• Clinical examination by the physician - focused on polyneuropathy, including testing with a graduated 128 Hz tuning fork, assessment of position and movement sense, and thermal sensation. The examination is painless and non‑invasive.
• Electromyographic examination (EMG) Conduction studies involving electrical stimulation of the nerves in both lower limbs (measurement of motor and sensory nerve conduction velocities, including F‑wave latencies and the H‑reflex). The examination is performed using specialized equipment with the assistance of a nurse trained in neurophysiological diagnostics and a physician who evaluates the EMG results. The procedure may be uncomfortable for the patient, and it is performed only to the extent the patient can tolerate. Both lower limbs are examined.

• Interpretation of examination results, conclusion, and recommendations, including preparation of the final medical report.

  Price for the neurological examination: 2,500 CZK

  OPTIONAL: Blood tests (urea, creatinine, sodium, potassium, ALT, AST, GGT, fasting glucose, HbA1c, thyroid hormones TSH, fT4, fT3, vitamin B12, folate, protein electrophoresis, complete blood count + differential): approximate price 1,540 CZK. The exact price is listed in the current self‑pay price list available at the Spadia Lab Brno collection center.

Dementia

   is a neurodegenerative disease with a steadily increasing incidence. In 2015, there were approximately 156,000 diagnosed patients with dementia in the Czech Republic. One of the most common types is Alzheimer's disease, currently affecting around 50,000 people in the Czech Republic. Symptoms of dementia include memory loss, communication difficulties, and behavioral changes (confusion, sleep disturbances, visual hallucinations, etc.). Over time, the condition leads to a loss of independence and the need for 24‑hour care.

The second most common type is Dementia with Lewy Bodies (DLB), accounting for an estimated 10–20% of dementia cases. It typically presents not only with fluctuating cognitive impairment but also hallucinations (visual, auditory, tactile), parkinsonian symptoms (rigidity, overall slowness), REM sleep disturbances, and more.

Diagnosis of dementia includes a clinical neurological examination, neuropsychological testing, imaging studies, and other supportive tests (including blood tests). Collaboration with a psychiatrist is often beneficial. Early diagnosis enables earlier treatment which, although not curative, may help alleviate cognitive symptoms in some cases.

BASIC COMPREHENSIVE EXAMINATION PROGRAM – DEMENTIA SCREENING:

• Interview with the physician – medical history taking Assessment of symptom characteristics, past illnesses, and other relevant information.
• Clinical examination by the physician Focused on identifying clinical signs associated with the patient's difficulties.
• Assessment using two standardized screening tests
• Electroencephalography (EEG) Evaluation of the brain's functional electrical activity using specialized equipment, performed with the assistance of a nurse trained in neurophysiology. The EEG recording is subsequently interpreted by the physician.
• Interpretation of results, conclusion, and recommendations, including preparation of the final medical report.

Price for the neurological examination: 2,500 CZK

OPTIONAL: Blood tests (urea, creatinine, sodium, potassium, ALT, AST, GGT, fasting glucose, HbA1c, thyroid hormones TSH, fT4, fT3, vitamin B12, folate, complete blood count + differential): approximate price 1,450 CZK. The exact price is available in the current self‑pay price list at the Spadia Lab Brno collection center.

Tinnitus 

is a condition in which a patient hears sounds in the ear (ringing, buzzing, or tones of various pitches) that are not actually present. The causes of tinnitus may include long‑term exposure to loud noise, age‑related degeneration of auditory cells, middle‑ear infections, iron deficiency, stress, anxiety, or sudden changes in pressure.

Tinnitus can also be a symptom of another underlying condition, such as multiple sclerosis, high blood pressure, Ménière's disease, a cerebellopontine angle tumor (vestibular schwannoma), or a neurovascular conflict (a blood vessel located close to the auditory nerve).

BASIC COMPREHENSIVE EXAMINATION PROGRAM – TINNITUS:

• Interview with the physician – medical history taking Assessment of the nature of the symptoms, past illnesses, and other relevant medical information.
• Clinical examination by the physician Focused on evaluating clinical signs that may indicate an associated neurological condition.
• Brainstem Auditory Evoked Potentials (BAEP) A non‑invasive, painless instrumental examination assessing the auditory pathway.
• Interpretation of results, conclusion, and recommendations, including preparation of the final medical report.

Price for the neurological examination: 1,000 CZK

OPTIONAL: Blood tests (urea, creatinine, sodium, potassium, ALT, AST, GGT, fasting glucose, thyroid hormones TSH, fT4, fT3, vitamin B12, folate, complete blood count + differential, iron, transferrin, ferritin, transferrin saturation): approximate price 1,750 CZK. The exact price is available in the current self‑pay price list at the Spadia Lab Brno collection center.

Restless legs syndrome

Restless Legs Syndrome is a neurological disorder characterized by an irresistible and uncontrollable urge to move the legs in order to relieve unpleasant sensations such as tingling, itching, or burning. Symptoms typically occur at rest, in the evening, or at night, and their intensity increases during inactivity. The condition can significantly impair sleep quality and overall quality of life.

There are various possible causes of this disorder, including kidney failure, diabetes mellitus, rheumatoid arthritis, dopamine deficiency, pregnancy, iron deficiency, and genetic factors. It is also frequently seen in patients with peripheral neuropathy of the lower limbs. Approximately 50% of patients have a positive family history, suggesting a possible genetic predisposition. Treatment depends on the underlying cause of the symptoms.

BASIC COMPREHENSIVE EXAMINATION PROGRAM – Restless Legs Syndrome:

Focused on signs of Restless Legs Syndrome and peripheral neuropathy of the lower limbs. Includes testing with a 128 Hz tuning fork, assessment of position and movement sense, and thermal sensation. The examination is non‑invasive and painless.

Conduction studies involving electrical stimulation of nerves in both lower limbs. This includes measurement of motor and sensory nerve conduction velocities, F‑wave latencies, and H‑reflex. The examination is performed using specialized equipment by a trained neurophysiology nurse and a physician who evaluates the results. The procedure may be uncomfortable but is performed only to the extent tolerated by the patient. Both lower limbs are examined.

Evaluation of findings, final conclusion, recommendations, and preparation of a written medical report.

Price for neurological examination: 2,500 CZ

OPTIONAL: Blood tests

Possible laboratory tests include: urea, creatinine, Na, K, ALT, AST, GMT, fasting glucose, glycated hemoglobin, thyroid hormones (TSH, fT4, fT3), vitamin B12, folate, complete blood count + differential, iron, transferrin, ferritin, transferrin saturation.

Estimated price: 2,050 CZK (Exact price according to the current self‑payer price list available at Spadia Lab Brno.)

Carpal Tunnel Syndrome (Median Nerve Mononeuropathy)

Carpal Tunnel Syndrome is the most common entrapment neuropathy and the most frequent mononeuropathy, meaning a disorder affecting a single peripheral nerve. It occurs more often in women, particularly between the ages of 45 and 55. Each year, approximately 180 to 346 cases per 100,000 inhabitants are diagnosed.

Typical symptoms include tingling, and in later stages of median nerve compression, numbness in the thumb, index finger, middle finger, and part of the ring finger. Symptoms often worsen at night (patients may wake up and need to shake their hand or let it hang down) or during hand use. Pain may radiate into the palm and even up the forearm. Patients may experience difficulty gripping or holding objects and may notice impaired fine motor skills (e.g., buttoning a shirt, threading a needle).

Risk factors include pregnancy (due to swelling and nerve compression), overweight, diabetes mellitus, work with vibrating tools, prolonged computer use, and repetitive or excessive strain on the wrist. Certain medical conditions—such as Raynaud's disease, rheumatoid arthritis, and hereditary transthyretin amyloidosis (hATTR)—also increase the risk of developing carpal tunnel syndrome.

Electromyography (EMG) is an auxiliary diagnostic method used to assess the function of the median nerve and determine the severity of conduction impairment. Treatment depends on the underlying cause and the degree of nerve damage. In moderate to severe cases, surgical treatment (release of the nerve at the wrist) is recommended.

BASIC COMPREHENSIVE EXAMINATION PROGRAM – Carpal Tunnel Syndrome:

Taking a detailed medical history, including the nature of symptoms and past illnesses.

Focused on clinical signs of carpal tunnel syndrome. The examination is non‑invasive and painless.

Nerve conduction studies involving electrical stimulation of nerves in both upper limbs. This includes measurement of motor and sensory nerve conduction velocities and F‑wave latencies. The examination is performed using specialized equipment by a neurophysiology-trained nurse and a physician who evaluates the results. The procedure may be uncomfortable but is performed only to the extent tolerated by the patient. Both upper limbs are examined.

Evaluation of findings, final conclusion, recommendations, and preparation of a written medical report.

Price for neurological examination: 2,200 CZK

OPTIONAL: Blood Tests

Possible laboratory tests include: urea, creatinine, fasting glucose, glycated hemoglobin, thyroid hormones (TSH, fT4, fT3), rheumatoid factor (RF), ALT, AST, GMT, vitamin B12.

Estimated price: 1,290 CZK (Exact price according to the current self‑payer price list available at Spadia Lab Brno.)

Basic comprehensive Dementia Assessment

Includes a medical interview, medical history, clinical examination, two standardized cognitive screening tests (MMSE and Clock Test), EEG examination, and a final medical report with interpretation of all findings.

Price: 2,500 CZK

Basic comprehensive Assessment of Peripheral Neuropathy (Lower Limbs)

Includes a medical interview, medical history, clinical examination, and basic EMG testing (nerve conduction studies) of both lower limbs, followed by a final medical report with interpretation of results.

Price: 2,500 CZK

Basic comprehensive Assessment of Restless Legs Syndrome

Includes a medical interview, medical history, clinical examination, and basic EMG testing (nerve conduction studies) of both lower limbs, followed by a final medical report with interpretation of results.

Price: 2,500 CZK

Basic comprehensive Tinnitus Assessment

Includes a medical interview, medical history, clinical examination, BAEP (Brainstem Auditory Evoked Potentials) testing, and a final medical report with interpretation of results.

Price: 1,000 CZK

Basic comprehensive Carpal Tunnel Syndrome Assessment

Includes a medical interview, medical history, clinical examination, and basic EMG testing (nerve conduction studies) of both upper limbs, followed by a final medical report with interpretation of results.

Price: 2,200 CZK