Dr. Andrew Mark Micieli is a dedicated Neurologist specializing in the diagnosis and treatment of disorders affecting the brain, spinal cord, nerves, and muscles in adult patients. Practicing at Hamilton General Hospital in Mississauga, ON, he is an integral part of the local medical community. He adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO) to ensure quality neurological care. Dr. Micieli provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. His approach emphasizes a thorough understanding of each patient's unique needs, supporting them through diagnosis and management of complex neurological issues.
He graduated with a Medical Degree from the University of Ottawa in Canada and has been practicing as a Neurologist since 2021, accumulating over 3 years of clinical experience. Dr. Micieli is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO). His training and ongoing professional development ensure that he remains current with the latest advancements in neurological medicine and treatment modalities.
Dr. Micieli's clinical philosophy centers on patient-centered care, emphasizing a holistic approach to neurological health. He believes in evidence-based practices, ongoing patient education, and providing support to help patients and their families navigate neurological conditions. Fluent in English, he is committed to delivering compassionate, accessible, and effective care to the adult population of Mississauga and surrounding areas.
Dr. Andrew Micieli addresses a wide range of neurological conditions, including:
Common Neurological Symptoms (Requiring Evaluation)
- Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
- Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.
- Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.
Stroke & Cerebrovascular Diseases
- Hemorrhagic Stroke (Intracerebral & Subarachnoid): Occurs when a blood vessel in the brain ruptures and bleeds into or around brain tissue.
- Carotid Artery Stenosis (Symptomatic): Narrowing of the carotid arteries in the neck, increasing stroke risk if it causes neurological symptoms.
- Transient Ischemic Attack (TIA) / Mini-Stroke: A temporary blockage of blood flow to the brain, often a warning sign for a future stroke.
Multiple Sclerosis & Demyelinating Diseases
- Multiple Sclerosis (MS) - Relapsing-Remitting, Primary Progressive, Secondary Progressive: A chronic autoimmune disease affecting the central nervous system (brain and spinal cord) by damaging the myelin sheath.
- Neuromyelitis Optica Spectrum Disorder (NMOSD): An autoimmune inflammatory disorder primarily affecting the optic nerves and spinal cord.
- Acute Disseminated Encephalomyelitis (ADEM): A rare inflammatory demyelinating condition of the central nervous system, typically following an infection or vaccination.
This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Andrew Micieli.
- Interpretation of Neurological Imaging (MRI, CT scans): Expert review and interpretation of brain and spinal cord imaging to aid in the diagnosis of neurological conditions.
- Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
- Electromyography (EMG) & Nerve Conduction Studies (NCS) - Performance & Interpretation: Diagnostic tests to assess the health of muscles and the nerve cells that control them (motor neurons), helping diagnose nerve damage, muscle diseases, and radiculopathies.
- Comprehensive Neurological Consultation & Examination: In-depth evaluation of symptoms related to the brain, spinal cord, nerves, and muscles, including detailed medical history, neurological examination, and diagnostic planning.
- Evoked Potential Studies (Visual, Auditory, Somatosensory): Tests that measure the electrical activity in the brain in response to stimulation of sight, sound, or touch, often used in diagnosing MS and other conditions.
- Lumbar Puncture (Spinal Tap) - Performance or Referral & Interpretation: Procedure to collect cerebrospinal fluid for diagnostic testing of conditions like meningitis, encephalitis, MS, or certain neurological infections.
- Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Micieli for care relevant to your needs.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant neurological care guidelines. Contact the clinic regarding new patient intake and referral processes.
Hamilton General Hospital in Mississauga's Mississauga City Centre, Square One Area neighbourhood serves as a key medical facility within the region. The hospital's neurology unit is situated within a modern, accessible hospital complex. The facility is wheelchair accessible, ensuring ease of access for all patients. Public transit options include MiWay (Mississauga Transit), providing convenient routes to the hospital. Paid parking options are conveniently located nearby, offering accessible parking for patients and visitors. The hospital is equipped to serve a diverse patient population, with specialized units dedicated to neurological assessment and care. This setting ensures that patients receive expert neurological services in a supportive and well-equipped environment.
- Are consultations and treatments with Dr. Micieli, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?
- Medically necessary consultations with a licensed Neurologist like Dr. Micieli, as well as many diagnostic tests (e.g., EEG, EMG, review of MRI/CT scans), are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Coverage for specific medications, especially newer biologic therapies for conditions like MS or migraine, can vary by provincial formularies and may require special authorization. Some specialized procedures or devices may also have specific coverage criteria. It's always best to discuss coverage specifics with Dr. Micieli's office or Ontario Health Insurance Plan (OHIP).
- Do I need a referral to see Dr. Micieli, a Neurologist?
- Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Micieli for assessment or treatment of a neurological condition. This ensures your care is coordinated, that preliminary investigations may have been done, and that you are directed to the most appropriate specialist for your specific symptoms or suspected diagnosis.
- How does Dr. Micieli manage Parkinson's disease?
- Management of Parkinson's disease is aimed at controlling symptoms and improving quality of life. This typically involves medications that increase dopamine levels in the brain (like levodopa) or mimic its effects. Other medications can help with non-motor symptoms. Dr. Micieli will also emphasize the importance of exercise, physical therapy, occupational therapy, and speech therapy. For some patients with advanced Parkinson's disease, Deep Brain Stimulation (DBS) surgery may be an option. Care is highly individualized.
- What is Multiple Sclerosis (MS) and how is it treated?
- Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system (brain and spinal cord), leading to a variety of neurological symptoms. Treatment focuses on managing acute relapses (often with corticosteroids), slowing disease progression with disease-modifying therapies (DMTs), and managing symptoms (like fatigue, spasticity, pain, bladder problems). Dr. Micieli can provide a comprehensive overview of MS and develop a personalized treatment plan based on your specific type of MS and disease activity.
Hamilton General Hospital
McMaster wing, Room 500b, 100 Queensway W, Cardiac Surgery Division
Mississauga, ON L5B 1B8
Phone: (905) 848-7267 | Fax: (905) 848-7669
The facility is wheelchair accessible.
Dr. Micieli is a licensed Neurologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Micieli for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Micieli-Andrew-Mark/0310432-108945