About
Dr. Christine Barbara Tomkinson 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 McMaster Children's Hospital in Peterborough, ON, she is an integral part of the local medical community. She provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, effective, and evidence-based neurological care.
She graduated with a Medical Degree from the University of Limerick School of Medicine in Ireland and has accumulated over 5 years of experience as a Neurologist since 2019. Dr. Tomkinson is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO). Her extensive training and certification enable her to provide expert neurological evaluations, diagnosis, and treatment planning tailored to each patient’s unique needs.
Dr. Tomkinson is committed to patient-centered care, emphasizing a holistic approach to neurological health. She believes in ongoing patient education and support, ensuring that her patients in Peterborough feel informed and involved in their treatment journeys. She provides care in English and is dedicated to improving her patients' quality of life through compassionate, evidence-based neurological practice.
Dr. Christine Tomkinson addresses a wide range of neurological conditions, including:
Common Neurological Symptoms (Requiring Evaluation)
- Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.
- Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
- Numbness, Tingling & Weakness (Focal or Generalized): Sensory changes or loss of strength in limbs or other body parts, potentially due to nerve or muscle disorders.
Headache Disorders
- Tension-Type Headache: The most common type of primary headache, often described as a constant ache or pressure around the head, especially at the temples or back of the head and neck.
- Cluster Headache: Intensely painful headaches that occur in cyclical patterns or cluster periods, one of the most severe types of pain known.
- Trigeminal Neuralgia & Other Facial Pain Syndromes: Chronic pain conditions affecting the trigeminal nerve, causing severe facial pain.
Movement Disorders
- Restless Legs Syndrome (RLS): A condition characterized by an uncontrollable urge to move the legs, typically because of an uncomfortable sensation.
- Tourette Syndrome & Tic Disorders: Neurological disorders characterized by repetitive, stereotyped, involuntary movements and vocalizations called tics.
- Essential Tremor: A nervous system disorder (neurological disorder) that causes involuntary and rhythmic shaking, most often in the hands.
This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Christine Tomkinson.
- 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.
- Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
- Electroencephalography (EEG) - Performance & Interpretation: Recording and analysis of electrical activity in the brain, primarily used to diagnose epilepsy, seizures, and other brain disorders.
- Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
- 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.
- 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.
Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Tomkinson 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.
McMaster Children's Hospital in Peterborough is situated in the Downtown Peterborough, Central neighborhood. The hospital serves as a key medical facility within the city, offering specialized pediatric and adult neurological services. Patients can access the hospital via public transit, with Peterborough Transit providing convenient routes. The facility is wheelchair accessible, ensuring ease of access for all visitors. Paid parking options are conveniently located nearby, making visits comfortable and accessible for patients and their families. The hospital is a vital part of the local healthcare landscape, providing expert neurological care within a modern, accessible environment.
- Are consultations and treatments with Dr. Tomkinson, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?
- Medically necessary consultations with a licensed Neurologist like Dr. Tomkinson, 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. Tomkinson's office or Ontario Health Insurance Plan (OHIP).
- Do I need a referral to see Dr. Tomkinson, a Neurologist?
- Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Tomkinson 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 are migraines typically managed by a Neurologist?
- Migraine management is multifaceted. Dr. Tomkinson will work with you to identify triggers, discuss lifestyle modifications (diet, sleep, stress management), and recommend acute treatments to stop a migraine when it occurs (e.g., triptans, CGRP antagonists). For frequent or severe migraines, preventive treatments may be prescribed, which can include oral medications, botulinum toxin (Botox) injections, or newer CGRP monoclonal antibodies. A personalized treatment plan is key.
- How does Dr. Tomkinson 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. Tomkinson 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 does a Neurologist like Dr. Tomkinson specialize in?
- A Neurologist is a medical doctor who specializes in the diagnosis, treatment, and management of disorders affecting the nervous system. This includes the brain, spinal cord, peripheral nerves (nerves outside the brain and spinal cord), and muscles. She is a Neurologist specializing in disorders of the nervous system. Dr. Tomkinson is trained to investigate, diagnose, and treat a wide range of neurological conditions.
- What can I expect at my first appointment with Dr. Tomkinson?
- Your first appointment with Dr. Tomkinson will likely be quite thorough. She will take a detailed medical history, including your current symptoms, past illnesses, family history of neurological conditions, and any medications you are taking. A comprehensive neurological examination will be performed, which assesses things like your mental status, cranial nerves (vision, hearing, facial movement), strength, coordination, reflexes, and sensation. Based on this, Dr. Tomkinson may discuss potential diagnoses, order further tests (like an MRI, EEG, or blood work), or suggest initial treatment options. Bring a list of your medications and any relevant medical records or imaging reports if you have them.
McMaster Children's Hospital
1 Hospital Drive
Peterborough, ON K9J 7C6
Phone: (705) 740-8321 | Fax: (705) 876-5172
The facility is wheelchair accessible.
Dr. Tomkinson 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. Tomkinson 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/Tomkinson-Christine-Barbara/0288142-101426
