About
Dr. Colin Andrew Casault 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 a neurology clinic within a hospital department in Victoria, BC, he is an integral part of the local medical community. Dr. Casault adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). He provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. His approach combines thorough diagnostic evaluation with personalized treatment plans to improve patient outcomes. The clinic offers a supportive environment for patients and families navigating neurological conditions.
He graduated with a Medical Degree from the University of Calgary in Canada and holds specialty certification as a Neurologist. Dr. Casault has obtained certifications including those from the Royal College of Physicians and Surgeons of Canada, demonstrating his commitment to maintaining the highest standards of neurological care and clinical excellence.
Dr. Casault's clinical philosophy centers on patient-centered care, emphasizing a holistic approach to neurological health. He is committed to evidence-based practice, ongoing patient education, and providing support throughout the diagnostic and treatment process. Fluent in English, he is dedicated to serving the community of Victoria with compassion, expertise, and integrity.
Dr. Colin Casault addresses a wide range of neurological conditions, including:
Common Neurological Symptoms (Requiring Evaluation)
- Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.
- Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.
- Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.
Multiple Sclerosis & Demyelinating Diseases
- 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.
- Transverse Myelitis: Inflammation of the spinal cord, often causing weakness, sensory changes, and autonomic dysfunction below the level of the lesion.
Stroke & Cerebrovascular Diseases
- Transient Ischemic Attack (TIA) / Mini-Stroke: A temporary blockage of blood flow to the brain, often a warning sign for a future stroke.
- Cerebral Venous Sinus Thrombosis (CVST): A blood clot in the dural venous sinuses, which drain blood from the brain.
- Carotid Artery Stenosis (Symptomatic): Narrowing of the carotid arteries in the neck, increasing stroke risk if it causes neurological symptoms.
This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Colin Casault.
- 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.
- 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.
- 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.
- 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.
- Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
- Electroencephalography (EEG) - Performance & Interpretation: Recording and analysis of electrical activity in the brain, primarily used to diagnose epilepsy, seizures, and other brain disorders.
- Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Casault 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 British Columbia (CPSBC) and relevant neurological care guidelines. Contact the clinic regarding new patient intake and referral processes.
Located within a neurology clinic in Victoria's Fairfield East neighborhood, Dr. Casault’s practice is situated in a modern medical facility on Antique Row. The clinic is easily accessible via the Victoria Regional Transit System (BC Transit), with multiple bus routes servicing the area. The facility is wheelchair accessible, ensuring ease of access for all patients. Metered street parking and nearby parking lots are available for those arriving by car, making visits convenient and stress-free for patients and their families.
- Are consultations and treatments with Dr. Casault, a Neurologist, covered by Medical Services Plan (MSP) in BC?
- Medically necessary consultations with a licensed Neurologist like Dr. Casault, as well as many diagnostic tests (e.g., EEG, EMG, review of MRI/CT scans), are generally covered by Medical Services Plan (MSP) in BC 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. Casault's office or Medical Services Plan (MSP).
- Do I need a referral to see Dr. Casault, a Neurologist?
- Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Casault 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. Casault 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. Casault 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.
- How are migraines typically managed by a Neurologist?
- Migraine management is multifaceted. Dr. Casault 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.
- What are the treatment options for epilepsy?
- The primary treatment for epilepsy is anti-seizure medication (ASM), formerly known as anti-epileptic drugs (AEDs). There are many different ASMs available, and the choice depends on the type of seizures, epilepsy syndrome, age, other medical conditions, and potential side effects. For some individuals whose seizures are not controlled by medication (drug-resistant epilepsy), other options may include dietary therapies (like the ketogenic diet), neurostimulation devices (like Vagus Nerve Stimulation - VNS), or epilepsy surgery. Dr. Casault can discuss the most appropriate treatment pathway.
- 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. Casault can provide a comprehensive overview of MS and develop a personalized treatment plan based on your specific type of MS and disease activity.
1952 Bay St, Critical Care Medicine
Victoria, BC V8R 1J8
Phone: (500) 370-8000
The facility is wheelchair accessible.
Dr. Casault is a licensed Neurologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician is typically required for consultations with Dr. Casault for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/356667/Casault%2CColin