Dr. David Jay Gladstone – Neurologist | Toronto, ON

Dr. David Jay Gladstone 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 Toronto, ON, he is an integral part of the local medical community. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, effective, and compassionate neurological care. Dr. Gladstone provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. His focus is on delivering personalized treatment plans tailored to each patient's unique needs, fostering a supportive environment for patients and their families navigating neurological health challenges.

He graduated with a Medical Degree from the University of Toronto (Canada) and has accumulated over 21 years of experience as a Neurologist since 2003. Recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), he maintains a commitment to ongoing professional development and clinical excellence in neurological medicine. His expertise encompasses the full spectrum of neurological conditions, with a focus on accurate diagnosis and evidence-based treatment approaches that enhance patient outcomes.

Dr. Gladstone’s clinical philosophy centers on patient-centered care, emphasizing a holistic approach to neurological health. He values ongoing patient education, thorough communication, and collaborative decision-making. Dedicated to serving the Toronto community, he provides care in English and strives to support his patients with compassion, integrity, and the latest advances in neurological practice.

Dr. David Gladstone addresses a wide range of neurological conditions, including:

Common Neurological Symptoms (Requiring Evaluation)

• 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.
• Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
• Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.

Cognitive Disorders & Dementia

• Mild Cognitive Impairment (MCI): An intermediate stage between the expected cognitive decline of normal aging and the more serious decline of dementia.
• Frontotemporal Dementia (FTD): A group of disorders that primarily affect the frontal and temporal lobes of the brain, leading to changes in personality, behavior, and language.
• Lewy Body Dementia: A type of progressive dementia that leads to a decline in thinking, reasoning and independent function, often with visual hallucinations and parkinsonian features.

Headache Disorders

• Chronic Daily Headache: Headaches occurring 15 or more days per month for at least three months.
• Trigeminal Neuralgia & Other Facial Pain Syndromes: Chronic pain conditions affecting the trigeminal nerve, causing severe facial pain.
• 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.

This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. David Gladstone.

• Electroencephalography (EEG) - Performance & Interpretation: Recording and analysis of electrical activity in the brain, primarily used to diagnose epilepsy, seizures, and other brain disorders.
• 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.
• 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.
• 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.
• 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.
• Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
• 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. Gladstone 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.

Dr. Gladstone practices at a well-established neurology clinic located in Toronto’s Lawrence Park neighborhood. The facility is conveniently situated near Osgoode Hall and St. Lawrence Market, providing easy access for patients coming from various parts of the city. Public transit options are plentiful, with TTC Subway, Streetcar, and Bus services connecting directly to the clinic. The location is wheelchair accessible, ensuring that patients with mobility needs can access care comfortably. Paid parking options are conveniently located nearby, making visits straightforward and hassle-free for patients and their families.

Are consultations and treatments with Dr. Gladstone, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Neurologist like Dr. Gladstone, 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. Gladstone's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Dr. Gladstone, a Neurologist?

Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Gladstone 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. Gladstone 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. Gladstone 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.

When should I consider seeing a Neurologist?

You should consider seeing a Neurologist if you experience persistent or concerning symptoms such as: severe or frequent headaches (especially if new or different), chronic dizziness or vertigo, numbness or tingling in your limbs, unexplained weakness, seizures or blackouts, memory problems or cognitive decline, difficulties with movement or coordination (like tremors or unsteady gait), or significant changes in vision not explained by eye problems. Your family doctor can evaluate your symptoms and refer you to a neurologist like Dr. Gladstone if needed.

How are migraines typically managed by a Neurologist?

Migraine management is multifaceted. Dr. Gladstone 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.

2075 Bayview Avenue
Toronto, ON M4N 3M5

Phone: (416) 480-4866 | Fax: (416) 480-5753

The facility is wheelchair accessible.

Dr. Gladstone 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. Gladstone 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/Gladstone-David-Jay/0116909-70117