Dr. Dimitrios Peter Dimitrakoudis – Neurologist | Toronto, ON

Dr. Dimitrios Peter Dimitrakoudis 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 London Health Sciences Centre in Toronto, ON, he is an integral part of the local medical community. His practice adheres strictly to the standards and ethical guidelines set forth by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Dimitrakoudis provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders, ensuring that each patient receives personalized and effective treatment. The clinic offers a supportive environment for patients and families navigating complex neurological health issues.

He graduated with a Medical Degree from the University of Toronto (Canada) and has been serving as a Neurologist for over 22 years, since 2002. Recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), he maintains a commitment to ongoing professional development and excellence in neurological care. His extensive experience allows him to expertly evaluate and manage both common and complex neurological conditions.

Dr. Dimitrakoudis emphasizes a patient-centered approach grounded in evidence-based practice. He is dedicated to ongoing patient education, ensuring individuals are well-informed about their conditions and treatment options. He believes in a holistic approach to neurological health, integrating medical management with lifestyle modifications and supportive therapies. Fluent in both English and Greek, Dr. Dimitrakoudis is committed to providing accessible and compassionate care to Toronto's diverse community, fostering trust and positive health outcomes for all his patients.

Dr. Dimitrios Dimitrakoudis 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.
• Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.
• Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.

Movement Disorders

• Dystonia (Focal, Segmental, Generalized): A movement disorder in which a person's muscles contract uncontrollably, causing repetitive or twisting movements.
• Huntington's Disease & Other Choreas: Inherited or acquired conditions causing involuntary, irregular, and unpredictable muscle movements.
• Essential Tremor: A nervous system disorder (neurological disorder) that causes involuntary and rhythmic shaking, most often in the hands.

Neuromuscular Diseases

• Amyotrophic Lateral Sclerosis (ALS) / Motor Neuron Disease: A progressive neurodegenerative disease that affects nerve cells in the brain and the spinal cord, leading to muscle weakness and paralysis.
• Myasthenia Gravis: A chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal (voluntary) muscles of the body.
• Peripheral Neuropathy (e.g., Diabetic, Chemotherapy-induced, Idiopathic): Damage to or disease affecting nerves, which may impair sensation, movement, gland or organ function, or other aspects of health.

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

• 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.
• 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.
• 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.
• 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.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Dimitrakoudis 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.

London Health Sciences Centre is situated in Toronto's Parkdale, Roncesvalles neighbourhood, serving as a key medical facility within the hospital. The location is conveniently accessible via public transit, with the TTC (Subway, Streetcar, Bus) nearby, making it easy for patients from across Toronto to reach. The facility is wheelchair accessible, ensuring comfort and ease of access for all patients. Metered street parking and nearby parking lots are available, providing flexible options for those arriving by car. The hospital's proximity to landmarks such as Osgoode Hall and Toronto City Hall enhances its central location and accessibility for patients and visitors alike. As part of Toronto's healthcare infrastructure, London Health Sciences Centre offers state-of-the-art facilities and specialized neurological units staffed by experienced professionals.

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

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

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

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

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. Dimitrakoudis if needed.

What can I expect at my first appointment with Dr. Dimitrakoudis?

Your first appointment with Dr. Dimitrakoudis will likely be quite thorough. He 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. Dimitrakoudis 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.

How does Dr. Dimitrakoudis 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. Dimitrakoudis 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. Dimitrakoudis can provide a comprehensive overview of MS and develop a personalized treatment plan based on your specific type of MS and disease activity. The management of MS involves a multidisciplinary approach, including neurologists, physiotherapists, and other specialists to optimize outcomes.

How are migraines typically managed by a Neurologist?

Migraine management is multifaceted. Dr. Dimitrakoudis 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 to effectively managing migraines and improving quality of life.

London Health Sciences Centre
30 The Queensway, Department of Anaesthesia
Toronto, ON M6R 1B5

Phone: (416) 604-9500 | Fax: (416) 604-1560

The facility is wheelchair accessible.

Dr. Dimitrakoudis 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. Dimitrakoudis 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/Dimitrakoudis-Dimitrios-Peter/0116891-70112