Dr. Luc Marchand

Dr. Luc Marchand 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.
• Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.
• 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.

Epilepsy & Seizure Disorders

• Refractory (Drug-Resistant) Epilepsy: Epilepsy that does not respond adequately to treatment with two or more appropriately chosen anti-seizure medications.
• Status Epilepticus: A medical emergency where a seizure lasts too long or when seizures occur close together without recovery in between.
• Generalized Epilepsy (e.g., Tonic-Clonic, Absence Seizures): Seizures that affect both sides of the brain from the onset, leading to various types of convulsions or alterations in consciousness.

Multiple Sclerosis & Demyelinating Diseases

• Transverse Myelitis: Inflammation of the spinal cord, often causing weakness, sensory changes, and autonomic dysfunction below the level of the lesion.
• Acute Disseminated Encephalomyelitis (ADEM): A rare inflammatory demyelinating condition of the central nervous system, typically following an infection or vaccination.
• Neuromyelitis Optica Spectrum Disorder (NMOSD): An autoimmune inflammatory disorder primarily affecting the optic nerves and spinal cord.

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

• 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.
• 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.
• 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.
• Electroencephalography (EEG) - Performance & Interpretation: Recording and analysis of electrical activity in the brain, primarily used to diagnose epilepsy, seizures, and other brain disorders.
• 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.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Marchand for care relevant to your needs.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant neurological care guidelines. Contact the clinic regarding new patient intake and referral processes.

CHUM, Service de neurologie is situated in Montréal's Ville-Marie East (Quartier Latin, Village) neighborhood, within close proximity to notable landmarks such as La Ronde Amusement Park and the Biosphère. The facility is easily accessible via the Société de transport de Montréal (STM), including Métro and Bus services, making it convenient for patients from various parts of the city. The practice is fully wheelchair accessible, ensuring barrier-free access for all patients. Metered street parking and nearby parking lots are available for those arriving by car, providing flexible options for visitors.

Are consultations and treatments with Dr. Marchand, a Neurologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Neurologist like Dr. Marchand, as well as many diagnostic tests (e.g., EEG, EMG, review of MRI/CT scans), are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC 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. Marchand's office or Régie de l'assurance maladie du Québec (RAMQ).

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

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

How does Dr. Marchand 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. Marchand 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. Marchand 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.

CHUM, Service de neurologie
1000 rue Saint-Denis, Pav C
Montréal, QC H2X 0C1

Phone: (514) 890-8123 | Fax: (514) 412-7097

The facility is wheelchair accessible.

Dr. Marchand is a licensed Neurologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician is typically required for consultations with Dr. Marchand for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=72284