Dr. Marek Jan Gawel

Dr. Marek Gawel addresses a wide range of neurological conditions, including:

Common Neurological Symptoms (Requiring Evaluation)

• Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.
• Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
• Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.

Neuromuscular Diseases

• 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.
• Guillain-Barré Syndrome (GBS): A rare neurological disorder in which the body's immune system mistakenly attacks part of its peripheral nervous system.
• Muscular Dystrophies (e.g., Duchenne, Becker, Myotonic Dystrophy): A group of genetic diseases that cause progressive weakness and loss of muscle mass.

Epilepsy & Seizure Disorders

• Focal (Partial) Epilepsy (with or without secondary generalization): Seizures originating in one area of the brain, which may or may not spread to become generalized.
• 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.
• Status Epilepticus: A medical emergency where a seizure lasts too long or when seizures occur close together without recovery in between.

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

• 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.
• 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.
• Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
• Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
• 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.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Gawel 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. Gawel practices at a neurology clinic within a hospital department located in Toronto's Davisville neighbourhood. The facility is conveniently situated near the vibrant Distillery District and Cabbagetown communities. Accessible via TTC (Subway, Streetcar, Bus), the location is wheelchair accessible and designed to accommodate patients with mobility challenges. Parking is available at or near the facility, ensuring ease of access for patients arriving by car. The environment is welcoming and equipped to support patients and families through their neurological health journey in Toronto.

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

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

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

Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Gawel 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. Gawel 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. Gawel can discuss the most appropriate treatment pathway.

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. Gawel if needed.

What does a Neurologist do for stroke patients?

For acute ischemic stroke, neurologists in a hospital setting are involved in rapid diagnosis and administration of time-sensitive treatments like thrombolysis (clot-busting medication) or coordinating endovascular thrombectomy. After a stroke or TIA (transient ischemic attack), a neurologist like Dr. Gawel focuses on identifying the cause and implementing strategies for secondary prevention to reduce the risk of future strokes. This includes managing risk factors like high blood pressure, diabetes, high cholesterol, atrial fibrillation, and recommending antiplatelet or anticoagulant medications and lifestyle changes.

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

Your first appointment with Dr. Gawel 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. Gawel 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.

Suite 419, 1849 Yonge Street
Toronto, ON M4S 1Y2

Phone: (416) 485-7749 | Fax: (416) 485-7095

The facility is wheelchair accessible.

Dr. Gawel 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. Gawel 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/Gawel-Marek-Jan/0030189-42168