Dr. Mary Mamdouh Hanna Metrie – Neurologist | Hamilton, ON

Dr. Mary Mamdouh Hanna Metrie 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 St Michael's Hospital in Hamilton, ON, she is an integral part of the local medical community. She provides comprehensive neurological care, addressing a broad spectrum of neurological conditions. Her adherence to the standards set by the College of Physicians and Surgeons of Ontario (CPSO) ensures high-quality, ethical practice. The clinic offers a supportive environment for patients and families navigating neurological health challenges, emphasizing personalized, compassionate care.

Dr. Metrie graduated with a Medical Degree from the University of British Columbia Faculty of Medicine in Canada. With over seven years of experience as a Neurologist since 2017, she has developed a robust expertise in adult neurological disorders. She is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), demonstrating her commitment to clinical excellence and ongoing professional development.

Her clinical philosophy centers on patient-centered care, utilizing a holistic approach to neurological health. Dr. Metrie is committed to evidence-based practice, ongoing patient education, and support, ensuring her patients in Hamilton receive the most effective and up-to-date treatments. She provides care in English and strives to foster a trusting, collaborative relationship with each patient, empowering them to participate actively in their health management.

Dr. Mary Metrie 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

• Parkinson's Disease: A progressive nervous system disorder that affects movement, often including tremor, rigidity, slowness of movement, and postural instability.
• 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.

Neuromuscular Diseases

• Guillain-Barré Syndrome (GBS): A rare neurological disorder in which the body's immune system mistakenly attacks part of its peripheral nervous system.
• 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.
• 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.

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

• 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.
• 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.
• Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
• 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.
• 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.

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

St Michael's Hospital is situated in Hamilton's Corktown neighborhood, specifically within the Stinson area, serving as a key medical facility and specialized neurological unit. The hospital is easily accessible via public transit, with the Hamilton GO Centre and James Street North Art District nearby, making it convenient for patients traveling from across the city. The Hamilton Street Railway (HSR) provides reliable bus services to and from the hospital. The facility is wheelchair accessible, ensuring comfortable access for all patients. Paid parking options are conveniently located around the hospital campus, providing ease of access for those driving to appointments. As part of Hamilton's healthcare infrastructure, St Michael's Hospital offers state-of-the-art neurological services as a vital component of the hospital's comprehensive medical offerings.

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

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

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

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

What are common diagnostic tests in Neurology?

Common tests ordered or interpreted by a neurologist include: Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans to visualize the brain and spinal cord; Electroencephalogram (EEG) to record brain electrical activity (often for seizures); Electromyography (EMG) and Nerve Conduction Studies (NCS) to assess nerve and muscle function; Lumbar Puncture (spinal tap) to analyze cerebrospinal fluid; and various blood tests to look for infections, inflammation, or genetic markers. Dr. Metrie will determine which tests, if any, are appropriate for your situation.

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. Metrie can discuss the most appropriate treatment pathway.

St Michael's Hospital
189 Hughson St S, Division of Neurology
Hamilton, ON L8N 2B6

Phone: (905) 574-8630

The facility is wheelchair accessible.

Dr. Metrie 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. Metrie 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/Metrie-Mary-Mamdouh-Hanna/0280571-98259