Dr. Michael Thomas Sawa – Neurologist | Toronto, ON

Dr. Michael Thomas Sawa 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 South Huron Hospital in Toronto, ON, he is an integral part of the local medical community. Dr. Sawa adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring his practice aligns with provincial medical regulations and best practices. He provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders, utilizing the latest diagnostic and therapeutic techniques. The clinic offers a supportive environment for patients and families navigating neurological conditions, emphasizing patient-centered care and effective communication.

Graduating with a Medical Degree from McMaster University in Canada, Dr. Sawa has over 17 years of experience as a Neurologist, having started his practice in 2007. He is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his expertise and commitment to maintaining the highest standards of neurological care. His extensive training and ongoing professional development enable him to stay current with advances in neurology and provide evidence-based treatment options tailored to individual patient needs.

Dr. Sawa’s clinical philosophy centers on delivering patient-centered care through a holistic approach to neurological health. He believes in empowering his patients through education, ensuring they understand their conditions and treatment options. His practice emphasizes evidence-based medicine, ongoing support, and collaboration with multidisciplinary teams to optimize outcomes. Fluent in English, he is committed to providing accessible and compassionate care to residents of Toronto and surrounding areas, always prioritizing the well-being and dignity of his patients.

Dr. Michael Sawa addresses a wide range of neurological conditions, including:

Common Neurological Symptoms (Requiring Evaluation)

• 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.
• Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.

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.
• 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.

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.
• 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.
• 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. Michael Sawa.

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

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

South Huron Hospital is situated within Toronto's Dufferin, Dovercourt Village neighbourhood, serving as a key medical facility with a specialized neurology unit. The hospital is conveniently located near Trillium Park, offering a peaceful environment for patients and visitors. Accessible via TTC (Subway, Streetcar, Bus), the hospital is wheelchair accessible, ensuring ease of access for all patients. Paid parking options are conveniently located nearby, providing flexible parking solutions for those visiting the facility. As part of Toronto’s healthcare infrastructure, South Huron Hospital plays a vital role in delivering specialized neurological care to the community, emphasizing quality, accessibility, and patient comfort.

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

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

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

Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Sawa 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. Sawa 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. Sawa 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 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. Sawa 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. Sawa 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. Sawa will determine which tests, if any, are appropriate for your situation.

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. Sawa 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 medication, physical therapy, and lifestyle modifications.

South Huron Hospital
235 Wallace Avenue, Department of Family Medicine
Toronto, ON M6H 1V5

Phone: (416) 703-3525 | Fax: (647) 343-8073

The facility is wheelchair accessible.

Dr. Sawa 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. Sawa 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/Sawa-Michael-Thomas/0191356-89267