Dr. Nathan Geoffrey Chan Smyth – Neurologist | Toronto, ON

Dr. Nathan Geoffrey Chan Smyth 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 North Halton Mental Health Clinic in Toronto, ON, he is an integral part of the local medical community. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, effective, and comprehensive neurological care. Dr. Smyth provides expert evaluation and management for a broad spectrum of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. 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 British Columbia Faculty of Medicine in Canada, and has accumulated over four years of experience as a Neurologist since 2020. Dr. Smyth is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his specialized training and commitment to excellence in neurological medicine. His ongoing professional development ensures he remains current with the latest advances in neurological diagnostics and treatments.

Dr. Smyth’s clinical philosophy centers on providing patient-centered care through a holistic approach to neurological health. He emphasizes evidence-based practice, ongoing patient education, and support to empower individuals in managing their conditions. Dedicated to serving the Toronto community, he offers care in English, ensuring clear communication and compassionate support for his patients and their families.

Dr. Nathan Smyth 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.
• Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
• Memory Loss & Cognitive Changes: Difficulties with memory, concentration, language, or problem-solving that interfere with daily life.

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.
• 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.
• 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

• Refractory (Drug-Resistant) Epilepsy: Epilepsy that does not respond adequately to treatment with two or more appropriately chosen anti-seizure medications.
• 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.

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

• 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.
• Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
• Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
• 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.
• 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.
• 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. Smyth 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.

North Halton Mental Health Clinic is situated in the vibrant Toronto neighbourhoods of Kensington Market, Chinatown, and Grange Park. The clinic is conveniently located near the Toronto Stock Exchange (TSX) and Bay Adelaide Centre, making it accessible for patients coming from various parts of the city. Public transit options are abundant, with the TTC (Subway, Streetcar, Bus) providing easy access to the facility. The clinic is wheelchair accessible, ensuring barrier-free entry for all patients. Parking is available at or near the facility, providing added convenience for those driving to appointments. The location offers a welcoming environment designed to support patients and their families through their neurological health journey.

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

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

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

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

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. Smyth 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 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. Smyth can provide a comprehensive overview of MS and develop a personalized treatment plan based on your specific type of MS and disease activity.

What does a Neurologist like Dr. Smyth specialize in?

A Neurologist is a medical doctor who specializes in the diagnosis, treatment, and management of disorders affecting the nervous system. This includes the brain, spinal cord, peripheral nerves (nerves outside the brain and spinal cord), and muscles. He is a Neurologist specializing in disorders of the nervous system. Dr. Smyth is trained to investigate, diagnose, and treat a wide range of neurological conditions.

North Halton Mental Health Clinic
60 Murray St. 2L-409, Box 22
Toronto, ON M5T 3L9

Phone: (416) 586-4800 | Fax: (647) 837-5819

The facility is wheelchair accessible.

Dr. Smyth 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. Smyth 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/Chan-Smyth-Nathan-Geoffrey/0302343-107169