Dr. Neville Andrew Nicholas Schepmyer – Neurologist | Toronto, ON

Dr. Neville Andrew Nicholas Schepmyer 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 a neurology 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). Dr. Schepmyer provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. The clinic offers a supportive environment for patients and families navigating neurological health concerns.

He graduated with a Medical Degree from the University of Toronto in Canada and has over 8 years of experience as a Neurologist since 2016. Dr. Schepmyer is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), ensuring his adherence to rigorous professional standards and ongoing education in his field.

Dedicated to patient-centered care, Dr. Schepmyer adopts a holistic and evidence-based approach to neurological health. He is committed to ongoing patient education and support, ensuring individuals in Toronto receive personalized and compassionate neurological care. He provides his services primarily in English, fostering clear and effective communication with his patients.

Dr. Neville Schepmyer 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.
• 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.

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.
• Myasthenia Gravis: A chronic autoimmune neuromuscular disease characterized by varying degrees of weakness of the skeletal (voluntary) muscles of the body.
• 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.

Stroke & Cerebrovascular Diseases

• Hemorrhagic Stroke (Intracerebral & Subarachnoid): Occurs when a blood vessel in the brain ruptures and bleeds into or around brain tissue.
• Carotid Artery Stenosis (Symptomatic): Narrowing of the carotid arteries in the neck, increasing stroke risk if it causes neurological symptoms.
• Cerebral Venous Sinus Thrombosis (CVST): A blood clot in the dural venous sinuses, which drain blood from the brain.

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

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

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Schepmyer 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. Schepmyer practices at a well-equipped neurology clinic located in Toronto's vibrant St. James Town, Cabbagetown neighborhood. The facility is conveniently situated near attractions such as Sugar Beach and Exhibition Place, offering a pleasant environment for patients. Accessible via TTC (Subway, Streetcar, Bus), the location ensures easy transit options for visitors. The facility is wheelchair accessible, accommodating patients with mobility needs. Parking is available at or near the facility, providing convenience for those arriving by car.

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

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

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

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

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. Schepmyer 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. Schepmyer can discuss the most appropriate treatment pathway.

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. Schepmyer 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.

Unit 206, 710-600 Sherbourne St
Toronto, ON M4X 1W4

Phone: (416) 546-2578 | Fax: (647) 250-1379

The facility is wheelchair accessible.

Dr. Schepmyer 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. Schepmyer 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/Schepmyer-Neville-Andrew-Nicholas/0279907-99193