About
Dr. Paul Joseph Marchetti 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 within Milton, ON, he is an integral part of the local medical community. He adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that his practice maintains excellence in neurological care. Dr. Marchetti provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. His focus is on delivering patient-centered, evidence-based care that prioritizes the health and well-being of his patients. The clinic offers a supportive environment for patients and families navigating neurological conditions, fostering trust and ongoing engagement.
He graduated with a Medical Degree from the University of Toronto (Canada) and has accumulated over 29 years of experience as a Neurologist since 1995. Recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), Dr. Marchetti maintains active certification and stays current with advances in neurological medicine. His extensive training and clinical expertise enable him to accurately diagnose and effectively manage complex neurological disorders.
Driven by a commitment to patient-centered care, Dr. Marchetti adopts a holistic approach to neurological health, integrating the latest evidence-based practices with ongoing patient education and support. He strives to empower his patients through clear communication and personalized treatment plans. Fluent in English, he is dedicated to providing accessible and compassionate care to the adult population in Milton, ensuring each patient receives thorough evaluation and attentive management of their neurological health.
Dr. Paul Marchetti 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.
Cognitive Disorders & Dementia
- Lewy Body Dementia: A type of progressive dementia that leads to a decline in thinking, reasoning and independent function, often with visual hallucinations and parkinsonian features.
- Vascular Dementia: Dementia caused by reduced blood flow to the brain, often due to stroke or a series of small strokes.
- Frontotemporal Dementia (FTD): A group of disorders that primarily affect the frontal and temporal lobes of the brain, leading to changes in personality, behavior, and language.
Headache Disorders
- Chronic Daily Headache: Headaches occurring 15 or more days per month for at least three months.
- Trigeminal Neuralgia & Other Facial Pain Syndromes: Chronic pain conditions affecting the trigeminal nerve, causing severe facial pain.
- Cluster Headache: Intensely painful headaches that occur in cyclical patterns or cluster periods, one of the most severe types of pain known.
This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Paul Marchetti.
- Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
- 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.
- Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
- 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.
- 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.
- 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. Marchetti 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. Marchetti practices within a well-equipped neurology department located in Milton's Milton Central/North/East (Old Milton, Dempsey, Clarke, Beaty, Coates) neighborhood. The facility offers convenient access via Highway 401 and is easily reachable by public transit, including Milton Transit. The clinic is fully wheelchair accessible, ensuring comfort and accessibility for all patients. Metered street parking and nearby parking lots provide ample options for visitors, making it straightforward to access neurological care in a welcoming environment.
- Are consultations and treatments with Dr. Marchetti, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?
- Medically necessary consultations with a licensed Neurologist like Dr. Marchetti, 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. Marchetti's office or Ontario Health Insurance Plan (OHIP).
- Do I need a referral to see Dr. Marchetti, a Neurologist?
- Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Marchetti 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. Marchetti will determine which tests, if any, are appropriate for your situation.
- How are migraines typically managed by a Neurologist?
- Migraine management is multifaceted. Dr. Marchetti 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.
- How does Dr. Marchetti 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. Marchetti 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. Marchetti can discuss the most appropriate treatment pathway.
6990 Derry Road
Milton, ON L9T 7H3
Phone: (905) 878-4556 | Fax: (905) 878-4296
The facility is wheelchair accessible.
Dr. Marchetti 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. Marchetti 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/Marchetti-Paul-Joseph/0048391-62369