Dr. Pierre Grammond – Neurologist | Lévis, QC

Dr. Pierre Grammond, a Epileptologist, provides expert care for adult patients with conditions related to Epilepsy. Practicing at CISSS-CA Hôtel-Dieu de Lévis in Lévis, QC, he is an integral part of the local medical community. His practice adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring that patients receive care that is safe, effective, and patient-centered. Dr. Grammond’s focus centers on the comprehensive management of epilepsy and seizure disorders, utilizing advanced diagnostic tools and tailoring individualized treatment plans to optimize patient outcomes. The clinic offers a supportive environment for patients and families navigating neurological conditions, emphasizing compassionate care and ongoing support.

He holds a Medical Degree from a recognized institution and has accumulated over 27 years of experience as an Epileptologist since 1997. Dr. Grammond has completed extensive post-graduate training in neurology and epilepsy and holds the necessary certifications to practice in Quebec, ensuring his expertise aligns with provincial standards and best practices for neurological care.

Dr. Grammond is committed to providing holistic, evidence-based care with a focus on patient education and support. His approach emphasizes collaboration with patients to develop personalized treatment strategies that address their unique needs and concerns. Fluent in French, he is dedicated to serving the Lévis community with professionalism, compassion, and a thorough understanding of nervous system health.

Dr. Pierre Grammond addresses a wide range of neurological conditions, including:

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.

Common Neurological Symptoms (Requiring Evaluation)

• Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.
• Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.
• 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.

Stroke & Cerebrovascular Diseases

• Carotid Artery Stenosis (Symptomatic): Narrowing of the carotid arteries in the neck, increasing stroke risk if it causes neurological symptoms.
• Ischemic Stroke: Occurs when a blood vessel supplying blood to the brain is obstructed, leading to brain cell damage.
• Transient Ischemic Attack (TIA) / Mini-Stroke: A temporary blockage of blood flow to the brain, often a warning sign for a future stroke.

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

• Management of Status Epilepticus (in hospital setting): Emergency treatment for prolonged or recurrent seizures.
• 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.
• Evaluation for Epilepsy Surgery, Vagus Nerve Stimulation (VNS), or Responsive Neurostimulation (RNS): Assessing suitability for advanced epilepsy treatments when medications are not fully effective.
• Long-Term Epilepsy Monitoring (LTM) / Video-EEG Monitoring - Interpretation & Management Planning: Extended EEG recording, often with video, to capture seizure events and aid in diagnosis and treatment planning.
• Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
• Diagnosis & Comprehensive Management of Epilepsy & Seizure Disorders: Including seizure type classification, anti-epileptic drug (AED) 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.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Grammond for care relevant to your needs.

All medical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant neurological care guidelines. Contact the clinic regarding new patient intake and referral processes.

CISSS-CA Hôtel-Dieu de Lévis is situated in Lévis's Lévis Centre, Lauzon neighborhood, a vibrant area rich in history and community life. The practice is conveniently located near the Forts-de-Lévis National Historic Site, offering a scenic and accessible setting. Patients can reach the facility via public transit, with services provided by the Société de transport de Lévis (STLévis), making it easy to access from various parts of the city. The facility is fully wheelchair accessible, ensuring comfortable access for all patients. Paid parking options are conveniently located nearby, providing easy and flexible parking for visitors.

Are consultations and treatments with Dr. Grammond, a Epileptologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations with a licensed Epileptologist like Dr. Grammond, as well as many diagnostic tests (e.g., EEG, EMG, review of MRI/CT scans), are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC 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. Grammond's office or Régie de l'assurance maladie du Québec (RAMQ).

Do I need a referral to see Dr. Grammond, a Epileptologist?

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

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. Dr. Grammond can discuss the most appropriate treatment pathway.

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

CISSS-CA Hôtel-Dieu de Lévis
143 rue Wolfe
Lévis, QC G6V 3Z1

Phone: (418) 835-7158 | Fax: (418) 835-7212

The facility is wheelchair accessible.

Dr. Grammond is a licensed Epileptologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician is typically required for consultations with Dr. Grammond for services covered by the provincial health plan.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=97237