Dr. Renato Puppi Munhoz – Neurologist | Toronto, ON

Dr. Renato Puppi Munhoz 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 a hospital department in Toronto, ON, he is an integral part of the local medical community. He provides comprehensive care for a wide range of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. His approach emphasizes a thorough understanding of each patient's unique neurological health needs, fostering a supportive environment for patients and their families navigating complex neurological diagnoses.

Dr. Munhoz graduated with a Medical Degree from Universidade Federal Do Parana in Brazil and has been practicing as a Neurologist since 2013, accumulating over 11 years of clinical experience. He is recognized as a CPSO Recognized Specialist by the College of Physicians and Surgeons of Ontario (CPSO), ensuring adherence to the highest standards of medical practice and ethical care in Ontario.

His clinical philosophy centers on patient-centered care, integrating a holistic approach to neurological health with evidence-based practices. Dr. Munhoz is committed to ongoing patient education and support, empowering individuals to understand their conditions and participate actively in their treatment plans. He speaks both English and Portuguese, facilitating effective communication with a diverse patient population in Toronto and beyond.

Dr. Renato Munhoz addresses a wide range of neurological conditions, including:

Common Neurological Symptoms (Requiring Evaluation)

• Persistent or Severe Headaches / Migraines: Head pain that is frequent, debilitating, or associated with other neurological symptoms like aura or nausea.
• Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
• Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.

Headache Disorders

• Tension-Type Headache: The most common type of primary headache, often described as a constant ache or pressure around the head, especially at the temples or back of the head and neck.
• 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.

Cognitive Disorders & Dementia

• Alzheimer's Disease: A progressive neurodegenerative disease that is the most common cause of dementia, affecting memory, thinking, and behavior.
• Vascular Dementia: Dementia caused by reduced blood flow to the brain, often due to stroke or a series of small strokes.
• Mild Cognitive Impairment (MCI): An intermediate stage between the expected cognitive decline of normal aging and the more serious decline of dementia.

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

• Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
• 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.
• 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.
• Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
• Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Munhoz 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. Munhoz's practice is located within a neurology clinic in the vibrant neighborhoods of Toronto, including Kensington Market, Chinatown, and Grange Park. The facility is easily accessible via public transit, including the TTC Subway, Streetcar, and Bus services. The location is wheelchair accessible, ensuring convenient access for all patients. Parking is available at or near the facility, providing ease of visit for patients arriving by car. The practice is situated close to Queen's Park and Hospital Row, with proximity to several hospitals, making it a convenient choice for comprehensive neurological care in Toronto.

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

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

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

Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Munhoz 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 are migraines typically managed by a Neurologist?

Migraine management is multifaceted. Dr. Munhoz 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.

What can I expect at my first appointment with Dr. Munhoz?

Your first appointment with Dr. Munhoz will likely be quite thorough. He will take a detailed medical history, including your current symptoms, past illnesses, family history of neurological conditions, and any medications you are taking. A comprehensive neurological examination will be performed, which assesses things like your mental status, cranial nerves (vision, hearing, facial movement), strength, coordination, reflexes, and sensation. Based on this, Dr. Munhoz may discuss potential diagnoses, order further tests (like an MRI, EEG, or blood work), or suggest initial treatment options. Bring a list of your medications and any relevant medical records or imaging reports if you have them.

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. Munhoz can discuss the most appropriate treatment pathway.

399 Bathurst Street
Toronto, ON M5T 2S8

Phone: (416) 603-5800

The facility is wheelchair accessible.

Dr. Munhoz 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. Munhoz 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/Munhoz-Renato-Puppi/0190814-78681