Neurology & Cognitive Health

Stroke and cerebrovascular care, and the memory changes that follow the same blood vessels.

Neurology at SinoUnited Health is led by Dr. Feng Wang, a neurologist and associate chief physician with more than 20 years in Shanghai tertiary A hospitals and a year as a visiting scholar at the Brain Research Centre of the Royal Melbourne Hospital. Her training in China and Australia shapes the way the service is organised: the blood vessels and the brain are assessed together, because in most older patients they fail together.

That matters most for memory. A great many cases of "forgetfulness" are not Alzheimer's disease at all — they are the cognitive consequence of small strokes, mini-infarcts and long-standing high blood pressure. Telling the two apart changes what happens next, and it cannot be done from symptoms alone.

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20+ Years

Clinical neurology in Shanghai tertiary A hospitals, with a fellowship year in Melbourne.

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Stroke Pathway

Green-channel experience in acute cerebrovascular rescue, inside a hospital with 24-hour medical services.

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Vascular + Cognitive

One clinic for the stroke risk and the memory complaint, not two disconnected referrals.

What We Treat

Stroke & TIA

Acute cerebrovascular rescue, post-stroke assessment and secondary prevention of recurrence.

Cerebral Small Vessel Disease

White-matter changes on MRI, often found by accident and too often left unmanaged.

Memory & Cognitive Decline

Systematic assessment of forgetfulness, slowed thinking and post-stroke cognitive change — separating vascular cognitive impairment from Alzheimer's disease and other dementias.

Recurrent Dizziness

Persistent or repeated dizziness in older adults, including a vascular work-up where indicated.

Vascular Risk Factors

Diabetes, hypertension and raised cholesterol managed as one integrated risk rather than three separate prescriptions.

Sleep & Chronic Neurological Care

Long-term management of chronic neurological conditions in older adults, working alongside sleep specialists.

How a Memory Assessment Works

Not every memory complaint needs a scanner, and not every scanner result explains the complaint. The assessment is staged so that treatable causes are excluded first:

  • Step 1 — rule out what can be reversed. Blood tests and a brain MRI look for thyroid disease, vitamin deficiency, metabolic disturbance, medication effects, depression and anxiety, and silent stroke. Many "dementia" referrals end here, with something treatable.
  • Step 2 — establish the pattern. Standardised cognitive scales map which domains are affected: memory, attention, language, executive function. The pattern, not a single score, is what distinguishes vascular from degenerative disease.
  • Step 3 — look for the biology. Where Alzheimer's pathology needs to be confirmed or excluded, a p-tau217 blood test is now available: published accuracy of 95–97%, with the first p-tau217 and Aβ42 assays cleared by the US FDA in May 2025. PET imaging and cerebrospinal fluid testing remain available where the blood result is ambiguous or a trial or treatment decision requires them.
A note on what a positive result means. Alzheimer's pathology can begin a decade or more before symptoms, and a positive blood test is not a diagnosis of dementia. In real-world use a proportion of positives turn out to be false, so a positive result is confirmed with scales and, where needed, imaging. A negative result, on the other hand, is genuinely reassuring. Read the full explanation in One Blood Draw, Ten Years Before Symptoms.

For Families Living Abroad

Much of our neurology work is arranged by adult children who live in another country and are worried about a parent in Shanghai. Two things make that practical:

  • Records travel first. Send the MRI films, discharge summaries and medication list ahead of the appointment and the neurologist will review them before the visit.
  • Reports are written in English. Every assessment ends with a written summary that your own doctor abroad can act on, including the imaging findings and the reasoning behind the plan.

Vascular risk does not sit in one department. Where a patient also has diabetes, hypertension or cardiac arrhythmia, the neurologist works directly with our Endocrinology & Thyroid Centre and Heart & Vascular Centre rather than issuing a separate referral.

Why Patients Choose Our Neurology Service

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One Integrated Assessment

Bloods, imaging and cognitive testing arranged in one block, not spread across weeks.

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English-Speaking Consultation

Interpretation during the visit and a written English report afterwards.

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Family-in-the-Loop

We can include relatives abroad in the consultation by video, and explain the result to everyone at once.

Request a Neurological Review

Send us the MRI films, medication list and a short description of what has changed — we will advise what can be done remotely and what needs to happen in Shanghai.

Request a Consultation