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Dr. Ilene Ruhoy

Neurology
Seattle, WA
22 years experience female

Locations

Center for Healing Neurology

Seattle, WA

Address

2900, NE Blakeley St, Seattle, WA, US
Directions

My office hours

Wednesday: Closed
Show more

Insurances accepted

Regence Blue Shield of Washington

First Health Group Corporation

Aetna

Anthem BC Life & Health Insurance Company

Medicare

Group Health Incorporated (GHI)

Premera Blue Cross

CIGNA Health Care

About

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Neurology

Integrative Medicine

Neuromuscular Medicine

Licenses

United States: Washington

Doctor Q&A

232 Answers
33 Agrees
The number of answers this doctor has agreed with.
A 40-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Need more info: Is this every morning? Only when you wake up? How long has it been going on? How is your sleep? Are you taking sleep medications or alcohol before bed... Read More
A 21-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Seek evaluation: If 6 months later you are still dizzy with head pressure from a "minor" concussion, I suggest you seek evaluation from your health care provider. That... Read More
A 24-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Generally no: HR has a reflexive response to BP and not ICP. The intracranial space is somewhat self-contained in that it consists of blood, CSF, and the brain. An ... Read More
A 20-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Need evaluation: There can be a variety of causes. New and especially persistent headaches requires an examination and further management. Please see your primary car... Read More
A member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Other causes: Anxiety could be a cause but that is not commonly seen. A more common cause of such symptoms is carpal tunnel syndrome and can be easily diagnosed and... Read More
A male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Not clear: Only the right leg? How are your reflexes in that leg? Any other symptoms? I would see your doctor to rule out hyper-reflexia or clonus which may rela... Read More
A 29-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Yes: 5% of adults taking Adderall, (dextroamphetamine and racemic amphetamine) specifically the extended release form, report a fever.
A 18-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Could be a virus: There are some viruses that can cause these symptoms by affecting the inner ear organs. If symptoms persist or worsen you should seek evaluation by yo... Read More
A female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Imaging: You should see your physician for imaging of your spine to rule out injury to your vertebrae or inter-vertebral discs.
A 16-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Not clear: Common diabetes symptoms include increased appetite and increased urination. Your symptoms seem to suggest a hypoglycemic reaction when fasting. It wo... Read More
A 34-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Imaging: They should get imaging to rule out bleed, stroke, or other cause for a seizure. They should also be evaluated for cardiac etiology of syncope. They s... Read More
A 20-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Difficult to say: Prognosis is individual. Each person's disease course can be different and depends on the frequency of relapses, the extent to which one returns to ba... Read More
A 25-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Family history: Family history of aneurysms can increase one's risks of aneurysm as can certain diseases of the blood vessel walls such as fibromuscular dysplasia. Sc... Read More
A 64-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Not clear: Prozac (fluoxetine) is not known to significantly interact with simvastatin so it is not clear that is the cause and you may have morning hypotension ... Read More
A 58-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Yes: The dizziness and lightheaded feeling can come from the blockage of alpha adrenergic 1 receptors so it is a fairly commonly reported side effect. I us... Read More
A 42-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
See your PCP: Please see your doctor for an evaluation. You may have symptoms consistent with influenza and may require supportive care and guidance. You should als... Read More
A 26-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Possibly: Without knowing symptoms and history difficult to say for sure but the elevated protein with relatively normal cell count is something encountered in ... Read More
A 24-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Connecting bones: Facets are the connecting bones of the vertebrae and each vertebrae has inferior and superior facets connecting to the lower and upper vertebrae. Scle... Read More
A 32-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
May be pleuritis: Pain from irritation of the lungs following a bout of pneumonia can at times happen and last a few weeks that may or may not be responsive to gabapent... Read More
A 25-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Seek evaluation: If you have been on your feet and active it is possible to have swollen lower legs but if it has been a few days and not improving, please seek evalua... Read More
A member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Usually not: Mild to moderate concussion may cause some inflammation or irritation but is not known to cause swelling. If you have concerns, please see your physi... Read More
A 25-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Not long: Dizziness and off balance should not be experienced for long after new glasses. Either something else is going on or the corrective prescriptive is in... Read More
A 48-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Neuropathy : Neuropathy may not be seen on MRI. Especially of small distal nerves. Symptoms may be consistent with tarsal tunnel compression. Recommend seeing phys... Read More
A 27-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Possibly: Neck pain with movement, headaches, and dizziness are cardinal signs of meningitis, likely a viral meningitis if you do not have fever or other signs ... Read More
A 37-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Do not recover: You do not recover from spongiform encephalopathies (brains take on a "spongy" appearance) which are prion disease. While usually diagnosed post-morte... Read More
A 37-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Low risk: While viruses are contagious and can be passed from one to another, the risk of Bell's Palsy is not and remains an individual risk, of which the facto... Read More
A 41-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Possible: A specialized pillow for neck stability may ease the discomfort but you should have imaging of your head and neck as well as treatment such as physica... Read More
A 36-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Blood pressure: If you have low blood pressure you may feel lightheaded when standing quickly or when lifting weights. You should try and stay very hydrated, eat appr... Read More
A 26-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Common: The pain of occipital neuralgia frequently radiates to the frontal region. Occipital neuralgia can be caused by trauma, injury, inflammation, or compr... Read More
A 51-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Not first line: While Lamictal can be very beneficial for bipolar disease, it is not first line for psychosis, Pleasespeak to your prescribing physician about your sy... Read More
A 51-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Possible: Serotonin syndrome can cause mental status changes such as delirium and disorientation so hallucinations may be part of the spectrum.
A 60-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Possibly: It is likely BPPV and you should have your physician do the particle repositioning maneuvers which can be curative such as the Epley. There are other ... Read More
A 29-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Yes: If a child has seizures, they should be seen by pediatric neurology as these physicians are knowledgeable about pediatric epileptic disorders.
A 42-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Many: There are many diseases that can take over the nervous system and they range in severity and responsiveness to treatment. There are neurodegenerative,... Read More
A 49-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Needs evaluation: A sudden onset of increased twitching of multiple muscle groups should be evaluated by your physician. A thorough history and examination should help ... Read More
A 35-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Increased pressure: Laughing causes abdominal contraction which leads to increased abdominal pressure leading to increased intracranial pressure. If you have a sinus cond... Read More
A 40-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Branch of Facial n: Chorda tympani is a branch of the mastoid segment of the facial nerve. Contain preganglionic parasympathetic fibers which innervate the submandibular ... Read More
A 52-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Migraines: Certainly sound like they could be migraines. Often migraines become worse with long time use of over-the-counter medications to treat pain. There are... Read More
A 21-year-old member asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Yes: Usual paroxetine dose range for depression is 20 - 50 mg per day. After a few weeks at 20 mg, if not effective, can increase by 10 mg. Please with you... Read More
A 21-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Check thyroid: Thyroid dysfunction can cause both symptoms of depression and hair loss. First steps would be to have further evaluation and if all labs are normal, s... Read More
A 27-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Short term use: Melatonin is considered safe for short term use to improve sleep hygiene. You can start with 1 mg and titrate up to 3 mg based on response.
A 33-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Probably not: Low likelihood for a concussion as force put forth by child to jump into your chin is usually not powerful enough to cause any brain injury such as co... Read More
A 21-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Ophthalmologist: I would recommend an eye examination with your ophthalmologist or a review of your glasses with your optometrist.
A 29-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Probably not: Studies suggest the use of DBS will not induce true sleep stages other than its ability to relax the patient due to decreased pain and other neuro sy... Read More
A 25-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Not clear: Hot and red skin could represent a skin infection such as cellulitis or an abscess which in that area may cause headache as well. I recommend seeking ... Read More
A 57-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Other drugs: Other first line agents include tramadol and duloxetine. Second line agents include carbamazepine (or other anticonvulsants such as lamotrigine), bupr... Read More
A 22-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Vascular? melanin?: The dark brown lines could be melanin deposition. Is the blueness could be vascular such as Raynaud's phenomenon which may result in numbness in finge... Read More
A 20-year-old male asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
H reflex: You are probably referring to the H reflex, a late response and is often used to assess the S1 nerve root, or sometimes the sacral plexus, which can b... Read More
A 27-year-old female asked:
Dr. Ilene Ruhoy
Neurology 22 years experience
Viral exposure: Any illness or exposure due to a virus can re-exacerbate or trigger and underlying predisposition to previous symptoms. In your case, previous labyrin... Read More

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Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
175
Thank you notes
HealthTap member
Dec 12, 2016
I would like to recommend Dr.Ruhoy very helpful in migraine advice in explaining an practices in the great American city Seattle a wonderful part of the US to visit too for us Brits!
HealthTap member
Dec 23, 2015
I am grateful for this doctor this Thanksgiving!
HealthTap member
This was very helpful. Thanks! Hi Dr Ruhoy thanks for your generous time and your professional opinion i take it your meaning is without evolution to headache or Zig zag Aura you can have sensory fee...Read More
HealthTap member
This was very helpful. Thanks! 150HCL/SR since 10/2015. Just shaky hands/ didn't take this wk end. Like the med. not keen on trying other meds-for tremor. I will see my GP on Wed.For menopause/ hypoth...Read More
HealthTap member
This was very helpful. Thanks! Thank you for your help. I take Vit D tablet once a month. And the numbness is not just in my fingers and toes but my entire arms and legs. Nevertheless thank you for gi...Read More

Education & Training

Medical/Graduate school

University of Pittsburgh School of Medicine, PA
Graduated 2000MD

Residency

UNIVERSITY OF WASHINGTON MEDICAL CTR

Awards

Most Influential Doctor, Third Place, Seattle Region - Winter
2015
Thought Leader, Second Place, Washington - Winter
2015
Top Neurologist, First Place, Washington - Winter
2015
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less