Dr. Tiwari is Board Certified in Neurology with subspecialty training in Electromyography/EMG (also known as Electrodiagnostic Medicine) and ElectroEncephalography (EEG). She has extensive experience in General Neurology, having practiced in the Texas Medical Center since 1996. She provides specialized testing in Nerve Conduction Velocity and EMG for the diagnosis of specific nerve and muscle disease and in preparation for Neurosurgery, Spine Surgery and Carpal Tunnel Release.
WORK HISTORY
2016-Current
HOUSTON M.D.s, P.A. Multispecialty group Houston, TX
1997-2016
Pinky S. Tiwari, M.D., P.A. Solo practice Houston, Texas
1996-1997
The Neurology Center Group practice Houston, Texas
EDUCATION
1995-1996
Fellowship in Clinical Neurophysiology Baylor College of Medicine Houston, Texas
1994-1995
Fellowship in Electrodiagnosis Baylor College of Medicine Houston, Texas
1991-1994
Residency in Neurology Baylor College of Medicine Houston, Texas
1990-1991
Internship in Internal Medicine Baylor College of Medicine Houston, Texas
1986-1990
Medical School Tulane University School of Medicine New Orleans, Louisiana
1982-1986
B.S. in Biophysics Newcomb College of Tulane University New Orleans, Louisiana
LICENSES & CERTIFICATES
Board Certified, American Board of Electrodiagnostic Medicine, 1999, recertified 2011
Board Certified, American Board of Psychiatry and Neurology, 1995, re-certified, August 2005 and February 2015
Board Eligible, Added Qualifications in Clinical Neurophysiology, 1996
Medical License, State of Texas, 1996
Medical License, State of Louisiana, 1990
AWARDS RECEIVED
Nominee for the Tulane Medical Alumni Association Outstanding Alumnus Award, 2015
Top Doctor, H Texas Magazine, 2010, 2011, 2012, 2013, 2014, 2015, 2016
American’s Top Physicians, 2010, 2011, 2012, 2013, 2014, 2015
Victor Horsley Clinical Research Fellowship, Epilepsy Foundation Of America, 1995
Honors in Biophysics, 1986
Tulane Scholar, 1982-1986
Phi Eta Sigma, 1982
PROFESSIONAL AFFILIATIONS
American Academy of Neurology
American Association of Neuromuscular and Electrodiagnostic Medicine
Texas Neurological Society
American Medical Association
Texas Medical Association
Harris County Medical Society
PUBLICATIONS
Shelbure III, Samuel A., Kielhofner, Marcia A., Tiwari, Pinky S. (2003, July)
Cerebellar involvement in legionellosis: Case report and review of literature
Mizrahi, EM, Safi, H. Miller, III, CC, Tiwari, PS: Long-term consequences on the electroencephalogram of profound hypothermia, circulatory arrest and adjunctive retrograde cerebral blood flow during ascending aortic arch replacement.
Abstract, American Clinical Neurophysiology Society Annual Meeting, October 3-5, 1998
Killian, JM, Tiwari PS, Jacobson S, Jackson RD, Lupski JR: Longitudinal studies of the duplication form of Charcot-Marie-Tooth polyneuropathy. Muscle and Nerve 1996; 19:74-79
CURRENT INTERESTS
Teaching third and fourth-year medical students from University of Texas Medical School, Houston, rotating on neurology, 2005-2015
Involved in stent v. CEA clinical trials at SLEH, including Sapphire Carotid Stent Trial, 2000-2008
Neurology Representative (one of two ) to St. Luke’s Independent Practice
Association, Inc., 2012 –present
BSLMC Credentials Committee , 2012 – present
IPA Credentials Committee. 2015 – present
IPA Secretary, 2018
NCV Study - The nerve conduction velocity study (NCV) is done by a neurologist. He will attach a small electrode to your arm or leg and stimulate the affected limb with a small amount of electricity.
Calculations are then done to determine the speed at which the nerve conducts electricity. This test takes approximately a half hour; it is only mildly uncomfortable. Generally there are no after effects.
EMG Technique – The electromyography (EMG) is also performed by a neurologist, and will be used to check your muscle and nerve function. A very fine needle, like an acupuncture needle, is inserted into specific muscles to allow the doctor to observe the electrical activity in these muscles. The muscles that will be evaluated with this needle are determined by the symptoms you have experienced. The test takes approximately 10 minutes. As with the NCV the examination is only slightly uncomfortable. There may be some slight localized tenderness for 2-3 hours after the procedure which may be relieved by Tylenol or ibuprofen.
MRI and MRA Imaging - Magnetic resonance imaging (MRI) and Magnetic Resonance Angiography (MRA) renders a sophisticated image of the brain and the arteries of the brain for diagnosis of neurological disorders.
CT Scan - Computed tomography (CT) rapid computerized medical imaging of the brain using x-rays.
CTA Scan - Computed tomography angiography (CTA) uses x-rays and a radioactive dye in order to investigate causes of stroke such as carotid stenosis, arteriovenous malformations and aneurysms.
Neuropsychological Testing – extensive, in-depth testing of intellectual functions performed by a clinical psychologist or neuropsychologist to evaluate disorder such as Alzheimer’s Disease or stroke-related dementia.
Stroke
Alzheimer’s Disease
Epilepsy
Adult Headache and Migraine
Vertigo
Multiple Sclerosis
Geriatric Neurology
Neurological Complications of Pregnancy, Including Headache
Fainting Spells / Syncope
Parkinson’s Disease
Dementia
Movement Disorders and Tremor
Brain Tumor
Gait Disorders and Recurrent Falling in the Elderly
Myasthenia Gravis
Neurological Complications of Diabetes, Cancer and Other Medical Disorders