My mission is to treat patients and their families with kindness, compassion and understanding; to examine and to listen my patients carefully; to correctly assess their diagnoses; to help prevent and treat their neurological illness.


Hours of operation

Monday – Thursday: 8:00 am – 5:00 pm Friday: 8:00 am – 12:00 pm

We treat

Migraines are a severe type of headache that are usually triggered by some sort of sensory disturbance, such as light, allergies, nausea, or stress, and affect around 15% of Americans between the ages of 15 and 55. The pain of a migraine is usually concentrated on one side of the head, and can potentially affect a person 14 days out of a month. Therefore, it is very important to Dr. Royter and his team that patients suffering from migraines have access to the most up-to-date treatments for this condition. Botox injections around the head and neck are used to dull the symptoms of a migraine and provide a patient with long-lasting relief.
Multiple Sclerosis, or MS, is an immune-mediated disease in which the body’s immune system attacks its central nervous system, including the brain, spinal cord, and optic nerves. This process leaves scar tissue (sclerosis) on the nerve, from which this disease derives its name. As a result of the damaged nerve fiber, nerve impulses traveling through the body are interrupted, which creates a wide variety of symptoms from numbness and walking difficulties, to vision and bladder problems. With over 400,000 people in the U.S. affected by MS, Dr. Royter and his team are committed to combatting this disease by providing access to the latest and best drugs currently on the market.
Epilepsy is a group of disorders categorized by reoccurring seizures. There are many different types of epilepsy and of seizures, therefore, it is important to correctly diagnose a seizure, and to then identify what type of seizure it is. Dr. Royter and his team administer an eletroencephalogram, (or ‘EEG’) which is a test to measure and record the electrical activity of the brain to discover certain conditions, including seizures. These conditions can be detected by changes in the normal pattern of the brain’s electrical activity. Special sensors, or ‘electrodes’, connected to the body allow our machines to record the brain’s electrical activity. An EEG may be done to diagnose epilepsy, to diagnose different types of seizures, to check for problems with loss of consciousness, dementia, or to help find out a person’s chance of recovery after certain traumatic, anoxic, or other brain injuries.
A stroke occurs when blood flow to an area of the brain is cut off. This results in the death of brain cells, which can affect a variety of abilities of the affected person including speech and muscle movement. Over 800,000 people a year experience strokes, and around 66% of survivors are affected by a disability afterwards. Strokes are the fifth leading cause of death in Americans, and the number one leading cause of adult disability, though about 80% of strokes are preventable. Dr. Royter and his team are committed to helping those affected by strokes and to preventing them in at-risk patients.
Alzheimer’s disease is a form of dementia, a term used to describe memory loss and the loss of other intellectual abilities that can cause interference in daily life. Alzheimer’s specifically affects memory, thinking, and behavior, with its symptoms worsening over time. Most patients affected by this disease are 65 and older, but it can occur in adults in their 40’s and 50’s. It is important to diagnose Alzheimer’s early on, and one of the ways Dr. Royter and his team do this is with computerized memory testing, a highly sensitive test to detect early declines in memory function. This test accurately measures the most sensitive memory functions that are typically the first indicators of increasing risk of Alzheimer ’s disease. Changes in the brain that affect memory often start 30 years before the diagnosis, so it is beneficial that this test helps monitor changes over time.
Parkinson’s disease is a degenerative disorder that targets the central nervous system, affecting a person’s motor skills. The most common symptom in those affected by the disease is slight tremors in the hands, but can also be stiffness, difficulty in walking, and slowness of movement. Many different factors have been attributed to causing Parkinson’s disease, both environmental and genetic. Around one million Americans are affected by Parkinson’s disease, and around 60,000 new patients are diagnosed with it every year. Dr. Royter and his team are therefore committed to diagnosing and treating the disease in partnership with the patient to discover what treatments are right for them.
Neuropathy and Carpal Tunnel Syndrome are both conditions that affect the peripheral nerves in the body. Neuropathy is a term that encompasses a wide range of nerves including sensory nerves (that control sensation), motor nerves (that allow movement), and autonomic nerves (that control systems of the body, like bladder function or blood pressure). Carpal Tunnel Syndrome is a type of neuropathy that affects motor nerves and causes numbness, tingling and weakness in the hand due to pressure on the median nerve inside the wrist. Dr. Royter and his team use a variety of tests, such as a Nerve Conduction Velocity test (NCV), as well as an Electromyography (EMG) test to diagnose these conditions to better treat them. The NCV is a test to see how fast electrical signals move through a nerve. Surface electrodes are placed over nerves at various locations on the body. Each patch gives off a very mild electrical impulse, which stimulates the nerve. The nerve’s resulting electrical activity is recorded by the other electrodes. The distance between electrodes and the time it takes for electrical impulses to travel between them are used to determine the speed of the nerve signals, information that is used to diagnose neuropathic conditions. Following a NCV is the EMG, during which needles are placed into muscles that then contract. This test is used to diagnose nerve damage or destruction. Occasionally, the test may be used to evaluate diseases of neuromuscular junction or muscle, including myopathy, Lambert-Eaton syndrome, or Myasthenia Gravis.
Myasthenia Gravis is a neuromuscular disease that can weaken certain muscles. Symptoms of Myasthenia Gravis include a muscle weakening with use, and improving upon rest. Typically, a patient can experience weakness in the muscles of the jaw while chewing, or droopiness of eyelids causing double vision in eyesight. Myasthenia Gravis is caused by a lack of the chemical acetylcholine, which allows for nerves to direct your muscles to work. Dr. Royter and his can team use an Electromyography (EMG), a test in which needles are inserted into contracting muscle groups to identify damage or destruction of nerves, to diagnose Myasthenia Gravis.


Syncope, more commonly known as “fainting”, is the loss of consciousness due to temporary, insufficient blood flow to the brain. Usually it is caused by low blood pressure (hypotension), during which the heart pumps less oxygen than usual to the brain. Fainting is caused by a variety of factors including but not limited to, stress, the pooling of blood in certain extremities due to posture, dehydration, overheating, sweating, and exhaustion. Syncope can also be caused by disorders with the heart, lungs, brain and metabolism. Fainting can suggest a serious disorder when it occurs during exercise, when it is accompanied by heart palpitations and irregularities, and when there is an established family history of fainting. Dr. Royter and his team will use the tools at their disposal to identify the seriousness of a syncope, and to work with patients to move past them.


My mission is to treat patients and their families with kindness, compassion and understanding; to examine and to listen my patients carefully; to correctly assess their diagnoses; to help prevent and treat their neurological illness.

  • Dr. Vladimir Royter is a highly trained neurologist with a commitment to excellence and, above all, to his patients.  After earning his medical doctorate at the Lugansk State Medical University in Ukraine, Dr. Royter completed his post-graduate training with the Keck School of Medicine at the University of Southern California, as well as completing his Cerebrovascular Research Fellowship at Cedars-Sinai Medical Center in Los Angeles, California. 
  • He is a certified member of the American Academy of Neurology, as well as of the American Heart and American Stroke Associations.  With over 27 years of experience, he has held various positions as a neurologist around the world, including Ukraine, Israel, and the United States, and uses his breadth of experiences to treat his patients with the utmost care and precision. 
  • In addition to his practice, Dr. Royter is committed to serving his patients through extensive research to investigate new medicines and treatments to improve care.  He has published several articles in prestigious medical journals such as Journal of Neurological Sciences, Clinical Neurology and Neurosurgery, and Pharmacology & Therapeutics.  Dr. Royter also is an associated professor at A.T. Still University of Osteopathic Medicine in Arizona, where he teaches clinical neurology students.  
  • At his practice in Hanford, California, Dr. Royter values accessibility and quality care, where his team is committed to scheduling and facilitating  appointments in a timely, organized manner, in addition to providing top-of-the-line care.  This work ethic is reflected by his 2014 Patients’ Choice Award for his incredible commitment to his patients.
  • In his spare time, Dr. Royter can usually be found road biking, woodworking, or with his family; his enthusiasm and passion in his personal life carry over into his professional practice, where he strives to treat every patient with the attention and quality of care they deserve.

Contact Us

125 Mall Drive Suite 209B
Hanford, CA 93230

(559) 584-9000

(559) 589-9015

Patients who have Medi-Medi, Medi-Cal, La Salle and all other
managed care health insurances please call:

Specialty clinic in Hanford
1025 N Douty St, Hanford CA 93230
Phone # 559-537-0252
Fax # 559-589-2065

Selma Clinic
2141 High St, Suite C, Selma CA 93662
Phone # 559-891-2611
Fax # 559-898-7971