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Movement Disorders

The Movement Disorders Clinic specializes in the evaluation and treatment of disorders of gait, coordination and other aspects of movement. Patients are seen with diseases that include:

  • Parkinson's disease
  • Parkinson-plus syndromes
  • torticollis and other dystonias
  • Huntington disease
  • Tremors
  • Spinocerebellar syndromes
  • Myoclonus
  • all other neurodegenerative illnesses involving the cerebellum and basal ganglia

Patients also are evaluated for:

  • Blepharospasm
  • Hemifacial spasm
  • Cerebellar ataxias 

Specialized care, including botulinum toxin is provided for all types of dystonia including:

  • Torticollis
  • Writer's cramp
  • Musician's cramp
  • Sialorrhea
  • Focal dystonia in the limbs

Surgical pallidotomy is available for appropriate patients with Parkinson's disease. Experimental trials to evaluate the efficiency of new drugs, including glial-derived neurotrophic factor (GDNF) in Parkinson's patients are being developed.

Patients may be referred for a single consultation visit or for continued care and management of particularly difficult movement disorders. Other patients may be enrolled in clinical studies while continuing to receive routine medical care from their primary physicians. In all cases, the staff strives to arrange a treatment program among the patient, referring doctor and clinic that maximizes care, communication and efficiency.

Our multidisciplinary team is comprised of neurologists with special expertise in movement disorders, pharmacists, nurses, social workers and a patient services coordinator. Each of these health care professionals plays a key role in making your visit as efficient and comfortable as possible.

  • Treatment options

    Deep Brain Stimulation (DBS) is an FDA-approved surgical procedure that does not destroy any parts of the brain. A small electrode is surgically implanted in the brain; it emits an electrical pulse that controls erratic movements. Following the initial surgery, doctors monitor the patient's progress and adjust the electrical pulse accordingly.

    The multidisciplinary team at the Kentucky Neuroscience Institute works with each patient to find the best course of treatment. Medication is usually the first step, but some patients don't respond to medication. In those cases, KNI offers the most advanced surgical alternatives – including Deep Brain Stimulation.

  • Common movement disorders

    • Blepharospasm 
    • Dystonia 
    • Essential Tremor 
    • Huntington's Disease 
    • Myoclonus 
    • Parkinson's Disease 
    • Progressive Supranuclear Palsy 
    • Restless Legs Syndrome 
    • Spasmodic Dysphonia 
    • Spasmodic Torticollis  
    • Tardive Dyskinesia 
    • Wilson's Disease