The Neuromodulation and Advanced Treatments Center provides research-based treatments, including deep brain stimulation (DBS), and routine clinical care for movement disorders and other conditions, including:
- Essential tremor
- Neuropsychiatric conditions such as schizophrenia and depression
- Parkinson's disease
- Tourette disorders
Deep Brain Stimulation (DBS) and Advanced Treatments: Why Choose Johns Hopkins?
- Your initial clinical evaluation involves the expertise of an entire multidisciplinary panel of experts, who consider the impact of movement disorders on your physical and emotional well-being, as well as on your lifestyle.
- Your treatment plan carefully balances the risk of surgical procedures in your specific situation so you do not undergo unnecessary treatment. Other advanced therapies such as levodopa infusion for Parkinson's disease or ablation procedures for tremor may be available if DBS is not the best choice for you.
- The practitioners offer a unique level of expertise — longstanding mentorship among our surgeons means that top practitioners are teaching others who continue working together on the team.
- If brain surgery is part of your treatment plan, your surgeons have access to new robotic stereotactic assistance for added precision during cranial and spine procedures.
- If gastrointestinal surgery is recommended for infusion therapy, our team works closely with leading gastroenterologists who specialize in endoscopic procedures.
- We offer both awake, stereotactic surgery with microelectrode recording and MRI-guided deep brain stimulation (DBS), so you and your doctor can determine the better option for you.
- You are empowered with patient education that starts before your first consultation, as well as honesty and clarity about what various treatments may or may not accomplish.
- Your doctor can direct you toward information on neuromodulation clinical trials seeking participants.
Microstimulation delivered during the buzzing sound demonstrates the tremor effect on the foot.
Current spreads a greater distance with macrostimulation than with microstimulation.
DBS and Advanced Treatments: What to Expect
Your first visit with your doctor at the Neuromodulation and Advanced Treatments Center will last about two and a half hours. Your doctor will take your medical history, review your medical records with you and may examine you while you are with, and then without, medications (on-off testing).
Your exam will include a routine neuropsychological evaluation to help you and your team understand cognitive and behavioral factors that can help shape your treatment recommendations.
Deciding on Treatment
Helping you understand the treatments is essential, and our doctors take time to go over each step of the procedure(s) with you, using educational materials and speaking in plain language.
You will gain clear insights on what DBS or another procedure may be able to do for you, as well as the time commitment, side effects and risks involved. This way, you and your doctor can work as partners in deciding the best course of action to address your condition.
You may also meet with other practitioners for assessment of other health problems, as well as:
- Social support
- Occupational abilities
- Speech and language
- Mood and cognitive factors
Meet Our DBS and Advanced Treatments Experts
- William Stanley Anderson (Neurosurgery)
- Jason Brandt (Neuropsychology)
- Ankur Butala (Neurology/Neuropsychiatry)
- Fred Lenz (Neurosurgery)
- Kelly Mills (Neurology)
- Emil Moukheiber (Neurology)
- Gwenn Smith (Geriatric Psychiatry)
- Greg Pontone (Neuropsychiatry)
- Arita McCoy (Nurse Practitioner)
- Pam Lowe (Office Coordinator)
- Regina Poole (Office Coordinator)