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Subspecialty Clinics and Centers
Our diverse faculty, comprising experts from several divisions and departments, are truly dedicated to teaching fellows, and together ensure a well-rounded clinical experience with both common and rare movement disorders. Our multidisciplinary care, involving the allied health team and experts in genetics, neuromodulation and chemodenervation provides a comprehensive approach to complex movement disorders and encourages team building, which is critical for modern clinical practice.
Parkinson and General Movement Disorders Clinic
The Parkinson's Disease and Movement Disorders Center at Johns Hopkins University School of Medicine, which is a Parkinson’s Foundation Center of Excellence and a Morris K. Udall Center of Excellence in Parkinson's Disease Research, provides comprehensive care to a large patient demographic, including local, national and international patients. Fellows rotate with attendings in general movement clinics as well as subspecialty clinics. Fellows also follow patients longitudinally in botulinum toxin and general movement fisorders continuity clinics over the course of their two-year fellowship.
Neuromodulation and Advanced Therapies Clinic
The selection of patients for deep brain stimulation (DBS) surgery, intrajejunal levodopa infusion therapy, and other advanced therapies is performed through the neuromodulation and advanced treatments center. Patients are evaluated and video-recorded by fellows in their medication ON and OFF states and discussed at the Multidisciplinary Neuromodulation and Advanced Treatments (NeuModAT) committee meeting. Fellows also work with neuropsychology and psychiatry in patient selection and follow-up of neurocognitive and neuropsychiatric outcomes. Continuity of care is encouraged so that fellows may follow patients from their preoperative evaluation to their OR day and subsequent DBS programming.
Botulinum Injection Clinics
A wide range of primary and secondary dystonias of varying complexity are treated with a variety of botulinum toxins under EMG and ultrasound guide at the chemodenervation clinics under the division. Fellows have monthly injection clinics supervised by attendings. Additionally, fellows rotate through attending-run clinics. Physical medicine department also runs chemodenervation clinics where fellows can arrange rotations. Our fellows also may shadow experts at the NIH at the Bethesda campus.
The Johns Hopkins Ataxia Center caters to a large and diverse group of ataxic and spastic patients with inherited and acquired disorders such as spinocerebellar ataxias, Friedrich ataxia, mitochondrial disorders, hereditary spastic paraparesis, episodic ataxias, and idiopathic ataxia. The Ataxia Clinic utilizes a multidisciplinary team-based approach to patient care, and fellows have the opportunity to rotate with the genetic counselor, PT, OT, and SLP as they evaluate and treat patients. Close collaboration with neuro-visual and vestibular specialists also ensures exposure to a variety of eye movement and vestibular pathologies.
Atypical Parkinsonism Center
Since 2014, Johns Hopkins has served as a primary referral center for all atypical Parkinsonian syndromes, including progressive supranuclear palsy (PSP), corticobasal degeneration (CBD), dementia with Lewy bodies (DLB), and multiple system atrophy (MSA). The Atypical Parkinsonism Center has been designated as a CurePSP Center of Care and Lewy Body Dementia Association Research Center of Excellence. There is a monthly multidisciplinary clinic for patients with atypical Parkinsonism, during which patients have the opportunity to meet with social work, physical/occupational/speech/swallow therapists, and discuss research opportunities. Additional clinics for frontotemporal dementia (FTD), memory disorders, and adult hydrocephalus are available for interested fellows.
Huntington Disease Center
The Johns Hopkins Huntington Disease Center is one of the pioneers in early identification and characterization of the phenotypes of Huntington and related disorders. Founded in 1980, the Center represents a unique partnership between the neurology and psychiatry departments and is a longstanding Huntington Disease Society of America (HDSA) Center of Excellence. In the HD clinic, we provide multidisciplinary clinical services including genetic counseling and social work support to individuals with HD and related disorders. Fellows rotate through the clinic to gain experience in the diagnosis and management of patients with HD and HD-like disorders. The center is involved in many multicenter clinical trials, often via the Huntington Study Group (HSG). It is currently the top site in the US for the CSF biomarker trial (“HDClarity”), and is poised to be a leading site for upcoming disease-modifying therapy trials employing involving strategies like antisense oligonucleotides (ASO).
Pediatric Movement Disorders
Pediatric general movement disorders and pediatric ataxia clinic are available for our fellows. This includes a subspecialty Tic Tourette syndrome and stereotypy clinic which fellows can work in. Additional subspecialty rotations are also available through pediatric neurology clinics and the Kennedy Krieger Institute for interested fellows.
The various centers in the Movement Disorders division collaborate with genetics clinics to provide genetic counseling and testing for patients. Fellows work closely with our geneticists to gain insights into patient selection for genetic testing, genetic and reproductive counseling, and appropriate options for testing.
Physical and Occupational therapies, Speech and Language Pathology
The multidisciplinary Ataxia and Atypical Parkinsonism clinics offer the clinicians the opportunity to work closely with experts in physical therapy, occupational therapy and speech-language pathology. Additional experience with special patient populations is available through the PM&R department.