Cleveland Clinic’s Center for Neurological Restoration — focused on a single goal of advancing treatment through ongoing basic and clinical research — is nationally recognized for expertise in the medical management and surgical innovations in the treatment of Parkinson disease, Huntington disease, essential tremor, dystonia and other movement disorders, normal pressure hydrocephalus (NPH), headache, trigeminal neuralgia, dizziness and chronic pain. It is comprised of two sections: Movement Disorders and Functional Neurosurgery (with locations in Ohio and Nevada) and Headache and Facial Pain.
Our center is among the first in the world to bring together an interdisciplinary team of renowned neurologists, neurosurgeons, psychiatrists, neuropsychologists, researchers, biomedical engineers, imaging specialists, physician assistants, technicians and other specialists who offer the latest medical and surgical treatments for patients with neurological and psychiatric disorders.
Patients benefit from an integrated approach to care. Team members collaborate to develop individualized management and treatment plans designed to enhance patients’ function and quality of life. A robust research program ensures that patients have access the most ground-breaking single-center and multi-center clinical trials.
What We Treat
- Essential Tremor
- Huntington Disease
- Normal Pressure Hydrocephalus
- Multiple System Atrophy
- Parkinson Disease
- Parkinson-Plus/Atypical Parkinsonism
- Restless Legs Syndrome
- Tourette Syndrome
Headache and Facial Pain
- Cluster Headaches
- Dizziness and Vertigo
- Fibromyalgia and other myofascial pain syndromes
- Migraines (with and without auras)
- Tension-type Headaches
- Trigeminal Neuralgia
Functional Neurosurgery Treatment Options
- Deep brain stimulation
- Gamma Knife surgery
- Intrathecal baclofen pump
- Microvascular decompression
- MRI-guided focused ultrasound
- Shunt procedures
- Spinal cord stimulation surgery
Conditions Treated by Functional Neurosurgery
Movement Disorders and Functional Neurosurgery
Staff in the Center for Neurological Restoration's Section of Movement Disorders and Functional Neurosurgery offer unparalleled expertise in the latest treatments for movement disorders (such as Parkinson disease, Huntington disease, essential tremor, dystonia, Tourette syndrome, myoclonus, ataxia and chorea) to help people improve function and quality of life.Treatments include medication, therapy and surgical management. Patients also have access to the most promising treatments of tomorrow through numerous clinical trials in which the center participates.
Medical management is the cornerstone of movement disorder care. Pharmacological management (such as oral medications and botulinum toxin injections), patient education and family support are important aspects of the comprehensive treatment plan we provide for each of our patients. As movement disorders are often accompanied by behavioral, cognitive and other "non-motor" complications, our multidisciplinary team also can guide you with issues such as depression, cognitive decline, nutrition and disease prognosis.
The center is nationally recognized for the latest and most promising innovations in the treatment of all movement disorders and for being a world leader in functional and restorative neurosurgery, such as deep brain stimulation (DBS), which is an option for select patients with Parkinson disease, essential tremor and some forms of dystonia. Center staff are also studying how DBS may alleviate other conditions, including obsessive-compulsive disorder, Tourette syndrome, some forms of chronic pain, and weakness following stroke. We also offer other functional neurosurgical procedures such as gamma knife surgery (for tremors), spinal cord stimulation surgery (for various pain syndromes), and shunt procedures (for normal pressure hydrocephalus).
The center has earned international recognition for setting the standards of care for movement disorders. In particular, people with Parkinson's disease, essential tremor or dystonia will benefit from the comprehensive, integrated approach to patient care provided by center staff. Team members collaborate on each patient's particular problem and unique needs so that an individualized management and treatment plan can be developed.
The Movement Disorders and Functional Neurosurgery team also offers:
- Botulinum toxin injection program for patients with dystonia and spasticity
- Streamlined 2-day deep brain stimulation surgery evaluation process
- Huntington Disease Center of Excellence Comprehensive Care Clinic
- Medical and surgical evaluation for normal pressure hydrocephalus
- Shared medical appointments (educational program) for newly diagnosed Parkinson disease patients
- Young onset Parkinson disease support group
- Medical and surgical evaluation for adults with Tourette syndrome
- Virtual visits for established patients
Parkinson's Foundation Center of Excellence
Cleveland Clinic's Parkinson Disease Program is the first multi-site program to receive designation as a Center of Excellence. Programs included in this designation serve patients at Cleveland Clinic in Cleveland, Ohio, Cleveland Clinic Abu Dhabi, Cleveland Clinic Florida, and Cleveland Clinic Lou Ruvo Center for Brain Health - Las Vegas.
A Parkinson's Foundation Center of Excellence is an academic medical center with a specialized team of neurologists, movement disorder specialists, physical and occupational therapists, mental health professionals and others who are up to date on the latest Parkinson disease medications, therapies and research to provide the best care.
Every Center of Excellence designation is awarded based on a rigorous application and peer-review process with the following criteria:
- Must see at least 700 unique patients with Parkinson disease annually
- Conduct research relevant and/or clinical trials for Parkinson disease
- Provide exemplary team care, including a neurologist with training in movement disorders, nurse, social worker, physical therapist, occupational therapist and speech-language pathologist
- Promote access to wellness programs for patients
- Facilitate educational events for patients and families
To learn more about this distinguishing designation, visit Parkinson.org.
CurePSP Foundation PSP Care Center
Cleveland Clinic’s Center for Neurological Restoration is designated as a PSP Care Center through the CurePSP Foundation.
The CurePSP Center of Care network was established in 2018 with a main focus of helping referring physicians and patients diagnosed with progressive supranuclear palsy (PSP) and corticobasal degeneration (CBD) find the best medical care in convenient locations across the United States and Canada.
The network also seeks to:
- Increase knowledge and overall awareness of PSP and CBD spectrum disorders by providing educational materials to patients, caregivers, and health professionals.
- Provide local/regional resources for physicians seeking information about PSP and CBD, helping to facilitate easy patient referral to clinical trials and better overall disease management.
- Promote collaboration between care centers that will optimize standards of patient care and establish hubs for PSP/CBD (pre-) clinical research.
To learn more about this designation, visit PSP.org.
Huntington Disease Society of America Center of Excellence
Cleveland Clinic’s Center for Neurological Restoration is one of 43 centers to be designated as a HDSA Center of Excellence by the Huntington Disease Society of America.
The HDSA Center of Excellence is designated to health care facilities that provide an elite multidisciplinary approach to Huntington disease care and research.
At these world-class centers, patients benefit from expert neurologists, psychiatrists, therapists, counselors and other specialized professional who have deep experience working with families affected by HD and who work collaboratively to help families plan the best HD care program throughout the course of the disease.
To learn more about this designation, visit HDSA.org.
Young Onset Parkinson Disease Support Group
Our mission is to establish the optimal quality of life for the Northeast Ohio community by providing support, information, and advocacy to improve the lives of those with young onset Parkinson disease and those who care about them. We achieve our mission through public awareness, education, advocacy and supporting research until a cure is found. Our goal is to help you be informed, live well and stay strong.
About Parkinson Disease
Parkinson disease is a neurological disorder that affects movement. Symptoms may include slowness, rigidity, tremor, and problems with balance and posture. The symptoms of Parkinson disease result from the loss of dopamine-producing cells in the brain, but the cause of cell loss is not known. Medications and surgical treatments can relieve symptoms but do not cure the disease. More than a million people in the United States have Parkinson disease.
There are several excellent websites that provide information about Parkinson disease and its treatment. See some of our favorites under resources.
What is “young onset?”
The average age at which Parkinson disease is diagnosed is 60. However, about 10-20% of those diagnosed with Parkinson disease are under age 50, and about half of those are diagnosed before age 40. When the diagnosis is made early, it is referred to as "young onset" Parkinson disease. So young onsets face different challenges than those diagnosed in their 60s and 70s.
Why do we have a Young Onset Parkinson Disease support group?
- Connecting with other young people who are going through similar experiences can make you feel less alone. We believe that support groups provide the best forum for the individual and their caregiver to quickly gather information and to grow in the knowledge and understanding of their disease. In support groups you find wonderful people with compassion, courage, humor, and a desire to help each other.
- To recognize and come to terms with your condition at a young age allows you to accept what has happened to you and you can take care of yourself, exercising, taking part in the daily activities you have always enjoyed, consulting a movement disorder specialist and participating with him or her in managing your disease. In other words, take charge of your life as much as possible.
- Living with Parkinson disease (PD) does not mean you should limit what you do. You should live life to the fullest, just as you would without PD. You do not need to advertise you have PD but, at the same time, don’t hide the fact. Freely admit you have the disease, it is nothing to be ashamed of. By being in a support group, you can tell your story which may help somebody else, or you might hear someone else’s story and gain some help from it. Through this give and take you gain strength and courage and learn new ways to cope. No matter how long you have had PD, attending support group meetings should be beneficial for you. The earlier you start, the greater the benefit.
- We offer education about resources such as healthcare, insurance information, budgeting & planning, estate and special needs planning, support services for family & friends and veterans, case management services, mental health and employment and disability information.
How can a support group serve you?
- Learn about Parkinson’s disease treatment, news and research
- Connect with other young people who understand the challenges first hand
- Generate and share ideas for better self-care
- Inspire one another to be strong and improve overall quality of life
- Utilize your own experiences to help others
About Our Meetings
- Frequent presentations by medical experts and others with information helpful to you
- General discussions among our members of mutual problems, concerns, and ways of living better with Parkinson disease. We stress confidentiality at all sessions to encourage greater openness.
- Occasional “breakout sessions” for care partners to discuss among themselves issues in caring for a person with Parkinson disease. When care partners meet separately, those with Parkinson disease talk about their own issues.
- Exercise is a vital part of optimal living with Parkinson disease. To encourage it and to prevent complications from sitting too long, we have a short break mid-meeting during which we do easy exercises while seated.
- We provide refreshments at our meetings, and encourage people to arrive early to meetings to get acquainted with one another and with the informational items available.
Young Onset Parkinson Disease Support Group voicemail (216.444.8860) is a dedicated phone line with a confidential voice mail box available as well for interested families. Messages left on this voice mail box are retrieved on a regular basis by our staff who will return calls within 3-5 business days.
The YoungParkinsonsGroup@ccf.org email address offers interaction and networking for questions regarding the Young Onset Parkinson Disease Support Group through a dedicated e-mail address. Messages sent are retrieved by the YOPDSG staff who will return emails within 3-5 business days.
This email address is for general Young Onset Parkinson Disease Support Group-related questions. We cannot field medical questions including personal information through this email address. If you have a medical question please use the secure online form.
Headache & Facial Pain
Cleveland Clinic’s Section of Headache and Facial Pain treats more than 20,000 patients annually and is dedicated to the diagnosis and management of headache and facial pain disorders such as trigeminal neuralgia. We also evaluate and treat patients who have complaints of dizziness and vertigo.
The Section of Headache and Facial Pain includes a multi-disciplinary team of neurologists, neurosurgeons, psychologists and advanced practice providers. Our psychologists are experts in the management of chronic pain and headache; they employ techniques such as cognitive behavioral therapy, relaxation therapy, biofeedback and hypnosis. The section also works with a specialized team of physical therapists trained in head and neck pain and vestibular therapy.
In addition, a dedicated nursing team who is highly trained in headache and pain management provide education and support to all our patients.
Together we work to alleviate pain and improve the quality of life for our patients.
More than 40 percent of Americans will suffer headache pain severe enough to compel them to seek medical attention at some point during their lifetime. A small but substantial minority of individuals will experience chronic daily headaches which have a significant impact on their quality of life. Our team is dedicated to treatment of all headache disorders, including:
- Primary headaches
- Secondary headaches
- Cervicogenic headaches
- Headaches associated with inflammatory conditions
- Medication-induced chronic headaches
- Post-traumatic headaches
- Patients with dizziness and vertigo
Treatment options for headache patients include:
- New patient appointments – For individuals seeking an evaluation and medical management of their headache disorder.
- Outpatient procedures – Same-day head and neck procedures including Botox® injections, occipital nerve blocks, trigger point injections and intranasal sphenopalatine ganglion (SPG) blocks.
- Outpatient infusion suites – Offered in a unique setting, this nine chair suite is dedicated to intravenous infusions for patients with headaches. The goals of headache infusions are to provide urgent and effective treatment, preventing unnecessary emergency room and inpatient hospital visits.
- Online Headache Education Program – A comprehensive eight-session online, virtual visit program that helps patients better manage their headache disorders by understanding causes and triggers. Patients learn techniques and strategies to improve everyday quality of life.
- Interdisciplinary Method for the Assessment and Treatment of Chronic Headache (IMATCH) – An effective, three-week multidisciplinary program for patients with chronic headaches and functional impairment. The comprehensive nature of this program addresses the all-encompassing effect chronic headache has on patients and their families. This program addresses the medical, physical and emotional needs of patients by combining medical management, physical therapy, and group and individual psychotherapy.
The team of specialists in Cleveland Clinic’s Trigeminal Neuralgia Program provide advanced diagnostics including a full range of pharmacologic, procedural and surgical treatment options and second opinions for patients suffering from trigeminal neuralgia. A thorough evaluation is crucial to diagnose patients and rule out secondary or underlying causes of trigeminal neuralgia. A systematic approach allows us to develop an individualized treatment plan for patients.
Treatment options for trigeminal neuralgia patients include:
- Medical management through anticonvulsants, antidepressants and muscle relaxants
- Balloon decompression
- Botox® injections
- Intranasal and trigeminal nerve blocks
- Microvascular decompression surgery
- Radiofrequency ablation
- Stereotactic radiosurgery (Gamma Knife®)
- Stereotactic rhizotomy
To schedule an in-person appointment with the Section of Headache and Facial Pain, please call 216.636.5860 or toll-free at 866.588.2264.
New and existing patients can receive an initial evaluation or follow-up care from a headache and facial pain specialist from the comfort and convenience of home using our Cleveland Clinic Express Care® Online tool. Benefits of choosing this appointment option include no travel or parking, no facility fees, less waiting, significant time savings and the convenience of seeing a specialist from wherever you choose. If you would like to use Express Care Online for your or a loved one’s appointment, please call 216.636.5860 or your headache and facial pain provider’s office. Our team will schedule your virtual visit and provide details on the visit cost and setup instructions.
Established patients are also eligible to use the Express Care® Online tool for the eight-session Online Headache Management Program. If you are interested in this eight-session program, please call your provider’s office. Our team will schedule your virtual visit and provide details on the cost of your appointment and setup instructions.
Make an Appointment
To make an appointment, please call locally at 216.636.5860 or toll-free at 866.588.2264.
For questions related to insurance or reimbursement, call the Admissions Coordinator locally at 216.444.5433 or toll-free 800.223.2273 ext. 45433.
New and existing patients can receive an initial evaluation or follow-up care from a specialist in the Center for Neurological Restoration from the comfort and convenience of home using our Cleveland Clinic Express Care® Online tool. Benefits of choosing this appointment option include no travel or parking, no facility fees, less waiting, significant time savings and the convenience of seeing a specialist from wherever you choose. If you would like to use Express Care Online for your or a loved one’s appointment, please call 216.636.5860 or your Center for Neurological Restoration provider’s office. Our team will schedule your virtual visit and provide details on the visit cost and setup instructions.
Refer a Patient
DrConnect is a complimentary online tool for referring physicians that offers secure access to their patients' treatment progress at Cleveland Clinic.
Clinical Trials & Research
Neurological Restoration Research Programs
The Neurological Institute advances research into disease of the brain and spine and conducts clinical therapeutic trials to support patients with neurological disorders. Our multidisciplinary research collaboration combines the expertise of clinical principal investigators with state-of-the-art imaging and data analysis to establish and implement new approaches to the treatment of neurological diseases. In addition, the Neurological Institute trains clinical fellows, full-time research fellows, and residents as next generation clinical research scientists.
Clinical trials and research are the key for advancing medial knowledge and patient care. They provide hope through offering testing of new drugs, new surgical techniques or other treatments before they are available.
For Medical Professionals
Please download a copy of one of our DBS screening publications below
Huntington's Disease Guide for Providers
The Center for Neurological Restoration is focused on advancing treatment of HD through ongoing basic and clinical research, expertise in medical management, and surgical restoration and innovation. Please download our guide below to learn more.
Find resources for referring physicians, including physician consults, transfers and a liaison service.
Stay connected to patients you refer to Cleveland Clinic through online updates and electronic medical records.
Thank you for your interest in the career opportunities with the Neurological Center for Pain at Cleveland Clinic. We are a not-for-profit, multispecialty academic medical center that integrates clinical and hospital care with research and education. Cleveland Clinic is highly defined by its faculty physicians, scientists, nurses, allied health professionals, and technical and support staff.
- Non-Motor Aspects of Parkinson's Disease – Kristin Appleby, MD
- Medication Side Effects and Complications for Parkinson's Patients – Joseph Rudolph, MD
- Parkinson's Disease Management & Treatment Options – Michal Gostkowski, DO
- Parkinson's Disease and Other Movement Disorders – Hubert Fernandez, MD
- Managing Parkinson's Disease & Other Movement Disorders – Andre Machado, MD, PhD and Anwar Ahmed, MD
- Understanding Kids' Headaches – A. David Rothner, MD
- Understanding Headaches and Migraines – Steven J. Krause, MD
- Cleveland Clinic Center for Behavioral Health
- National Institute of Mental Health (NIMH)
- Ability Links
- Job Accommodation Network (JAN)
- Patient Advocate Foundation
- Volunteer Match
- APDA National Young Onset Center
- American Parkinson Disease Association, Inc. (APDA)
- Cleveland Clinic Genomic Medicine Institute
- National Institutes of Health (NIH)
- Genetics Home Reference
Toll-free: 888.FIND.NLM (888.346.3656)
- The National Human Genome Research Institute (NHGRI)
- U.S. Food and Drug Administration Center for Drug Evaluation and Research (CDER)
General information line: 888.INFO.FDA (888.463.6332)
Drug information line: 301.796.3400
- Medline Plus
- Movement Disorders Specialist
Cleveland Clinic Center for Neurological Restoration
- Physical Therapist
Cleveland Clinic Department of Physical Medicine & Rehabilitation
- Center for Effective Parenting
PD Internet Community
- PD Plan for Life
- We Move (Worldwide Education and Awareness for Movement Disorders)
- Family Caregiver Alliance
- Well Spouse Association
- Cleveland Clinic Sleep Disorders Center
- American Academy of Sleep Medicine (AASM)
- National Institute of Neurological Disorders and Stroke (NINDS)
Brain Basics: Understanding Sleep
- National Sleep Foundation
- Restless Legs Syndrome Foundation
Toll-free: 877.INFO.RLS (877.463.6757)
- Cleveland Clinic Center for Neurological Restoration
- Activa® DBS
- National Institute of Neurological Disorders and Stroke (NINDS)