Overview

Overview

If you have Parkinson’s disease or another movement disorder, Cleveland Clinic can help. Our center is among the first in the world to bring together an interdisciplinary team of renowned neurologists, neurosurgeons, psychiatrists, neuropsychologists, researchers, imaging specialists, physician assistants, technicians and other specialists who offer the latest medical and surgical treatments for patients with neurological and psychiatric disorders.

Why choose Cleveland Clinic?

At Cleveland Clinic Nevada, we offer you the most advanced and specialized care, complemented by leading programs in research and education. The Center for Neurological Restoration is nationally recognized for expertise in medical management and innovation in the surgical treatment of movement disorders as well as obsessive-compulsive disorders, depression and chronic pain.

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 to single-center and multicenter clinical trials.

Cleveland Clinic Nevada has also earned a Parkinson’s Foundation Center of Excellence designation and is a CurePSP Center of Care.

Clinical Trials

At its Las Vegas location, Cleveland Clinic has conducted more than 70 trials in Parkinson’s and Huntington’s disease, MS, Alzheimer’s disease and other dementias, memory decline and normal cognition. Additionally, we offer investigator-led studies, including a study of repeated head trauma in active and retired professional fighters.

What We Treat

What We Treat

Movement disorders treated at Cleveland Clinic’s Las Vegas location:

Treatment Options

Oral Medications

Oral medications may help the symptoms of some movement disorders, but may not be of significant benefit long-term.

Botulinum Toxin Injections (Botox® injections)

Botulinum toxin is a neurotoxin, but it provides significant relief for many types of movement, such as Parkinson’s disease, progressive supranuclear palsy and dystonia, and is safe when injected into affected muscles in very small doses. After an injection, it blocks the signal between nerve and muscle, allowing the muscle to relax temporarily. The effect of botulinum toxin on the muscle begins approximately two to three days after injection, peaks between two and six weeks, and usually provides relief for approximately three months, at which point the injection can be repeated.

For botulinum toxin injections to be successful, it is critical that the injecting physician be specifically trained in the techniques of injecting, fellowship trained in movement disorders such as dystonia, and well-versed in the functional anatomy of the involved muscles and the type and doses of botulinum toxin to use.

Care Beyond Our Walls

If medication does not improve your symptoms or if you have intolerable side effects, you may be evaluated for surgery and referred to an expert in deep brain stimulation (DBS) surgery at Cleveland Clinic’s main campus in Ohio.

Our Approach

Our Approach

At Cleveland Clinic Nevada, we address Parkinson’s disease or another movement disorder through two important steps:

  1. Accurate diagnosis
  2. Expert disease management

Dr. Nguyen speaks with a patient about her movement disorder.

Each component — diagnosis and ongoing disease management — requires unique neurological specialization. We have carefully composed our teams to give you the greatest access to the most relevant experts at each step in the continuum of your care.

Zoltan Mari, MD performs a botulinum toxin injection.

Our doctors lead the diagnostic aspect of your care; our advanced practice providers (nurse practitioners, physician assistants) lead the disease management aspect of your care. Throughout the course of your care, all members of your neurology team are in ongoing communication within their team and with colleagues across multiple disciplines, collaborating to provide world class comprehensive care for patients, families and care partners..

What to Expect

What to Expect

Initial Visit

Get to know our medical team.

  • Check-in: Our Patient Service Specialists notify the provider that the patient has arrived and arrange for an escort upstairs to our clinic.
  • Welcome: Patients and families are welcomed by our volunteer team and accompanied to the patient care area.
  • Electronic Medical Record: We greet the patient and present an electronic questionnaire. Through MyChart, a secure web portal, patients and authorized caregivers may access their health records 24/7 via the Internet.

Testing & Diagnosis

Our neurologists work together to make a diagnosis, drawing on the skills of complementary fields as needed.

  • Imaging: State-of-the-art imaging, including a 3-Tesla MRI and PET/CT, provides additional diagnostic certainty.
  • Neuropsychology: Board-certified neuropsychologists evaluate the relationship between the brain and behavior.

Ongoing Care

Our team assesses the full range of patient needs, from physical to psychological. Depending on those individual needs, a patient will be referred to appropriate services.

  • Individual & Family Services: A diagnosis of a brain disorder is life-changing for both the patient and the family. No-cost social work, support services and education help families maximize quality of life in the face of new challenges.
  • Neurorehabilitation: Our physical, occupational and speech therapy programs are tailored to those experiencing the effects of brain disorders.

Developing New Treatments for the Future

Learn how you can help.

  • Clinical Trials: Clinical trials are the only way to find a cure or new treatments for current or future generations. We encourage diversity in participation not only by patients but also by friends and family, because healthy volunteers with normal memory and thinking ability are the most difficult group for us to find. We have conducted 70 trials since 2009.
Our Providers

Our Providers

Jenny Nguyen, CNP
Jenny Nguyen, CNP
Certified Nurse Practitioner
Kelly Papesh, CNP
Kelly Papesh, CNP
Certified Nurse Practitioner
Caregiver Resources

Caregiver Resources

Parkinson’s disease and other movement disorders challenge families, who rise to the occasion by becoming care partners for their loved one. Patients rely heavily on their family caregivers, who often suffer tremendous stress, particularly when they lack knowledge and experience.

Telemedicine

Telemedicine

Dr. Wint speaks with a patient in Elko, NV using our telemedicine services.
Dr. Wint speaks with a patient in Elko, NV using our telemedicine services.

Patients in Elko, Nevada now have access to experts in evaluation, diagnosis and treatment via video-conference, thanks to collaboration with our Lou Ruvo Center for Brain Health Las Vegas location. Timely diagnosis is the first stop to creating an effective treatment program that vastly improves the quality of life of patients with neurological disorders.

Limited access to specialty care often delays early intervention for patients and their caregivers in rural locales.

The physicians and advanced practice clinicians at the Lou Ruvo Center for Brain Health address these factors in a unique way, using videoconferencing technology to connect in local communities and provide memory screening, diagnosis and treatment. Videoconference technology allows for a continuity of care for patients in their own community who would otherwise not have access to high-level specialty care from brain health experts in Las Vegas.

For those in rural communities, the benefits of seeing a Cleveland Clinic medical professional in real-time via telemedicine (videoconference) include:

  • Enjoying family support in one's own community
  • Avoiding difficult and costly travel
  • Accessing earlier diagnosis prior to further disease progression
  • Receiving no-cost patient and caregiver education and support

Patient Story

Virtual Visits

The team at Cleveland Clinic Nevada recognizes that whether you have been newly diagnosed or have been living with a brain disease for many years, you can be left with a lot of unanswered questions or overwhelmed by ongoing management of the disorder. To help, we now offer our established patients an option to conveniently see a neurology provider online using the Cleveland Clinic Express Care® Online tool.

Enjoy the convenience of seeing a specialist from wherever you choose. If you would like to use Express Care Online for your established patient appointment, please call our office. If you are eligible, our team will schedule your virtual visit and provide details on the visit cost and setup instructions.

Appointments

Appointments

Appointment Process

Quality patient care is of utmost importance at Cleveland Clinic. Many of the treatment options offered by our center require multiple evaluations. Scheduling these appointments with the appropriate providers can be challenging to navigate. That is why our staff developed a comprehensive system that walks patients through our care process from the initial phone call to the final evaluation.

If you are interested in scheduling an appointment with Cleveland Clinic’s Las Vegas location, you can expect the following evaluation process:

Step 1: Call our Appointment Schedulers

To schedule an appointment, call 702.483.6000.

Our patient service representatives are available to assist you Monday through Friday 8 a.m. to 5 p.m. local time.

Step 2: Patient Registration

When you call to schedule an appointment, our patient service specialist will register you as a new patient to Cleveland Clinic. Please have your basic information, including your address, phone numbers, emergency contacts and current insurance information, available when you call. You will also need a referral from your primary care provider or general neurologist.

Step 3: Verifying Payment Options

We will discuss your payment options, which span commercial insurance, Medicare, Medicaid and cash. You will know prior to your appointment what your estimated cost will be.

Step 4: Identifying the Appropriate Physician and Scheduling the Appointment

Your patient service specialist will ask you a variety of questions in order to schedule you with the appropriate provider. It might also be necessary for your patient service specialist to review your medical history before scheduling the appointment. If this is needed, the schedulers will assist you in obtaining your medical records by contacting your primary care provider with you on the phone.

Once the patient service representative reviews the records, we will schedule you with the appropriate Cleveland Clinic physician. Please bring all reports or current scans, such as MRIs or X-rays, from your current primary care provider to your appointment.

Location

Our office is located in Las Vegas, Nevada:

Cleveland Clinic Lou Ruvo Center for Brain Health - Las Vegas
888 West Bonneville Avenue
Las Vegas, NV 89106