Overview
If you have Huntington’s or Parkinson’s disease, essential tremor, dystonia or another movement disorder, Cleveland Clinic can help.
Why choose Cleveland Clinic?
Cleveland Clinic Nevada has also earned a Parkinson’s Foundation Center of Excellence designation and is a CurePSP Center of Care.
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.
Wondering if you will need care?
Huntington’s disease (HD) is a devastating genetic disease passed down from one generation to the next. If one parent has the disease, you have a 50% chance of inheriting the gene; if you have the gene, you have a 100% chance of developing HD. Genetic testing for HD has a 99.9% accuracy rate, so a simple blood test will reveal your status. Yet, the decision to test is not a simple one.
That’s where our multidisciplinary Huntington’s Disease Predictive Genetic Testing Clinic, with the coordinated expertise of a neurologist, health psychologist and genetic counselor, can help. Read more about genetic testing for HD, or contact us to make an appointment.
What We Treat
Movement disorders treated at Cleveland Clinic’s Las Vegas location:
- Ataxia.
- Chorea.
- Corticobasal degeneration (CBD).
- Dystonia.
- Essential tremor.
- Huntington’s disease.
- Multiple system atrophy (MSA).
- Parkinson’s disease.
- Parkinsonism.
- Progressive supranuclear palsy (PSP).
- Restless leg syndrome.
- Shy-Drager syndrome.
- Tardive dyskinesia.
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
At Cleveland Clinic Nevada, we address Parkinson’s disease or another movement disorder through two important steps:
- Accurate diagnosis.
- Expert disease management.
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.
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 from us
At Cleveland Clinic Nevada, we strive to:
- Treat your conditions and keep your brain as healthy as possible.
- Provide a support system for you and your loved ones.
- Offer you and your loved one's opportunities to participate in clinical research.
Learn more in our Patient Guide, which was conceived by our patient and family advisory council.
Our Providers
Research
Clinical trials
At its Las Vegas location, Cleveland Clinic has conducted more than 80 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.
Care Partner 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.
Appointments
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 new patients through our care process from the initial phone call to the final evaluation.
Learn more about scheduling an appointment with Cleveland Clinic Nevada and accepted insurances.
