Services

Movement Disorders Center

Movement disorder surgery aims to restore function for patients with Parkinson’s disease, dystonia or tremor, so they can maintain a full and active life. The strength of our program is in our multidisciplinary team which has tremendous expertise and provides the most advanced and innovative neurosurgical care for movement disorders.

Dr. Emad Eskandar, the primary neurosurgeon, is a world-renowned authority on deep brain stimulation (DBS) for Parkinsonís disease and dystonia. Dr. Eskandar has performed more than 1,000 cases and has published extensively on the topic.

Several effective neurosurgical treatments for movement disorders have been developed based on an improved understanding of basal ganglia circuitry and the continuing evolution of neurosurgical techniques. Currently, there are three surgical targets for the treatment of movement disorders, which include the globus pallidus internus (Gpi), the subthalamic nucleus (STN) and the Ventralis intermedius nucleus of the thalamus.

The Gpi and the STN are the preferred targets for the treatment of Parkinsonís disease; the Gpi is the preferred target for the treatment of dystonia; and Ventralis intermedius is the primary target in the treatment of tremor. Options for treatment include the placement of a deep brain stimulating (DBS) electrode in any of these areas or the creation of a small lesion in the Gpi (pallidotomy) or in the thalamus (thalamotomy). Lesions can be created using minimally-invasive surgery, radiosurgery, or high frequency ultrasound hiFU.

Our Team

Team Leader: Nrupen Y. Baxi, MD
Neurosurgery: Emad Eskandar, Nrupen Baxi

Neurology: Alan Legatt, Raminder Parihar

Conditions Treated

Our team treats conditions that include:

  • Dystonia
  • Essential tremor
  • Obsessive Compulsive Disorder
  • Parkinsonís disease
  • Tardive dystonia
  • Tourette syndrome

Treatments Provided

Our team provides treatments that include:

  • Baclofen pump
  • Botox
  • Globus pallidus internus deep brain stimulation (Gpi DBS)
  • Pallidotomy
  • Subthalamic Nucleus Deep Brain Stimulation (STN DBS)
  • Thalamic deep brain stimulation (VIM DBS)
  • Thalamotomy