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![](db+"spacer.gif?Openimageresource") Clinical Specialty
Movement Disorders
(Parkinson's, Tremors) | |
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| PROGRAM DESCRIPTION |
Washington University School of Medicine offers the only surgical program for movement disorders in Missouri. Our surgeons provide a full range of services, including subthalamic deep brain stimulation for Parkinson’s disease and thalamic deep brain stimulation for essential tremor. In both cases, surgeons use stereotactic techniques — combining a three-dimensional framing system with imaging modalities — to precisely locate targets deep within the brain. In some cases, microelectrode recording helps verify the target. A less invasive option is Gamma Knife radiosurgery, in which radiation beams precisely target the desired area of the brain to create a lesion without incisions.
For many patients with Parkinson’s disease or essential tremor, medications are often inadequate to control disabling symptoms. Some of these patients may benefit from stereotactic neurosurgical procedures to improve their function. The most common neurosurgical procedures performed for movement disorders by neurosurgeons at Washington University School of Medicine and Barnes-Jewish Hospital in St. Louis are pallidotomy, thalamotomy, thalamic deep brain stimulation and subthalamic deep brain stimulation.
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| CONDITIONS & TREATMENTS |
 Parkinson’s disease
Essential tremor
Stereotactic neurosurgical procedures
Tremor Surgeries
Surgeries for Parkinson’s disease
Gamma Knife radiosurgery for movement disorders
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| FACULTY |
Neurosurgery Providers
Joshua M. Dowling, M.D.
Keith M. Rich, M.D.
Neurology Providers
James E. Galvin, M.D.
Joel S. Perlmutter, M.D.
Brad A. Racette, M.D.
Samer D. Tabbal, M.D.
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| CONFERENCES |
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| MAKE AN APPOINTMENT |
Movement disorder patients should be referred to the Movement Disorders Center in the Department of Neurology for initial evaluation. Please call (314) 362-6908.
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| PATIENT OFFICE LOCATIONS |
Adult Patients
Neuroscience Center
Center for Advanced Medicine
4921 Parkview Place, Suite 6C
St. Louis, Missouri 63110
Helpful Maps
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| SPECIALTY LINKS |
National Parkinson Foundation
American Parkinson Disease Foundation
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