b'INNOVATION IN MOTIONThe University of Maryland Parkinsons Disease & Movement Disorder CenterIt can start with the smallest ofLisa M. Shulman, MD, Professor ofThe Center provides comprehensive symptomsa slight tremor in a finger,Neurology and the Director of theand expert diagnostic, medical, a growing stoop while standing, evenMovement Disorders Center. First andsurgical, and rehabilitative services a loss of smell. But for the 60,000foremost, our mission is to provide anfor patients with a diverse range of Americans diagnosed with Parkinsonsexcellent quality of care to patientsmovement disorders, including:disease (PD) each year, the impactwith not only PD, but also all types of Parkinsons diseaseis sobering. Although nearly onemovement disorders. These disorders Progressive supranuclear palsymillion Americans will be living withcan range from essential tremor to Lewy body dementiaParkinsons disease (PD) by 2020,dystonia, tic disorders to various Corticobasal syndromethis neurological ailment is just onegait disorders. Many parkinsonian Multiple System Atrophyin a much larger group of conditionsdisorders are in the broader class of Tremorscollectively known as movementneurodegenerative disorders that Dystoniadisorders. While some like progressiveare associated with diverse problems Gait disorderssupranuclear palsy (PSP), whichincluding changes of cognition and Tardive dyskinesiaaffects about 20,000 Americans, aremental health. Dr. Shulman adds that Choreaquite rare, essential tremor is the mostthe Center offers patients an unrivaled Ticscommon, with an estimated 10 millionarray of treatment options, fromThe Center also offers comprehensive afflicted in the US. Its no wonderbotulinum toxin injections and expert diagnostic, medical, then that the University of Marylandto deep brain stimulation (DBS)surgical, and rehabilitative services Parkinsons Disease and Movementsurgical procedures. for patients with a range of cognitive Disorders Center, a division of theDr. Shulman sees the Centersproblems and dementias, including:Department of Neurology, managespresent strengths and reputation as Alzheimers disease4,000 office visits a year, providingan evolution dating back to 2000 Frontotemporal dementiacomprehensive medical, surgical,when she and her husband, the late Undiagnosed dementiaand rehabilitative services as aWilliam Bill Weiner, MD, joined the Vascular dementiacomprehensive Diagnostic CenterDepartment of Neurology, whereParkinsons disease with dementiafor Parkinsons disease and for thePaul Fishman, MD, Professor of Normal pressure hydrocephaluscomplete spectrum of movementNeurology, Pharmacology and Huntingtons diseasedisorders. Neurobiology and Chief of Neurology As academic neurologists, ourfor the Maryland VA Health Carepatients with both dementia and mission has many components, saysSystem, was then caring for all movement disorders. Together, the three initially formed the PD and Movement Disorders Center, with Dr. Weiner serving as its first Director. At that point, we started to significantly expand the research and patient services, Dr. Shulman recalls. After Dr. Weiners untimely passing in December 2012, she took up the reins as the Centers new director. Today, the Centers capacity has grown beyond that of exemplary patient care. The Center hosts a series of annual educational outreach events, including the Weiner Family Memorial Lecture (see page 7) and Within Our Reach, a one-day symposium for PD patients and their care partners The PD & Movement Disorders Team (L to R): (see page 6). And, given the Centers Drs. von Coelln, Savitt, Shulman, Reich, and Fishman. academic setting, training the next CLINICAL NEUROSCIENCES UPDATEFALL 2019 3'