Tests and Treatments
The Parkinson's Disease and Movement Disorders Program offers diagnostic and therapeutic services as part of your long term medical care, as well as consultation services for referring neurologists and primary care physicians.
Your initial evaluation
Your initial evaluation will involve:
- A review of your medical records
- An interview to obtain a detailed history of symptoms
- Physical and neurological examinations
- Referral for tests as needed
Treatments we offer
- Medical management, including consideration of new medications
- Botulinum toxin (“Botox”) injections to relieve severe cramping, dystonia, and sialorrhea (excess salivation)
- Deep Brain Stimulation (DBS) surgery to treat medically intractable tremors and other symptoms; electrodes are implanted into precise regions of the brain to interrupt abnormal activity via a pulse generator similar to a pacemaker
- Intra-intestinal pump for continuous infusion of medications (Duopa®) to treat motor fluctuations in Parkinson's disease
- Rehabilitation medicine: occupational therapy; physical therapy; and speech and language pathology (including LSVT LOUD® and LSVT BIG®)
- Referral to team members in other departments for management of symptoms
Tests we perform
- Laboratory testing
- Genetic testing
- Cognitive testing
- Sleep studies
- Neuroimaging tests including DaTscan (Dopamine Transporter Single Photon Emission Computed Tomography [SPECT] Scan); Computed Tomography (CT); Magnetic Resonance Imaging (MRI); Functional MRI (fMRI); and Positron Emission Tomography (PET)
- Neurophysiological testing including Electroencephalography (EEG); Evoked Potentials; and Nerve Conduction Studies/Electromyography (NCS/EMG)
To learn more about the tests we perform, please refer to the following articles on our Dartmouth-Hitchcock Healthwise® Health Encyclopedia website:
- Botulinum toxin (Botox): Information about Botox, including what it is and what you should discuss with your health care provider before receiving Botox.
- Deep Brain Stimulation (DBS): Topic overview of deep brain stimulation, including how well it works, what are the risks, and what to expect after treatment.
- Intra-Intestinal Pump (Duopa®): Description of carbidopa and levodopa enteral (also known as Duopa), a combination medicine used to treat movement problems in people with advanced Parkinson's disease.
- Computed Tomography (CT): Test overview for a computed tomography (CT) scan of the body, which uses X-rays to make detailed pictures of structures inside of the body.
- Magnetic Resonance Imaging (MRI): Information about magnetic resonance imaging, in which the area of the body being studied is placed inside a special machine that contains a strong magnet.
- Positron Emission Tomography (PET): Details about the positron emission tomography test, which uses a special type of camera and a tracer (radioactive substance) to look at organs in the body.
- Electroencephalography (EEG): Overview of the EEG test, including how the test is done, how to prepare, risks, and results.
- Evoked Potentials: Information about the evoked potential test for multiple sclerosis, which measures the time it takes for nerves to respond to stimulation.
- Nerve Conduction Studies/Electromyography (NCS/EMG): Overview of nerve conduction studies, including their diagnostic use.