The Stroke Prevention Center was established primarily for the benefit of patients hospitalized for TIA (transient ischemic attack or mini-stroke) or acute stroke. Patients receive early neurologic follow-up, education in prevention of stroke and other vascular disease complications, and meticulous medical management intended to reduce future risk of stroke and heart attack. The Center's efforts have reduced the incidence of recurrent stroke and early readmission to the hospital for recurrent stroke.
The Renown Institute for Neurosciences Center for Excellence in Headache Treatment and Research — The Headache Center — was established in June 2012 to fulfill two primary objectives: to provide the region's healthcare providers (HCPs) with expert consultative service in the area of headache medicine, and to raise the existing standard of care for headache through clinical research and trials. In our Headache Center we have evaluated more than 100 new patients with various headache disorders, and treated more than 300 patients with Botox® for suppression of chronic migraine.
Patients at the Center's clinics are thoroughly evaluated and diagnosed and provided with a pain-management plan tailored to their specific symptoms and condition. They follow up with their HCP for implementation of the management plan, patients without a primary care doctor are provided one by the clinic.
Referring HCPs are encouraged to request subsequent re-consultation as dictated by the patient's clinical course. As a rule, only patients who are returning for procedures (e.g., Botox injections, nerve blocks) or are actively enrolled in one of the Center's clinical research studies are followed on a continual basis.
Renown Institute for Neurosciences' Epilepsy Center offers the latest treatments for diagnosing and treating epilepsy. The Epilepsy Center provides patient and family education for those living with seizures. The Center is led by Barabara Swartz, MD, a specialist in the treatment of epilepsy in both adults and children.
These comprehensive services feature the area's only dedicated epileptologist along with advanced video electroencephalogram (EEG) testing by skilled, registered technologists. EEG testing is a safe, painless procedure to determine whether there are any irregularities in the brain's electrical activity, which may cause seizures and these test results help doctors plan appropriate treatment.
The goal of epilepsy treatment is to prevent seizures and make it possible for patients to lead typical, active lives.
Epilepsy Support Groups
Epilepsy Support Groups are held the first Wednesday of every month. These support group meetings are offered for people living with epilepsy, their families and caregivers.
Multiple Sclerosis Center
Renown Institute for Neurosciences' Multiple Sclerosis Center, assists in diagnosis, research and symptomatic treatment for individuals with multiple sclerosis. Advanced diagnostic tools are utilized to diagnose the disease and measure its progress, and provide patients the latest treatment options to improve the clinical course of the disease. In addition, our specialized staff members work with patients and their families to help them more effectively deal with the disease and live more productive lives.
There are several Multiple Sclerosis support groups in the northern Nevada area.
Parkinson's and Other Movement Disorders
What is Parkinson's disease?
Parkinson's disease is a neurodegenerative brain disorder that progresses slowly in most people. There is currently no cure for Parkinson's; however, your doctors will be focused and dedicated to finding treatments that help control the symptoms of PD and have a good quality of life.
Parkinson's is the most common form of parkinsonism, a group of motor system disorders. It is a slowly progressing, degenerative disease that is usually associated with the following symptoms:
- Tremor or trembling of the arms, jaw, legs, and face
- Stiffness or rigidity of the limbs and trunk
- Bradykinesia (slowness of movement)
- Postural instability, or impaired balance and coordination
- Dopamine is a substance produced in the body which has many effects, including smooth and coordinated muscle movement.
What causes Parkinson's?
The specific cause is unknown; however, medical experts believe the symptoms are related to a chemical imbalance in the brain caused by the loss of brain cells. Parkinson's disease is chronic (persists over a long period of time) and progressive (symptoms grow worse over time). The biggest risk factor for developing Parkinson is advancing age. The average age for the onset of the disease is 60 years. In addition, 50 percent more men are affected than women, according to the National Institute of Neurological Disorders and Stroke.
Read about one woman's journey, Carla Holland, a Parkinson's patient.
Learn more information about the Signs and Symptoms of Parkinson's
What are the four primary symptoms of Parkinson's?
The following are the most common symptoms of Parkinson's disease. However, each individual may experience symptoms differently. Symptoms may include:
- Muscle rigidity - stiffness when the arm, leg or neck is moved back and forth
- Resting tremor – tremor, or involuntary movement from contracting muscles, that is most noticeable at rest
- Bradykinesia - slowness in initiating movement
- Postural instability - poor posture and balance that may cause falls, as well as, gait or balance problems
Other symptoms of Parkinson's:
Symptoms of Parkinson's vary from patient to patient but they may appear slowly and in no particular order. Early symptoms may be subtle and may progress over many years before reaching a point where they interfere with normal daily activities. Other symptoms are divided into motor (movement related) and non-motor symptoms:
- Bradykinesia, slow movement
- Rigidity and freezing in place
- Stooped posture
- Shuffling gait
- Decreased arm swing when walking
- Difficulty rising from a chair
- Micrographia, small or cramped handwriting
- Lack of facial expression
- Slowed activities of daily living, such as eating, dressing, bathing, etc.
- Difficulty turning in bed
- Remaining in a certain position for a long period of time
- Diminished sense of smell
- Low voice volume, hypophonia
- Difficulty speaking, dysarthria
- Painful foot cramps
- Sleep disturbance
- Emotional changes, such as increased feelings of fear and insecurity
- Skin problems
- Increased sweating
- Urinary frequency/urgency
- Male erectile dysfunction
As the disease progresses, walking may become affected, causing the patient to stop in mid-stride or "freeze" in place, and maybe even fall over. Patients also may begin walking with a series of quick, small steps as if hurrying forward to keep balance.
The symptoms of Parkinson's disease may resemble other conditions or medical problems. Always consult your physician for a diagnosis.