Neuromuscular Disease/Myasthenia Gravis

diagram of muscles of backThe Neuromuscular Service of the Division of Neurology specializes in the diagnosis and treatment of neuromuscular diseases. Clinical services include the MUSC Electromyography Laboratory, Muscular Dystrophy Association (MDA) Clinic, Myasthenia Gravis Clinic, Neuromuscular Clinic, ALS Clinic and the inpatient Neuromuscular Consultation Service.

Clinical Services

MDA and Myasthenia Gravis Clinics. This Muscular Dystrophy Association supported clinic meets weekly with patients evaluated by Drs. Herring and Stickler on Wednesday mornings. The MDA Clinic evaluates patients of all ages and a variety of neuromuscular disorders, including muscular dystrophies, amyotrophic lateral sclerosis, Friedreich’s ataxia, inherited peripheral neuropathies, chronic inflammatory demyelinating polyradiculoneuropathy, and inflammatory myopathies. Patients receive regular clinical follow-up and treatment, and have access to MDA-sponsored patient educational and support resources. Dr. Stickler also runs an additional half day MDA supported clinic specializing in the diagnosis and management of myasthenia gravis.

Neuromuscular Clinic: The MUSC Neuromuscular Clinic is designed for evaluation and treatment of patients with possible neuromuscular disorders. This clinic meets on a weekly basis and is supervised by Dr. David Stickler, who has sub-specialty training and interest in patients with neuromuscular disease, especially those with diseases of neuromuscular transmission. Many patients undergo laboratory testing as part of their diagnostic evaluation, which may include Electromyography and Nerve testing via the MUSC Electromyography Laboratory.

Electromyography Laboratory: In addition to the clinical services provided, the electromyography laboratory provides additional diagnostic information through the use of nerve conduction studies, electromyography and single-fiber electromyography.

handTraining and Education
Residents may elect to rotate through the neuromuscular service and will be expected to see patients in the MDA, Myasthenia Gravis and Neuromuscular Clinics. Additional training covering the techniques and interpretations of nerve conduction and electromyography will be included. A fellowship in clinical neurophysiology is offered and designed to provide post residency training in neurophysiology with dedicated time in the MUSC EMG Lab and Neuromuscular clinics.

A weekly neurophysiology conference is held every Thursday covering a wide range of topics including neuromuscular physiology, neuromuscular diseases and electromyography and nerve conduction studies. When the clinical neurophysiology fellow rotates through the EMG lab, an additional Friday afternoon conference for advanced neuromuscular topics will be scheduled.

Personnel:
David Stickler, MD
Jerome Kurent, MD
Noreen Herring, MD
Kenkichi Nozaki, MD