Parkinson's and Movement Disorder Center

The Parkinson’s and Movement Disorder Center at Queen’s Neuroscience Institute is a multi-disciplinary program dedicated to comprehensive diagnosis and treatment for movement disorders. We believe in a team-based approach, which includes highly trained movement specialists (neurosurgeons and neurologists), ancillary providers and staff.

What are Movement Disorders?

Movement disorders include a wide range of neurological illnesses and conditions that affect the basal ganglia and movement circuit of the brain.

The most well-known movement disorder is Parkinson’s disease, but there are others, such as:

  • Parkinson’s-like (Parkinson-plus) syndromes
  • Progressive supranuclear palsy (PSP)
  • Corticobasal ganglionic degeneration (CBGD)
  • Multiple system atrophy (MSA)
  • Drug-induced parkinsonism
  • Normal pressure hydrocephalus (NPH)
  • Huntington’s disease (HD)
  • Essential tremor (ET)
  • Dystonia
  • Tourette’s syndrome
  • Restless leg syndrome

Disorders, including strokes, multiple sclerosis and diabetes can cause involuntary movements, such as tremors, myoclonus, tics, dystonia, or chorea.

Our Services

The Queen’s Parkinson’s and Movement Disorder Center is ready to provide the widest spectrum of treatments available:

  • Complex medication adjustments: FDA-approved medications for Parkinson’s disease and other movement disorders can cause side effects. Dosage may need to be adjusted by careful feedback, trial and error. In many cases, it is necessary to combine multiple medications. Complex medication management is best handled by neurologists specializing in movement disorders.
  • Botulinum toxin injection therapy: Botulinum toxin is a relaxant that can be directly injected into the muscle. Patients with blepharospasm, hemifacial spasm, cervical dystonia, writer’s cramp and spastic hemiplegia can benefit from botulinum toxin injection therapy.
  • Deep brain stimulation (DBS) surgery: Deep brain stimulation surgery is a procedure where a neurostimulation device (similar to a pacemaker) is implanted in the brain and delivers electrical pulses. Electrodes are placed in specific areas of the brain depending on the symptoms being treated. They are connected by long wires that travel under the skin and down the neck to a battery-powered stimulator under the collarbone. The electrical pulses from the DBS device regulates the activity of key circuits involved in abnormal movements and reduces symptoms. DBS surgery was approved by the FDA for the treatment of essential tremor in 1997 and for Parkinson’s disease in 2002. Since 2002, we have been performing DBS surgery with our dedicated team of neurosurgeons, neurologists and anesthesiologists.
  • Interjejunal continuous dopamine infusion (duopa) therapy: Duopa therapy is a continuous gel infusion of carbidopa/levodopa. In place of taking an oral pill, dopamine is delivered through a tube placed in the intestine. The therapy provides a smooth absorption of medicine and can reduce symptoms of motor fluctuations and dyskinesia in advanced Parkinson’s disease patients.
  • Physical, occupational, and speech therapy: Our highly trained team of physical, occupational and speech therapists work closely with community therapists to make appropriate referrals depending on individual geographic and treatment needs.
  • Telehealth service: If appropriate, save time, expenses and the effort of traveling to Queen's from a neighbor island or remote area on Oahu by using our telehealth service.
  • The Queen’s movement disorder video conference (bimonthly): Since 2001, we have partnered with movement disorder experts at the University of Virginia to provide additional expertise for the people of Hawaii without requiring travel to the mainland.

Patient Support and Outreach

We strongly believe in self-empowerment. Exercise and lifestyle is one of the most important therapies for Parkinson’s disease and movement disorders. It allows patients to maintain the highest level of function possible. We highly encourage the discussion of lifestyle (diet, sleep and bowel habit) and exercise during visits as we tailor individualized programs.

Through collaboration with:

  • The Hawaii Parkinson’s Association
  • Deep brain stimulation support groups and other support groups
  • The Annual Parkinson’s Symposium
  • The Annual Parkinson’s Walk
  • Various other community resources

And coordination of care through Queen’s Clinically Integrated Physician Network (QCIPN) and Queen’s Geriatric Services, our goal is to help patients achieve the best quality of life while living with Parkinson’s disease or other movement disorders.