We are dedicated to delivering expert primary and referral services for all disorders of the peripheral nerves and muscles. Our program is supported by the Muscular Dystrophy Association (MDA). As a tertiary referral site for complex neuromuscular conditions, we serve as consultants to general neurologists, internists, and many other specialists. We specialize in: ALS (amyotrophic lateral sclerosis or Lou Gehrig’s disease) Myasthenia Gravis Myopathy (including polymyositis, dermatomyositis, inclusion body myositis) Neuropathy (CIDP, CMT and other inherited neuropathies, Guillain-Barré, diabetic neuropathy) Muscular Dystrophy (including FSH, Duchene, Becker, Limb-Girdle, Myotonic, Oculopharyngeal) Stiff-Person Syndrome and related disorders Our neurologists have advanced training in neuromuscular disease and electromyography (assessing electrical activity in muscle). They have specialized knowledge in the science, clinical evaluation, or clinical management of disorders that affect cells in the central and peripheral nervous systems, muscles, and the junction between them. They offer greater expertise in the origin, mechanisms, diagnosis, and treatment of these disorders than general neurologists. Our electromyographers have expertise in assessing electrical activity in muscle and nerve conduction studies. We are one of the few programs in the Northeast with several electromyographers, who are expert in a specialized technique called single fiber EMG to test for myasthenia gravis. Our neuromuscular group works together as a team that includes medical assistants, clinical nurse coordinators, an MDA coordinator, resident staff, fellows, and attending physicians. Please bring the following items: A copy of your medical records pertaining to your condition, which should include MRIs, nerve conduction studies, and other testing and/or imaging available A current list of all medications and any allergies to medications Name and address of your primary care physician and any other specialists Your first visit will entail a comprehensive evaluation, and you will be asked for a detailed history of your condition. We will complete a thorough neurological examination, after which we will develop a plan of care. We will inform you if additional testing is needed, make recommendations regarding adjustments to current treatment regimens, or refer you to other physicians or consultants. The term EMG is often used to refer to both electromyography and nerve conduction studies. Electromyography is the technique of assessing the health of muscles. Nerve conduction studies assess the health of nerves. Together these techniques are used to investigate and diagnose the entire spectrum of neuromuscular disorders. Our electomyographers use the latest EMG equipment to perform all available specialized EMG techniques, including Quantitative EMG, Blink Reflex, Single Fiber EMG, and others. We use a specialized type of nerve conduction study, called the Jolly

The Yale Pediatric Neuromuscular Program is Connecticut’s only pediatric multidisciplinary program and one of the only five in New England supported by the Muscular Dystrophy Association (MDA). Families of children with muscular dystrophy or other childhood neuromuscular disorders see a multidisciplinary team that includes a neurologist, pediatric cardiologist, pediatric pulmonologist, pediatric orthopedic surgeon, neuromuscular geneticist, pediatric physical and occupational therapist, pediatric psychologist, pharmacist, social worker, dietitian, and care coordinator. There is easy access to other relevant subspecialties such as endocrinology, gastroenterology, and general surgery. Here is a short list of various neuromuscular disorders seen in our clinic: Duchenne and Becker Muscular Dystrophy Spinal Muscular Atrophy Myotonic Dystrophy Limb Girdle Muscular Dystrophies Congenital Myopathies Congenital Muscular Dystrophy Metabolic Myopathies Mitochondrial Myopathies Dermatomyositis Myasthenia Gravis Congenital Myasthenic Syndromes Charcot Marie Tooth Disease CIDP and related disorders Other motor neuron disorders Spastic Paraplegia Arthrogryposis The program offers comprehensive diagnostic evaluations by a fellowship-trained and board-certified pediatric neuromuscular specialist and a neuromuscular geneticist, both with experience in pediatric neuromuscular diseases. State-of-the-art, comprehensive genetic testing, muscle biopsy, pediatric EMG (with or without sedation), and other diagnostic tools are available. We are the only center in the state that offers sedated pediatric EMG. Basic diagnostic imaging, pulmonary function tests, and echocardiography occur on-site. Cardiac MRI is available for our patients on the main campus. The state-of-the-art sleep laboratory is run by our pediatric pulmonologist. The program believes in a holistic and customized approach to caring for patients with various neuromuscular disorders. The program is located at Yale New Haven Children’s Hospital’s Pediatric Specialty Center at One Long Wharf Drive, which is a short drive from Yale New Haven Hospital and has ample free parking and easy access for impaired individuals. The program is recognized as an SMA (Spinal Muscular Atrophy) Care Center by CureSMA and offers all three FDA-approved treatments for SMA (Spinraza®, Zolgensma®, and Evrysdi®). A well-established Spinraza program runs in collaboration with Dr. Michele Johnson of Yale Interventional Radiology and is coordinated by Louise Lanouette, RN. We are the only center in Connecticut that provides access to Spinraza to patients of all ages. The program is also recognized as a Certified Duchenne Care Center by Parent Project Muscular Dystrophy (PPMD). We provide access to all FDA-approved treatments for Duchenne Muscular Dystrophy and other neuromuscular disorders, including gene therapy. The program participates in several clinical trials for Duchenne Muscular Dystrophy and Spinal Mus

Yale’s Department of Neurology has been at the forefront of cutting-edge clinical care and scientific discovery since it began in 1952. It was Yale scientists who discovered the genes that cause Multiple Sclerosis. Yale housed one of the first epilepsy monitoring units in the country, and one of the first stroke centers at its partner, the Veterans Affairs (VA) Center in West Haven. Today, our team of experienced doctors are committed to understanding and treating the entire spectrum of nervous system diseases. Expert physicians specialize in brain and nerve health for both children and adults. Specialized care is offered in the following areas: Amyotrophic lateral sclerosis (ALS), myasthenia gravis, peripheral neuropathy, neuromuscular disorders Alzheimer’s disease/cognitive disorders Epilepsy and neurophysiology General neurology, headache, pain Multiple sclerosis and neuroimmunology Neurodegenerative disorders Neurocritical care Neurological infections Neuro-oncology Parkinson’s disease and movement disorders Stroke and vascular neurology