Overview & Personnel


  Appointments & Care
  Telephone instructions
Clinical Laboratory
Clinical trials
Electrodiagnostic testing
Laboratory testing

Neuromuscular Division
660 South Euclid Avenue
Box 8111-Neurology
Saint Louis, MO 63110

Phone: 314-362-6981
Fax numbers
  General: 314-362-3752
  Clinical laboratory: 314-362-3413
Web site


Saint Louis


Our Neuromuscular Group conducts a variety of activities

  • General information
    • We treat over 2,000 outpatients each year in our Neuromuscular Clinic at Washington University in Saint Louis.
      • Specific disease syndromes treated include
        • Motor Neuron Disorders: ALS - Lou Gehrig's Disease; Spinal Muscular Atrophy & Others
        • Muscle Disorders: Including Muscular Dystrophy, Mitochondrial & Immune & Inflammatory Myopathies
        • Nerve Disorders: Peripheral neuropathies & Pain
        • Neuromuscular Junction: Myasthenia gravis & Myasthenic syndromes
      • Most other patients have disorders of muscle or peripheral nerve
      • We also see some patients with ataxia or spinal cord disorders
    • Our neuromuscular clinic is supported by the Muscular Dystrophy Association (MDA).
      • It is a designated ALS clinic.
    • 12 Physicians: All are specialty trained in neuromuscular disorders
    • A full range of available services includes
      • Medical Diagnostic & Treatment
      • Physical & Occupational therapy
      • Respiratory care
      • Nutritional, Swallowing & Speech services
      • Cardiac evaluation
      • Orthotics
      • Social work
      • Medical & Rehabilitation supplies
      • Wheelchair evaluation.
      • Ultrasound: Neuromuscular
      • Electrodiagnostics: Neuromuscular
      • Pathology: Muscle, Skin & Nerve
      • Autoantibody testing: Neuromuscular
      • Clinical Research: Testing & Evaluation
      • Genetics: Neuromuscular
      • Muscular Dystrophy Association (MDA) services
        • For all covered MDA-related disorders
        • The MDA is the only ALS service organization in Saint Louis committed
            to provide all their services for all ALS patients and families

  • Clinic Appointments: New Patient
    • Please send or fax medical records to
        Neuromuscular Disease Center
        Box 8111-Neurology
        660 South Euclid Avenue
        Saint Louis, MO 63110
        Phone: 314-362-6981; Fax: 314-362-3752
    • It is very helpful if the records include
      • A diagnosis or reason for referral
      • A recent history and physical examination by a neurologist
      • Insurance information
      • The name and address of referring physician(s) to whom we can send our reports
    • After two weeks call 314-362-6981 to discuss the status of your appointment
    • If there is a need for an urgent appointment
      • Please have your physician call us: 314-362-6981, option 5
    • Other information about new patient appointments
      • Call us at 314-362-6981 and choose option 1: Listen to directions

  • Telephone Instructions

  • Clinic visits: Patients should come to
    • The Center for Advanced Medicine (Forest Park & Euclid), 6th floor
    • Parking: North garage on Euclid Ave
    • Maps

  • Clinic appointments: Other

  • Our active electrodiagnostic service (314-362-3324) studies 2,500 patients per year.
  • Available tests include
    • Electromyography
    • Nerve conduction studies
    • Repetitive nerve stimulation
    • Single fiber EMG
    • Quantitative sensory evaluation
    • Autonomic testing
    • Ultrasound: Nerve & Muscle
  • More information: See WUP website

HELP: Contact information

Gowers' sign


  Alan Pestronk (Director, Neuromuscular Division)
  Muhammad Al-Lozi (Director, Electrodiagnostic Lab)
  Julaine Florence (Director, Clinical Studies)
  Anne Connolly
  Glenn Lopate
  Paul Golumbek
  Chris Weihl: Web Site
  Tim Miller: Web Site
  Matt Harms
  Craig Zaidman
  Arun Varadhachary
  R Brian Sommerville
  Robert Bucelli
  Year 1: Bassam Malo, Declan O'Rourke,
    Amir Sabouri, Cindy Ly, Kay Ng
  Year 2 or 3: Stefanie Geisler, Taha Bali, Ali Alshehri,
    Linga Vinay Reddy
Administrative staff: Traci Christenson, Pat Foerstel,
    Marty Caldera, Tina Chisholm, Regina Johnson,
    Alyssa Sonsoucie, Becky Nguyen, Laurie Doyle
Laboratory staff: Rati Choksi, Ruma Banerjee,
    Robyn Reese, Beth Streif, Shobhna Mehta,
    Richard Keeling, Khristina Gutting, Gary Mueller
Clinical trials group: Julaine Florence, Reneé Renna,
    Jeanine Schierbecker, Betsy Malkus, Krystal Reese
    Catherine Seiner, Linda Schimmoeller, Pallavi Anand
    Jennifer Jockel-Balsarotti, Becca Gadeken
Rehabilitation Services: Jeanine Schierbecker,
    Catherine Seiner, Rob Hails, Julaine Florence
    Reneé Renna, Katie Rybczynski, Carrie Mosley
Muscular Dystrophy Association (MDA) Coordinators:
    Therese Gabriel, Monica Meriwether, Toni Hails

MDA Telethon: September 2010

  Neuromuscular Group
  Former Neuromuscular Fellows


NEUROMUSCULAR RESEARCH: Our research spans a wide range of clinical and basic topics.
We study disorders of the spinal cord, peripheral nerve, neuromuscular junction and muscle.
Disorders under study include:
  Immune mechanisms and autoantibodies in neuromuscular disorders.
  Hereditary disorders of the spinal cord, nerve, neuromuscular junction and muscle.
  Clinical trials of medications and trophic factors in neuromuscular disorders.

Active clinical studies & trials at the Neuromuscular Disease Center at Washington University include  

 INFORMATION: Call Ms. Traci Christenson at 314-362-6981, Option 5
  * Open to new patients

    Neuromuscular Genetics Project: Hereditary Disorders
l Motor Neuron Disease (ALS)*
l Nerve Disease*
l Muscle Disease*
l Multifocal motor neuropathy: Rituximab treatment
l Anti-MAG neuropathy: Rituximab treatment
l Waldenström's macroglobulinemia
l Sjögren syndrome
    Amyotrophic lateral sclerosis
l Biogen-IDEC (Knopp): Dexpramipexole
l Genetics & Genetic modifiers*
l Ceftriaxone
l Creatine + Tamoxifen
l SOD1-ALS: Genetic therapy
l GSK 1223249
    Spinal muscular atrophy
l Sodium phenylbutyrate treatment for children
l Valproate treatment for adults
l Quality of life
    Duchenne muscular dystrophy
l Quality of life
l Genetic diagnosis*
l GSK DMD 114876 Oligonucleotide treatment
l Cardiomyopathy: Losartan vs Lisinopril
    Inherited myopathy: Other
l Acid maltase: Diagnostic and treatment study
l Limb-Girdle muscular dystrophy: Diagnostic and natural history study*
l Distal myopathy + Paget's disease: Clinical and Genetic study*
l Periodic paralysis: Dichlorphenamide
l Ultrasound evaluation of muscle & nerve*
l HIBM, GNE mutations: Treatment trial
    Immune & inflammatory myopathies
l Myositis-specific antibodies: Clinical & pathological correlations*
l Dermatomyositis: Treatment trials
l Dermatomyositis & Polymyositis: Pathology and Natural history study*
l Inclusion body myositis: Etanercept (Enbrel) treatment*
l Myasthenia gravis: Genome-wide association study

Conferences and Teaching include
  • Neuromuscular Grand rounds (monthly; 1st Wednesday of each month 8 am)
  • Clinic patient review (weekly)
  • Clinical rounds (4 times weekly);
  • Electrodiagnostic
    • Clinical conference (Al-Lozi; weekly)
    • Basic EMG & Nerve conduction conference (Al-Lozi et al.; weekly)
    • Electrophysiology teaching conference (weekly)
  • Muscle and Nerve biopsy
    • Reading (weekly; Saturday mornings)
    • Teaching & Unknowns (weekly; Wednesday 2:45 pm)
  • Neuromuscular Journal Club (weekly; Friday 12:30 pm),
  • Laboratory meetings (Pestronk; weekly); (Basic group; 2x/month)

Fellowships in neuromuscular diseases, electrodiagnosis and research are provided.
To apply send a personal letter and 3 letters of recommendation to
    Dr. A Pestronk (Neuromuscular Fellowship)
    Dr. M Al-Lozi (Neuromuscular Electrodiagnostic Fellowship)
Rotations (2 months) for residents in neurology and rehabilitation are available.

Guidelines for Autoantibody Testing:
Motor Syndromes
Anti-Sulfatide Antibodies
Anti-MAG Antibodies

The staff of the neuromuscular division also has a sense of humor.

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