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 adult & childhood disease syndromes we treat include
        • Motor Neuron Disorders
          • Amyotrophic Lateral Sclerosis (ALS; Lou Gehrig's Disease)
          • Spinal Muscular Atrophy
        • Muscle Disorders
          • Muscular Dystrophy
          • Mitochondrial & Metabolic myopathies
          • Immune & Inflammatory Myopathies
        • Nerve Disorders: Peripheral neuropathies & Pain
        • Neuromuscular Junction: Myasthenia gravis & Myasthenic syndromes
      • Other patients
        • Most have disorders of: Muscle; Peripheral nerve
        • Some have: Ataxia; Spinal cord disorders
      • Neuromuscular Disorder Physicians: All are specialty trained in neuromuscular disorders
    • Our neuromuscular clinic is supported by the Muscular Dystrophy Association (MDA).
      • It is a designated ALS clinic.
    • 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, Nerve & Skin
      • 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
        Fax new patient records to: 314-747-4629
        General 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, if necessary, call 314-362-6981 to discuss the status of your appointment
    • Patient appointments & Other information: Call 314-362-6981
      • New patients: Option 11
      • Appointments (Schedule, Cancel or Confirm): Option 12
      • Medication refill or Pharmacy: Option 13
      • General information: Option 14
      • Clinical research studies: Option 15
      • Talk to a representative, or Urgent referral: Option 20
    • Medical emergency: 314-388-6138

  • 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
    • Electrodiagnostic (EMG & Nerve conduction testing): 314-362-3324
    • Inpatient neuromuscular consultations: Call 314-362-6981, option 20

HELP: Contact information

  • 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

Gowers' sign


  Alan Pestronk (Director, Neuromuscular Division)
  Muhammad Al-Lozi (Director, Electrodiagnostic Lab)
  Julaine Florence (Director, Clinical Studies)
  Glenn Lopate
  Chris Weihl
  Tim Miller: Web Site, ALS Center
  Craig Zaidman (Director, Pediatric Neuromuscular)
  Arun Varadhachary
  R Brian Sommerville
  Robert Bucelli
  Stefanie Geisler
  Cindy Ly
  Andrew Findlay
  Collin Kreple
  Year 1: Mark Garret, Nesreen Jaafar,
              Dina Namiranian, Sean Smith
  Year 2: Anson Wilks
Nurse Practitioners
  Natalie Goedeker
  Rebecca Hopfinger
  Amber Malcolm
Administrative staff: Nicole Alter, June Smith
    Marty Caldera, Kim King, Regina Johnson,
    Jennifer Gibbons, Aimee LaBruyere, Kim Abalos
Laboratory staff: Rati Choksi, Ruma Banerjee,
    Robyn Reese, Shobhna Mehta, Gary Mueller
    Lori Worley, Julia Sim, Beth Streif, Eunju Kim
    Kristina Schwab, Tina Chisholm, Becky Plant
    Darcy Mahoney
Clinic & Trials group: Julaine Florence, June Smith,
    Stephanie Poelker, Krystal Reese, Alyssa Sonsoucie,
    Abby Yenzer, Monique Costello, Oliver Doerr
    Jennifer Jockel-Balsarotti, Pallavi Anand
    Natalie Goedeker, Becca Oschwald, Whitney Roper
    Amber Malcolm, Bill Buell
Rehabilitation Services: Abby Yenzer,
    Stephanie Poelker, Rob Hails, Julaine Florence,
    Whitney Roper, Katie Rybczynski, Carrie Mosley
Muscular Dystrophy Association (MDA):
    Therese Gabriel, Rachel Claudin

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.

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

    Amyotrophic lateral sclerosis
Treatment trials & Natural history studies*
    Neuromuscular Disease Project: Healthy volunteers & Patients with NM disorders
Cerebrospinal fluid repository*
    Neuromuscular Genetics Project: Hereditary Disorders
Motor Neuron Disease (ALS)*
Nerve Disease*
Muscle Disease*
Multifocal motor neuropathy: Rituximab treatment
Anti-MAG neuropathy: Rituximab treatment
Waldenström's macroglobulinemia
Sjögren syndrome
    Spinal muscular atrophy
Spinraza ((nusinersen)
Sodium phenylbutyrate treatment for children
Valproate treatment for adults
Quality of life
    Duchenne muscular dystrophy
Quality of life
Genetic diagnosis*
GSK DMD 114876 Oligonucleotide treatment
Cardiomyopathy: Losartan vs Lisinopril
    Inherited myopathy: Other
Acid maltase: Diagnostic and treatment study
Limb-Girdle muscular dystrophy: Diagnostic and natural history study*
Distal myopathy + Paget's disease: Clinical and Genetic study*
Periodic paralysis: Dichlorphenamide
Ultrasound evaluation of muscle & nerve*
HIBM, GNE mutations: Treatment trial
    Immune & inflammatory myopathies
Myositis-specific antibodies: Clinical & pathological correlations
Dermatomyositis: Treatment trials
Dermatomyositis & Polymyositis: Pathology
Inclusion body myositis: Etanercept (Enbrel) treatment
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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