Research shaping
the future of
neuroscience

FIND OUT MORE

Specialist clinics
improving
quality of life

FIND OUT MORE

The Clinics at the Perron Institute provide diagnosis, management and treatments for patients with complex and usually long term, neurological and neuromuscular conditions.

The Perron Institute Clinics

The Clinics at the Perron Institute provide diagnosis, management and treatments for patients with complex and usually long term, neurological and neuromuscular diseases.

Such conditions include Parkinson’s disease and other movement disorders such as Essential Tremor and dystonia, Multiple Sclerosis, Inflammatory Muscle Diseases including Inclusion Body Myositis and polymyositis as well as a variety of unusual and rare muscle and nerve diseases. More recently the Clinic service has expanded to include a post-stroke/cerebral palsy Spasticity Clinic and the Refractory Epilepsy service has also been re-established.

The Clinics are staffed by Consultant neurologists who are renowned for their research in the special interest areas and as a result many patients have access to research projects and clinical studies. The Clinics have nursing and Allied health support from within the Institute, from Sir Charles Gairdner Hospital and from external agencies such as the MS Society and the Parkinson’s disease Association. It is this multidisciplinary team approach which allows the patient to be well cared for holistically.

As well as ongoing clinical support for patients the Clinic is also involved in clinical drug trials and observational studies. These are quite often national or international studies and participants are identified via the Clinic service.

Perron Institute | Stroke Clinics

Referrals to the Perron Institute Clinic

All clinic appointments are bulk billed to Medicare so every patient is required to have a current referral from the GP or specialist. The preferred specialist should be named on the referral. Once the referral is received by clinic staff an appointment will be generated in a timely manner. The Perron Institute clinics are not an acute, emergency clinical service and so wait times for appointments can be expected.

Without a current referral, patients will not be able to be allocated an appointment.

Whilst primarily being a clinical management area the Clinics’ provide the human face for research within the Institute.

Contact Details

Address:

Ground Floor, RR Block, QE II Medical Centre
8 Verdun Street, Nedlands,
Western Australia 6009

Phone: (08) 6457 0200

Fax: (08) 6457 0281

Email: clinic@perron.uwa.edu.au

Location

Clinics Available

Clinical Trials at the Perron Institute

An important component of the Clinical service at the Perron Institute is to provide patients with the opportunity to participate in Clinical trials both Pharmaceutical sponsored studies and Investigator driven studies. The Perron Institute has a very long history of Clinical trial involvement and 2015 was no exception with the number of clinical research opportunities expanding within all clinical areas. Our large clinical database catering for patients with specific neurological conditions, as well as our very experienced Investigators, are a drawcard for pharmaceutical companies selecting sites for major studies.

See our list of clinical trials.

Please see your current neurologist to be referred to the Perron Institute for pre-screening eligibility.

Multiple Sclerosis Clinics

The Perron Institute Multiple Sclerosis Clinics provide comprehensive services for the accurate diagnosis and effective treatment for individuals with multiple sclerosis (MS) and other neuroimmunological disorders of the central nervous system.

Four clinics operate per week and link clinical management with research project participation including Clinical drug trials. These clinics are the only dedicated MS Clinics in WA.

The clinic aims to offer a neurological service for people with MS:

  • Initial comprehensive neurological assessment
  • Referrals for diagnostic tests, investigations, support services, and allied health care providers
  • Regular follow up consultations and individualized treatment plan
  • Access to MS nurses during and between clinic visits for ongoing support

Who could benefit from this clinic?

  • Anyone with a diagnosis of possible or definite MS
  • People with MS looking for a specialised service
  • People who would like to participate in MS research

Professor Allan Kermode, Professor William Carroll, Dr Jason Burton and Dr Rajini Rajanayagam, are our neurologists with subspecialty expertise in the diagnosis and management of multiple sclerosis who provide the service and they are supported by MS nurses from the Multiple Sclerosis Society of WA.

Movement Disorders Clinics

The Movement Disorders Clinics at the Perron Institute provide comprehensive management and treatment for people with a movement disorder, including very complex cases.

Movement disorders can be relentlessly progressive and disabling conditions. Untreatable a mere 50 years ago, there has been steady progress in the treatment of these conditions since. Recent advances in our understanding of the mechanisms of these disorders have lead to tremendous progress in treatment — both medical and surgical.

Movement Disorders specialists, Dr Rick Stell, Dr Soumya Ghosh, Dr Julian Rodrigues and Dr Rajini Rajanayagam provide diagnostic and treatment based services and patients have access to advanced therapies in the management of their disease including Deep Brain Stimulation, Duodopa therapy, apomine therapy and botulinium toxin treatments.

Types of Movement Disorders

  • Dystonia is a neurological condition with a very broad range of manifestations. The basic underlying problem involves over-activity of the main muscles needed for a movement, extra activation of other muscles that are not needed for the movement, and simultaneous activation of muscles that work against each other.
  • Essential tremor (ET) is the most common movement disorder. It is a progressive, often inherited disorder that usually begins in later adulthood. Patients with ET typically experience tremors when the arms are held up and when the hands are being used for activities like eating, drinking or writing.
  • Parkinson’s is the most common form of parkinsonism, a group of motor system disorders. It is a slowly progressing, degenerative disease which results from the loss of dopamine-producing brain cells.

Neuromuscular Clinic

The Neuromuscular Clinic at the Perron Institute, also known as the Inflammatory Myopathies Clinic provides comprehensive management and treatment for people with inflammatory myopathy. Myopathy is a term used to describe any form of muscle disease and the inflammatory myopathies are a group of diseases that involve chronic muscle inflammation (myositis) accompanied by muscle weakness.

There are three main types of chronic or persistent inflammatory myopathy; polymyositis, dermatomyositis, and inclusion body myositis.

Muscle inflammation may be caused by an allergic reaction, exposure to a toxic substance or medicine, another disease such as cancer or rheumatic conditions, or a virus or other infectious agent.  The chronic inflammatory myopathies are idiopathic, meaning they have no known cause.  They are thought to be autoimmune disorders, in which the body’s white blood cells (that normally fight disease) attack blood vessels, normal muscle fibers, and connective tissue in organs, bones, and joints.

Dr Merrilee Needham is our consultant neurologist with subspecialty expertise in the diagnosis and management of inflammatory myopathies.

Motor Neurone Disease Clinics

The Motor Neurone Disease (MND) Clinics at the Perron Institute provide multidisciplinary care including allied health support from SCGH speech pathology, dietitian, and physiotherapy departments. The clinics also work closely with the SCGH Gastroenterology Department and the Respiratory and Sleep Disorders Clinics.

Reviews to anticipate and solve any problems occur usually 3 monthly or as required.

Referrals are made to Community Services to provide assistance in the home especially through CAEP [Community Aids and Equipment Program], with local Occupational Therapy services and with the Silver Chain Hospice Palliative Care when appropriate. A report is sent to the patient, GP, and other collaborators after each visit, to keep everyone up-to-date on the current status and management plan.

Clinic patients are also offered opportunities to participate in MND research projects.

Who could benefit from this clinic?

  • People with MND looking for multidisciplinary care
  • People who would like to participate in MND research

Dr Robert Edis is our neurologist with subspecialty expertise in the diagnosis and management of MND and offers multidisciplinary care in close collaboration with the Motor Neurone disease Association of WA Advisors, and for patients under 65 years of age at onset of the disease, with the Community Neurological Nurse as part of the NCCCP [Neurodegenerative Conditions Coordinated Care Program].

Stroke Clinic

The Stroke Clinic at the Perron Institute provides a comprehensive and ongoing service for people who have suffered from a stroke. This includes:

  • Complex cases requiring a diagnostic or management opinion
  • Ongoing care of people with stroke related disabilities including language, mobility and cognitive issues, pain, spasticity and seizures
  • Assessment of people discharged from rehabilitation services (e.g. from Fiona Stanley Hospital and Osbourne Park Hospital), for further rehabilitation and ongoing care
  • People interested in and suitable for clinical trials
  • People interested in and suitable for emerging restorative neurology programmes; e.g. robotics and virtual reality

Dr David Blacker is our neurologist with subspecialty expertise in the diagnosis and management of stroke.

Clinicians

Epilepsy Clinics

The Perron Institute Epilepsy Clinics provide a dedicated service for the comprehensive management of people with various forms of epilepsy. Historically, these clinics focused on people with refractory epilepsy, also known as drug-resistant epilepsy.

Our epilepsy clinics assess and manage people with:

  • Childhood onset epilepsy as they transition to adulthood
  • Long-standing (chronic) epilepsy
  • Complex epilepsy (such as epilepsy occurring in people with autism or learning disability)
  • Epilepsy in pregnancy

The three weekly clinics offer:

  • Initial comprehensive neurological assessment
  • Personalised treatment plan and regular follow up
  • Referrals for diagnostic tests, such as MRI and EEG
  • Referrals to other specialists, such as neuropsychiatrists
  • Referrals to other health care professionals, such psychologists, speech pathologists and physiotherapists
  • Access to an Epilepsy Nurse Specialist between visits for ongoing support and advice

Who could benefit from this clinic?

  • Anyone with a diagnosis of epilepsy
  • People with epilepsy looking for a specialised service
  • People whose epilepsy is difficult to treat

Dr Athanasios Gaitatzis and Dr Janavi Dunuwille are neurologists with subspecialty training and expertise in the diagnosis and management of epilepsy.

NEW Fast-track, One-stop Epilepsy & Pregnancy Clinic

This new Epilepsy and Pregnancy clinic, the first of its kind in Australia, will run fortnightly by Dr Gaitatzis at the Perron Institute from November 2017. The clinic aims to provide specialist advice to women with epilepsy of childbearing age with focus on pregnancy-related issues.

This clinic aims to:

  1. Provide information about epilepsy issues in women such as polycystic ovaries, contraception, menstruation, and menopause.
  2. Provide advice about starting a family (prepregnancy advice)
  3. Provide rapid access to pregnant women about medications, risks to mother and baby, and breastfeeding.

Other benefits of the clinic:

  1. The clinic is supported by the Epilepsy Nurse Specialist
  2. Connection with Epilepsy Action and the Australian Epilepsy Pregnancy Register

To arrange an appointment, please obtain a referral from your GP, Obstetrician, Neurologist or Obstetric Physician and send it to us via email, letter or fax.

© Copyright 2017 - perroninstitute.org