Department of Neurology




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Neuroscience Center

Suite 201
2130 W. Central Ave.

Academic Office:


The Center for Neurological Disorders - The Nerve and Muscle Program

Noor Pirzada, M.D.
B. Moreau Koffman, M.D., Ph.D. 
Academic office: (419) 291-0396
Clinic appointments: (419) 291-3900

Evaluation and treatment of patients with a wide variety of neuromuscular diseases  

Neuromuscular Clinics:
We evaluate, work up, and treat patients with a wide variety of neuromuscular diseases. Examples of such diseases include Guillain-Barre syndrome, myasthenia gravis, Lou Gehrig's disease, and muscular dystrophy.  EMG and nerve conduction studies and muscle biopsies are performed whenever necessary.  The full range of available services includes; medical, physical, and occupational therapy, respiratory and nutritional care, orthotics, social work, and medical and rehabilitation supplies.

EMG and Nerve Conduction Studies:
The neuromuscular program provides a state of the art EMG laboratory, performing routine, as well as specialized nerve conduction and electromyographic studies.  In addition to the faculty, the lab is staffed by two experienced and certified technologists.

The Neuromuscular Division provides chemodenervation therapy for various movement disorders.  Botulinum toxin therapy is available for focal dystonias, such as spasmodic torticollis, blepharospasm, and writer's cramp and also for disorders such as hemifacial spasm. Patients who do not respond to botulinum toxin or who become resistant to it, receive injections of phenol.  Chemo denervation is performed under EMG guidance, ensuring that the most active muscles are injected. 

The Neuromuscular Division of the University of Toledo is active in clinical research and was part of a multi center trial evaluating the effects of recombinant human nerve growth factor on diabetic neuropathy.  

Teaching activities:
The Neuromuscular Division is actively involved in education of neurology residents, medical residents, as well as students.  In addition to giving lectures on various neuromuscular topics at the University of Toledo and affiliated hospitals, the Division provides comprehensive training in EMG and nerve conduction studies for neurology residents during their two month rotation. It is also possible for residents from other interested specialties to arrange a rotation in the EMG laboratory.

Last Updated: 4/17/19