Stuart H. Isaacson, MD, FAAN
Articles by Stuart H. Isaacson, MD, FAAN

Clinical Nurse Educators, Dosing Titrations to Manage Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how clinical nurse educators serve as vital partners in continuous subcutaneous apomorphine infusion management, providing patient education, troubleshooting technical issues, and collaborating with physicians on dosing titrations to optimize Parkinson disease symptom control.

Patient Conversation and Adoption of CSAI in Clinical Practice
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how comprehensive education and training resources are essential for clinicians, patients, and caregivers to successfully implement continuous subcutaneous infusion systems in Parkinson disease management.

Place of Recent Approvals in Parkinson Disease Management
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how recent approvals of novel delivery systems are reshaping the treatment landscape for Parkinson disease by addressing unmet needs in managing motor fluctuations.

Clinical Experience With CSAI for Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how their clinical experience with continuous subcutaneous infusion therapies has informed their approach to integrating these treatments into existing regimens, including strategies for medication adjustments and valuable lessons from European clinical practice that could benefit US clinicians.

Place of Continuous Subcutaneous Infusion Systems in Parkinson Disease Management
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how continuous subcutaneous infusion systems should be strategically positioned within Parkinson disease management, typically as options for patients with advanced disease experiencing motor fluctuations despite optimized oral therapy.

Continuous Subcutaneous Infusion Systems for Parkinson Disease and Patient Selection Criteria
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how the newly FDA-approved continuous subcutaneous levodopa infusion system (foscarbidopa/foslevodopa) offers another advanced treatment option, exploring the ideal candidates for these continuous infusion therapies based on disease characteristics, previous treatment responses, and patient preferences.

CSAI and INFUS-ON Study for Treatment of Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how the recently FDA-approved SPN-830 apomorphine infusion pump demonstrated significant efficacy in reducing off time and improving motor function in the INFUS-ON study, with physicians expressing optimistic views about both the US and European clinical trial results.

Continuous Subcutaneous Apomorphine Infusion (CSAI) and TOLEDO Study in Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how continuous subcutaneous apomorphine infusion (CSAI) demonstrates favorable pharmacokinetics compared with other formulations, with the TOLEDO study and its extension showing significant reductions in off time and improvements in motor function with manageable safety profiles.

Adjunctive Treatments and Apomorphine for Treatment of Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how adjunctive therapies play a crucial role in managing Parkinson disease symptoms, with a particular focus on apomorphine’s unique position in the treatment landscape due to its distinct dopamine receptor binding profile compared with other dopaminergic agents.

Advanced Treatment Options in Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how physicians typically consider advanced Parkinson disease treatments when conventional therapies fail to adequately control motor fluctuations, highlighting challenges such as adverse effects, device-related complications, and patient selection criteria.

Conversations About Off Time In Patients With Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how physicians approach conversations about off time with patients with Parkinson disease, balancing clinical assessment with patient education and shared decision-making.

Recognition of Off Episodes in Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how understanding and communication of off episodes for patients with Parkinson disease varies widely in clinical settings, often hindering optimal symptom management.

Adjusting and Changing Treatment Regimens in Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how treatment changes in Parkinson disease are necessitated by disease progression, diminishing medication effectiveness, and emerging motor complications, examining a physician’s systematic approach to treatment adjustments and the range of available options for managing off fluctuations.

Off Fluctuations in Parkinson Disease
ByStuart H. Isaacson, MD, FAAN,Daniel E. Kremens, MD, JD,Jill Ostrem, MD,Robert A. Hauser, MD, MBA,Rajesh Pahwa, MD Panelists discuss how off fluctuations in Parkinson disease become increasingly prevalent as the disease progresses, significantly impacting patient quality of life through reduced mobility, independence, and overall well-being.

The director of the Parkinson’s Disease and Movement Disorders Center of Boca Raton, Florida, commented on the promising safety of SPN-830 and who may be best suited for treatment with the newly approved therapy. [WATCH TIME: 4 minutes]

The director of the Parkinson’s Disease and Movement Disorders Center of Boca Roaton, Florida, gave clinical insight on the function of a newly approved therapy for Parkinson disease, a common neurodegenerative disorder. [WATCH TIME: 3 minutes]

The director of the Parkinson’s Disease and Movement Disorders Center of Boca Raton, Florida, discussed SPN-830, the first and only FDA-approved subcutaneous apomorphine infusion device for patients with Parkinson disease. [WATCH TIME: 2 minutes]


Dr. Isaacson discusses how health care providers can effectively balance the pharmacological properties of approved therapies for Parkinson's disease with patient preferences and comfort levels by fostering open communication and individualized care approaches.

Dr. Isaacson discusses how physicians can effectively integrate wellness strategies such as nutrition and exercise into treatment plans for Parkinson's disease (PD), encourage patient adherence to these habits alongside pharmacological therapy, and leverage advocacy groups as vital resources for both patients and health care professionals (HCPs) in navigating wellness and care management.

Dr. Isaacson discusses the challenges of delivering patient-centric care to individuals with Parkinson's disease (PD), alongside the evidence supporting improved symptom management through the combination of pharmacological therapies and wellness strategies.

Dr. Isaacson discusses how patient-centric, personalized care in Parkinson's Ddisease (PD) focuses on tailoring treatment to individual patient needs and preferences, contrasting with pharmacological-centered care by emphasizing shared decision-making and the holistic integration of wellness strategies.

Stuart Isaacson, MD, Rajesh Pahwa, MD, and Jennifer Goldman, MD discuss optimizing PD treatment with levodopa and adjunct therapies, addressing patient and pharmacologic challenges, coordinating care, and anticipating the impact of emerging therapies and upcoming Medicare Part D changes.

Stuart Isaacson, MD, Rajesh Pahwa, MD, and Jennifer Goldman, MD discuss optimizing PD treatment with levodopa and adjunct therapies, addressing patient and pharmacologic challenges, coordinating care, and anticipating the impact of emerging therapies and upcoming Medicare Part D changes.

Drs Isaacson, Pahwa, and Gupta discuss the management of dyskinesia and providing good ON time in Parkinson’s disease, sharing practical tips for early identification and treatment of dyskinesia, as well as their experience with current treatments.

Drs Isaacson, Pahwa, and Gupta discuss the management of dyskinesia and providing good ON time in Parkinson’s disease, sharing practical tips for early identification and treatment of dyskinesia, as well as their experience with current treatments.

The neurology experts discuss the importance of early and accurate diagnosis of Parkinson’s disease, the role of alpha-synuclein in the diagnosis of synucleinopathies and approaches to implementing screening protocols in clinical practice.

The neurology experts discuss the importance of early and accurate diagnosis of Parkinson’s disease, the role of alpha-synuclein in the diagnosis of synucleinopathies and approaches to implementing screening protocols in clinical practice.

Expert neurologists discuss strategies to widen the therapeutic window of Parkinson’s disease and options available to treat dyskinesia, providing better control of Parkinson’s disease.

Expert neurologists discuss strategies to widen the therapeutic window of Parkinson’s disease and options available to treat dyskinesia, providing better control of Parkinson’s disease.