Dr. Richard Barbano is a Professor of Neurology, Chief of the Movement Disorders Division, and Associate Chair for Regional Development at the University of Rochester, Rochester, New York. He has been at the University of Rochester since 1993, and over the years has developed a special interest in the evaluation, treatment, and long term care of patients with dystonia. This evolved into an interest in movement disorders in general, including Parkinson's disease, tremor, Huntington's disease and other movement disorders. He has been the Director of the Botulinum Toxin Clinic since 1995. He is a long-term adapter in the use of botulinum toxins in the treatment of neurologic disorders. He actively participates in projects aimed at better understanding movement disorders as well as those aimed at developing and improving treatment options.

Faculty Appointments

Professor (Part-Time) - Department of Neurology, Movement Disorders (SMD)

Credentials

Residency & Fellowship

Residency, Neurology, Columbia University Irving Medical Center. 1990 - 1993

Internship, Internal Medicine, UPMC Montefiore University Hospital. 1989 - 1990

Education

MD | Yeshiva University Albert Einstein College of Medicine. 1989

PHD | Northwestern University Feinberg School of Medicine. 1985

Awards

Patient Satisfaction Award, Strong Memorial Hospital. 2013

Fellow, American Academy of Neurology. 2005

Neurology Faculty Residency Teaching Award. 1994 - 1995

Andrew Doyle Memorial Award for Excellence in Neurology. 1989

International Health Fellowship Award recipient to study health care in Chile, SA. 1989

Magna Cum Laude, State University of New York at Albany. 1979

Publications

Journal Articles

Hold that pose: capturing cervical dystonia's head deviation severity from video.

Zhang Z, Cisneros E, Lee HY, Vu JP, Chen Q, Benadof CN, Whitehill J, Rouzbehani R, Sy DT, Huang JS, Sejnowski TJ, Jankovic J, Factor S, Goetz CG, Barbano RL, Perlmutter JS, Jinnah HA, Berman BD, Richardson SP, Stebbins GT, Comella CL, Peterson DA

Annals of clinical and translational neurology.. 2022 March 25 Epub 03/25/2022.

Current Guidelines for Classifying and Diagnosing Cervical Dystonia: Empirical Evidence and Recommendations.

Kilic-Berkmen G, Pirio Richardson S, Perlmutter JS, Hallett M, Klein C, Wagle-Shukla A, Malaty IA, Reich SG, Berman BD, Feuerstein J, Vidailhet M, Roze E, Jankovic J, Mahajan A, Espay AJ, Barbano RL, LeDoux MS, Pantelyat A, Frank S, Stover N, Berardelli A, Leegwater-Kim J, Defazio G, Norris SA, Jinnah HA,

Movement disorders clinical practice.. 2022 February 9 (2):183-190. Epub 12/01/2021.

Head tremor in cervical dystonia: Quantifying severity with computer vision.

Vu JP, Cisneros E, Lee HY, Le L, Chen Q, Guo XA, Rouzbehani R, Jankovic J, Factor S, Goetz CG, Barbano RL, Perlmutter JS, Jinnah HA, Pirio Richardson S, Stebbins GT, Elble R, Comella CL, Peterson DA

Journal of the neurological sciences.. 2022 January 22434 :120154. Epub 01/22/2022.

Non-motor phenotypic subgroups in adult-onset idiopathic, isolated, focal cervical dystonia.

Wadon ME, Bailey GA, Yilmaz Z, Hubbard E, AlSaeed M, Robinson A, McLauchlan D, Barbano RL, Marsh L, Factor SA, Fox SH, Adler CH, Rodriguez RL, Comella CL, Reich SG, Severt WL, Goetz CG, Perlmutter JS, Jinnah HA, Harding KE, Sandor C, Peall KJ

Brain and behavior.. 2021 July 21 Epub 07/21/2021.

Does Raising the Arms Modify Head Tremor Severity in Cervical Dystonia?

Cisneros E, Vu JP, Lee HY, Chen Q, Benadof CN, Zhang Z, Pettitt EA, Joshi SK, Barbano RL, Jankovic J, Jinnah HA, Perlmutter JS, Berman BD, Mahajan A, Goetz CG, Stebbins GT, Comella CL, Peterson DA

Tremor and other hyperkinetic movements.. 2021 June 2311 :21. Epub 06/23/2021.

2019-2020: A Message From the Editors to Our Reviewers.

Corboy JR, Jones EC, Barbano RL, Anderson DC

Neurology. Clinical practice.. 2021 February 11 (1):e1-e5. Epub 1900 01 01.

Head tremor and pain in cervical dystonia.

Vu JP, Lee HY, Chen Q, Cisneros E, Barbano RL, Goetz CG, Jankovic J, Jinnah HA, Perlmutter JS, Berman BD, Appelbaum MI, Stebbins GT, Comella CL, Peterson DA

Journal of neurology.. 2021 January 8 Epub 01/08/2021.

It's tricky: Rating alleviating maneuvers in cervical dystonia.

Cisneros E, Stebbins GT, Chen Q, Vu JP, Benadof CN, Zhang Z, Barbano RL, Fox SH, Goetz CG, Jankovic J, Jinnah HA, Perlmutter JS, Adler CH, Factor SA, Reich SG, Rodriguez R, Severt LL, Stover NP, Berman BD, Comella CL, Peterson DA

Journal of the neurological sciences.. 2020 November 1419 :117205. Epub 11/01/2020.

Dystonia & tremor: A cross-sectional study of the dystonia coalition cohort.

Shaikh AG, Beylergil SB, Scorr L, Kilic-Berkmen G, Freeman A, Klein C, Junker J, Loens S, Brüggemann N, Münchau A, Bäumer T, Vidailhet M, Roze E, Bonnet C, Jankovic J, Jimenez-Shahed J, Patel N, Marsh L, Comella C, Barbano RL, Berman BD, Malaty I, Shukla AW, Reich SG, Ledoux MS, Berardelli A, Ferrazzano G, Stover N, Ondo W, Richardson SP, Saunders-Pullman R, Mari Z, Agarwal P, Adler C, Chouinard S, Fox SH, Brashear A, Truong D, Suchowersky O, Frank S, Factor S, Perlmutter J, Jinnah HA

Neurology.. 2020 October 12 Epub 10/12/2020.

Postural Directionality and Head Tremor in Cervical Dystonia.

Chen Q, Vu JP, Cisneros E, Benadof CN, Zhang Z, Barbano RL, Goetz CG, Jankovic J, Jinnah HA, Perlmutter JS, Appelbaum MI, Stebbins GT, Comella CL, Peterson DA

Tremor and other hyperkinetic movements.. 2020 10 Epub 01/20/2020.

Risk of spread in adult-onset isolated focal dystonia: a prospective international cohort study.

Perlmutter JS, Sillau SH, Pirio Richardson S, Norris SA, Junker J, Brüggemann N, Agarwal P, Barbano RL, Espay AJ, Vizcarra JA, Klein C, Bäumer T, Loens S, Reich SG, Vidailhet M, Bonnet C, Roze E, Jinnah HA, Groth CL, Berman BD

Journal of neurology, neurosurgery, and psychiatry.. 2019 December 17 Epub 12/17/2019.

Message from the Editors to our Reviewers.

Corboy JR, Powers LB, Anderson DC, Barbano RL

Neurology. Clinical practice.. 2019 April 9 (2):90-92. Epub 1900 01 01.

Message from the Editors to our Reviewers.

Corboy JR, Powers LB, Anderson DC, Barbano RL

Neurology. Clinical practice.. 2018 February 8 (1):2-3. Epub 1900 01 01.

Chronic diphenhydramine abuse and withdrawal: A diagnostic challenge.

Saran JS, Barbano RL, Schult R, Wiegand TJ, Selioutski O

Neurology. Clinical practice.. 2017 October 7 (5):439-441. Epub 1900 01 01.

Dystonia treatment: Patterns of medication use in an international cohort.

Pirio Richardson S, Wegele AR, Skipper B, Deligtisch A, Jinnah HA,

Neurology.. 2017 February 788 (6):543-550. Epub 01/11/2017.

Clinical and demographic characteristics related to onset site and spread of cervical dystonia.

Norris SA, Jinnah HA, Espay AJ, Klein C, Brüggemann N, Barbano RL, Malaty IA, Rodriguez RL, Vidailhet M, Roze E, Reich SG, Berman BD, LeDoux MS, Richardson SP, Agarwal P, Mari Z, Ondo WG, Shih LC, Fox SH, Berardelli A, Testa CM, Cheng FC, Truong D, Nahab FB, Xie T, Hallett M, Rosen AR, Wright LJ, Perlmutter JS

Movement disorders : official journal of the Movement Disorder Society.. 2016 December 31 (12):1874-1882. Epub 10/18/2016.

Clinical and genetic features of cervical dystonia in a large multicenter cohort.

LeDoux MS, Vemula SR, Xiao J, Thompson MM, Perlmutter JS, Wright LJ, Jinnah HA, Rosen AR, Hedera P, Comella CL, Weissbach A, Junker J, Jankovic J, Barbano RL, Reich SG, Rodriguez RL, Berman BD, Chouinard S, Severt L, Agarwal P, Stover NP

Neurology. Genetics.. 2016 June 2 (3):e69. Epub 04/11/2016.

Botulinum toxins in clinical practice: Gaps in knowledge.

Barbano RL

Neurology. Clinical practice.. 2016 June 6 (3):206-208. Epub 1900 01 01.

Clinimetric testing of the comprehensive cervical dystonia rating scale.

Comella CL, Perlmutter JS, Jinnah HA, Waliczek TA, Rosen AR, Galpern WR, Adler CA, Barbano RL, Factor SA, Goetz CG, Jankovic J, Reich SG, Rodriguez RL, Severt WL, Zurowski M, Fox SH, Stebbins GT

Movement disorders : official journal of the Movement Disorder Society.. 2016 April 31 (4):563-9. Epub 03/12/2016.

Alternating Hemiplegia of Childhood: Retrospective Genetic Study and Genotype-Phenotype Correlations in 187 Subjects from the US AHCF Registry.

Viollet L, Glusman G, Murphy KJ, Newcomb TM, Reyna SP, Sweney M, Nelson B, Andermann F, Andermann E, Acsadi G, Barbano RL, Brown C, Brunkow ME, Chugani HT, Cheyette SR, Collins A, DeBrosse SD, Galas D, Friedman J, Hood L, Huff C, Jorde LB, King MD, LaSalle B, Leventer RJ, Lewelt AJ, Massart MB, Mérida MR, Ptá?ek LJ, Roach JC, Rust RS, Renault F, Sanger TD, Sotero de Menezes MA, Tennyson R, Uldall P, Zhang Y, Zupanc M, Xin W, Silver K, Swoboda KJ

PloS one.. 2015 10 (5):e0127045. Epub 05/21/2015.

Correction: Alternating Hemiplegia of Childhood: Retrospective Genetic Study and Genotype-Phenotype Correlations in 187 Subjects from the US AHCF Registry.

PloS one.. 2015 10 (8):e0137370. Epub 08/31/2015.

Standard strategies for diagnosis and treatment of patients with newly diagnosed Parkinson disease.

Barbano RL

Neurology. Clinical practice.. 2013 December 3 (6):475-476. Epub 1900 01 01.

New triggers and non-motor findings in a family with rapid-onset dystonia-parkinsonism.

Barbano RL, Hill DF, Snively BM, Light LS, Boggs N, McCall WV, Stacy M, Ozelius L, Sweadner KJ, Brashear A

Parkinsonism & related disorders.. 2012 July 18 (6):737-41. Epub 04/24/2012.

A randomized, placebo-controlled trial of oxycodone and of gabapentin for acute pain in herpes zoster.

Dworkin RH, Barbano RL, Tyring SK, Betts RF, McDermott MP, Pennella-Vaughan J, Bennett GJ, Berber E, Gnann JW, Irvine C, Kamp C, Kieburtz K, Max MB, Schmader KE

Pain.. 2009 April 142 (3):209-17. Epub 02/04/2009.

Skin biopsy and quantitative sensory testing do not predict response to lidocaine patch in painful neuropathies.

Herrmann DN, Pannoni V, Barbano RL, Pennella-Vaughan J, Dworkin RH

Muscle & nerve.. 2006 January 33 (1):42-8. Epub 1900 01 01.

Comparison of botulinum toxin serotypes A and B for the treatment of cervical dystonia.

Comella CL, Jankovic J, Shannon KM, Tsui J, Swenson M, Leurgans S, Fan W,

Neurology.. 2005 November 865 (9):1423-9. Epub 1900 01 01.

Trauma-induced spinal vascular event producing hemipseudoathetosis.

Frank S, Barbano R

Movement disorders : official journal of the Movement Disorder Society.. 2005 October 20 (10):1378-80. Epub 1900 01 01.

Painful small-fiber neuropathy in Sjogren syndrome.

Chai J, Herrmann DN, Stanton M, Barbano RL, Logigian EL

Neurology.. 2005 September 2765 (6):925-7. Epub 1900 01 01.

An open-label study of the lidocaine patch 5% in painful idiopathic sensory polyneuropathy.

Herrmann DN, Barbano RL, Hart-Gouleau S, Pennella-Vaughan J, Dworkin RH

Pain medicine : the official journal of the American Academy of Pain Medicine.. 2005 6 (5):379-84. Epub 1900 01 01.

Plantar nerve AP and skin biopsy in sensory neuropathies with normal routine conduction studies.

Herrmann DN, Ferguson ML, Pannoni V, Barbano RL, Stanton M, Logigian EL

Neurology.. 2004 September 1463 (5):879-85. Epub 1900 01 01.

Effectiveness, tolerability, and impact on quality of life of the 5% lidocaine patch in diabetic polyneuropathy.

Barbano RL, Herrmann DN, Hart-Gouleau S, Pennella-Vaughan J, Lodewick PA, Dworkin RH

Archives of neurology.. 2004 June 61 (6):914-8. Epub 1900 01 01.

Epidermal reinnervation concomitant with symptomatic improvement in a sensory neuropathy.

Nodera H, Barbano RL, Henderson D, Herrmann DN

Muscle & nerve.. 2003 April 27 (4):507-9. Epub 1900 01 01.

A dose-comparison trial of topiramate as monotherapy in recently diagnosed partial epilepsy.

Gilliam FG, Veloso F, Bomhof MA, Gazda SK, Biton V, Ter Bruggen JP, Neto W, Bailey C, Pledger G, Wu SC

Neurology.. 2003 January 2860 (2):196-202. Epub 1900 01 01.

Needle EMG guidance for injection of botulinum toxin. Needle EMG guidance is useful.

Barbano RL

Muscle & nerve.. 2001 November 24 (11):1567-8. Epub 1900 01 01.

Distal myasthenia gravis with a decrement, an increment, and denervation.

Musser WS, Barbano RL, Thornton CA, Moxley RT, Herrmann DN, Logigian EL

Journal of clinical neuromuscular disease.. 2001 September 3 (1):16-9. Epub 1900 01 01.

Distal Myasthenia Gravis with a decrement, an increment and denervation.

Musser WS; Barbano RL; Berger AR; Thornton CA; Moxley R; Herrmann DN; Logigian EL.

J Clin Neuromusc Dis. 2001; 3: 16-19.

Efficacy and safety of recombinant human nerve growth factor in patients with diabetic polyneuropathy: A randomized controlled trial. rhNGF Clinical Investigator Group.

Apfel SC, Schwartz S, Adornato BT, Freeman R, Biton V, Rendell M, Vinik A, Giuliani M, Stevens JC, Barbano R, Dyck PJ

JAMA.. 2000 November 1284 (17):2215-21. Epub 1900 01 01.

Recombinant human nerve growth factor in the treatment of diabetic polyneuropathy. NGF Study Group.

Apfel SC, Kessler JA, Adornato BT, Litchy WJ, Sanders C, Rask CA

Neurology.. 1998 September 51 (3):695-702. Epub 1900 01 01.

Schifitto G, Barbano RL, Kieburtz KD, Cohn SE, Zwillich SH

Journal of neurology, neurosurgery, and psychiatry.. 1997 August 63 (2):255-6. Epub 1900 01 01.

Acute and delayed cerebral infarction after wasp sting anaphylaxis.

Riggs JE, Ketonen LM, Wymer JP, Barbano RL, Valanne LK, Bodensteiner JB

Clinical neuropharmacology.. 1994 August 17 (4):384-8. Epub 1900 01 01.

Ultrastructural immunohistochemical localization of poliovirus during virulent infection of mice.

Dal Canto MC, Barbano RL, Jubelt B

Journal of neuropathology and experimental neurology.. 1986 November 45 (6):613-8. Epub 1900 01 01.

Antibody to myelin-associated glycoprotein reacts with plasma cells in mice.

Dal Canto MC, Barbano RL

Journal of neuroimmunology.. 1986 January 10 (3):279-86. Epub 1900 01 01.

Ultrastructural immunohistochemical localization of poliovirus during virulent infection of mice.

Dal Canto MC; Barbano RL; Jubelt B.

Journal of Neuropathy Exp Neurology. 1986; 45: 613-618.

Immunocytochemical localization of MAG, MBP and P0 protein in acute and relapsing demyelinating lesions of Theiler's virus infection.

Dal Canto MC, Barbano RL

Journal of neuroimmunology.. 1985 December 10 (2):129-40. Epub 1900 01 01.

Remyelination during remission in Theiler's virus infection.

Dal Canto MC, Barbano RL

The American journal of pathology.. 1984 July 116 (1):30-45. Epub 1900 01 01.

Serum and cells from Theiler=s virus infected mice fail to injure myelinating cultures or to produce in vivo transfer of disease.

Barbano RL; Dal Canto MC.

Journal of Neurological Science. 1984; 66: 283-293.

Serum and cells from Theiler's virus-infected mice fail to injure myelinating cultures or to produce in vivo transfer of disease. The pathogenesis of Theiler's virus-induced demyelination appears to differ from that of EAE.

Barbano RL, Dal Canto MC

Journal of the neurological sciences.. 1984 66 (2-3):283-93. Epub 1900 01 01.

Clinimetric testing of the Comprehensive Cervical Dystonia Rating Scale (CCDRS)

Comella, CL, Perlmutter JS, Jinnah HA, Waliczek TA, Rosen AR, Galpern W, Adler CH, Barbano RL, Factor S, Goetz CG, Jankovic J, Reich SG, Rodriguez RL, Severt WL, Zurowski M, Stebbins GT.

Movement Disorders. .

Clinical and genetic features of cervical dystonia in a large multi-center cohort

LeDoux MS, et al.

Neurology: Genetics. .

Botulinum Toxins in Clinical Practice: Gaps in Knowledge

Barbano, RL.

Neurology: Clinical Practice. .

Books

Cecil's Textbook of Medicine, 25th Edition (2015)

Chapter: Mechanical and other lesions of the spine, nerve roots, and spinal cord.

Authors: Barbano, RL

Publisher: Cecil's Textbook of Medicine, Elsevier. Philadelphia 2015

Clinical Practice Guideline Process Manual (2015)

Authors: Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology

Publisher: American Academy of Neurology 2015

Neurology Clinical Practice 2013 (2013)

Chapter: Standard strategies for diagnosis and treatment of patients with newly diagnosed Parkinson disease.

Authors: Barbano, RL

Publisher: 3(6):475-6. 2013

Baker's Clinical Neurologyt (2002)

Chapter: Current Therapy

Authors: Counihan TC; Plotkin K; Deiparine J; King A; Cleland J; Barbano R; Rempe D

Publisher: Lippincott-Raven, Philadelphia 2002

Disorders of Voluntary Muscle & Nerve (2002)

Chapter: Applied physiology of muscle.

Authors: Logigian EL; Barbano RL

Publisher: Cambridge University Press, Cambridge, UK 2002

Baker's Clinical Neurology (2002)

Chapter: Neurologic Complications of Vitamin and Mineral Disorders.

Authors: Barbano RL; Feigen A; Kieburtz K

Publisher: Lippincott-Raven, Philadelphia 2002

Clinical Neurology (1998)

Chapter: Metabolic Encephalopathy

Authors: Barbano RL; Griggs RC

Publisher: John Wiley 1998

Mosby Year Book (1996)

Chapter: Hepatic coma and portal-systemic encephalopathy: Current Therapy in Neurologic Disease.

Authors: Barbano RL; Griggs RC

Publisher: Mosby Year Book, St. Louis 1996