Bio

Bio


Dr. Veronica Santini is a neurologist who specializes in the diagnosis and management of movement disorders, including the treatment of Parkinsons disease and atypical parkinsonism, tremor, tic disorder (including Tourette’s syndrome), dystonia, chorea, and ataxia. Dr. Santini co-directs the Multidisciplinary Huntingtons Disease and Ataxia Clinic at Stanford University Movement Disorders Clinic. In this role, she oversees a large and dedicated team of doctors and specialists, who collectively provide the emotional, cognitive, psychosocial, and physical supports required for truly holistic, patient-centered care. Already providing gold standard care for these patients, Dr. Santini further expanded the services of the clinic and its patient referral basis, leading to its prestigious designation as a Huntingtons Disease Society of America (HDSA) Center of Excellence. In addition to her work in Huntingtons disease and ataxia syndromes, Dr. Santini has specialized training in disorders of the autonomic nervous system and has a particular interest in the management of Multiple System Atrophy.

Dr. Santini is enthusiastic about medical education and has a responsibility in teaching Stanford medical students from their first to their graduating years at Stanford. In their first year, Dr. Santini leads Quarter 3 of the Practice of Medicine course, followed by neurology specific workshops in Quarters 5 and 6 of the students’ second year. She is also a lead lecturer in the neurosciences portion of the Human Health and Disease course in the second year. She resumes her instruction to the senior medical students as the Associate Clerkship Director of the Neurology Clerkship. She is also an influential educator and mentor for the neurology residents and the movement disorders fellows, implementing several curricula for these trainees. Dr. Santini is a valued educator in the Department of Neurology and the School of Medicine and she has won numerous teaching awards within these roles.

Dr. Santini is also impassioned to provide exceptional and equitable healthcare to all. Identifying the great disparities in neurologic care worldwide, Dr. Santini launched global neurologic programs to provide care to developing nations. Her most recent work, in collaboration with the American Academy of Neurology (AAN) and the St. Luke Foundation, delivers neurologic care to Haiti, the poorest nation in the Western Hemisphere, which has been struck by devastating natural disasters. She leads a team of neurologists, trainees, nurses, physical therapists, and pharmacists to Port-au-Prince personally at least once annually, while other teams of neurologists provide continuity of care at least once monthly. In addition to providing neurologic care and education in Haiti, Dr. Santini has worked with medical centers in Nepal and Kenya.

Dr. Santini performs research within these realms to advance the science, improve patient care outcomes, and to increase education and understanding of neurologic disease. In addition to numerous speaking engagements, Dr. Santini has authored several articles in well-respected, peer-reviewed journals and a book chapter within the celebrated text: Parkinsons Disease and Movement Disorders.

Dr. Santini received her medical degree from Boston University, where she went on to complete her Neurology residency, becoming Chief Resident in her final year of training. She continued on at Boston University to complete a fellowship in Movement Disorders and joined the Stanford faculty in 2014. She was 1 of only 12 international candidates selected as an AAN Emerging Leader and also became an AAN Palatucci Advocate. Furthermore, she received distinctions as the recipient of the Neurology Clerkship Educator award, the Lysa Forno Excellence in Teaching award, and as a Faculty Fellow of the Stanford University Center for Innovation in Global Health.

Clinical Focus


  • Neurology
  • Movement Disorders

Academic Appointments


Administrative Appointments


  • Co-Lead Quarter 3, Practice of Medicine I, Stanford University, School of Medicine (2015 - Present)
  • Director, Parkinsons Disease Duopa Program, Stanford Movement Disorders Clinic (2015 - Present)
  • Associate Clerkship Director of the Neurology clerkship, Stanford University, School of Medicine (2014 - Present)
  • Co-Director, Multidisciplinary Huntingtons Disease and Ataxia Clinic, A Huntington's Disease Society of America, Center of Excellence (2014 - Present)

Honors & Awards


  • Gold Humanism Honor Society, The Arnold P. Gold Foundation (2012)
  • Resident Award for Excellence in Teaching, Tufts Medical Center (2010)
  • Chief Resident Immersion Training in the Care of Older Adults, Boston University Medical Center (2012)
  • Humanism and Excellence in Teaching Award, Outstanding Resident Role Model, The Arnold P. Gold Foundation (2012)
  • Global Ambassador, St. Luke Foundation Nonprofit Organization in Port-au-Prince, Haiti (2014)
  • Senior Fellow, Stanford University's Center for Innovation in Global Health (2015)

Boards, Advisory Committees, Professional Organizations


  • Executive Committee Member, Massachusetts Neurological Association (2012 - 2014)
  • Executive Board Member, Boston University Global Health Committee (2013 - Present)
  • DIrector, Boston Medical Center Neurology Global Health Committee (2012 - Present)
  • Member, Movement Disorders Society (2013 - Present)
  • Member, American Academy of Neurology (2008 - Present)
  • Member, American Medical Association (2005 - Present)

Professional Education


  • Fellowship:Boston University School of Medicine Office of the Registrar (2014) MA
  • Residency:Boston University School of Medicine Office of the Registrar (2013) MA
  • Medical Education:Boston University School of Medicine Office of the Registrar (2009) MA
  • Board Certification: Neurology, American Board of Psychiatry and Neurology (2013)
  • Internship:Caritas St Elizabeth?s Medical Center (2010) MA
  • Fellowship in Movement Disorders, Boston University Medical Center (2014)
  • Board Certification, American Board of Psychiatry and Neurology (2013)
  • Residency, Boston University Medical Center (2013)
  • Internship, St. Elizabeth’s Medical Center (2010)
  • Medical Doctorate, Boston University School of Medicine (2009)
  • Bachelor's of Science, University of Miami, Chemistry (2003)

Community and International Work


  • St. Luke Foundation, Port-Au-Prince, Haiti

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

  • Tribhuvan University Teaching Hospital, Kathmandu, Nepal

    Topic

    Gobal Health Delivery

    Location

    International

    Ongoing Project

    No

    Opportunities for Student Involvement

    No

Research & Scholarship

Current Research and Scholarly Interests


Please see our website @ http://med.stanford.edu/neurology/divisions/md.html

Clinical Trials


  • AZD3241 PET MSA Trial, Phase 2, Randomized,12 Week Safety and Tolerability Trial With PET in MSA Patients Recruiting

    AZD3241 myeloperoxidase (MPO) inhibitor trial is assessing safety and tolerability, randomized trial, in patients with Multiple System Atrophy.

    View full details

  • Continued Access Protocol: ExAblate Transcranial MR Guided Focused Ultrasound for the Treatment of Essential Tremors Recruiting

    The objective of this prospective, multi site, single-arm study is to capture the efficacy of treatment using the ExAblate Transcranial System and to further demonstrate safety in medication-refractory tremor in patients with essential tremor (ET).

    View full details

  • ExAblate Transcranial MR Guided Focused Ultrasound in the Treatment of Essential Tremor Not Recruiting

    A feasibility Study to Evaluate Safety and Initial Effectiveness of ExAblate Transcranial MRI-guided focused ultrasound (MRgFUS) treatment of patients with medication-refractory movement disorders, namely Essential Tremor (ET). This study is designed as a prospective, single site, single arm, nonrandomized study. Assessments will be made before and three months after MRgFUS for clinical symptom relief, quality of life (QoL) improvements, and safety of MRgFUS in the treatment of ET. Similarly, QoL measures will be obtained using Quality of Life in Essential Tremor (QUEST) questionnaire. Relative Safety will be evaluated using a common description of Significant Clinical Complications for patients treated in this study. This study will be performed on the 3T MR scanners. The ExAblate system is a medical device that involves a focused ultrasound system and an MRI scanner. ExAblate delivers a pulse of focused ultrasound energy, or sonication, to the targeted tissue. In this particular study the targeted tissue is a unilateral thermal lesion created in the ventralis intermedius nucleus of the thalamus. The treatment begins with a series of standard diagnostic MR images to identify the location and shape of tumor to be treated. The ExAblate computer uses the physician's designation of the target volume to plan the best way to cover the target volume with small spots called "sonications". These treatment spots are cylinder shaped. Their size depends on sonication power and duration. During the treatment, a specific MR scan, which can be processed to identify changes in tissue temperature, provides a thermal map of the treatment volume to confirm the therapeutic effect. The thermal map is used to monitor the treatment in progress, and confirm that the ablation is proceeding according to plan, thus closing the therapy loop. The ExAblate transcranial operates a helmet-shaped transducer (currently utilizing 1000-element phased array transducer) positioned above the subject head. The ExAblate transcranial system also includes means to immobilize the subject head, cool the interface water, and software for CT analysis and phase correction computation. The ExAblate transcranial system is an experimental device and is being investigated in this study.

    Stanford is currently not accepting patients for this trial.

    View full details

Publications

All Publications


  • Mon Chéri Haiti: Neurology lessons learned. Neurology Sharma, M., Santini, V., Auguste, M., Hohler, A. D., Etienne, M., Jones, E., Alessi, A. 2015; 85 (2): 169-171

    View details for DOI 10.1212/WNL.0000000000001735

    View details for PubMedID 26170399

  • Increasing student recruitment into neurology: Joining the family. Neurology Larsen, D. P., Santini, V. E. 2015; 84 (23): 2302-2303

    View details for DOI 10.1212/WNL.0000000000001668

    View details for PubMedID 25957335

  • Chronic Traumatic Encephalopathy in Athletes: Progressive Tauopathy After Repetitive Head Injury JOURNAL OF NEUROPATHOLOGY AND EXPERIMENTAL NEUROLOGY McKee, A. C., Cantu, R. C., Nowinski, C. J., Hedley-Whyte, E. T., Gavett, B. E., Budson, A. E., Santini, V. E., Lee, H., Kubilus, C. A., Stern, R. A. 2009; 68 (7): 709-735

    Abstract

    Since the 1920s, it has been known that the repetitive brain trauma associated with boxing may produce a progressive neurological deterioration, originally termed dementia pugilistica, and more recently, chronic traumatic encephalopathy (CTE). We review 48 cases of neuropathologically verified CTE recorded in the literature and document the detailed findings of CTE in 3 profession althletes, 1 football player and 2 boxers. Clinically, CTE is associated with memory disturbances, behavioral and personality changes, parkinsonism, and speech and gait abnormalities. Neuropathologically, CTE is characterized by atrophy of the cerebral hemispheres, medial temporal lobe, thalamus, mammillary bodies, and brainstem, with ventricular dilatation and a fenestrated cavum septum pellucidum. Microscopically, there are extensive tau-immunoreactive neurofibrillary tangles, astrocytic tangles, and spindle-shaped and threadlike neurites throughout the brain. The neurofibrillary degeneration of CTE is distinguished from other tauopathies by preferential involvement of the superficial cortical layers, irregular patchy distribution in the frontal and temporal cortices, propensity for sulcal depths, prominent perivascular, periventricular, and subpial distribution, and marked accumulation of tau-immunoreactive astrocytes. Deposition of beta-amyloid, most commonly as diffuse plaques, occurs in fewer than half the cases. Chronic traumatic encephalopathy is a neuropathologically distinct slowly progressive tauopathy with a clear environmental etiology.

    View details for Web of Science ID 000267557400001

    View details for PubMedID 19535999

  • Clock drawing performance in cognitively normal elderly ARCHIVES OF CLINICAL NEUROPSYCHOLOGY Hubbard, E. J., Santini, V., Blankevoort, C. G., Volkers, K. M., Barrup, M. S., Byerly, L., Chaisson, C., Jefferson, A. L., Kaplan, E., Green, R. C., Stern, R. A. 2008; 23 (3): 295-327

    Abstract

    The Clock Drawing Test (CDT) is a common neuropsychological measure sensitive to cognitive changes and functional skills (e.g., driving test performance) among older adults. However, normative data have not been adequately developed. We report the distribution of CDT scores using three common scoring systems [Mendez, M. F., Ala, T., & Underwood, K. L. (1992). Development of scoring criteria for the Clock Drawing Task in Alzheimer's Disease. Journal of the American Geriatrics Society, 40, 1095-1099; Cahn, D. A., Salmon, D. P., Monsch, A. U., Butters, N., Wiederholt, W. C., & Corey-Bloom, J. (1996). Screening for dementia of the Alzheimer type in the community: The utility of the Clock Drawing Test. Archives of Clinical Neuropsychology, 11(6), 529-539], among 207 cognitively normal elderly. The systems were well correlated, took little time to use, and had high inter-rater reliability. We found statistically significant differences in CDT scores based on age and WRAT-3 Reading score, a marker of education quality. We present means, standard deviations, and t- and z-scores based on these subgroups. We found that "normal" CDT performance includes a wider distribution of scores than previously reported. Our results may serve as useful comparisons for clinicians wishing to know whether their patients perform in the general range of cognitively normal elderly.

    View details for DOI 10.1016/j.acn.2007.12.003

    View details for Web of Science ID 000256559500007

    View details for PubMedID 18243644