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The health care team at the NewYork-Presbyterian Komansky Center for Children's Health's Division of Child Neurology have a long history of providing excellence in patient care for the inpatient and outpatient management of all pediatric neurological conditions. Conveniently located on the Upper East Side of Manhattan, we have eight Child Neurologists with extensive training and experience in multiple areas of clinical Child Neurology. Our neurologists and neurosurgeons provide care for children with the full range of neurological diseases and disorders including:
Our pediatric neurologists and neurosurgeons are also members of the faculty of Weill Cornell Medical College. Through these academic posts, our neurologists and neurosurgeons participate in clinical and basic research studies to advance our understanding of neurological disorders that affect children, to develop effective therapies today, and to prevent illness in the future.
In addition to the conditions listed above, we have special expertise in:
Epilepsy: The Pediatric Comprehensive Epilepsy Center offers a full range of services to care for the most complex cases. An accurate diagnosis of the underlying cause of the epilepsy, identification of associated learning and behavioral conditions, and continuous EEG monitoring to define seizure type allows for a tailored intervention for that child and family. Medications, ketogenic diet, and a wide range of surgical approaches are available. The center serves as a referral unit for second opinions and can assume care when requested.
Neurogenetics: Neurogenetics is a specialty that studies the origins of abnormal brain development. Our neurologists work with the Department of Genetics and attempt to explain the "why" and the "how" a neurologic problem developed. This information is important in predicting outcomes as the child approaches adulthood, searching for specific medical interventions, and critical in assessing familial risks for recurrence. These disorders would include malformations of the brain, unexplained mental retardation and cerebral palsy, autism, neurodegenerative diseases, and other familial neurological conditions.
Pediatric neurovascular interventional radiology: Children presenting with strokes and intracranial bleeding frequently have blood vessel abnormalities in and around the brain. These children are in need of rapid assessment and appropriate interventions to prevent subsequent catastrophic events. Using specific imaging techniques and surgical tools, interventional radiologists and neurosurgeons here have a vast experience in treating conditions such as arteriovenous malformations (AVMs), cerebral aneurysms, and Moya-Moya disease.
Tumors of the brain and spine: The neurology department in conjunction with neurosurgery, neuroradiology, radiation therapists, oncologists, collaborating with Memorial Sloan-Kettering Cancer Center physicians offer state of the art evaluations for children at risk and having nervous system tumors. The intensity of collaboration is demonstrated by multidisciplinary case discussions, with the program attracting children from across the nation having neurofibromatosis and tuberous sclerosis. Novel neurosurgical techniques are being developed and applied to treat the tumors and minimize sequelae.
Neonatal neurology: The neurologist plays an integral role in the care of newborn infants with abnormalities of the brain. An example is in our neonatal intensive care unit (NICU) where neonatologists treat babies with hypoxic ischemic encephalopathy (HIE), a condition due to the lack of oxygen at birth. We have demonstrated that reducing the baby's core body temperature for several days while monitoring their brain activity with EEG can reduce long-term damage. Other neonates, having other forms of nervous system abnormalities, also benefit from this collaboration of teams helping to treat acute and long-term problems.
Neurocritical care: An otherwise normal child develops an acute systemic illness that places the brain at risk for injury or a child develops an acute illness of the brain. Critical care physicians in our pediatric intensive care unit (PICU) and neurologists/neurosurgeons have extensive experience caring for children who have sustained a traumatic brain/spinal injury, status epilepticus, encephalitis, meningitis, and coma. The rapid availability of neurodiagnostic studies and physicians who can review, interpret, and work together to intervene is necessary to produce an optimal outcome. This expertise is transferred to the high-risk patient who undergoes cardiac or brain surgeries.
Spasticity: Children with brain and spinal cord disorders frequently have abnormalities of extremity movement that impair their movement and interfere with their care. Tightness, or spasticity, can be treated by a wide range of interventions requiring the close collaboration of neurologists/neurosurgeons, orthopedists, physiatrists, nurse practitioners, as well as physical and occupational therapists. Our neurosurgeons and neurologists have over 10 years experience in treating spasticity with many of these modalities, including Baclofen pumps, and can provide ongoing consultation and/or management for these children.
Division of Child Neurology 505 East 70th Street
Helmsley Tower, 3rd floor
New York, NY 10021
Fax: (212) 746-8137