Pediatric Neurology

The pediatric neurology team at NewYork-Presbyterian Queens provides inpatient and outpatient care for children with disorders of the brain, spinal cord, and peripheral nervous system in a kind, compassionate, and comfortable setting. Your child will have access to specialists from pediatric neurology and neurosurgery who carefully assess your child's needs and create a personalized plan of care. We partner with a number of providers to offer treatment based on the latest advances in research and can coordinate your child's care so you are able to see your child’s specialists in one convenient visit. As your child grows, we continue to provide follow-up care tailored to each stage of life so he or she can live the healthiest, most comfortable life possible.

Who We Treat

Our team cares for children of all ages with neurologic disorders such as:

  • Epilepsy and other seizures
  • Attention deficit hyperactivity disorder (ADHD)
  • Autism spectrum disorders with neurologic symptoms
  • Tics/Tourette syndrome
  • Neurogenetic disorders
  • Childhood metabolic disorders
  • Birth defects and brain malformations
  • Movement disorders in childhood
  • Pediatric headaches, such as migraines

Neurology and Neurosurgery Consultations

Our division consists of clinicians who are board-certified in Child Neurology and Epilepsy. They are joined by a team of electroencephalography (EEG) technicians, nurses, child life specialists, and social workers who work together to ensure your child's care is the best it can be. Our young patients gain access to clinical experts and innovation at our multiple hospital campuses. For your convenience, a child who needs neurosurgery can have the procedure done at NewYork-Presbyterian Komansky Children’s Hospital and receive care before and after surgery at NewYork-Presbyterian Queens. A NewYork-Presbyterian Komansky Children's Hospital pediatric neurosurgeon visits our hospital bimonthly to evaluate patients and collaborates with our pediatric neurologist in the same multidisciplinary clinic. You can have one convenient visit with access to pediatric neurology and neurosurgery expertise at the same time.

Superior Care for Pediatric Epilepsy and Other Seizures

If your child is experiencing seizures, has been recently diagnosed with epilepsy, or is experiencing refractory seizures, we understand that you may have concerns. You may be worried about how epilepsy will affect his or her progress in school, what will trigger the next seizure, and how it will affect your child's emotional and social development. At NewYork-Presbyterian Queens, we can provide your child with the best care and most advanced options to address his/her situation. We will partner with you to pinpoint what is provoking your child's seizures and tailor a plan of care to give your child the best quality of life possible. Our program features:

  • 24-hour video EEG. We use advanced EEG technology to identify the location, type, and severity of your child's seizures. Video EEG can be performed on our Pediatric Inpatient Unit, and our Pediatric Intermediate Care Unit (PIMU) has private rooms hard-wired for 24-hour video EEG. Our clinical team assesses and interprets the EEG and designs a treatment plan. The nursing staff is also experienced in providing very close care, minimizing disturbances during the exam.
  • Neurogenetic testing. This assessment is available at NewYork-Presbyterian Komansky. Our doctors use the results to tailor your child's care.
  • Antiseizure medications. There are a number of medications currently available to treat seizures in young children. Together with you and your child, our clinical team will work to create a treatment plan that is best suited to your child’s needs. We also have experience working with alternative treatments for rare syndromes that cause seizures, such as Lennox-Gastaut syndrome (LGS) and Dravet syndrome (DS).
  • Nutritional counseling. Dietary therapies include the ketogenic diet, a precisely calculated diet to help promote seizure control. The diet is high in fat (the primary energy source) and low in carbohydrates, and has enough protein to meet a child's needs for growth and development. Since the ketogenic diet is a restrictive structured diet, a dietitian works closely with your family to support your child's health and nutritional needs.
  • Neuromodulation. For some children whose seizures are not well controlled with medication, neuromodulation may be an option. A small pacemaker-like device implanted under the skin of your child's chest, called a vagal nerve stimulator (VNS), stimulates the nervous system and reduces the frequency and severity of your child's seizures. If VNS is an option for your child, the device is implanted at NewYork-Presbyterian Komansky, and the programming and follow-up care are performed at NewYork-Presbyterian Queens.
  • Epilepsy surgery. Surgery for epilepsy involves removing tissue in the area of the brain where seizures are beginning. Children whose seizures are not well controlled with other methods may have this surgery at NewYork-Presbyterian Komansky and their evaluation and follow-up care at NewYork-Presbyterian Queens.

Care for Neurogenetic Disorders

Our neurologists specialize in brain development disorders such as malformations of the brain, unexplained mental retardation, cerebral palsy, autism, neurodegenerative diseases, refractory epilepsy, and other familial neurological conditions. They work closely with medical genetics specialists at NewYork-Presbyterian Komansky to identify the genetic roots of abnormal brain development. This information is important for predicting outcomes as children approach adulthood. It also enables our team to search for effective treatments and assess the risk of such disorders in other family members.

Spasticity and Other Pediatric Movement Disorders

Children with brain and spinal cord disorders frequently experience movement disorders in the arms and legs. Our neurologists, neurosurgeons, orthopedists, physiatrists, nurse practitioners, and physical and occupational therapists collaborate to treat this tightness, or spasticity, using a full range of options — including physical and occupational therapy, baclofen pump therapy, and oral medications. If your child needs surgery to treat a movement disorder, we can refer you to a NewYork-Presbyterian pediatric neurosurgeon or orthopedic surgeon who can perform the procedure.

Treatment of Childhood Metabolic Disorders

Inborn errors of metabolism are a group of genetic diseases where an inherited defect (usually a missing or inadequate enzyme that breaks down or builds chemicals in the body) affects the nervous system. If your child has one of these metabolic disorders, the specialists at NewYork-Presbyterian Queens offer compassionate care and expertise. Treatment may include additional support and guidance by a dietitian with expertise in metabolic disorders and/or enzyme replacement therapy. Genetic counseling is also available for family members.

Evaluation and Treatment of Pediatric Headaches

If your child is experiencing headaches that are frequent and/or severe and interfere with his or her ability to attend school, play sports, or sleep, it may be time to see a specialist. Our pediatric neurology team carefully evaluates your child's symptoms and conducts any needed testing to determine their causes. Once we know what is provoking your child's headaches, we customize a plan of care that may include medications or avoidance of certain "triggers" to relieve your child's headaches and restore a good quality of life.