Pediatric Neurology Services
- Evaluations for children with epilepsy.
- Assessment for children with autism and related disabilities.
- Evaluations for headaches and childhood migraines.
- Comprehensive evaluation of children with attention and behavioral difficulties.
- Evaluation for Tourette Syndrome and other movement disorders.
- Assessment for neurogenetic / neurometabolic disorders
- Evaluations for cerebral palsy and other neuromuscular disorders.
Pediatric Neurology Information
- Pediatric Neurology Division
- Pediatric Neurologist
- What to Expect
- Referrals and Evaluations
- Neurologic Conditions
Kidz Medical Services Pediatric Neurologist provides care to patients in his office as well as in several hospitals in South Palm Beach County. He works with pediatricians, family physicians as well as neonatal and pediatric intensivists in a team approach to provide the best possible care for your child.
What should I expect if my child is diagnosed with a neurological problem?
Our office is equipped to perform most diagnostic tests during a visit (if feasible) usually eliminating the need to have these tests in hospitals or outpatient facilities. We take the time to ensure that the parents leave the office with a good understanding of the neurological problem, treatment and follow-up plans. We will keep your primary care physician abreast of any tests or treatment plans.
Common conditions that may require a referral to a Pediatric Neurologist include issues like developmental delay, suspected autism, seizures, fainting episodes, headaches, academic underachievement, suspected ADHD, tics and other behavioral difficulties. The doctor will perform a detailed evaluation that will include a physical examination of your child and, when indicated, may recommend tests such as an EEG, CT/MRI scans and Quotient test (image left) if needed to better characterize the nature of the medical problem.
Types of Neurologic Conditions Affecting Children. There are many conditions that can affect your child's central nervous system. Based on the history of symptoms, physical examination and ancillary tests your pediatric neurologist will be able to arrive at a diagnosis and make more specific treatment recommendations.
A doctor who has special training in the diagnosis and treatment of neurological conditions in children.
A neurologist with special training in the interpreting electroencephalograms (EEG) and treating the different types of seizures.
An EEG is a painless, non-invasive procedure that monitors and records the electrical activity in your child's brain. This allows the neurologist to detect any abnormality that may reflect a tendency for having seizures even (in most cases) when a seizure does not occur during the test.
This test allows for the evaluation of the brain waves for a prolonged period of time therefore maximizing the chance of finding abnormality (if one exists) when the routine EEG is normal but you child keeps having episodes suspicious of being seizures.
There are special cases where it is desirable to obtain a longer recording, (for example when there is doubt whether a patient's episodes are really epileptic). Here, special equipment is required for EEG monitoring, the technique being known as Video-EEG telemetry. This test is reserved for children in which video is simultaneously recorded real-time with the EEG. This will help the neurologist to make a more accurate diagnosis. It is also recommended when ambulatory recording is not feasible for technical reasons. It is performed in the hospital on a designated private room and a parent is asked to stay overnight with the child as the test is performed under nursing supervision.
This is simple and quick (15-20 minutes) computerized test (see image) of attention which provides your child neurologist with objective measures of all three core symptom areas: innatention, hyperactivity and impulsivity to help in the management of the symptoms of ADHD. It not only helps with the diagnosis by integrating the data from Quotient with teachers and parents questionnaires, but more importantly, it helps in adjusting the medication (when needed) to maximize its efficacy.
How do I prepare my child for these tests?
We will ask that you wash your child's hair the night before the EEG and do not apply any conditioner or styling gel. No braids or pigtails. In order for the technician to obtain readings during awake, drowsy, and asleep periods, we ask that the patient be sleep deprived the night prior to the test. Patients older than eight years should receive five hours of sleep only, between midnight and 5:00 a.m. Younger children should sleep one-half their normal sleep hours and be awakened at 4:00 a.m. Infants (under one year of age) do not need to be sleep deprived the night before unless the test is scheduled at 8:00 a.m. In this case, the child should be awakened early so that they will be tired by 9:00 a.m. Infants and children who take naps should be deprived of naps on the day of the test.
In other circumstances he/she may need to be given a mild sedative the day of the test. In those instances parents will be instructed not to give the child anything to eat or drink 4 hours before the test. (Please do not let your child nap from the time he/she wakes up until the technologist performs the test).
The physician reviews the entire Video-EEG study. Please call referring doctor in 7 days for results.