Clinical Care, Division of Neurology
Patient Care
The Division oversees an active, heavily utilised inpatient consultation service and is part of a 14 bed neurosciences inpatient unit that includes facilities for the monitoring of epilepsy patients who are being considered for surgical treatment of their epilepsy. In addition, the Division tends to an active outpatient facility with over 3,000 clinic visits per year. We offer an active consultation service with a strong focus in Critical Care areas: Emergency, Pediatric Intensive Care, and Neonatal Intensive Care. We work closely with other service in a multi-disciplinary team, caring for patients with Neurosurgery, Biochemical Disease, and in the Intensive Care unit. We are developing a Neurovascular team with stroke expertise from Neurology, Neuroradiology and Hematology. Our Neuro-oncology program is tightly integrated with the Oncology Division at our centre. As a result of the critical care and high demands for service, the Division relies on an infrastructure of mentored junior doctors (residents and fellows who are trainees in pediatric neurology) to deliver timely, quality patient care.
Subspecialty clinical interests and programs within the Division include:
Neonatal neurology: newborns with neurological problems are cared for in the Special Care Nursery with advanced diagnostic and therapeutic modalities.
Epilepsy: the Division manages essentially all of B.C.'s most complicated pediatric epilepsy patients.
Epilepsy surgery: the Division has developed vast and significant experience in selecting patients appropriate for this surgery.
Ketogenic diet: patients with epilepsy which is uncontrollable by the use of anticonvulsant medications are treated with a complicated diet supervised by a physician, nurse and dietician. This program has been commended for its high degree of patient satisfaction.
Neurophysiology: a highly regarded tertiary service at Children's Hospital. Although this Department is operationally independent of the Division, all of the medical staff in the Department are neurologists. This year, the service expanded to new areas, developing more exact determination of brain resection in epilepsy surgery patients and more robust and reliable techniques for intraoperative monitoring.
Neuromuscular diseases: members of the Division assess and manage children with muscle diseases and other diseases of the neuromuscular system in a specialized multi-disciplinary clinic.
Behavioural and higher cognitive function: assesses children with specific learning disabilities and autism. This includes the Brain Mapping Program which uses advanced MR imaging techniques for diagnosis and localization
Neuro-oncology: infants, children and adolescents with brain tumors and other oncological diseases of the neurological system are cared for with special expertise in collaboration with Oncology, Neurosurgery, Radiation Oncology and Neuroradiology.
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