Clinics

Pediatric Traumatic Brain Injury Clinic

The Pediatric Traumatic Brian Injury (TBI) Clinic's primary purpose is to assist children who have developed physical, cognitive, and behavioral impairments as a result of traumatic brain injury. Dr. Stephen Ashwal, the clinic director, has over 30 years of clinical practice in pediatric neurology and is internationally recognized for his expertise in the field of pediatric TBI. Teresa Serna is the clinic's nurse practitioner and has over 15 years experience with TBI.

For more information or to schedule an appointment, please see our contact information.

Muscular Dystrophy Clinic

The Muscular Dystrophy Association (MDA) Clinic at Children's Health has been caring for patients with neuromuscular disorders for over 30 years. The most common disorders seen include Duchenne muscular dystrophy, Charcot-Marie-Tooth disease, and myotonic dystrophy. This clinic is directed by Dr. David Michelson. There is also a focus on the orthopedic and rehabilitation needs of children with these disorders while working closely with rehabilitation medicine and organizations such as California Children's Services.

For more information or to schedule an appointment, please see our contact information.

Tuberous Sclerosis Clinic

The Tuberous Sclerosis Clinic at Children's Health provides care for children and adults with tuberous sclerosis, a multi-system disorder that frequently affects brain function, causing seizures, learning disabilities, and behavioral problems. Other commonly affected organs include the kidneys, lungs, heart, and skin. The clinic meets weekly. All patients receive a comprehensive evaluation by Dr. Stephen Ashwal.

For more information or to schedule an appointment, please see our contact information.

Mitochondrial Disorders Clinic

Mitochondrial disorders are the most common type of inborn error of metabolism and can cause a wide range of problems including failure to thrive, gastrointestinal problems, weakness, muscle cramps, fatigue, hearing loss, visual loss, loss of balance and coordination, seizures, and learning delays. The Mitochondrial Disorders Clinic at Children's Health cares for children with diagnosed or suspected mitochondrial disorders, providing assistance and guidance with testing and therapy. The clinic is directed by Dr. David Michelson, Assistant Professor of Child Neurology.

For more information or to schedule an appointment, please see our contact information.

Vagus Nerve Stimulator Clinic

Dr’s David Michelson and Standford Shu are co-directors of the Vagus Nerve Stimulator (VNS) Clinic at Children's Health. Through the VNS Clinic, they are responsible for treating children and young adults with medically intractable seizures who have undergone VNS implantation. Through the VNS Clinic, patients undergo rigorous evaluation to ensure that their seizures are not amenable to surgical resection. Following implantation, the patient is followed regularly in the VNS Clinic for optimizing seizure control by manipulating device settings, and when possible, weaning medications. Approximately 160 patients are regularly seen in the VNS Clinic. Teresa Serna is the clinic's nurse practitioner and may be contacted with questions.

For more information or to schedule an appointment, please see our contact information.

Neurofibromatosis Clinic

Neurofibromatosis is a genetic disorder of the nervous system. The disorder affects the growth and development of nerve cell tissues, which may cause tumors to grow on the skin and bones. There are two types of neurofibromatosis. When diagnosing neurofibromatosis type I (NF I), the physician looks at changes in skin appearance, tumors, or bone abnormalities. Symptoms of NF I are commonly present at birth and certainly present by the age of 10 years old. Neurofibromatosis type II (NF II) is less common. It is characterized by tumors of the eighth cranial nerves, which affects hearing, usually in both the left and right ears. The Neurofibromatosis Clinic at LLUCH cares for both NF I and NF II patients. Dr. Stanford Shu is the clinic Director.

For more information or to schedule an appointment, please see our contact information.

Pediatric Neuro-Assessment Program

The Pediatric Neuro-Assessment Program (PNAP) is a comprehensive assessment and diagnostic program developed to address the unique needs of preschool and school-aged children with academic or behavioral problems. PNAP has successfully helped over 200 children obtain necessary interventions to optimize their development and to identify etiologies of academic or behavioral concerns.

PNAP utilizes a multidisciplinary team approach that integrates neurological, psychosocial, cognitive, and neuropsychological evaluations to develop individualized treatment plans, ensure continuity of follow-up, and provide appropriate medication management.

For questions or appointments for the Pediatric Neuro-Assessment Program, contact (909) 651-1899.

Pediatric Stroke Clinic

The Pediatric Stroke Clinic at Children's Health follows children of all ages who have had acute strokes. Despite the thought that a stroke is an "old person's disease," it is not an uncommon event in children. Strokes in a child may have variable presentation and are not always recognized as a stroke.

For more information or to schedule an appointment, please see our contact information.

Pediatric Headache Clinic

Recurrent headaches can be disruptive to a child's life and keep them from fully participating in everyday childhood activities, resulting in missed school, lower academic performance, difficulty sleeping, and changes to family life. The Pediatric Headache clinic utilizes the latest treatments for acute attacks and preventive therapies, as well as providing headache education and guidance for lifestyle changes so that children and families can learn to manage their headaches in order to help maximize the potential growth and development of each child. Dr. Priscilla Chee provides the evaluation and management of the pediatric patients at the Pediatric Headache clinic.

For more information or to schedule an appointment, please see our contact information.

Ketogenic Diet Clinic

The ketogenic diet has been available for more than 70 years and is most typically employed in children with medically refractory seizures. The diet involves minimizing carbohydrate and protein intake while increasing the amount of fats in the diet. This causes the body to make ketone bodies that work in the brain to help suppress seizure activity. With the assistance of a dietician, the diet must be closely monitored to ensure effectiveness. Specialized clinic staff closely monitor and guide families for optimizing the diet to maintain ketosis. Dr. Joshua Loeb and Dr. Pilar Pichon and Teresa Serna, CPNP direct the Ketogenic Diet Clinic.

For more information or to schedule an appointment, please see our contact information.

Pediatric Multiple Sclerosis Clinic

Multiple Sclerosis (MS) is usually considered an adult onset disease. However, about five percent of people with MS develop disease symptoms before the age of 18. Since MS is not widely recognized as a childhood disorder, diagnosis is often missed or delayed. In addition, many of its symptoms are similar to those of other pediatric neurological conditions. An estimated 8,000-10,000 children have multiple sclerosis in the United States, and another 10,000-15,000 experience disorders that may be related to MS. Children with MS can experience weakness, fatigue, numbness and tingling, vision problems, loss of balance, difficulty concentrating or remembering, and seizures. Many of these symptoms are "invisible," vary in intensity, and can come and go.

For more information or to schedule an appointment, please see our contact information.