Our Division of Paediatric Neurology aims to improve the quality of care offered to infant, children and adolescents with acute and chronic neurological disorders affecting the brain, nerves and muscles.
Led by a team of senior paediatricians, the team comprises of paediatricians, nurses and allied health staff who are also actively involved in patient care and translational research.
Our team serves children with a variety of conditions including:
- Common disorders
- Rarer disorders
- Brain Tumours
- Neuromuscular Disorders
- Acute Non-traumatic Encephalopathies
- Neurodegenerative Disorders
- Paediatric Movement Disorders
- Mitochondrial Disorders
Click here for more information about diseases and conditions.
Early intervention and rehabilitation is required for children with neurological disorders that affect their physicality. This includes conditions affecting the brain such as cerebral palsy, global developmental delay, and nerve and muscle disorders such as Duchenne muscular dystrophy and spinal muscular atrophy.
Our physiotherapist services provide family-centric and multidisciplinary support by:
- Empowering and enabling parents to make informed decisions to optimise the care of their child.
- Using preventative care to minimise development of complex secondary complications of complex neurological conditions.
- Accessing and collaborating with services utilising advanced technologies like robotic assisted rehabilitation and augmented communication devices.
We help to enhance the care of a child with complex needs by:
- Identifying and addressing areas of need to optimise the management.
- Improving quality of life for the child and his or her family by improving the sleep comfort and enabling mobility.
- Ensuring access to the most up-to-date and effective equipment to enable his or her potential.
- Collaborating with other multidisciplinary team members.
- Collaborating with community-based agencies to ensure follow-through of care in the community.
Rehabilitation (Cerebral Palsy) Service
Our rehabilitation service provides comprehensive care for patients with spasticity who may require special seats or wheelchairs. Objective assessments are provided by the paediatricians specialising in neurology, the surgeons specialising in orthopaedics, the orthotists, the physiotherapists and occupational therapists, and gait is objectively analysed with portable gait analysis. Children with cerebral palsy have a comprehensive review to decide on the most appropriate mode of treatment – be it intramuscular botulinum toxin injection for specific muscle groups, special orthotic devices, or tendon-release orthopaedic surgery. Therapies such as robotic rehabilitation is also available in a collaboration with the Centre for Advanced Rehabilitation Therapeutics (CART) in Tan Tock Seng Hospital. Preventative care such as hip surveillance, nutritional support and educational intervention are other critical arenas considered in our specialised clinics.
Vagal Nerve Stimulator Therapy
In cases which are suitable, Vagal Nerve Stimulator (VNS) therapy may be recommended by the doctor as a treatment modality for uncontrolled seizures. This device sends electrical impulse from a nerve at the left side of the neck to the brain to reduce seizure discharges within the brain. This is a non-drug therapy which works alongside with anti-epileptic drugs to help control seizures. The neurosurgeon will implant a device via a minimally invasive procedure. During a seizure, patients can also activate the implanted VNS therapy device to stop or shorten the seizure by using a handheld magnet.
There are clinic sessions run by a team of paediatricians with support from physiotherapists, occupational therapists, speech therapists, paediatric epilepsy nurse educator, child psychologists and the medical social worker.
There is also co-ordination of care for children with chronic problems. We work closely with special schools for children with spasticity, multiple handicaps and learning disorders. At the general paediatric neurology clinic, we provide for the diagnosis and management of children with neurological disorders, screening of neuro-developmental disorders and comprehensive care of inherited neurological disorders.
Our team is also actively involved in the Back to Sleep programme which helps to improve the sleep quality of children with complex medical needs. Click here to read more.
Our multidisciplinary combined clinic provides comprehensive care for children and adolescents diagnosed with progressive neuromuscular conditions such as Duchenne Muscular Dystrophy, Spinal Muscular Atrophy as well as Congenital Myopathies and other muscular dystrophies. Our clinics are held every month and cater to specific groups such as the independent walkers as well as the wheelchair dependent patients. Objective assessments are provided by the paediatricians specialising in neurology, pulmonary and sleep, orthopaedics and cardiology as well as physiotherapists, occupational therapists and orthotists.
This allows an integrated review of all the associated complications that often arise in this group of patients, and allow a comprehensive management plan to be made at a single setting.
Our neurogenetic clinic is held on the last Monday of the month. It is a combined service run by a paediatrician specialising in neurology and a paediatrician specialising in genetics. The clinic focuses on the diagnostic work up and management of neurogenetic, neurodegenerative and neurometabolic disorders.
We provide diagnostic services, comprising electroencephalograms performed by experienced technicians and interpreted by paediatricians specialising in neurology and epileptology. Brainstem auditory-evoked response and visual-evoked potentials allow testing in children with suspected hearing or visual impairment respectively. Neuromuscular problems are also diagnosed and assessed here with nerve conduction studies and electromyograms.
Paediatric Epilepsy-Monitoring Unit
The Paediatric Epilepsy-Monitoring Unit (PMU) is designed especially for round-the-clock monitoring of patients diagnosed with epilepsy where more information is needed, or to clarify the nature of the patients' frequent spells or events. The patient (neonate, infant, child or adolescent) is admitted to the PMU to allow careful study of the clinical seizures or events.
The monitoring process involves continuous electroencephalogram (EEG) recording with simultaneous video recording of the seizures. The analysis of these seizures or events shall enable an accurate diagnosis to be made and allow formulation of management plans that include anti-epileptic medication, ketogenic diet as well as the possibility of surgical treatment for intractable seizures.
We have an active clinical and basic research programme covering areas of epilepsy treatment and epidemiology, neurogenetic and neurometabolic disorders, botulinum toxin in childhood spasticity, encephalitis and other CNS infections and neuromuscular disease. Areas of research focus include the genetic and disease pathophysiology of Duchenne and Becker Muscular Dystrophy, Mitochondrial Encephalomyopathies and care of Chronic Neurological Disorders.
What To Expect On Your First Appointment?
Your child will have a comprehensive evaluation by our paediatrician specialising in neurology and based on the findings during the first appointment, relevant investigations including blood tests, EEG or neuroimaging (MRI brain) may be ordered. Subsequently, medications and other forms of therapy will be prescribed accordingly.
: NUHkids Specialist Centre (KTP-NUCMI)
: Monday to Friday - 8.30am to 5.30pm
Saturday - 8.30am to 12.30pm
Closed on Sundays and Public Holidays
: +65 6772 5736
: +65 6776 2102
: +65 6772 2002
Click here to make an appointment online
Click here for directions on how to reach the NUHkids Specialist Centre (KTP-NUCMI) from the MRT, for drop off as well as parking.
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