Pediatric Neurocritical Care & Neurohospitalist Program
Pediatric Neurocritical Care & Neurohospitalist Program
Pediatric neurocritical care (sometimes called neurointensive care) focuses on diagnosing and treating conditions that affect the brain, spinal cord, nerves and muscles of children in an intensive care unit.
Our neurocritical care staff includes highly trained physicians skilled at managing critically ill, medically complex children with neurologic problems. Our physicians have special training in pediatric neurocritical care, ICU EEG (electroencephalogram; brain waves) and neurovascular diseases (diseases of the blood vessels, including stroke).
Our Approach
Our team partners with colleagues in the neonatal intensive care unit (NICU), pediatric intensive care unit (PICU), pediatric pulmonology, and pediatric cardiothoracic intensive care unit (PCTU) to better serve our patients through a multidisciplinary approach.
Neurocritical care services are available 24/7 to follow your child from their arrival in the emergency room (ER) or ICU through their recovery at home. We offer in-patient consultation services and an outpatient Neurocritical Care Follow-Up Clinic.
There are several other factors that make C.S. Mott Children’s Hospital a destination for neurocritical care, including:
State-of-the-art neuromonitoring. Our staff are trained to use multiple forms of technology to monitor your child’s neurologic status at bedside during their ICU stay. This includes continuous EEG monitoring, near infrared spectroscopy, intracranial pressure monitoring and skilled neurologic examination.
A multidisciplinary approach to your child’s care. Our neurocritical care team understands the importance of working together with other specialists in the hospital to deliver the best care possible to your child.
Patient and family-centered care. We recognize the importance of parent involvement in every step of your child’s care during their hospitalization. We participate in family-centered rounds and will ensure close communication with families to ensure you are well-informed of your child’s neurologic status, any additional evaluation we might need, the treatment plan and prognosis.
Services
Acute disseminated encephalomyelitis (ADEM)
Autoimmune encephalitis
Brain vessel malformations (with new, severe complications)
Cardiac arrest
Cerebral sinovenous thrombosis (CSVT)
Coma and other disorders of consciousness
Demyelinating disease
Emergency complications of malignancies of the brain and spinal cord
Hepatic encephalopathy due to acute liver failure
Infection of the spinal cord and brain
Intracranial hemorrhage
Mitochondrial disorders
Neurologic complications of medications, including chemotherapy and radiation
Neuromuscular emergencies, including Guillain-Barre Syndrome (GBS), infant botulism, and myasthenia gravis
Pompe disease
Seizures and status epilepticus (seizures that last longer than 5 minutes)
Neurologic complications of critical illness
Electroencephalogram (EEG)
Quantitative EEG (qEEG)
Electromyogram (EMG) and nerve conduction studies
Cerebral near-infrared spectroscopy
MRI of the brain and spine
MR angiogram and venogram
CT of the head
CT angiogram and venogram
Cranial ultrasound for infants
MR spectroscopy
Catheter angiogram (also known as conventional angiogram)
Positron Emission Tomography (PET) scan
Metabolic and genetic testing
Cerebrospinal fluid analysis
In-Patient Neurocritical Care Services
Pediatric intensive care unit (PICU)
Pediatric cardiothoracic intensive care unit (PCTU)
Physical Medicine and Rehabilitation
Neurosurgery
Neuroradiology
Occupational therapy
Physical therapy
Speech-language pathology
Palliative care
Neurodevelopmental Pediatrics
Nutritional services
Out-Patient Neurocritical Care Services
Adjustment of medications
Assessing the need for therapy services such as physical therapy, occupational therapy or speech therapy
Discussing any additional testing that may be needed to track your child’s progress
Providing support for transitioning back to school
Screening and referring for neuropsychologic assessment
Evaluating your child for signs and symptoms of post-intensive care syndrome (PICS), which can include new problems with sleep, physical limitation, cognitive changes and mental health issues that arise in relation to experiencing a life-threatening illness
Appointment Information
Our in-patient coordinators will help you schedule an appointment in our Neurocritical Care Follow-Up Clinic prior to your child’s discharge from the hospital.
For information about scheduling an appointment, please call 734-936-4179.
Research
Our specialists are involved in national and international research involving advances in the field of pediatric neurocritical care. This includes participation in the International Pediatric Stroke Study (IPSS), institutional membership to the Pediatric Neurocritical Care Research Group (PNCRG), primary site of the Pediatric Quantitative EEG Strategic Task Force (PedQuEST) and a participating site in the Neonatal Seizure Registry (NSR).
Locations
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Pediatric Neurology Clinic | Brighton Center for Specialty Care 7500 Challis Rd
Entrance 1, Level 2
Brighton, MI 48116-9416Get Directions -
Pediatric Neurology Clinic | C. S. Mott Children's Hospital 1540 E Hospital Dr
Floor 6 Reception C
Ann Arbor, MI 48109-4234Get Directions
Doctors
Giulia Marian Benedetti, MD
Clinical Associate Professor
Epileptologists, Neurology, Pediatrics
Angad Kochar, MD
Clinical Assistant Professor
Child Neurology, Pediatrics
Nicole Pariseau, MD
Clinical Assistant Professor
Child Neurology
Kristen Ann Smith, MD, MS, FAAP
Clinical Assistant Professor
Pediatric Critical Care Medicine, Pediatrics
Taryn-Leigh Surtees, MD
Clinical Assistant Professor
Child Neurology
Providers
Abigail Ruth Apple, NP
Advanced Practice Nurse
Nurse Practitioner
Krista Donikian, NP
Advanced Practice Nurse
Nurse Practitioner
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