Subspecialty Services

Dysautonomia Treatment and Evaluation Center:  Dr. Horacio Kaufmann

NYU Langone’s Dysautonomia Treatment and Evaluation Center was established in 1969 to provide care to individuals affected with the genetic disorder familial dysautonomia (FD). This patient group is a genetically homogeneous population with consistent neuropathologic lesions involving the sympathetic nervous system and unmyelinated sensory fibers. The premiere site in the US, NYU Langone’s center serves as a resource for patients and physicians worldwide in assessing and treating FD. In addition, expertise has been developed in assessment of other sensory and autonomic disorders which has led to numerous referrals of other pediatric disorders with autonomic dysfunction and other congenital sensory neuropathies.

Clinical research studies at the Dysautonomia Center include developing better treatment of various problems. For example, to better control centrally induced nausea and vomiting, patients have found diazepam and clonidine helpful and for orthostatic hypotension, there have been trials of Florinef and midodrine. In addition, collaboration with basic science research in FD has aided in identification of the FD gene. The center participates in research to understand the role of the FD gene and its protein product in the development and maintenance of sensory and autonomic neurons, as well as more definitive treatment trials.  Most residents spend at least several weeks working in the outpatient center.

Epilepsy and Sleep Medicine:  Dr. Daniel Miles, Dr. Judith Bluvstein, Dr. Josiane LaJoie and Dr. Aaron Nelson

NYU Langone’s Comprehensive Epilepsy Center is the largest epilepsy program in the eastern United States. The center offers testing, evaluation, screening, treatment, drug trials, alternative therapies and surgical intervention for children, adolescents, and adults with all forms of epilepsy. The Pediatric Comprehensive Epilepsy Program specializes in the evaluation and treatment of children with epilepsy. The program is committed to providing multidisciplinary care, recognizing that a child with epilepsy and his or her family often have complex and diverse problems that cannot be solved by a single person. The team includes pediatric epileptologists, neurosurgeons, psychiatrists, nurses, social workers, psychologists, and child life therapists. The goal is a simple one: The restoration of quality of life to children and adolescents with epilepsy.

NYU Langone has dedicated pediatric epilepsy monitoring, service, and on elective residents are taught to read routine and video EEG monitoring studies, manage patients with various forms of epilepsy, and observe everything ranging from clinical trials of antiepileptic medications to state-of-the-art epilepsy surgery and the use of cutting-edge medical devices.

The NYU Langone Pediatric Comprehensive Epilepsy Program and the Tuberous Sclerosis Center are both under the direction of Dr. Miles, while Dr. Bluvstein directs NYU Langone’s Pediatric Special Procedures in Epilepsy Service as well as the Dravet Center.  Dr. Nelson directs pediatric epilepsy at Bellevue Hospital Center, where residents are exposed to both inpatient and outpatient routine EEG monitoring along with elective and emergent continuous video EEG monitoring with a 7-bed monitoring capacity.  There is a separate adult and pediatric sleep center where residents can learn specialized sleep medicine.

Learning Disabilities,  Autism,  ADHD

The Child Study Center, part of Hassenfeld Children’s Hospital at NYU Langone (Institutes for Learning and Academic Achievement; Asperger syndrome, and ADHD) is actively involved in the assessment and treatment of school age children with learning disabilities including attention deficit hyperactivity disorder, dyslexia, and nonverbal learning disabilities, as well as children on the autistic spectrum. Preschool children with developmental language disorders and with autistic spectrum disorders are evaluated and treated as well. Comprehensive diagnostics evaluations are readily available as is psychopharmacologic management when appropriate and behavioral management when appropriate. Assessments consist of a battery of tests that yields a profile across several domains of functioning.  Residents spend at least of month focused on child development in addition to interdisciplinary exposure throughout training.

Neonatal Neurology:  Dr. John Wells

Pediatric neurology residents are exposed to the full range of neurological problems in the newborn. They are responsible for consultations in the Neonatal ICU and Special Care Nurseries at Bellevue Hospital as well as at NYU Langone. Residents become familiar with the clinical presentation and treatment of such conditions as periventricular leukomalacia, intraventricular hemorrhage, post-hemorrhagic hydrocephalus, neural tube defects, neonatal seizures and hypoxic ischemic encephalopathy. Residents also gain expertise in the study of neonatal brain injury with sonogram, head CT scan and brain MRI.  State-of-the art technology is available at both locations for neonatal patients including video EEG monitoring and near infrared spectroscopy, while ECMO is predominantly performed at NYU Langone.  Research opportunities are available at both sites.  Electively, residents can participate in a multidisciplinary neonatal follow-up program during which former premature infants are evaluated by a team of specialists including a neurologist, child psychologist, occupational therapist, and developmental specialist.

Neurogenetics:  Dr. Heather Lau

The Neurogenetics Program at NYU Langone Health runs a full service clinical facility, with a focus on inherited disease of the nervous system. There is particular interest in the leukodystrophies and lysosomal storage diseases, especially Tay-Sachs disease, Canavan disease, Gaucher disease, metachromatic leukodystrophy, and Krabbe disease. Services include diagnosis and management, biochemical and molecular testing and genetic counseling. Residents on elective see a wide variety of neurogenetic disorders and are involved in diagnosis and treatment, including enzyme replacement therapy.

Neuromuscular Disorders:  Dr. Mary-Lynn Chu

The division has an active neuromuscular disorders service headed by Dr. Mary-lynn Chu. Child neurology residents have an opportunity to learn about patients with a wide variety of neuromuscular disorders. An elective can be arranged to rotate through the Center for Children at NYU Langone Orthopedic Hospital where a multidisciplinary spasticity clinic meets weekly to evaluate and manage patients with cerebral palsy, traumatic brain injuries, spinal cord injuries, etc. Procedures such as Botox chemo-denervation and intrathecal baclofen pump refills are performed in this clinic. Residents can attend the Muscular Dystrophy Association Clinics where they are exposed to peripheral nervous system and neuromuscular disorders such as muscular dystrophies, spinal muscular atrophies, neuropathies and myopathies. Pediatric EMG-NCS studies are typically taught at NYU Langone Orthopedic Hospital but are available at Bellevue and Tisch sites as well.

Neurosurgery:  Dr. Jeffery Wisoff, Dr. David Harter, Dr. Eveline Hidalgo, and Dr. Amanda Yuan

The NYU Langone Division of Pediatric Neurosurgery is the largest academic pediatric neurosurgery service in the Tri-State area, performing approximately 600 major operative procedures on children, adolescents, and some adults with congenital disorders. It is based at NYU Langone’s Tisch Hospital, but also serves NYU Langone’s Orthopedic Hospital, and Bellevue Hospital. Pediatric neurosurgeons care for patients with all surgical conditions affecting the nervous system including tumors of the brain and spine, medically refractory epilepsy, craniofacial disorders, hydrocephalus, spina bifida, Chiari malformations, tethered cord, spasticity, and vascular conditions. The division enjoys major clinical and research collaborations with child neurology neuro-oncology, epilepsy, plastic surgery, orthopedic surgery, pediatrics, urology, anesthesiology, and pediatric surgery. Both clinical (tumor and epilepsy surgery) and NIH-funded basic science (developmental biology of brain tumors) research are critical components of the academic mission of the division.  In addition to working with the pediatric neurosurgical service throughout training our residents spend at least a month on the primary pediatric neurosurgical service.

Pediatric Neuro-Oncology:  Dr. Jeffrey Allen and Dr. Kaleb Yohay

Based out NYU Langone’s Stephen D. Hassenfeld Childrens Center for Cancer & Blood Disorders, our program brings together medical as well as non-medical specialists to ensure that all of a patient's needs are met. Surgeons, medical oncologists, radiation oncologists, radiologists, pathologists, nurses, social workers, and psychologists collaborate to create a program that is among the best in the nation. A multidisciplinary faculty meeting is held twice a week to review the best care for each patient. NYU Langone's brain tumor specialists also work closely with staff of the NYU Langone Comprehensive Epilepsy Center. The NYU Langone Cancer Institute offers the most sophisticated tools for diagnosing brain tumors, including magnetic resonance imaging (MRI), magnetic resonance spectroscopy (MRS) and computed tomographic (CT) scanning. In addition to neurosurgical options the NYU Langone Cancer Institute also offers patients with brain tumors standard and specialized radiation therapy that is highly targeted, such as conformal focused irradiation. NYU Langone Medical Center acquired the first "Gamma Knife" in New York. On an elective there is extensive exposure to clinical presentations, treatment planning and participation in chemotherapy, neurosurgical and radiotherapy management, depending on interest level. A comprehensive data base facilitates clinical research activities and publications.  Residents work with patients admitted to the inpatient service as well as in the outpatient setting.  There is a formal fellowship in pediatric neuro-oncology.

The NYU Langone Comprehensive Neurofibromatosis (NF) Center was founded in 2008, and offers individualized, comprehensive medical and surgical evaluation and care for patients and families with NF1, NF2 and Schwannomatosis with a dedicated multidisciplinary team of medical, behavioral, and surgical specialists. Research is ongoing to discover better and safer treatments to patients suffering from progressive manifestations of NF including nervous system tumors, through research and clinical trials.  Residents work with patients admitted to the inpatient service as well as in the outpatient setting.

Pediatric Multiple Sclerosis:  Dr. Lauren Krupp

At NYU Langone’s Pediatric Multiple Sclerosis Center, we provide children, teens, and their families with the education, support, and medical care they need to manage life with multiple sclerosis. Our program is led by Dr. Lauren B. Krupp, a world-renowned expert in pediatric multiple sclerosis (MS) diagnosis and treatment. In addition to children with MS, children with other associated demyelinating conditions are seen, such as acute disseminated encephalomyelitis, transverse myelitis, and neuromyelitis optica.

NYU Langone’s Pediatric MS Center is part of the United States Network of Pediatric MS Centers, a group of medical institutions devoted to researching the cause of MS in children and developing more effective therapies. The care team includes both adult and pediatric neurologists with expertise in treating children with MS, a neuropsychologist, a social worker, and nurses, all of whom specialize in caring for young people with MS. Occupational and physical therapy, neuro-ophthalmology, and neuroradiology are additional available resources. Residents work with the service when patients are admitted, and also rotate in the outpatient setting. There is a formal fellowship in pediatric multiple sclerosis offered as well.

Outpatient Clinics: Dr. Sandra Forem, Dr. John Wells, Dr. Hae-Ri Song, and Dr. Aaron Nelson

The Bellevue Hospital Child Neurology Clinics, which meet 3 times per week, form the clinical core of general child neurology outpatient training at NYU Langone’s training program. Drawing from a diverse patient population in NYC and all around the world, the clinics offer a wealth of material from which each resident has the opportunity to see the evolution of neurological disorders from birth through childhood & adolescence into young adulthood. Each resident is assigned a unique panel of patients, for whom he or she is responsible, including performance of neurological & physical examination, neuro-diagnostic work-up and treatment. Each case is presented by the resident to a senior child neurology attending, who reviews all of the pertinent findings on history & physical exam and approves the disposition, including an individualized treatment plan. This often leads to discussions of related topics and reviews of pertinent literature.

The Child Neurology Clinics moved into a brand new facility in 2005. About 1500 children are seen per year. Translators are available in multiple languages in order to serve the diverse population. Common reasons for referral to the clinic include: developmental delay, epilepsy, headaches, cerebral palsy, movement disorders, ADHD/LD, mental retardation, hydrocephalus, spinal dysraphism, tumors of the brain and spinal cord, neurophakomatoses, myopathies, neuropathies, encephalopathies, head injury, neurodegenerative disorders, genetic & metabolic disorders. The resident is welcome to reach out to ancillary and subspecialty faculty and to utilize all of the resources available at NYU Langone in order to provide the highest standard of care for each patient.

Pediatric Neuroscience Institute:  Dr. Xavier Castellanos

Pediatric Neuroscience Institute at the NYU Langone Child Study Center headed by Dr Xavier Castellanos has as its missions (1) to conduct and promote interdisciplinary/translational research studies focused on understanding the causes and developmental pathways that lead to pediatric neuropsychiatric disorders; and (2) to provide and promote translational research training at multiple stages of career development, from high-school internships through post-doctoral fellowships. The central vision motivating the work of the Institute is that novel integrative approaches to child/adolescent psychiatric disorders can be best developed by drawing on insights gleaned from basic neuroscience. The resulting hypotheses must then be interactively tested through various techniques including neuroimaging.

The Institute's overarching objective is a developmental understanding of the multiple causal factors that interact in complex ways to shape brain development and behavior from infancy into young adulthood. A primary aim of the Institute is to harness the burgeoning neuroscience literature on brain development, which is predominantly based on model organisms such as animals, and apply those insights to questions that are relevant to neuropsychiatric disorders that affect children and adolescents. Studies conducted within the Institute focus on: the identification of neurobiological markers that can serve as indicators of risk for childhood mental disorders and/or abnormal brain functioning, in the same way that cholesterol levels indicate the risk of heart disease; the effects of childhood treatment with medication on neuroanatomy in adulthood in parallel with studies of the effects of the same medications on brain development in young laboratory rats; and testing theories of the causes and brain mechanisms involved in Attention-Deficit/Hyperactivity Disorder, Autism and Anxiety Disorders.

Child Psychiatry:  Dr. Glenn Hirsch

The NYU Langone Child Study Center offers science-based, research-driven psychiatric care to children and adolescents with learning, behavior and emotional disorders. Since it inception, the Center has received more than $50 million in research grants, published more than 350 peer-reviewed journal articles and made over 450 presentations at national and international scientific meetings.

The Center is built around a group of research Institutes with associated clinical arms, a structure that allows it to serve a patient population, recruit patients for research studies and provide "real-world" testing for successful controlled-environment findings. Research initiatives advance our understanding of the causes and treatments of child mental disorders, and these findings are then integrated into clinical care to provide state-of-the-art service. Outreach programs translate scientific research into everyday skills for parents and educators and into practical applications for pediatricians and mental health professionals around the country. Advanced training efforts prepare the next generation of physicians and mental health professionals to meet the demands of a complex and expanding field and help ensure that tomorrow's children will continue to benefit from the translation of research into advanced clinical care and effective treatments.

Child and Family Associates, the clinical program of the NYU Langone Child Study Center, offers a broad range of diagnostic and treatment services for psychiatric and developmental disorders for children, adolescents and their families. Established in 1998, Child and Family Associates is one of the leading clinical child and adolescent mental health programs in the country which include several specialty clinics: ADHD and Behavior Disorders, Anxiety and Mood Disorders, Autism/ Asperger, Family Studies, and Learning and Academic Achievement. In addition it runs a summer program for children with ADHD. In recent years families from dozens of different states and countries have come to the Center for evaluation. All residents spend at least a month focused on child psychiatry in addition to performing consults on three unique inpatient child psychiatric units at Bellevue Hospital

Rehabilitation Medicine:  Dr. Joan Gold  and  Dr. Renat Sukhov

Brain injury or neurological illness can trigger a wide range of medical, physical, cognitive, and behavioral changes. The Brain Injury Rehabilitation Program at NYU Langone’s Rusk Rehabilitation has been accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF) as an inpatient specialty program for brain injury rehabilitation. It is also one of 16 nationally designated model systems for brain injury care and research by the National Institute on Disability and Rehabilitation Research.

Rusk Rehabilitation’s Inpatient Brain Injury Program at NYU Langone Orthopedic Hospital provides care from experts in rehabilitation psychology, physical therapy, occupational therapy, speech-language pathology, therapeutic recreation, social work, rehabilitation nursing, and nutrition.

Our Brain Injury Rehabilitation Program cares for people recovering from brain-related disorders that include:

  • Anoxic encephalopathy, which is brain damage caused by lack of oxygen
  • Brain hemorrhage or hematoma
  • Brain infections and inflammation, also known as encephalitis and encephalopathy
  • Brain tumors
  • Disorders of consciousness, or minimally conscious state
  • Gait disorders, such as dystonia, chorea, Huntington’s disease, and ataxia
  • Hydrocephalus
  • Mild to moderate brain injuries including concussions
  • Multiple sclerosis
  • Neurosurgical procedures such as craniotomies
  • Parkinson’s disease
  • Stroke
  • Traumatic brain injury caused by a bump, blow, or jolt to the head