Services

Neurological Evaluation

Below are some of the types of issues discussed in a neurological examination:

      • Cerebral Palsy
      • Developmental Delay
      • Dystonia
      • Epilepsy
      • Scholastic Difficulties
      • Sleep Disorders
      • Spasticity

EEG Routine & Ambulatory

The pediatric-friendly rooms in our Neurophysiology Lab are specifically designed to represent a child’s bedroom at home. Our goal is to promote the comfort of children and families in a non-threatening yet professional environment.

What is an EEG?

An EEG is a map of the electrical activity of the brain.

How is an EEG performed?

Several electrode wires will be attached to your child’s head with a sticky substance. The wires will not hurt. If your child is sensitive to touch, the EEG may be ordered “with sedation”. In that case, prior to placement of the EEG wires, your child will be given some medication to help them relax or go to sleep during the procedure. Sometimes during an EEG, your child will be exposed to rapidly flickering lights or will be asked to hyperventilate in order to study the brain’s electrical activity during those events. A typical EEG lasts about an hour.

What is an ambulatory EEG?

An ambulatory EEG is an EEG study that is performed in the comfort of your own home!

How is an ambulatory EEG performed?

During an ambulatory EEG, electrode wires will be attached to your child’s head in the same manner as for a routine EEG. However your child’s head will be wrapped securely with gauze and your child will be allowed to go home with the leads intact for the duration of the study. You will carry the recording equipment in a lightweight back pack. You will be provided with a video camera and a log to document any events that you suspect may be seizure activity. An ambulatory EEG may be ordered from 24-72 hours in duration. Please download the Ambulatory Instruction SheetAmbulatory Permission Sheet, and the Ambulatory Log Sheets for more information.

Vagus Nerve Stimulator

Our providers manage the VNS adjustments for patients with epilepsy. Vagus nerve stimulation involves the use of a device to stimulate the vagus nerve with electrical impulses. There’s one vagus nerve on each side of your body, running from your brainstem through you neck to your chest and abdomen. 

Botox Injections (Adults & Children)

Dystonia & Spasticity

The FDA has approved Botox® for upper limb spasticity and migraines in adults.

J. Ben Renfroe, M.D. has been treating both adults and children for dystonia and spasticity since 1997. Weldon Mauney, M.D. also has decades of experience in this line of work. Dr. Renfroe and Dr. Mauney provide care for patients with dystonia and/or spasticity by using Botulinum Toxin. In addition, both doctors manage the Intrathecal Baclofen Pumps in patients.

Baclofen

Baclofen is one of the medications most commonly used to treat spasticity. Baclofen acts in the spinal cord and improves hyperactive reflexes and excessive muscle tone. If you have severe spasticity and oral medications are not helpful, an Intrathecal Baclofen Pump may be the right choice. 

The pump needs to be refilled at regular intervals (usually every 1 to 6 months) by our team. The pump is refilled by inserting a needle through the skin into a refill port on the pump. The dose of Baclofen can be adjusted, but the adjustment must be done by our team or a trained professional.

Pediatric & Adult Clinical Trials

The FDA has approved Botox® for upper limb spasticity and migraines in adults.

J. Ben Renfroe, M.D. has been treating both adults and children for dystonia and spasticity since 1997. Weldon A. Mauney, M.D. has recently joined Dr. Renfroe in this work. Dr. Renfroe and Dr. Mauney provide care for patients with dystonia and/or spasticity by using Botulinum Toxin. In addition, both doctors manage the Intrathecal Baclofen Pumps in patients.