Services

Paediatric Neurology

Our paediatric neurology department has 7 full-time consultants and a specialised multidisciplinary team who offer a full range of care for children with neurological disorders.  We are based at Bristol Royal Hospital for Children and provide outreach neurological services to hospitals across the South West of the UK.

Specialised Services

Our epilepsy team includes consultant epilepsy specialists, consultant neurophysiologists, specialist nurses and specialist dieticians to support children with all types of epilepsy.  We work closely with neurophysiology, neuropsychology, and neuropsychiatry teams.

 Neurophysiology

We work closely with the neurophysiology department and can provide the full range of electroencephalography (EEG) that may be required for diagnosis of epilepsy.

Ketogenic Diet

Bristol supports patients with complex epilepsy who may benefit from use of the ketogenic diet to control their seizures.  We are a recruiting centre for the Kiwi trial for use of the ketogenic diet in young children, see research for more details.

Vagal Nerve Stimulation

After assessment within the Children’s Epilepsy Surgery Programme some patients will benefit from Vagal Nerve Stimulation (VNS).  This can be very beneficial for patients with epilepsy that does not respond to standard treatment.  Bristol supports patients with VNS across the South West of the UK.

Cannabinoids

Within the wider managed access programme, and guided by the British Paediatric Neurology Association, medications containing cannabinoids can now be prescribed by consultants on the specialist register.  At present, while awaiting the outcome of the NICE guidance, this is on a very limited named-patient basis.

For more information on this refer to the BPNA guidance, or speak to your consultant.

The bristol Complex Movement Disorder service is a nationally commissioned service offering highly specialised treatments to children from across the South West of the UK and Wales.  Dr Sam Amin leads this service based at the Bristol Royal Hospital for Children.

Multidisciplinary Team

Bristol has a highly specialised team of physiotherapists, occupational therapists and advanced nurse practitioners to support patients with complex movement disorders.

Deep Brain Stimulation

For children with complex movement disorders such as dystonia Bristol can offer deep brain stimulation assessment, insertion, and programming.

Intrathecal Baclofen Pumps

Working with our neurosurgical colleagues Bristol can offer patients intrathecal baclofen pump use for children with severe problems with tone.

Dr Sam Amin

Consultant

The neuroradiology department based at University Hospitals Bristol NHS Foundation trust offers highly specialised diagnostic imaging for children with neurological problems.  This includes 1.5 and 3 Tesla MRI, MRS, MRA, vascular imaging including CT angiography and catheter angiography, and spinal MRI.

University Hospitals Bristol NHS Foundation Trust was recently designated a centre for care of children with CDKL5 disorder as part of the Rare Diseases Collaborative Network.  This NHS England programme aims to improve both clinical care and research into rare diseases.

Dr Sam Amin is leading this process.  We are excited to be developing this for children with CDKL5 disorder.

Rare Diseases Collaborative Network

Dr Sam Amin

Consultant

The Children’s Epilepsy Surgery Programme at Bristol is one of 4 UK centres nationally designated to undertake assessment and surgical care of children with epilepsy.

Dr Andrew Mallick

Consultant

Dr Jayesh Patel

Consultant

Bristol is a centre for care of children with neuromuscular conditions from across the South West of the UK.  Dr Arni Majumdar and Dr Kayal Vijayakumar run the neuromuscular service co-ordinating clinical care and implementing research programmes.

South West Neuromuscular Operational Delivery Network

Dr Anirban Majumdar

Consultant

Dr Kayal Vijayakumar

Consultant

Bristol is one of the largest centres in the UK for neurorehabilitation for children with acquired brain injury.  This service is led by Dr Peta Sharples and Dr Daphin Fernandez, with a highly specialised multidisciplinary team.  This team includes physiotherapy, occupational therapy, speech and language therapy, neurophychology, neuropsychiatry, play therapy, and music therapy.

Research

Dr Sharples leads research in this area, particularly into traumatic brain injury and fatigue after brain injury.

Dr Peta Sharples

Consultant