NJPNI Providers
Meet our NJPNI Providers! Expert neurosurgeons, neurologists, nurse practitioners, therapists, orthotists, and dietitians at NJPNI are dedicated to comprehensive care for pediatric neurological and neurosurgical needs. Since 2009, we've supported families with diverse diagnoses, providing high-rated care in NJ and NY. Family involvement is central to our approach, ensuring tailored support. With offices, telehealth, and a commitment to expedited care, we're here for YOU. Discover compassionate care that goes beyond medicine. #NJPNIProviders #PediatricCare #HolisticHealth
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Thanksgiving
🦃 This Thanksgiving, immense gratitude to our NJ Pediatric Neuroscience Institute family – patients, staff, and providers alike. Your strength, commitment, and expertise shape the heart of our care. In a year full of changes, we're especially thankful for each thread of support and resilience. Wishing everyone a joy-filled and grateful Thanksgiving! 🍁🌟 #ThanksgivingGratitude #NJNeuroFamily #GratefulHeart
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Does My Child Need a Pediatric Movement Disorder Specialist?
Medically Reviewed by: Catherine A. Mazzola, MD, FAANS Pediatric Neurosurgeon
Updated On: 18 March 2025
Pediatric movement disorders can significantly affect a child's ability to control their movements, impacting their daily life, school performance, and overall well-being. These disorders may stem from physiological, psychological, or neurological causes and often require expert evaluation and treatment. At New Jersey Pediatric Neuroscience Institute (NJPNI), our Pediatric Movement Disorders Center provides specialized care for conditions like spasticity, dystonia, chorea, tcs and ataxia in children. This article explores the most common movement disorders in children, their symptoms, and the importance of consulting a pediatric movement disorder specialist.

What Are Pediatric Movement Disorders?

Pediatric movement disorders refer to a range of neurological conditions that disrupt a child’s ability to perform coordinated, smooth, and purposeful movements. These disorders may include involuntary movements or difficulties initiating or controlling voluntary motions. Some childhood movement disorders start in infancy, while other disorders present in toddlers, or even later in life.  Some movement disorders are caused by genetic or metabolic factors, and others may be caused by brain damage caused by premature birth, hyperbilirubinemia or jaundice, trauma, tumors or infections.

Common Pediatric Movement Disorders

Spasticity in Children

Spasticity affects a child’s coordination and balance. Children with this disorder may experience:
  • Tightness in the muscles
  • Toe walking
  • Unsteady walking
  • Muscle contractures
  • Difficulty controlling hand movements
  • Challenges maintaining posture

Chorea in Children

Chorea affects a child’s coordination and motor control. Children with this disorder may experience:
  • Uncontrolled movements
  • Difficulty with fine and gross motor skills
  • Excessive mvement
  • Difficulty controlling hand movements

Ataxia in Children

Ataxia affects a child’s coordination and balance. Children with this disorder may experience:
  • Unsteady walking
  • Difficulty controlling hand movements
  • Challenges maintaining posture
Ataxia often stems from genetic conditions, infections, or other neurological disorders. Identifying and addressing ataxia early is essential for helping children develop and thrive.

Parkinsonism in Children

Although Parkinsonism is commonly associated with older adults, children can also experience this rare condition. Pediatric Parkinsonism symptoms include:
  • Tremors
  • Muscle stiffness
  • Bradykinesia (slowed movement)
These symptoms can make simple tasks like writing, walking, or playing challenging. Early diagnosis and specialized treatment are crucial to improving a child’s quality of life. Get Specialized Care at NJPNI: The Pediatric Movement Disorders Center When it comes to your child's health, you want the best care available. NJPNI's Pediatric Movement Disorders Center is a specialized facility dedicated to diagnosing and treating pediatric movement disorders with expertise and compassion.

How Are Pediatric Movement Disorders Diagnosed and Treated?

A comprehensive, multidisciplinary approach is essential for managing pediatric movement disorders effectively. Early Diagnosis Recognizing unusual movements or coordination issues early can lead to timely intervention and better outcomes. Specialized Evaluation Consultation with a pediatric neurologist or movement disorder specialist is critical. These experts conduct in-depth evaluations to determine the underlying cause of the disorder. Diagnostic Tools Tests such as brain imaging, genetic analysis, and electromyography (EMG) help pinpoint the root cause of the disorder and guide treatment decisions. Personalized Treatment Plans Treatment plans are tailored to each child’s specific needs and may include:
  • Medications to manage symptoms
  • Physical and occupational therapy to improve motor skills
  • Surgical interventions in severe cases
Long-Term Support Movement disorders often require ongoing management. Regular follow-ups and adjustments to the treatment plan are necessary to ensure optimal outcomes. Family Involvement Parents and caregivers play a key role in therapy exercises, emotional support, and medication adherence.

Why Choose NJPNI’s Pediatric Movement Disorders Center?

The Pediatric Movement Disorders Center at NJPNI is a trusted resource for families seeking expert care for children with movement disorders. Here’s what sets us apart:
  • Expert Team: Our board-certified pediatric physiatrists, neurosurgeons and neurologists specialize in diagnosing and treating complex movement disorders.
  • Advanced Diagnostics: We utilize cutting-edge technology for accurate and early diagnosis.
  • Comprehensive Care: Our multidisciplinary approach includes collaboration with physical therapists, occupational therapists, and genetic counselors to ensure holistic treatment.
  • Individualized Attention: Every child is unique, and our personalized care plans reflect their specific needs.
  • Family-Centered Approach: We provide guidance and resources to empower parents and caregivers throughout the treatment journey.

When to Seek Help From a Pediatric Movement Disorder Specialist

If your child shows any of the following signs, it’s time to consult a specialist:
  • Persistent tremors or involuntary movements
  • Difficulty with coordination or balance
  • Noticeable delays in motor skill development
  • Recurrent issues with muscle stiffness or slowness
Early intervention can make a significant difference in managing symptoms and improving your child’s quality of life.

Conclusion: A Path to Improved Movement and Well-Being

Pediatric movement disorders can be challenging, but early diagnosis and expert care provide hope and improved outcomes for children. At NJPNI’s Pediatric Movement Disorders Center, our compassionate team is committed to helping children overcome these challenges and achieve their full potential. If you suspect your child may have a movement disorder, don’t wait. Contact NJPNI today to schedule a consultation and learn more about how we can support your family. Your child’s health and happiness are our top priorities.
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Nurse Practitioner Week
Although we're a week overdue, we want to take a moment to express our deep appreciation for our incredible Nurse Practitioners. Your dedication and expertise are the heartbeat of our pediatric care. Thank you for being the unsung heroes who make a real difference every day! 💙👩‍⚕️👨‍⚕️ #BelatedGratitude #NursePractitionerAppreciation #HealthcareHeroes #BetterLateThanNever
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What are the top 5 treatment options for hydrocephalus your Toddler?
Hydrocephalus is a condition characterized by an excessive accumulation of cerebrospinal fluid (CSF) in the brain, which can put pressure on the brain tissues. It can affect individuals of all ages, including toddlers. Timely and appropriate treatment is crucial for managing pediatric hydrocephalus and preventing potential complications. In this article, we will explore the top 5 treatment options for hydrocephalus in toddlers.

Here are top 5 treatment options for hydrocephalus your Toddler 

Hydrocephalus is a condition characterized by the accumulation of cerebrospinal fluid in the brain, leading to increased pressure. Here are five common treatment options:

1. Shunt Placement

Shunt placement is one of the most common and effective treatments for hydrocephalus in toddlers. A shunt is a thin, flexible tube that is surgically inserted into the brain to divert excess CSF away from the brain to another part of the body, usually the abdominal cavity or a chamber within the heart. This helps regulate the fluid buildup, relieving pressure on the brain. Shunts come in various types, including ventriculoperitoneal (VP) and ventriculoatrial (VA) shunts. The choice of shunt depends on the specific needs of the child and the surgeon's recommendations. Regular follow-up appointments are necessary to monitor the shunt's function and make adjustments if needed.

2. Endoscopic Third Ventriculostomy (ETV)

Endoscopic Third Ventriculostomy (ETV) is a surgical procedure that offers an alternative to shunt placement, particularly in cases where shunt placement may not be the preferred option. During ETV, a small hole is made in the third ventricle of the brain, allowing CSF to flow more freely, relieving the buildup of fluid. ETV is suitable for some pediatric hydrocephalus cases, but not all. It is essential to consult with a pediatric neurosurgeon to determine if ETV is a viable treatment option for your toddler.

3. Monitoring and Adjusting Shunts

If your child has already undergone shunt placement, it is crucial to understand that shunts may require monitoring and occasional adjustments throughout their lifespan. As a child grows, the shunt may need to be lengthened or replaced to accommodate their changing anatomy. Regular check-ups with a neurosurgeon are necessary to ensure the shunt functions correctly and to address any potential complications promptly.

4. Medication

In some cases, medication may be prescribed to manage the symptoms associated with hydrocephalus. However, it's important to note that medication cannot cure hydrocephalus but can help control related issues such as seizures or headaches. The choice of medication and its effectiveness will depend on the individual child's condition and the neurologist's recommendations. Medication is often used in conjunction with other treatment options.

5. Surgery for Underlying Causes

In certain instances, hydrocephalus may result from an underlying condition or blockage within the brain that needs surgical correction. Surgical procedures aimed at addressing these underlying causes may be necessary. For example, if a tumor is blocking the flow of CSF, surgery to remove the tumor may alleviate the hydrocephalus. Read more about pediatric hydrocephalus:  All About Hydrocephalus - New Jersey Pediatric Neuroscience Institute

Do Children Recover from Hydrocephalus?

The outcome of hydrocephalus treatment in children varies depending on the severity of the condition and the timeliness of intervention. Many children with hydrocephalus go on to lead healthy lives with appropriate treatment and follow-up care. However, it's important to recognize that hydrocephalus is a chronic condition that often requires ongoing management. Regular check-ups with pediatric neurosurgeons and neurologists are essential to monitor the child's progress and make any necessary adjustments to their treatment plan.

Conclusion

Pediatric hydrocephalus requires specialized care and treatment tailored to the individual child's needs. The top 5 treatment options for hydrocephalus in toddlers include shunt placement, Endoscopic Third Ventriculostomy (ETV), monitoring and adjusting shunts, medication, and surgery for underlying causes. Each child's case is unique, and treatment decisions should be made in consultation with a team of pediatric specialists. For expert care in pediatric neurosurgery, consider reaching out to the New Jersey Pediatric Neuroscience Institute. Their dedicated team of professionals specializes in the treatment of pediatric hydrocephalus and can provide the guidance and support your child needs on their journey to better health.
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Trivia Tuesday - Electrical Impulses
Happy Trivia Tuesday! The answer is TRUE! Did you get this week's trivia question?
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Fun Fact Friday - Spinal Cord
Happy Fun Fact Friday!
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6 Innovative Approaches For Childhood Brain Tumor Treatment
The diagnosis of a pediatric brain tumor can be a daunting experience for both the child and their family. However, advancements in medical science have led to innovative approaches for childhood brain tumor treatment, offering hope and improved outcomes. In this article, we will explore six innovative approaches to treating pediatric brain tumors, including surgery, radiation therapy, proton therapy, chemotherapy, targeted therapies, and medications to decrease symptoms.

Can a baby recover from a brain tumor?

The question of whether a child can recover from a brain tumor is a common concern among parents facing this challenging diagnosis. While the journey may be long and arduous, it is essential to remember that many children can overcome brain tumors with the right treatment and care.

6 Childhood Brain Tumor Treatment Approaches

Innovative approaches have improved the prognosis and quality of life for pediatric patients, giving them a fighting chance for a bright future.

Surgery

Surgery remains a fundamental approach in the treatment of pediatric brain tumors. Advances in surgical techniques and technologies have made it possible to remove tumors with greater precision and minimal damage to surrounding healthy tissue. In some cases, complete removal of the tumor is achievable, leading to a higher chance of successful treatment. Pediatric neurosurgeons are skilled in performing intricate procedures on children, ensuring the best possible outcome. Additionally, minimally invasive techniques, such as endoscopic surgery, are being increasingly utilized to reduce postoperative complications and improve recovery times.

Radiation Therapy

Radiation therapy is another crucial tool in the fight against pediatric brain tumors. This approach uses high-energy X-rays or other particles to target and destroy cancer cells. Advances in radiation therapy have allowed for more precise targeting of tumors while minimizing damage to healthy brain tissue. Pediatric patients undergoing radiation therapy may benefit from techniques like intensity-modulated radiation therapy (IMRT) and stereotactic radiosurgery (SRS). These innovations help tailor treatment plans to the unique needs of each child, increasing the chances of tumor control and reducing side effects.

Proton Therapy

Proton therapy is an exciting innovation in childhood brain tumor treatment. Unlike traditional radiation therapy, proton therapy uses protons rather than X-rays to target cancer cells. This approach offers several advantages, including better targeting precision and reduced radiation exposure to healthy tissues. Proton therapy is particularly beneficial for pediatric patients because it minimizes the long-term side effects of radiation on developing brains. Institutions like the New Jersey Pediatric Neuroscience Institute are at the forefront of utilizing proton therapy to improve outcomes for children with brain tumors.

Chemotherapy

Chemotherapy involves the use of drugs to kill or slow the growth of cancer cells. While it has been a standard treatment for many cancers, recent innovations have led to more targeted and effective chemotherapy regimens for pediatric brain tumors. These treatments can be administered orally or intravenously, depending on the specific type of tumor and its location. By tailoring chemotherapy to the individual patient's needs, oncologists can maximize its effectiveness while minimizing side effects. Collaborative research efforts continue to explore new drug combinations and therapies to improve outcomes for children with brain tumors.

Targeted Therapies

Targeted therapies are a promising approach to treating pediatric brain tumors, as they focus on specific molecular or genetic abnormalities within cancer cells. By identifying these unique markers, doctors can prescribe medications that specifically target and disrupt the cancer's growth. Recent breakthroughs in molecular profiling have allowed for more precise identification of these markers, leading to the development of novel targeted therapies. This approach offers the potential for more effective and less toxic treatments for children with brain tumors.

Medications to Decrease Symptoms

In addition to the primary treatments mentioned above, medications are often prescribed to manage symptoms and side effects associated with pediatric brain tumors. These medications can help control pain, reduce swelling, manage seizures, and alleviate other treatment-related issues.

Conclusion

In the face of a pediatric brain tumor diagnosis, it's crucial to be aware of the innovative approaches available for treatment. Surgery, radiation therapy, proton therapy, chemotherapy, targeted therapies, and symptom management medications offer hope and improved outcomes for children with brain tumors. The New Jersey Pediatric Neuroscience Institute is a leading institution at the forefront of utilizing these innovative treatments to provide the best care possible for pediatric patients. Their commitment to research and cutting-edge technologies ensures that children facing brain tumors have access to the most advanced and effective treatments available. While the journey may be challenging, the advancements in childhood brain tumor treatment give families reason to be optimistic about their child's recovery and future. With ongoing research and collaboration, we can continue to improve the outlook for children diagnosed with brain tumors, offering them a chance for a brighter and healthier tomorrow.
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13th Annual NJ Craniofacial Gala
13th Annual NJ Craniofacial Gala Tickets, Tue, May 21, 2024 at 6:00 PM | Eventbrite The 13th Annual Gala is hosted by the NJ Craniofacial Center (501c3), to help raise money for to provide continued treatement and services to the children and families in need around the world. Our gala will take place on Tuesday May 21, 2024, 6:00PM, at The Park Savoy Estate. Our theme this year is bow ties and tiaras! We will have door prizes to the people with the most creative bow tie and tiara! Get create :) Our healthcare professionals are dedicated to helping children and their families overcome the challenges of craniofacial disorders. We look forward to supporting patient families dealing with these challenges, along with the great organizations who share our same passion. Join us for a night filled with fun, great presentations, and your chance to win some great gift baskets, silent auction items or 50/50 raffle! The NJ Craniofacial Center cares for so many children with craniofacial differences. All of our doctors, families, and medical team members' support the physical and emotional well-being of our patients. As we all know it is difficult being different, especially for children. We strive to provide children and their families the care and support they need to overcome these obstacles and assist them in feeling inclusive in the community. All of our physicians and professionals strive to provide high quality surgical care to babies and children with facial abnormalities, and to bring their services to developing countries around the world. Hosting the NJ Craniofacial Gala each year helps us to not only assist patients in our home communities but also continue to support and provide proceeds to our next upcoming mission trip! We appreciate your support and donations for another successful event, and hope to see you there! All are welcome so please extend the invitation :) 13th Annual NJ Craniofacial Gala Tickets, Tue, May 21, 2024 at 6:00 PM | Eventbrite
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Seeking Diet Advice
Elevate your health with our expert dietitian services! 🍏🥦 Meet Heather, our nutrition expert, and take the first step towards a healthier you. 🌟🥗 Book your appointment today for a personalized plan that fits your unique needs. Your journey to wellness starts here! 💪👩‍🌾 #NutritionServices #HealthGoals #BookNow
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Caring for your child's well-being is our number one priority. 
Schedule an appointment with a world-class pediatric neurology and neurosurgery team at NJPNI now.
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NOTICE: This website is for informational purposes only and is not intended as medical advice or as a substitute for a patient/physician relationship.

NJPNI is committed to creating a culturally diverse, inclusive and collaborative community for patients and their families, employees and associates where each person is celebrated and has a sense of equal belonging. See our DEI Statement Page for more information.

NJPNI does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, or national origin, or on the basis of disability or age in admission to, participation in, or receipt of the services and benefits of any of its programs and activities or in employment therein. This statement is in accordance with the provisions of Title VI of the Civil Rights Act of 1964, Section 504 of the Rehabilitation Act of 1973, the Age Discrimination Act of 1975, and Regulations of the U.S. Department of Health and Human Services issued pursuant to the Acts, Title 45 Code of Federal Regulations part 80, 84, and 91.

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