Department of Pediatrics

All India Institute of Medical Sciences, New Delhi



About us

The Child Neurology Division at the Department of Pediatrics, AIIMS, New Delhi caters to a significant proportion of in-patients and out-patients. It also runs the first D.M. programme in Pediatric Neurology in South Asia (started in 2004). The division is also involved in undergraduate and postgraduate teaching and caters to training of national and international long-term and short-term fellows / trainees from time to time. The division has continuously produced high quality research in diagnostics and therapeutics aimed at benefitting individual patients as well as the community.


The division is involved in high quality and cross-cutting research in childhood neurodevelopmental disorders translating into around 20 publications every year in indexed international and national journals. It actively disseminates awareness and knowledge to health care professionals, health care providers and public in the field of child neurology. It is involved in advocacy at national and international level. Currently, the division has three faculty members, 2 electrophysiology technicians and one specialty nurse as permanent staff. The division also gets support from the departmental nutritionist, physiotherapist and social service officer. In addition, we have dedicated secretarial and project staff. The division has 15-18 bedded in-patient unit (as a part of Unit II, Department of Pediatrics) and caters to around 25000 outpatients annually. Apart from twice a week routine morning out-patients, the division runs 5 specialty clinics (Developmental clinic, Neurocysticercosis clinic, Pediatric Neurology clinic, Autism clinic, Neuromuscular disorders clinic) on a weekly basis attending to around 6000 patients in a year.


The division launched a website (www.pedneuroaiims.org) on 3rd December, 2014 to augment the level of knowledge and skills of health care professionals throughout the country for early detection and management of childhood neurological and neurodevelopmental disorders. A separate platform has been developed where parents and care givers can post their queries that is subsequently answered by experts. This will selectively ensure “personalized care” for children with neurological and neuro-developmental disorders and their caregivers and parents.


A state of the art, “Centre of Excellence and Advanced Research for Childhood Neurodevelopmental Disorders”, is providing high quality affordable care for all sections of the society, performing high end diagnostic/ therapeutic research and acting as an education/training hub. The centre (funded by AIIMS Grant in aid {supported by Ministry of Health and Family Welfare} and India Infrastructure Finance Company Limited {IIFCL, as a part of its CSR, MOU signed on 1st December, 2017}) has the following thrust areas:

1. Development of a national registry for childhood neurodevelopmental disorders
2.National Knowledge & Training Centre for childhood neurodevelopmental disorders
3. Childhood neurodevelopmental disorders: Advanced Diagnostics
4. Childhood neurodevelopmental disorders: Advanced Therapeutics/Rehabilitation
5. Child Neurology Helpline and Teleconsultation services (24x7 toll free National Child Neurology tele-helpline services: 1800117776)
Faculty
Dr. Sheffali Gulati, MBBS (Gold medalist; AIIMS), MD (AIIMS), FRCPCH (UK), FAMS, FIAP, FIMSA
Professor and Faculty in charge, Child Neurology Division, Department of Pediatrics
Office address: Room no 805, 8th Floor, Mother and Child Block, AIIMS, New Delhi- 110029
E-mail: sheffaligulati1@gmail.com, sheffaligulati@aiims.edu, sheffalig@yahoo.com
Telephone: 011-29576823
Areas of interest: Neurodevelopmental disorders including Autism spectrum disorder, Cerebral palsy; Neuromuscular disorders, Epilepsy, Neurorehabilitation, Dietary therapies
Dr. Biswaroop Chakrabarty, MBBS, MD, DM
Additional Professor, Child Neurology Division, Department of Pediatrics
Office address: Room no 808, 8th Floor, Mother and Child Block, AIIMS, New Delhi- 110029
E-mail: biswaroopchakrabarty@gmail.com
Telephone: 011-29576819
Areas of interest: Neurocysticercosis, epilepsy, status epilepticus, pediatric sleep, neuroimmunology
Dr. Prashant Jauhari, MBBS, MD, DM
Additional Professor, Child Neurology Division, Department of Pediatrics
Office address :Room no 837, 8th Floor, Mother and Child Block, AIIMS, New Delhi- 110029
E-mail: pjauhari0@gmail.com
Telephone: 011-29576855
Areas of interest: Immune mechanisms in epileptic encephalopathies; non-invasive neuromodulation (TMS) in pediatric epilepsy & movement disorders; pediatric EEG, CNS Tuberculosis  
Current DM students:
1. Dr. Puneet Kumar Choudhary
2. Dr. Richa Tiwari
3. Dr. Sakshi Ojha
4. Dr. PawanGhanghoriya
5. Dr. M. Aakash
6. Dr. Kaushik Raghunathan
7. Dr. Pooja Jindal
8. Dr. Shankar Dhungel
9. Dr. S.M. Mohana Sundaram
Other staff members:
• Sister Mabel Jossy, Speciality Staff Nurse
• Mrs. Sushila Yadav, Technical Officer
• Mr. Suresh Kumar, Laboratory Technician
What diseases/conditions do we treat ?
• Global developmental delay/Intellectual disability; Cerebral palsy
• Autism spectrum disorders
• ADHD, SLD
• Other neurodevelopmental disorders
• CNS infections
• CNS Autoimmune disorders
• Neuromuscular disorders
• Stroke
• Headache
• Neurocysticercosis
• Neurometabolic disorders
• Neuro-ectodermatoses
Patient information materials:

http://pedneuroaiims.org/parents_information_matrials.html, available in hindi and english

Website:

www.pedneuroaiims.org

E-learning modules for healthcare professionals:

http://pedneuroaiims.org/, dropdown under Academics, Autism and ADHD.

Division services overview:
https://docs.google.com/document/d/1ew3xZnnF6WP0QG7OMrhkHz_DaX3d9gIkWFYGhF789C8/edit?usp=sharing
OPDs and Specialty clinics
DayClinicTimings
MondayChild Development Clinic 2:00 PM onwards
Neurocysticercosis Clinic 2:00 PM onwards
TuesdayPediatrics OPD 09:00 AM onwards
WednesdayPediatric Neurology Clinic 2:00 PM onwards
Autism Clinic2:00 PM onwards
FridayPediatrics OPD9:00 PM onwards
Neuromuscular Disorder Clinic02:00 PM onwards

Laboratory services
● EEG
  a. RoutineEEG
  b. AmbulatoryEEG:Two portable combined EEG and EPS machines are available
  c. Video-EEG
● Polysomnography (PSG); Actigraphy
● Electrophysiology (EPS) studies

  EPS machines are used for NCS, RNST, sympathetic skin response and needle EMG.Ophthalmology and ENT departments - OAE, BERA and VEP are done in collaboration. Ambulatory EPS studies are done as and when needed in inpatients

● Neuromodulation and neurorehabilitation:

  TMS (trans-cranial magnetic stimulation) machine is being used for children with epilepsy, cerebral palsy, and dystonia and autism spectrum disorder as a therapeutic tool predominantly in various research activities and also in service mode.


Procedures
1. Biopsies -skin,muscle and nerve biopsies
2. Intracranial pressure monitoring- Being carried out in collaboration with pediatriccritical care team .and neurosurgeons.
3 Other Day Care Procedures:
● Lumbar puncture and CSF manometry
● Blood/ CSF Lactate
● Neostigmine challenge test
● Forearm ischemic test
● Hand-held dynamometry
● Oto-acoustic emission

Dietary services
● Ketogenic diet, modified atkinsdiet and low glycemic index treatment diets for refractory epilepsy
● Ketogenic diet in super refractory status epilepticus
● GFCF diet in Autism spectrum disorders
● Neurodegenerative disorders

DM/ fellowship in Pediatric Neurology
● First D.M. programme in Pediatric Neurology in South Asia, started in 2004.
● Short- and long-term fellowships

Humanitarian access programs
● Spinraza treatment to spinal muscular atrophy patients under SIPHAP (Spinrazaindividual patient humanitarian access program)
● Gene therapy (Zolgensma/Onasemnogeneabeparvovec-xioi) Novartis under global access programme
● Risdiplam

Tele-helpline and tele-consultation
● Helpline and teleconsultation for neurodevelopmental disorder(24x7 toll free National Child Neurology tele-helpline services: 1800117776)

Broad Research areas:

The broad research areas of the division are depicted below:

● Duchenne muscular dystrophy (highlights: skin biopsy replacing muscle biopsy, ataluren for DMD with nonsense mutations) and spinal muscular atrophy: diagnostics and newer therapies
● Autism spectrum disorder, ADHD and Learning disabilities: newer diagnostics (mobile application based diagnostic tools) and therapies including application of Artificial Intelligence
● Cerebral palsy and neurodevelopmental disabilities: multidisciplinary rehabilitation and publichealth dimension
● Dietary therapies in epilepsy and autism spectrum disorder - ketogenic diet (first center in North India to start KD), modified atkins diet, low glycemic index diet, gluten free casein free diet
● Neuromodulation
● Drug refractory epilepsy, status epilepticus
● Acute encephalitis syndrome, autoimmune encephalitis, acquired demyelination syndrome
● Neurocysticercosis, neuro-tuberculosis
● Pediatricmovement disorder
● Pediatricsleep disorder

Link-Ongoing projects:

https://docs.google.com/document/d/1zNJuAJhtc-JLCDDDJUwkjRrZqLLDEgFsymVhN5nJ6R8/edit?usp=sharing

International
● University of Manchester, University of Reading and University of Birbeck: Autism Spectrum Disorder
● University of Pennsylvania, University of Stanford and University of Wisconsin: Neurodevelopmental disorders
● GOSH, University college of London: FIRES, COE registry

National
● Indian Institute of Technology, Delhi: Virtual reality, augmented reality, artificial intelligence, and robotics
● Indian Institute of Technology, Kanpur: Autism spectrum disorder
● Indian Institute of Technology, Bombay: Autism spectrum disorder
● National Dairy Research Institute, Karnal: Autism spectrum disorder
● Institute of genomics and Integrative Biology: Next generation sequencing in epileptic encephalopathy, muscular dystrophy and autism spectrum disorder
● Postgraduate Institute of Medical Education and Research, Chandigarh: Leukodystrophy
● Shiv Nadar University, Noida: Autism spectrum disorder
● Jawaharlal Nehru University: Autism spectrum disorder
● SANGATH-Delhi and Goa: Autism spectrum disorder and other neuro-developmental disorders
● Indraprastha Institute of Information Technology Delhi: Robotics in autism spectrum disorder, Machine Learning in status epilepticus
● INCLEN (International Clinical Epidemiology Network): Neurodevelopmental disorders
● Public Health Foundation of India: Neurodevelopmental disorders
● Indian Music Therapy Association: Autism spectrum disorder
● Centre for Development of Advanced Computing, New Delhi and Thiruvanthapuram: Neurodevelopmental disorders

Click here to view Key Publications of the division



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