Pediatric Neurology

What We Offer (for physicians)

We provide specialized care for pediatric neurological conditions requiring expert evaluation.
 

Epilepsy and paroxysmal disorders

When to refer?

  • Loss of consciousness with abnormal movements, fixed gaze, or postictal confusion.
  • Focal or generalized seizures, atypical absences.
  • Suspicion of atypical febrile seizures
  • Sudden falls, loss of muscle tone, or recurring involuntary movements.
  • Suspected neurocardiogenic syncope in cases of fainting with pallor, sweating, or triggers such as pain/emotion.
  • Why refer? To differentiate an epileptic seizure from other paroxysmal disorders and initiate appropriate management.

Headaches and neurological pain

When to refer?

  • Frequent, disabling migraines associated with digestive, sensory, or motor symptoms.
  • Chronic headaches resistant to symptomatic treatments.
  • Suspicion of secondary headaches: nighttime awakenings, progressively increasing intensity, associated neurological signs.
  • Suspicion of trigeminal neuralgia: facial pain resembling electric shocks, triggered by touch or chewing.
  • Why refer? To identify an underlying cause and propose an effective therapeutic approach.

Psychomotor development disorders

When to refer?

  • Delay or regression in motor skill acquisition (difficulty sitting, walking, handling objects).
  • Speech delay, difficulties in non-verbal communication.
  • Problems with eye contact or social interaction.
  • Why refer? To assess for an underlying neurological disorder and facilitate early intervention.

Muscle tone disorders

When to refer?

  • Hypotonia: floppy baby, difficulty holding head up, muscle weakness.
  • Hypertonia: excessive stiffness, spasticity, dystonia (abnormal involuntary movements).
  • Why refer? To detect neuromuscular pathology and adjust rehabilitation and/or treatment.

Movement disorders

When to refer?

  • Tremors: involuntary, at rest or in action, possibly pathological.
  • Myoclonus: brief, isolated, or repetitive muscle jerks, sometimes linked to epilepsy.
  • Dystonia: abnormal muscle contractions causing involuntary postures.
  • Chorea: rapid, unpredictable movements disappearing at rest.
  • Athetosis: slow, writhing movements of the extremities.
  • Stereotypies: repetitive, invariant gestures, sometimes linked to neurodevelopmental disorders.
  • Why Refer? To differentiate primary movement disorders from underlying neurological conditions.

Balance and coordination disorders

When to refer?

  • Ataxia (walking difficulty, instability).
  • Dysmetria (poor coordination of movements).
  • Why Refer? To rule out cerebellar or peripheral impairments.

Neuromuscular and neurogenetic diseases

When to refer?

  • Unexplained muscle weakness, excessive fatigue.
  • Suspicion of neuropathy, congenital myopathy, or muscular dystrophy.
  • Delayed acquisition of motor skills, persistent toe-walking.
  • Why Refer? To diagnose neuromuscular diseases early and tailor management.

Neurological malformations and syndromes

When to refer?

  • Abnormal head circumference (microcephaly, macrocephaly).
  • Suspicion of neurocutaneous syndrome (café-au-lait spots, angiofibromas, vascular anomalies).
  • Why Refer? For early detection and specialized support.

Get in touch

We take the time to understand your individual needs and goals.

Contact us
neuropediatriegeneve@hin.ch

Call for an appointment
+41 22 346 90 84

Who is this service for? (for parents)

Our consultations are aimed at infants, children, and adolescents showing neurological signs that require specialized evaluation.
 
  • Epileptic seizures or suspected convulsions – Does your child experience loss of consciousness, involuntary jerking, or unexplained absences? We assess if these symptoms are related to epilepsy and provide appropriate follow-up care.
  • Developmental delay in motor skills and language – Is your child walking or speaking later than expected? Early screening helps identify potential neurological disorders and adapt the care plan accordingly.
  • Muscle tone disorders (hypotonia, hypertonia, spasticity) – Is your child too floppy, too stiff, or showing involuntary movements? These signs may be related to muscle tone disorders that require specialized evaluation.
  • Frequent or disabling headaches – Frequent migraines or persistent pain? We identify the causes of headaches and offer effective treatment options.
  • Movement disorders (tics, tremors, dystonia, myoclonus) – If your child has involuntary movements like blinking, jerking, or abnormal motions, we investigate further to provide an accurate diagnosis.
  • Muscle weakness or coordination and balance difficulties – Does your child fall often, have trouble running, or seem weak? These signs could indicate a neuromuscular disorder that requires prompt care.
  • Rare or genetic neurological conditions – If a hereditary neurological disease is suspected, we perform initial assessments and coordinate the necessary specialized tests.
Our goal is to provide clear answers, an accurate diagnosis, and personalized support for each child.
 

How it works?

  1. Initial consultation – We conduct a detailed medical history and a thorough clinical examination to understand symptoms and guide further investigations.
  2.  Additional tests – If necessary, we perform a video-EEG and cognitive tests directly at our center, either before or after the consultation. Other tests (MRI, ENMG, neuropsychological assessments, genetic tests) can be arranged through our specialist network.
  3. Diagnosis and treatment plan – Once a diagnosis is established, we offer a tailored management plan:
    – Medical treatment if necessary.
    – Referral to a network specialist (psychologist, speech therapist, physiotherapist, etc.).
    – Regular follow-up to adjust treatment and support the child’s development.
  4. Long-term follow-up and support – We provide personalized follow-up for each child to optimize their development and overall well-being.

Dr. med. Anastasia Dayer

Swiss Medical Association Diploma in Neuropediatrics (FMH)
Certificate of complementary training (AFC) in electroencephalography,
Swiss Society of Clinical Neurophysiology (SSNC)
Inter-university diploma (DIU) in neurodevelopment

Download CV

FAQs

Got questions?

Before the appointment for a video-EEG you will receive a telephone call from our EEG nurse. She’ll explain how the test works, and ask you a few questions to help you to adapt the test to your child’s specific needs. You will also receive a document explaining the video-EEG procedure to you and your child.
Yes, for patients insured in Switzerland, the appointments in Neuropédiatrie Genève are covered by the LAMAL. Please note that some health insurance companies require a referral from the child’s pediatrician. Please check with your health insurance company.
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