Inflammatory Brain Disorders Clinic

• To give the best care possible, we combine the expertise of a neurologist and rheumatologist to diagnose and treat your child.
• Accurate diagnosis is the first step to effective treatment. Our team will take a full medical history, examine your child carefully and order tests needed to understand their condition.
• We offer a full range of treatments. These include immunotherapies such as steroids, intravenous immunoglobulins, disease-modifying antirheumatic drugs (DMARDs), biological drugs and plasmapheresis.
• We also help manage symptoms such as headache and seizures.
• As part of a world-class academic pediatric hospital, we have access to specialists in many fields of medicine. As needed, we refer your child to neuropsychology, occupational therapy, physical therapy and speech and language services.

• Having a child with an inflammatory brain disorder can be stressful for the whole family. From first visit to follow-up, our team will work with you to give your child seamless care.
• We help you fully understand your child’s condition and support you in making choices that are right for your family.
• Seattle Children’s serves children and families from around the Northwest and beyond. We can help with financial counseling, education, housing, transportation, interpreter services and spiritual care. Read about our services for patients and families.

Our diagnostic services include:

• MRI to get high-quality pictures inside your child’s body
• EEG to check the electrical activity in your child’s brain
• Lumbar punctures to check your child’s cerebrospinal fluid
• Blood tests to check for signs of an autoimmune problem

We offer a full range of treatments for inflammatory brain disorders. Our immunotherapies include:

• Intravenous immunoglobulins (IVIGs)
• Corticosteroids given by mouth or IV
• Disease-modifying antirheumatic drugs (DMARDs)
• Biological drugs such as rituximab
• Plasmapheresis

We help manage symptoms of brain inflammation, such as seizures, headaches and changes in how your child’s brain works.

As needed, we coordinate with other Seattle Children’s specialists, such as:

• Neuropsychologists to assess how your child’s brain is developing and working and to recommend ways to improve their learning and behavior.
• Physical therapists (PTs) to improve your child’s strength, balance and coordination. If needed, PTs will teach your child to use equipment like crutches or a wheelchair.
• Occupational therapists (OTs) to help your child build strength and coordination to do daily tasks like dressing, bathing, eating, playing and school activities.
• Speech and language pathologists (SLPs) to check how well your child can speak, understand, read, write and swallow. SLPs help your child communicate and swallow better.

• Send us records. Ask your child’s primary care provider to fax (206-985-3121) us records about your child’s overall health and growth.
• Provide test results related to your child’s condition. Most of the time, the doctor who refers you to Seattle Children’s will send copies of imaging studies, lab results and other helpful information. Ask your doctor to send them or to give you a CD to bring with you.
• Learn more about what to do before your appointment.

• You and your child will meet with a neurologist and rheumatologist.
• They will ask about your child’s health history and examine your child.
• We may need to get a sample of your child’s blood or cerebrospinal fluid for testing.
• We may take photos of your child or pictures of inside your child’s body (imaging studies).
• Some tests or visits with other specialists may need to be scheduled for another day.
• Please ask us all your questions. We will do our best to answer them and give you the information you need.

• The first visit takes about 90 minutes.
• It will be longer if your child has imaging studies or sees other specialists.

• A CD with imaging studies and test results related to your child’s condition, if your primary care provider has not sent them already.
• School records such as psychoeducational testing or individualized education plan (IEP), if you have them.
• Medicines or a list of them. Include nonprescription items like vitamins. Include the name, the amount you give (dose) and instructions.
• Forms you need to have signed by our providers, like forms for school.
• Snacks for your child in case the appointment lasts longer than expected. Food is also available from the cafeteria at the Seattle hospital campus.
• Books, small toys or tablets for your child to play with during their visit.

• Before you leave, we will give you information about what will happen next.
• Each provider who sees your child will write notes for your child’s medical chart. We will send a copy to your child’s primary care provider.
• If you have questions between clinic visits, you can call the Rheumatology nurse at 206-987-2000 or the Neurosciences nurse at 206-987-2078.
• If your child needs follow-up visits, you can schedule on your way out or call 206-987-2000 later.

• If test results are not ready until after your clinic visit, we will call you or discuss them in person at a later clinic visit.
• If you have a MyChart account, your results will be added to your child’s medical record. You can view it by logging in.

Call 206-987-2000 as soon as possible. You can use our online form to cancel an appointment.