The Pediatric Neurology Practice at Valley Children’s provides diagnostic services, medical treatment, and follow-up care to infants, children, and adolescents who have suspected or confirmed neurological disorders. Our board-certified neurologists and epileptologists manage and treat a variety of patients, including those with epilepsy disorders, neuromuscular disorders and spasticity.

Working collaboratively with other pediatric subspecialties such as neurosurgery, neuropsychology, oncology, cardiology, and neonatology, the department ensures high-level, compassionate, coordinated care for infants, children and adolescents. Our pediatric subspecialists work with referring physicians throughout the region and provide access to services in Merced, Modesto and Visalia for care close to home.

NAEC Level 3 Epilepsy Center Badge

National Association of Epilepsy Centers

Valley Children's Hospital is accredited by the NAEC as a level 3 epilepsy center. Level 3 epilepsy centers have the professional expertise and facilities to provide the highest level medical evaluation and treatment for patients with complex epilepsy.

Our expertise includes:

  • Seizures and epilepsy
  • Headaches
  • Neuromuscular disorders
  • Movement disorders
  • Spasticity management
  • Behavioral problems associated with neurological conditions

Conditions treated include but are not limited to:

  • Seizures
    • Epilepsy
    • Recurring seizures – including those associated with tumors, encephalitis or congenital disorders
  • Brain injury with seizures
  • Spinal cord injury diseases and disorders
  • New onset of weakness
  • Progressive loss of skills
  • Movement disorders
  • Cerebral palsy
  • Neuromuscular disease (neuropathy, myopathy, muscular dystrophy)
  • Migraine headaches
  • Tic disorders

Clinical programs including the most advanced technology/procedures:

  • Multidisciplinary Muscular Dystrophy Clinic
  • Epilepsy monitoring (continuous video EEG)
  • Vagal nerve stimulator (VNS)
  • Botox injection for the management of spasticity
  • Inthathecal baclofen pump
  • Ketogenic Diet Program
  • Epilepsy Surgery Program

Diagnostic Procedures:

  • Neurological exam
  • Routine and Video EEG
  • Evoke Potential Examinations
  • MRI
  • Genetic diagnostic tools
  • Genetic screening
  • Muscle biopsy
  • Routine metabolic screening

Multidisciplinary Services

We work in collaboration with other multidisciplinary subspecialties to evaluate and treat conditions commonly associated with the specialty and utilize the services of our dedicated pediatric nurse practitioners, therapists, pharmacists, nurses, dietitians, social workers and interpreters to help ensure the best, comprehensive care for each child.

Neurology Testing Center

  • Provide diagnostic testing support


  • Collaborate with pediatric cardiologists at The Willson Heart Center to treat stroke patients

Cancer Center

  • Collaborate with oncologists to treat patients with brain cancer


  • We work closely with our pediatric neurosurgeons to treat patients with the following neurological conditions:
    • Brain tumors
    • Epilepsy
    • Seizures


  • Close relationship with our Rehabilitation Center in treating patients with:
    • Spinal cord injuries
    • Acute neurological disorders
    • Guillain-Barre Syndrome

Meet Our Team

Our board-certified and fellowship-trained team of neurology specialists works together with a multidisciplinary approach to improved care for our young patients.

The team works closely with other Valley Children’s services and pediatric specialties to encompass a full spectrum of care.

Cesar Santos, MD
Medical Director of Pediatric Neurology

Merveen Appu, MD

Raymund David, MD

Steven Ehrreich, MD

Malavalli Seetharam, MD