Epilepsy and epileptic seizures
Assessment of epileptic seizures and other paroxysmal events; convulsions are only one possible manifestation.
Pediatric neurology · Specialized care
Caring for every child’s neurological development
Comprehensive care for newborns, children, and adolescents with neurological, developmental, learning, and language disorders, supporting every family through diagnosis, treatment, and follow-up.
- Comprehensive care
- Personalized follow-up
- Newborns, children, and adolescents
Compassionate careA comprehensive perspective at every stage
Knowledge.
Precision.
Compassion.
About the doctor
Dra. Sindy Segovia
Pediatrician · Pediatric Neurologist · Clinical Epileptologist
I am a physician specialized in Pediatrics, Pediatric Neurology, and Clinical Epileptology, dedicated to the comprehensive diagnosis, treatment, and follow-up of children and adolescents with neurological disorders.
My practice places particular emphasis on epilepsy and electroencephalography (EEG), including the interpretation of studies in newborns, children, and adolescents, as well as the management of complex and difficult-to-control epilepsies.
My training in clinical epileptology and EEG is complemented by ongoing clinical and academic work, with the goal of providing evidence-based, up-to-date care tailored to the needs of every patient and family.
My purpose is to combine knowledge, diagnostic precision, and close support to care for every child’s neurological development.
Academic training
- Physician and Surgeon
Universidad del Pacífico (UP)
- Specialist in Pediatrics
Universidad Nacional del Este (UNE)
- Specialist in Pediatric Neurology
Universidad Católica de Asunción (UCA)
- Specialist in Epilepsy and Video Electroencephalography
Universidade Federal de São Paulo (UNIFESP)
- Certified in Pediatric Neurology
Paraguayan Society of Pediatric Neurology (SOPANI)
Areas of care
Diagnosis and treatment
Assessment, diagnosis, treatment, and follow-up for different neurological conditions from the newborn period through adolescence.
Electroencephalography (EEG) and Video-EEG
Specialized interpretation of studies to support a precise neurological assessment.
Neurodevelopmental disorders
Comprehensive developmental assessment and therapeutic guidance for every stage.
Autism spectrum disorder (ASD)
Assessment of development, communication, behavior, and social interaction.
ADHD and learning difficulties
Assessment of attention, impulsivity, learning, and school-performance difficulties.
Headaches, migraine, and sleep disorders
Assessment of recurrent headaches, migraine, sleep disturbances, and warning signs.
Abnormal movements and paroxysmal events
Clinical assessment of motor episodes, unresponsiveness, and other concerning events.
Neurological assessment of newborns and infants
Specialized care during the first months of life and for early neurological signs.
Follow-up for children at neurological risk
Individualized support for development and neurological progress.
Childhood epilepsy
Epilepsy assessment and follow-up
Epileptic seizures can present in different ways during childhood. A specialized assessment helps identify their characteristics, study possible causes, and establish the most appropriate treatment.
An epileptic seizure is a brief event caused by abnormal electrical activity in the brain. A convulsion is a visible motor manifestation that may occur in some seizures, but not all. Epilepsy is a condition with an enduring predisposition to epileptic seizures; diagnosis is made by considering the clinical context, recurrence risk, and any necessary tests.
Ask about epilepsyAssessment
Detailed analysis of episodes and clinical history.
Diagnosis
Clinical interpretation and complementary tests when needed.
Follow-up
Monitoring of progress, treatment response, and patient development.
Specialized test
Electroencephalogram (EEG)
A key test for assessing electrical brain activity.
An electroencephalogram records the brain’s electrical activity and is an important tool in assessing epilepsy, suspected seizures, and other neurological conditions.
- Assessment of brain activity
- Diagnostic support for epilepsy
- Assessment of suspected episodes
- Specialized interpretation
Reasons for consultation
When should you see a pediatric neurologist?
Some signs may benefit from a specialized assessment, especially when they persist, recur, or affect daily life.
Convulsions, episodes of unresponsiveness, or other paroxysmal events
Neurological signs in newborns and infants
Developmental delays
Attention and learning difficulties
Language delay or changes
Involuntary movements
Frequent headaches
Sleep disturbances
Loss of previously acquired skills
Noticeable changes in behavior
Possible autism spectrum disorder
Changes in gait, coordination, or balance
Every case is different. A medical assessment helps determine whether symptoms require additional tests or specialized follow-up.
Important guidance
When to seek emergency care
Seek immediate medical attention if a child or adolescent experiences any of the following:
- A seizure lasting 5 minutes or longer, repeated seizures without recovery, or difficulty breathing or waking afterward.
- Sudden weakness or numbness on one side, facial asymmetry, trouble speaking, sudden confusion, or a marked loss of balance.
- A sudden, severe headache, especially with fever and a stiff neck, repeated vomiting, confusion, fainting, or vision changes.
- A significant head injury followed by increasing drowsiness, repeated vomiting, seizures, weakness, unusual speech, or difficulty waking.
In an emergency, go to the nearest emergency department or call your local emergency number. Do not wait for a response through WhatsApp, email, or this website.
This information is for general guidance and does not replace an emergency medical assessment.
First appointment
What is a pediatric neurology appointment like?
A meeting designed to understand the reason for the visit, assess the newborn, child, or adolescent, and guide their family clearly.
Medical history
We discuss the reason for the visit, medical history, and development, adapting the conversation to each stage.
Assessment
A neurological and developmental assessment appropriate to the child’s age is carried out.
Diagnostic guidance
Findings are explained and, when appropriate, complementary tests are requested.
Follow-up
A personalized treatment and follow-up plan is established.
Care locations
Where I see patients
Choose the most convenient center for your family and request an appointment via WhatsApp.
Sanatorio Manuel Riveros
- Days and hours
- Monday3:00 PM to 7:00 PM
- Address
- Av. San Blás Km 4 1/2, Ciudad del Este
- Phone
- +595 982 100 120
Fundación Tesãi
- Days and hours
- Monday8:00 AM to 12:00 PM
- Tuesday8:00 AM to 12:00 PM
- Friday10:30 AM to 12:00 PM and 2:00 PM to 7:00 PM
- Address
- Gral. Bernardino Caballero, Ciudad del Este
- Phone
- +595 61 548 4004
Clínica Magnificat
- Days and hours
- Wednesday3:00 PM to 7:00 PM
- Address
- Km 14, lado Monday, Minga Guazú
- Phone
- +595 985 408 023
Sanatorio San José
- Days and hours
- Wednesday8:00 AM to 12:00 PM
- Address
- Av. San José c/ Juan Martincich, Ciudad del Este
- Phone
- +595 984 117 550
Hospital Regional de Ciudad del Este
- Days and hours
- Thursday7:00 AM to 7:00 PM
- Address
- Supercarretera e/ Yguazú, barrio Santa Ana, Ciudad del Este
- IN-PERSON BOOKING
Sanatorio San Camilo de Lelis
- Days and hours
- Saturday9:00 AM to 12:00 PM
- Address
- Av. 12 de Junio e/ Gral. B. Caballero y Mcal. Estigarribia, Presidente Franco
- Phone
- +595 61 550 029
Clear information
Frequently asked questions
General answers to help you prepare for the appointment.
This information is for guidance only and cannot provide diagnoses online.
Pediatric neurology supports newborns, children, and adolescents. The exact age range can be confirmed when requesting an appointment, depending on the reason for the visit.
Convulsions, episodes of unresponsiveness, or other paroxysmal events, developmental delays, attention, learning, or language difficulties, involuntary movements, frequent headaches, and significant changes in skills or behavior are some possible reasons. Each case should be assessed individually.
It is helpful to bring previous tests, medical reports, a list of medications, and, when applicable, school or therapy reports. Writing down when symptoms began and how they have progressed can also help.
Not necessarily. The indication depends on the clinical history and the type of episodes. In many cases, it is best to assess the child first to determine which test is useful.
Length may vary according to age, reason for consultation, and case complexity. When booking, you can ask about the expected assessment time.
Diagnosis is clinical and brings together developmental history, observation, functioning in different settings, and, when relevant, information from family and school. It is not determined by a single test.
The assessment considers development, communication, social interaction, behavior, and the child’s history. Depending on the case, an interdisciplinary approach may be needed.
No. A convulsion is a manifestation with involuntary movements; it may occur in some epileptic seizures, but many seizures do not cause convulsions. Epilepsy is a condition with an enduring predisposition to epileptic seizures. Some events can resemble seizures or convulsions without being epilepsy, which is why specialized assessment is important.
It may be requested when epileptic seizures or episodes of unresponsiveness are suspected, or in other selected situations. Its indication and interpretation should be integrated with the clinical assessment.
You can contact the doctor via WhatsApp or email. Share the patient’s name and age, the general reason for the visit, and your availability; you will receive guidance to schedule it.
We are here to guide you
Book an appointment
If you have questions about your child’s development, learning, behavior, or a neurological symptom, you can get in touch to request an appointment.
