Headache Treatment in Centro de Neurología Avanzada (CNA)
About the clinic
Headache care at Centro de Neurología Avanzada (CNA) is provided in Sevilla, Spain, through a dedicated unit led by migraine specialists. The clinic combines neurological assessment, imaging, medication, injections, nerve blocks, and non-invasive stimulation.
Headache assessment and imaging
Dr. Javier Abril Jaramillo specializes in neurology, headache, and migraine. The clinic’s assessment can include a detailed medical history and neurological examination.
- Neurological consultation: A headache specialist reviews symptoms and helps plan the next steps.
- Brain MRI and cranial CT: Imaging can help check for causes of headache beyond migraine.
- Vascular neuroimaging: This can support assessment of blood vessels in the brain.
- High-resolution Doppler: Imaging of the supra-aortic trunks and brain vessels is available for migraine with aura.
- Video consultation: International patients can have an initial assessment and discuss a treatment plan remotely.
Headache treatment options
CNA’s multidisciplinary headache program brings together neurologists, psychologists, psychiatrists, and physiotherapists. Care can combine lifestyle changes, physical activity, and psychotherapy.
- Preventive medication: More than 10 drug options can be adjusted to the patient’s headache profile to help control and prevent attacks.
- Botulinum toxin injections: Small amounts are placed in specific skull muscles to help prevent migraine attacks. The treatment is also used for headaches linked to bruxism or temporomandibular joint dysfunction, alongside discharge splints.
- Anti-CGRP antibodies: These injections target calcitonin gene-related peptide. For severe cases, they may reduce migraine attacks by up to half and can replace daily medication for 4–6 months.
- Transcranial magnetic stimulation (TMS): A coil creates a focused magnetic field to stimulate or inhibit selected neural circuits. The clinic offers this non-invasive option for chronic headache and patients who have not responded to other treatments.
- Nerve blocks: These procedures may be used to help prevent chronic headache in selected patients.
CNA also has an on-site unit for transcranial magnetic stimulation and neuromodulation. The clinic has received Top Doctors recognition and Sociedad Andaluza de Epilepsia research awards. Patients can request a consultation through Bookimed to discuss assessment and treatment options.
Highlights
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Stereotaxic surgeries | Price on request | |
| Transcranial alternating current stimulation (tACS) | Price on request | |
| Spinal cord stimulator (SCS) | Price on request |
How are we doing?
Centro de Neurología Avanzada (CNA): more details about the clinic
Centro de Neurología Avanzada (CNA) is a private neurology center in Sevilla, Spain. The clinic operates across multiple sites and provides multidisciplinary care for adults and children. Its medical team includes 20 doctors who specialize in neurology, neurosurgery, and psychiatry. The Sevilla facility has nine consultation rooms and four waiting areas.
Key Statistics and Recognitions
The clinic treats roughly 35,000 patients every year. Within the dedicated Sleep Unit, specialists perform over 350 videopolysomnographic studies annually. CNA holds Top Doctors recognition for its high standard of private healthcare in Spain.
Several physicians have earned individual professional awards:
- Dr. Hernando Pérez Díaz ranks among the 50 best doctors in Spain.
- Dra. Iratxe Maestro received research awards from the Sociedad Andaluza de Epilepsia.
- Dr. Pablo Clavel is recognized by Forbes as one of Spain's top 100 physicians.
CNA hosts epilepsy specialist rotations from Central America. The medical team also presents research at major events like the International Congress of Parkinson's Disease.
Neurological Care and Epilepsy Treatment
The clinic manages complex neurological conditions through specialized diagnostic and treatment pathways. The Epilepsy Unit uses prolonged video-EEG monitoring – up to 15 days – to identify seizure origins. This unit reports high surgical success rates:
- Over 85% of patients with lesion-based epilepsy become seizure-free.
- 84% of patients with mesial temporal sclerosis remain seizure-free after surgery.
- 79% of temporal lobe epilepsy patients achieve total seizure control.
For neurodegenerative diseases, CNA offers an integrated cognitive decline assessment pathway. The team uses blood biomarkers and PET amyloid imaging to diagnose early-stage Alzheimer's disease. Selected patients may receive advanced anti-amyloid therapies like Donanemab or Lecanemab.
Advanced Neurosurgery and Spine Care
The neurosurgery department focuses on vascular pathologies and tumor removal. Surgeons perform wide craniotomies to treat giant meningiomas measuring up to 8 cm. They use intraoperative neurophysiological mapping to protect brain function during these procedures.
The Spine Unit specializes in minimally invasive techniques for degenerative disc lesions. Dr. Pablo Clavel leads the Artificial Disc Replacement (ADR) program with 25 years of experience. The clinic has performed over 2,500 spine operations. More than 90% of patients report pain reduction.
Psychiatry and Pediatric Services
The Psychiatry department treats adult conditions including depression, anxiety, and personality disorders. Specialists use transcranial magnetic stimulation to treat medication-resistant depression. This non-invasive method uses magnetic pulses delivered through a coil on the head to adjust neural circuits.
Pediatric care comes from the Neurodevelopment and Learning Disorders Unit. The team includes neuropediatricians, psychologists, and speech therapists who treat emotional and behavioral disorders. This unit integrates family and school settings into each child's treatment plan.
Diagnostic Technologies
CNA provides a full range of neurological testing tools. Specialists use high-resolution Doppler sonography to assess vascular risks in stroke patients. The facility also offers electromyography (EMG) and visual evoked potentials to test nerve and brain function.
The Sleep Unit features specialized equipment for sleep disorder check-ups. Spine surgeons use microsurgical vision systems and radioscopic guidance for precise implant placement. For complex epilepsy cases, the clinic uses Sentiva devices for vagus nerve stimulation.
International Patient Services
International patients can access videoconsultations to review medical results and plan treatment. These online sessions allow initial assessments without travel. Physical attendance is only needed for imaging or instrumental studies. CNA partners with Hospital Universitario San Rafael for specialized care needs.
Additional services
Patient reviews
manuel
Rosa Maria Cuervas Castrillo
Es 88
pepa garcia
paco Gomez
Susana muñoz
A very humane team.
Marina Núñez
Rafael Dodero Sanchez
Thank you
Sandra Rodriguez Garcia
His professionalism and commitment
make all the difference. Totally recommended.
Av. Manuel Siurot, 43A, 41013 Sevilla, Spain
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