Parkinson's disease Treatment in Centro de Neurología Avanzada (CNA)
About the clinic
Parkinson’s disease care at Centro de Neurología Avanzada (CNA) in Seville, Spain, includes diagnosis, medication, advanced therapies, rehabilitation and surgery. Its Movement Disorders Unit is led by neurologists specializing in Parkinson’s disease, including Dr. Javier Abril Jaramillo.
UPDRS assessment and imaging
Dr. Javier Abril Jaramillo directs CNA’s movement disorders area and took part in the European Synapses study on safinamide. The clinic uses a standardized UPDRS assessment to guide diagnosis, treatment changes and surgical candidacy.
- Clinical neurological examination. Doctors assess symptoms and neurological function.
- UPDRS assessment. The standardized test is performed in the basal state and after levodopa/carbidopa.
- Brain MRI and neuroimaging. Imaging supports the evaluation of the brain.
- Neuropsychological evaluation. This checks cognitive and psychological function.
International patients can request a videoconsultation.
Medication, infusion, and rehabilitation options
- Dopaminergic drug therapy. Levodopa/carbidopa and dopamine agonists support dopamine function and provide first-line symptom control.
- Safinamide. Added to levodopa or dopamine agonists, it may reduce motor fluctuations by 40–50%. Reported efficacy lasts 6–24 months.
- Inhaled levodopa. This rescue treatment for “off” periods may improve the off-state in 5–10 minutes.
- Levodopa-carbidopa-entacapone pump. Continuous infusion for advanced Parkinson’s may replace 6–8 oral pills per day.
- Apomorphine pump. A pen delivers continuous medication under the skin to smooth motor fluctuations.
- Subcutaneous perfusion therapy. A personalized solution is infused continuously over 24 hours to stabilize medication levels.
- Rehabilitation program. Physiotherapy, occupational therapy, speech therapy and neuropsychology target mobility, rigidity, tremor and depression.
- Exercise program. Training can include aerobic, strength, balance, flexibility and cognition exercises.
Functional neurosurgery at Hospital Viamed Santa Ángela de la Cruz
Parkinson’s surgery is coordinated by a multidisciplinary team of 40+ specialists. It may be considered when medication options have been exhausted. CNA also has a dedicated functional neurosurgery service for movement disorders, pain surgery and psychosurgery.
CNA has a clinical trials unit and research and development area, along with Top Doctors recognition and SADE 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 |
Clinic Doctors
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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
Baldo Fernández
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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