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Pediatric Acute-Onset Neuropsychiatric Syndrome is most commonly caused by an infection triggering an inflammatory reaction that targets the brain, leading to changes in neurologic function, mood and behavior.

PANS includes a variety of post-infectious behavioral syndromes and includes PANDAS (Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal infection), Sydenham's chorea and others.

Does my child have an inflammatory neuropsychiatric disorder?

Some symptoms of autoimmune encephalopathy (such as PANS/PANDAS):

Obsessive Compulsive Disorder (OCD)

Restrictive eating


Severe anxiety


Irritability and aggression


Age regression

Sensory sensitivities


What should I do if I think my child has PANS/PANDAS?

If your child’s behavior has suddenly changed within days of being ill and is experiencing new symptoms of OCD or food restrictions along with other neuropsychiatric symptoms, make an appointment with Greater Regional PANS Clinic to be evaluated.


For a list of available service resources in Union County, Iowa click here.

For a "What is PANS/PANDAS" downloadable pdf, click here.

For a downloadable pdf of "PANS/PANDAS Criteria", click here.

Visit the Greater Regional PANS Patient page, click here.

Request Information

Our Providers

Cheri Standing, MD, FAAP
Brooke Martin, CPNP-PC

Contact Us

PANS Clinic 

Second Floor Medical Arts Plaza

1700 W. Townline St

Creston, Iowa 50801



7 a.m. - 5 p.m.


8 a.m. - 1 p.m.


Urgent Care
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