EEG & Ultrasound in Rwanda and Kenya

with Bobby Stojanoski, David Clay, Dan Cameron, Stephen Rulisa and Aggrey Wasunna. 

Asphyxia is a common complication during childbirth, affecting 2 to 10 neonates per 1000 live births. It is particularly prevalent in developing countries. Additionally, 60% of premature births occur in Africa and South Asia. Both asphyxiated neonates and those born prematurely are at a highly increased risk of perinatal brain injury. Of the infants who survive birth asphyxia every year for instance, one million develop cognitive, behavioral or motor disorders as a consequence of perinatal brain injury. Detecting brain injury early is important in order to limit disability and mortality but the necessary neuroimaging technology is currently unavailable to most hospitals in developing countries due to its high cost and lack of skilled technicians. 

In this project, we evaluate whether affordable, portable ultrasound and EEG can be used by novices to detect common perinatal brain injury in a Kenyan and Rwandan cohort of asphyxiated and premature neonates.

Neonatal asphyxia and trauma (WHO 2009) 

Neonatal asphyxia and trauma (WHO 2009) 

Centre Hospitalier Universitaire de Kigali (CHUK), Rwanda, with Bobby Stojanoski and Dan Cameron.