Child Neurology started off
as Developmental Paediatrics in our department. Over the past decade,
there had been growing interest in the field of Developmental Paediatrics
and Child Neurology. The programme had evolved to include Neuro-rehabilitation
as part of the division over the past five years. In 1998, the division
of Neuro-developmental Paediatrics overtook the tasks of assessment,
management, re-assessment, habilitation and rehabilitation of children
with the spectrum of developmental, behavioural or neurological disorders.
The programme is unique in that it consists of comprehensive neurological,
developmental and behavioural assessment of children and their families.
The commonest disorders referred to the programme are speech and language
disorders, autistic spectrum disorders, epilepsy, cerebral palsy, learning
disabilities, specific learning disorders, brain tumours, hydrocephalus,
spina bifida, neuromuscular disorders, attention deficit hyperactivity
disorders, hearing disorders, visual impairment, behavioural problems,
and neurocutaneous disorders.
We encourage active participation of parents and caretakers in our programmes.
Parental involvement and support are essential for comprehensive care
of these children, not only at home but also in the centre. We realize
the parents of handicapped child often have enormous psychosocial stress.
We provide respite care service to release their stress.
comprehensive multi-disciplinary clinics had been set up to provide
holistic care for children with various neurological or developmental
disabilities. There were joint consultative clinics provided by the
orthopaedic surgeons, paediatric surgeons, paediatric neurosurgeons,
paediatric ENT surgeons, paediatric ophthalmologists, paediatric dental
surgeons, paediatric gastro-enterologists, paediatric respirologists
and paediatric psychiatrists.
Specialized programmes had been conducted, eg conductive education for
children with cerebral palsy; gait analysis laboratory and spasticity
clinic with various treatment modalities, such as intramuscular botulinum
toxin injection, or selective dorsal rhizotomy; oro-motor rehabilitation
clinic; drooling assessment clinic; feeding clinic; neurogenic bladder
clinic; very low birth weight follow-up clinic; dysmorphic baby clinic;
neurocutaneous clinic; and comprehensive epilepsy clinics for pre-surgical
evaluation of intractable epileptics.
This programme had evolved into a very solid and comprehensive one for
both undergraduate and postgraduate teaching and serves as a breeding
ground for trans-disciplinary team work for children with disabilities.
of various disciplines including clinical psychologist, physiotherapist,
occupational and speech therapists, nurses, optometrist and audiologist,
and social worker work together to provide a comprehensive service of
assessment and inter-disciplinary management.
Acute neurology and neurophysiology diagnosis are integral components
of the service. The team provides acute neurological consultation in
Queen Mary Hospital, Grantham Hospital and Tsan Yuk Hospital.
strive to provide a spectrum of mixed primary assessment, secondary
treatment, and tertiary (inter-disciplinary management) care within
the same setting tailored for children with disabilities. We also provide
in-patient, day-patient, and out-patient neurodevelopmental professionals
The Child Neurology team is innovative, academic as well as inter-disciplinary.
Multi-disciplinary clinics and specialized neuro-habilitative programmes
were organized. Innovative programmes and new treatments are started
in the context of on-going research.
local, national and international symposiums:
i. 3rd Huaxia Epilepsy Congress, 2002, Guangzhou, China.
中華醫學會 (Chinese Medical Association) 兒科學會神經科專業組審稿會, 10-11 June 2002, Hong Kong.
iii. Satellite Symposium of the Joint Congress of International Child
Neurology Association and Asian Oceanic Child Neurology Association,
The 9th International Child Neurology Congress and The 7th Asia &
Oceanic Congress of Child Neurology, 18-19 Sept 2002, Hong Kong.
iv. Joint Congress of International Child Neurology Association and
Asian Oceanic Child Neurology Association, The 9th International Child
Neurology Congress and The 7th Asia & Oceanic Congress of Child
Neurology, 20-25 Sept 2002, Beijing, China.
v. Joint Annual Scientific Meeting of the Hong Kong Epilepsy Society
and the Hong Kong Neurological Society, 7-9 November 2003,Hong Kong.
in production of a Case Book of Neurology (2003) with Chinese University
of Hong Kong, through Hong Kong Neurological Society.
courses for Griffiths Mental Developmental Scale.
Grant & Awards
The Neuroscience Research Centre (NRC) established in the University
of Hong Kong linked the basic neuroscientists and clinical neuroscientists
together. We had been the chief clinical coordinator and actively participated
in helping the Neuroscience Research Centre to bid for Neuroscience
as the Area of Excellence (2001) in the University of Hong Kong with
other departments like Anatomy, Physiology, Medicine, and Psychiatry.
We have started an Autism Research Programme and we are the first centre
to be trained to use ADI-R for setting the gold standard for diagnosis
of Autism for research collaboration in 2000. Our collaborator is Prof
Catherine Lord, University of Chicago (Clinical & Research use of
Autism Diagnostic Interview- Revised (ADI-R).
Innovative Research Projects of Integration of Traditional Chinese Medicine
with Neurohabilitation- Herbal Medicine research in Attention Deficit
and Hyperactivity Disorder; Tongue Acupuncture in Child Neurology (1997-
i. Trial of Traditional Chinese Medicine (Tongue Acupuncture) in Integrative
Rehabilitation of Children with Encephalopathy (Cerebral Palsy/ Autism)
(funded by RGC, HKU).
ii. Rett Syndrome- molecular genetic, cardiac and MRS study (supported
by our department).
iii. Hair mineral analysis of children with neuro-developmental disorders.
iv. Use of Traditional Chinese Medicine (Tongue Acupuncture, TAC &
Traditional Acupuncture) in improving functional ability of Motor Neuron
Disease (MND), Spinal Muscular Atrophy (SMA) and Duchenne Muscular Dystrophy
v. Double Blind randomized placebo control trial of using Tongue Acupuncture
in cortical blindness using Functional brain mapping.
vi. Functional polymorphism of the transporter gene MDR1 in epilepsy-gene
frequency and relation with multi-drug resistance: A pharmaco-genetic
study in Chinese epileptics (funded by CRCG, HKU).
ix. Quality of Life.
x. Genetic study in ADHD, Autism, Epilepsy, Marfan Syndrome.
Our team conducts multidisciplinary and interdisciplinary assessments
for children with developmental, neurological or behavioural problems.
Our team collaborated with other specialties for clinical service and
research e.g. neonatology, neurosurgery, ENT surgery, orthopaedic surgery
and radiology from Hong Kong West Cluster hospitals: Queen Mary Hospital,
Grantham Hospital and Tsan Yuk Hospital to launch for several innovative
Neuro- rehabilitation projects:
Botox Injection for Cerebral Palsy.
Dorsal Rhizotomy (SDR) for Cerebral Palsy.
Implant for Hearing Impaired Children.
Rehabilitation for Drooling and Swallowing Problem.
Epilepsy programme for Intractable Epilepsy.
Training for Cortical Visual Impairment.
Rehabilitation for Neuromuscular Disease (Duchenne Muscular Dystrophy).
of Quality of Life in Cerebral Palsy, Intractable Epilepsy, Neuromuscular
Independence Measure of Children (WeeFIM)- for objective evaluation
of outcome for neuro-rehabilitation programmes.
Acupuncture for Intractable Neurological Problems.
Herbal Medicine for Children with Attention Deficit Hyperactivity
All through these years,
we have made regular exchange programmes with overseas centres. We provide
neuro-developmental training to doctors and nurses from different parts
of the world.
Paediatricians and Fellows from Beijing and Shanghai had been attached
to our Rehabilitation Programme and these fellows started the first
Children's Rehabilitation Programme in Shanghai Fudan University (2001)
and Beijing Medical University (2002), which modeled after our programme.
These were the pioneer Children's Rehabilitation Centres in China.
& International Collaboration in clinical service and research
International Centre to be trained in using WeeFIM.
i. Prof Carl Granger, Dr Susan Braun, University of Buffalo, Buffalo,
New York, Uniform Data System (UDS) for Medical Rehabilitation, Research
& Clinical use of Functional Independence Measure of Children
with International centres for Epilepsy Surgery for children with
i. Prof Jerome Engel, University of Los Angeles (Epilepsy Surgery
ii. Prof Frederick Andermann, Montreal Neurological Institute (Clinical
research in Epilepsy Surgery).
iii. Prof A Simon Harvey, Epileptologist & Director, Children's
Epilepsy Programme (RCH), Epileptologist, Comprehensive Epilepsy Programme
(ARMC), Research Fellow, Brain Imaging Research Institute (ARMC),
Murdoch Children's Research Institute (RCH), University of Melbourne
(RCH), Department of Neurology, Royal Children's Hospital (Melbourne),
Department of Neurology, Austin & Repatriation Medical Centre
(Clinical research in Epilepsy Surgery).
iv. Prof Harry Chugani, Department of Pediatric Neurology, Wayne State
University (Clinical research in Epilepsy Surgery).
v. Prof TT Wong, Prof CH Yiu, University of Taipei (Taiwan Veterns
Hospital) (Clinical Research in Epilepsy in Chinese).
vi. Prof CL Lai, University of Tsz Chai, Taiwan -Clinical collaboration
with Epilepsy Centres of Chinese culture to set up PASG research programme.
Phase 4 Trials on New Anticonvulsants (2003).
of International Stroke Registry (2003).
i. Prof Gabrielle deVeber, University of Toronto (Establishment of
an International Childhood Stroke Registry; Establishment of standards
of practice and multi-centre, multi-national clinical trials for neonates
and children with stroke)
of the Eastern branch of the International SSPE Registry (2002).
i. Prof Paul Dyken, Director, the International Registry of Subacute
Sclerosing Panencephalitis (SSPE) (Establishment of Eastern Branch
of the International Registry of SSPE)
collaboration for study of Myasthenia Gravis.
i. Prof Angela Vincent, Neurosciences Group, Institute of Molecular
Medicine, John Radcliffe Hospital (Clinical and Basic Research in
Myasthenia Gravis and Channelopathies).
ii. Professor John Newsom-Davis, Department of Clinical Neurology,
University of Oxford (Clinical and Basic Research in Myasthenia Gravis
Kong Epilepsy Society as a chapter of International League Against