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Prof Fenella Kirkham
Neurosciences Unit, The Wolfson Centre
Mecklenburgh Square
London
WC1N 2AP
Appointment
  • Professor of Paediatric Neurology
  • ICH Developmental Neurosciences Prog
  • UCL GOS Institute of Child Health
  • Faculty of Pop Health Sciences
Research Themes
Research Summary
I have had a longstanding interest in the detection and prevention of brain damage in acutely sick children. Whilst at Guys Hospital, I initiated a research project on the management of the unconscious child, looking particularly at the prediction of outcome and the prevention of secondary deterioration. From this, I became interested in cerebral ischaemia and in methods of deciding whether or not cerebral blood flow was adequate. After an exhaustive literature review of the latter topic, I realised that the then newly described technique of transcranial Doppler ultrasound was the most promising methodology and I initiated a collaboration with Dr Soundrie Padayachee and Professor Ray Gosling in work validating the technique. I went on to obtain grants from the British Heart Foundation to study initially the monitoring of cerebral perfusion and function in the unconscious child (1983-6) and, after my arrival at the Institute of Child Health, to study methods of ensuring adequate cerebral perfusion during cardiopulmonary bypass (1991-7). Having spent some time in Professor Simon Shorvons Unit, I became interested in the role of seizures and status epilepticus in causing secondary deterioration after acute insults and continue to publish in this area in papers, abstracts and chapters. The development of techniques for imaging and monitoring cerebral perfusion and for documenting seizures have allowed insights into the pathogenesis of secondary deterioration after brain insults and should lead to the development of collaborative controlled trials, such as that randomising children with head injury to surgical decompression or medical management (SUDEN RCT: Mr Patrick Mitchell in Newcastle; Dr Peter Wilson and myself in Southampton). More recently, I have developed an interest in focal brain ischaemia in children, and in particular its early diagnosis using magnetic resonance techniques, including spectroscopy, diffusion and perfusion and voxel-based morphometry.
Academic Background
1978 MB.BChi Bachelor of Medicine/Bachelor of Surgery – Clinical Medicine King's College London
1975 MA Master of Arts – History and Philosophy of Science King's College London
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