The Hammersmith Neonatal and Infant Neurological Examinations (HNNE and HINE) were developed by Dr Lilly Dubowitz with her husband Prof Victor Dubowitz and many people contributed to subsequent work using the exams in different contexts and clinical groups. We wish to facilitate the widespread use of the examinations and the aim of this website is to made instruction in their use readily available.

 

Dr LILLY DUBOWITZ

 In the 1980s Dr Lilly Dubowitz developed a neonatal neurological assessment providing charts and instructions on how to perform the examination at a time when newborn infants and especially those born prematurely were thought very difficult to assess. Later came standardised normative data and comparison of the exam findings with brain imaging, electrophysiology and long-term outcomes. Her focus was always on understanding the ‘newborn brain’ by combining bedside clinical assessment with new sophisticated techniques as part of an ‘’integrated approach’’ and developing clinical exams that were readily teachable, did not need expensive equipment and could be performed in almost any setting. Her work changed the way newborn infants are assessed in clinical and research practice around the world.

Read Dr Lilly Dubowitz obituary in The Guardian

Read her obituary in The Times

Prof Victor DUBOWITZ

 Professor Victor Dubowitz developed, with his wife Lilly, a clinical assessment of gestational age that became so accepted in clinical care that it could be referred to as “ to dubowitz the baby”. He also worked on the development of the neonatal and later the infant neurological examinations with Lilly. He became head of one of the leading neonatal units in the world at Hammersmith Hospital in London at the same time as developing his own career as a world renowned clinician and researcher in the field of childhood neuromuscular disorders

 

PROF EUGENIO MERCURI

I contributed, with Lilly and Victor Dubowitz, to the writing of the published neonatal manual. I have been involved with the revision of the neonatal examination and with its validation, with the developing of the optimality score  and  its application in different clinical groups. I have also worked on the development of the infant manual and on its application in preterm and full term infants, in developing an optimality score and applying it to clinical groups of infants with brain lesions. 

eugeniomercuri@unicatt.it

PROF FRANCES M COWAN

PERINATAL NEUROLOGIST

DEPT. OF PAEDIATRICS, HAMMERSMITH HOSPITAL,  Imperial College LONDON

I was involved in the standardized of the Hammersmith Neonatal Neurological Examination with Dr Lilly Dubowitz and others at the Hammersmith Hospital in the 1990s. I have used the neonatal and infant examination clinically and in research comparing the findings to brain imaging and later outcomes in different groups of infants and young children both at home and abroad.  With others I made the teaching videos available on this website.

f.cowan@imperial.ac.uk

PROF LEENA HAATAJA

PAEDIATRIC NEUROLOGIST

Dept. of Pediatric Neurology, Helsinki University Hospital

I have standardized the HINE method along with the research group at the Hammersmith Hospital. I have used the HNNE and the HINE in both research and clinical settings in at risk infants (prematurity, birth asphyxia, perinatal infarction) for 20 years. I have also given multiple national and international clinical workshops on the HNNE and the HINE methods.

leena.haataja@hus.fi

Dr BriGITTE VOLLMER

PAEDIATRIC NEUROLOGIST

Dept. of NEONATAL AND PAediatric Neurology, SOUTHAMPTON University HospitaL, uk

I have been routinely using the Hammersmith Neurological Examinations as a clinical tool in our neurodevelopmental follow-up programme for assessing both preterm and term born infants and also in a research context.   I was instrumental in initiating the making of the teaching videos presented on this website and have been involved in translation of some proformas.

b.vollmer@soton.ac.uk

Dr MIRIAM MARTINEZ-BIARGE

NEONATOLOGIST

DEPT. OF PAEDIATRICS, HAMMERSMITH HOSPITAL,  Imperial College LONDON

When I came to the Hammersmith Hospital all the hard work involving the development and standardisation of the HNNE and HINE was done and I was very fortunate to learn from Prof Cowan, Dr Ricci and others how to use them. I have helped to make the teaching videos  presented here and have developed this website – any problems, questions or complaints about this site can be directed to me by emailing:

miriam.mbiarge@imperial.ac.uk

DR DANIELA RICCI

CHILD NEUROLOGIST

CHILD NEUROLOGY UNIT, FONDAZIONE POLICLINICO GEMELLI, IRCCS, RomE

I worked at the Hammersmith Hospital developing particularly the standardization of the neurological examinations in infants born preterm. I have always been very interested in vision in babies and young children and, with others, have extended the visual exam in the HNNE to allow a more detailed assessment of the visual abilities of both term and preterm born infants soon after birth and into early childhood.

             DR ANDREA GUZZETTA            

Child neurologist & psychiatrist 

university of pisa and irccs stella maris, pisa, italy

I was very lucky to spend some months at the Hammersmith Hospital between 1999 and 2000 with Eugenio Mercuri. This gave me the opportunity to meet and work also with Lilly Dubowitz, Frances Cowan and Leena Haataja and to contribute to the application of both the Neonatal and the Infant exams in typical and atypical developing babies. Soon after this experience I became an official Tutor of the General Movements Trust and a strong advocate of the combined use of the Hammersmith Neurological Examinations and the General Movements Method, for their incredible complementarity. And I am, ironically and very proudly, the first author of the only paper that Lilly Dubowitz and Heinz Prechtl wrote together.

a.guzzetta@fsm.unipi.it

 

Dr DOMENICO M. ROMEO

CHILD NEUROLOGIST

CHILD NEUROLOGY UNIT, FONDAZIONE POLICLINICO GEMELLI, IRCCS, RomE

I have worked on the standardisation and application of the HINE in low- and high-risk preterm and term-born infants contributing to the implementation and the dissemination of the examination. I have also compared the HINE with general movements, neuroimaging and neurodevelopmental assessments. I have written several publications and book chapters. 

domenicomarco.romeo@policlinicogemelli.it