Neurosurgical supports, from BC to West Africa

Issue: BCMJ, vol. 61, No. 7, September 2019, Page 280 News

A British Columbian neuroscience charity is delivering neurosurgical support in the most ill-equipped corners of West Africa. Korle-Bu Neuroscience Foundation (KBNF) was founded in 2002 by Vancouver General Hospital neuroscience nurse Marj Ratel. The organization has since developed an extensive international network of neurosurgical supports that recently saved the life of an 8-year-old Liberian patient named Samuel, who was born with nasal encephalocele.

Samuel was born with multiple skull and facial defects, which pushed his brain down inside his face and nasal area. Last fall, the large cyst-like facial defect protruded from his nasion and extended past the nostrils. The life-threatening deformity was so severe it obstructed Samuel’s vision and prompted him to quit school in order to avoid being bullied. KBNF members in Liberia connected the patient to neurosurgeon Dr Dan Miulli who, wearing a headlamp as a precaution against failing electricity in Liberia, led a team of experts through 9 hours of surgery. 

The procedure was made possible by a Zeiss double-headed neurosurgical microscope, which had been donated by Victoria General Hospital and shipped from BC to Liberia via ship, crane, plane, jet, and truck. A shunt was placed in Samuel’s temporal arachnoid cyst to relieve pressure on the brain and allow the reintroduction of viable brain in the intracranial cavity. Nearly 1 year later, Samuel is planning to return to school with ambitions to become a doctor. 

Liberia has just a single neurosurgeon serving approximately 5 million people. Over the past 17 years, KBNF has transported more than an estimated $17 million retail value of medical supplies overseas, and has supported and trained 10 neurosurgeons in West Africa. Visit www.kbnf.org to learn more about the foundation’s work, get involved, or donate. 
—Jeremy Hunka
Korle-Bu Neuroscience Foundation

Samuel, prior to the surgery. Samuel and Dr Alvin Nah Doe, a KBNF member and Liberia’s sole neurosurgeon, who participated in Samuel’s surgery and treatment.
Samuel, prior to the surgery. Samuel and Dr Alvin Nah Doe, a KBNF member and Liberia’s sole neurosurgeon, who participated in Samuel’s surgery and treatment.

Jeremy Hunka. Neurosurgical supports, from BC to West Africa. BCMJ, Vol. 61, No. 7, September, 2019, Page(s) 280 - News.



Above is the information needed to cite this article in your paper or presentation. The International Committee of Medical Journal Editors (ICMJE) recommends the following citation style, which is the now nearly universally accepted citation style for scientific papers:
Halpern SD, Ubel PA, Caplan AL, Marion DW, Palmer AM, Schiding JK, et al. Solid-organ transplantation in HIV-infected patients. N Engl J Med. 2002;347:284-7.

About the ICMJE and citation styles

The ICMJE is small group of editors of general medical journals who first met informally in Vancouver, British Columbia, in 1978 to establish guidelines for the format of manuscripts submitted to their journals. The group became known as the Vancouver Group. Its requirements for manuscripts, including formats for bibliographic references developed by the U.S. National Library of Medicine (NLM), were first published in 1979. The Vancouver Group expanded and evolved into the International Committee of Medical Journal Editors (ICMJE), which meets annually. The ICMJE created the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals to help authors and editors create and distribute accurate, clear, easily accessible reports of biomedical studies.

An alternate version of ICMJE style is to additionally list the month an issue number, but since most journals use continuous pagination, the shorter form provides sufficient information to locate the reference. The NLM now lists all authors.

BCMJ standard citation style is a slight modification of the ICMJE/NLM style, as follows:

  • Only the first three authors are listed, followed by "et al."
  • There is no period after the journal name.
  • Page numbers are not abbreviated.


For more information on the ICMJE Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly Work in Medical Journals, visit www.icmje.org

BCMJ Guidelines for Authors

Leave a Reply