Program current as of March 2015 |
THURSDAY, MARCH 26, 2015 |
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The CONy sessions scheduled for Thursday March 26, will take place at the
Hungarian Academy of Sciences, located at Széchenyi István tér 9 approximately 10 minutes walking distance from the InterContinental Hotel |
08:00-09:00 |
Continental breakfast at the Academy |
09:00-10:30 |
CONy OPENING SESSION AND PLENARY LECTURES
Chairs: Amos D. Korczyn, Israel & László Vécsei, Hungary |
09:00-09:30
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Welcome remarks and invitation to 2016 in Lisbon
László Vécsei, Hungary, Amos D. Korczyn, Israel & Victor Oliveira, Portugal |
09:30-10:00 |
László Vécsei, Hungary |
10:00-10:30 |
Sabina Alam, UK |
10:30-10:45 |
Coffee Break |
10:45-12:15 |
PLENARY LECTURES
Chairs: Stavros Baloyannis, Greece; Kálmán Magyar, Hungary |
10:45-11:15 |
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11:15-11:45 |
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11:45-12:15 |
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12:15-12:30 |
Break |
12:30-13:30 |
Industry-Sponsored Plenary Symposium
Perception versus reality: Are we starting advanced therapies in the right patient at the right time? |
13:30-14:15 |
Lunch Break |
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PLENARY LECTURES
Chairs: Gabor Fazekas, Hungary; Soichi Katayama, Japan |
14:15-14:45 |
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14:45-15:15 |
Edson Amaro, Brazil |
15:15-15:45 |
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15:45-16:15 |
The coagulation pathway in brain diseases
Joab Chapman, Israel |
16:15-16:30 |
Coffee Break |
16:30-18:30 |
PLENARY LECTURES
Chairs: Leontino Battistin, Italy; Délia Szok, Hungary |
16:30-17:00 |
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17:00-17:30 |
Stavros Baloyannis, Greece |
17:30-18:00 |
Meditation and mindfulness as cognitive enhancers
Yoram Barak, Israel |
18:00-18:30 |
Ewa Stelmasiak, Poland |
18:30 |
Welcome Reception
Presentation of the CONy "Excellence in Neurology" Awards |
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FRIDAY, MARCH 27, 2015
HALL A – Multiple Sclerosis
Section Heads: Sámuel Komoly, Hungary & Sven Schippling, Switzerland |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Dementia, Epilepsy, Headache |
08:30-10:30 |
Session 1: MULTIPLE SCLEROSIS (MS)
Chairs: Sámuel Komoly, Hungary; Rana Shiraliyeva, Azerbaijan |
08:30-09:30 |
Debate: In MS a disease or a syndrome? |
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Capsule: MS is heterogeneous in terms of its clinical features, as well as in pathology. Does this heterogeneity indicate that actually MS is a syndrome, or are there shared critical pathological mechanisms to justify calling it a disease? |
08:30-08:40 |
Debate host: Gabor Kovacs, Austria |
08:40-08:55 |
Yes: Claudia Lucchinetti, USA |
08:55-09:10 |
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09:10-09:30 |
Discussion and rebuttals |
09:30-10:30 |
Debate: Is the measurement of brain atrophy the most suitable surrogate marker of MS progression? |
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Capsule: Traditionally, MS progression is measured by clinical scales, like the EDSS. However, this scale suffers from inaccuracies due to remissions and other reasons. It is important to have an objective measure of the disease state. Brain atrophy, measured by MRI, has been suggested as one such tool |
09:30-09:40 |
Debate host: Mark Freedman, Canada |
09:40-09:55 |
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09:55-10:10 |
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10:10-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:45 |
Session 2: ACUTE DEMYELINATING ENCEPHALOMYLITUS (ADEM) AND NEUROMYELITUS OPTICA (NMO)
Chairs: Tibor Hortobágyi, Hungary; Jera Kruja, Albania |
10:45-11:45 |
Debate: ADEM is a condition that can be clinically and pathologically differentiated from MS and NMO |
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Capsule: In some cases, ADEM may be the first manifestation of a chronic disease, either MS or NMO, whereas in others this will remain a single episode. It is important to differentiate these two, but is this possible? |
10:45-10:55 |
Debate host: Patrick Vermersch, France |
10:55-11:10 |
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11:10-11:25 |
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11:25-11:45 |
Discussion and rebuttals |
11:45-12:45 |
Debate: NMO and MS: Same or different pathologies? |
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Capsule: MS is considered to be a cell-mediated autoimmune disease whereas NMO is antibody mediated, and thus MS and NMO are considered separate entities clinically and in their pathogenesis. Does the pathology justify this separation? |
11:45-11:55 |
Debate host: Gabor Kovacs, Austria |
11:55-12:10 |
Pathological similarities: Hans Lassmann, Austria |
12:10-12:25 |
Pathological differences: Claudia Lucchinetti, USA |
12:25-12:45 |
Discussion and rebuttals |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Supported Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
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15:00-17:00 |
Session 3: NEW PLAYERS IN MS
Chairs: Ayse Altintas, Turkey; Jacek Losy, Poland |
15:00-16:00 |
Debate: Immunomodulators for MS: Generics vs. Ethical drugs |
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Capsule:With the expiry of the patents on several MS drugs, pharmacological companies enter the field with their own generic versions, which are usually cheaper. Should we prefer the new entities or remain loyal to the original ethical drugs? |
15:00-15:10 |
Debate host: Krzysztof Selmaj, Poland |
15:10-15:25 |
Generics: Dimitrios Karussis, Israel |
15:25-15:40 |
Ethical drugs: Ron Milo, Israel |
15:40-16:00 |
Discussion and rebuttals |
16:00-16:30 |
NEW PLAYERS |
16:00-16:15 |
Aubagio: Celia Oreja-Guevara, Spain |
16:15-16:30 |
Lemtrada: Ron Milo, Israel |
16:30-17:00 |
Coffee Break |
17:00-19:00
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Session 4: MS THERAPY: NOW AND IN THE FUTURE
Chairs: Nikolas Grigoriadis, Greece; Zbigniew Stelmasiak, Poland |
17:00-18:00 |
Debate: Discontinuation of disease-modifying therapies in patients with long-term stable disease is safe and appropriate |
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Capsule: In some cases MS seems to become inactive, either under drug therapy or spontaneously, although there are still no reliable biomarkers which can differentiate between inactive and active diseases. In cases where treatment seems to suppress the disease activity completely, is it even justified to stop therapy? |
17:00-17:10 |
Debate host: Mark Freedman, Canada |
17:10-17:25 |
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17:25-18:40 |
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18:40-18:00 |
Discussion and rebuttals |
18:00-19:00 |
Debate: The new drugs should not be used as first line agents |
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Capsule: Newer disease-modifying drugs seem to be more effective than the first generation agents like the interferons, yet they are more expensive. Several adverse events, many of them severe, continue to be reported. Also withdrawal effects have been reported. Should they ever be used as first-line drugs? |
18:00-18:10 |
Debate host: Heinz Wiendl, Germany |
18:10-18:25 |
Yes: Joab Chapman, Israel |
18:25-18:40 |
No: Olaf Stüve, USA |
18:40-19:00 |
Discussion and rebuttals |
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FRIDAY, MARCH 27, 2015
HALL B – Headache
Section Heads: Alan Rapoport, USA & Janos Tajti, Hungary |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Dementia, Epilepsy, Headache |
08:30-10:30 |
Session 5: MOLECULES IN HEADACHE AND SLEEP
Chairs: Judit Afra, Hungary; Magda Wysocka-Bakowska, Poland |
08:30-09:30 |
Debate: Antibodies to CGRP or its receptor may become the treatment of choice for chronic migraine |
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Capsule: CGRP plays a crucial role in migraine pathophysiology. CGRP receptor antagonists are efficacious but have not done well in clinical development. Monoclonal antibodies against CGRP or its receptor are promising new molecules for preventive treatment in migraine |
08:30-08:40 |
Debate host: Robert Cowan, USA |
08:40-08:55 |
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08:55-09:10 |
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09:10-09:30 |
Discussion and rebuttals |
09:30-10:30 |
Debate: Good sleep is important for optimal migraine care |
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Capsule: The relationship of sleep and migranous headache is complex. Many patients prefer to sleep off a migraine attack. Attacks may occur when patients do not sleep enough or oversleep. Is good sleep critical for a migraineur? |
09:30-09:40 |
Debate host: Hayrunnisa Bolay, Turkey |
09:40-09:55 |
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09:55-10:10 |
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10:10-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:45 |
Session 6: HEADACHE TRIALS AND TREATMENT APPROACHES
Chairs: Reinhard Horowski, Germany; Árpád Párdutz, Hungary |
10:45-11:05 |
Lecture: The new face of personalized medicine in migraine therapy |
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Capsule: Personalized medicine (patient and doctor are in the same room) is becoming outdated and replaced by e-techniques and information technology with remote access. Will these helpful, time-saving advances make classical personalized medicine redundant? |
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11:05-11:55 |
Debate: Innovative headache delivery systems will be better than what we currently have |
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Capsule: For many years, several new drugs and devices for migraine treatment have been investigated in clinical trials; however, no new drug, and just a few innovative delivery systems are or will soon be available (diclofenac potassium powder for oral solution, sumatriptan powder nasal delivery and sumatriptan iontophoretic patch). Are these innovative delivery systems an improvement over existing treatments? |
11:05-11:15 |
Debate host: Hans Hamburger, The Netherlands |
11:15-11:30 |
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11:30-11:45 |
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11:45-11:55 |
Discussion and rebuttals |
11:55-12:45 |
Debate: Electrical stimulation is an important advance in the treatment of headache disorders |
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Capsule: Stimulation procedures have been developed recently to treat refractory migraine and cluster headache. The clinical value of these procedures is still being investigated |
11:55-12:05 |
Debate host: Jean Schoenen, Belgium |
12:05-12:20 |
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12:20-12:35 |
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12:35-12:45 |
Discussion and rebuttals |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
Industry-Sponsored Satellite Symposium
|
15:00-17:00 |
Session 7: TREATMENT OF CHRONIC HEADACHE
Chairs: Csaba Ertsey, Hungary; Krystyna Mitosek-Szewczyk, Poland |
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Dezső Miskolczy Memorial Lecture, 2015 |
15:00-15:30 |
Lecture: Migraine: Pathophysiology-based treatment approaches
Introduction: László Vécsei, Hungary
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15:30-16:20 |
Debate: Behavioral therapy and medication are both necessary for the complete treatment of migraine |
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Capsule: Medication and various psychological therapies are both used prsently in chronic headache disorders. Should they be combined for best results? |
15:30-15:40 |
Debate host: Lars Edvinsson, Sweden |
15:40-15:55 |
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15:55-16:10 |
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16:10-16:20 |
Discussion and rebuttals |
16:20-17:00 |
Debate: The use of placebo is essential in headache trials |
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Capsule: It is questioned from an ethical point of view whether placebo control should be included in headache trials when efficacious treatments are available. Is the use of placebo very important? |
16:20-16:25 |
Debate host: Alan Rapoport, USA |
16:25-16:40 |
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16:40-16:55 |
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16:55-17:00 |
Discussion and rebuttals |
17:00-17:15 |
Coffee Break |
17:15-18:10
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Session 8: CORTICAL SPREADING DEPRESSION
Chair: Daniel Oved, Israel; Délia Szok, Hungary |
17:15-18:10 |
Debate: Cortical spreading depression is an essential component of migraine and always occurs at some point during the migraine attack |
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Capsule: Cortical spreading depression is prevalent in migraine but how it affects the migraine process is still poorly understood. Is it essential to the migraine process? |
17:15-17:25 |
Debate host: Dimos Mitsikostas, Greece |
17:25-17:40 |
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17:40-17:55 |
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17:55-18:10 |
Discussion and rebuttals |
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FRIDAY, MARCH 27, 2015
HALL C – Dementia
Section Heads: Yoram Barak, Israel & Katalin Sas, Hungary |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Dementia, Epilepsy, Headache |
08:30-10:30 |
Session 9: PRE-CLINICAL PREVENTION DEMENTIA TRIALS: WHICH IS THE WAY TO GO?
Chairs: Jesse Cedarbaum, USA: Milica Kramberger, Slovenia |
08:30-09:30 |
Debate: Are we ready for prevention trials in non-symptomatic individuals? |
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Capsule: The choice of the optimal timing for intervention for disease arrest and/or course modification in Alzheimer's disease (AD) and other late onset dementias has been extensively debated in recent years, fuelled by a number of trial failures in patients with established diagnosis and the emerging evidence from neuropathological and imaging studies of significant lesion load even in the early symptomatic stages of the disease. The current trend is to intervene as early as possible; but do we have sufficient tools to do so in pre-symptomatic individuals? |
08:30-08:40 |
Debate host: Leffkos Middleton, UK |
08:40-08:55 |
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08:55-09:10 |
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09:10-09:30 |
Discussion and rebuttals |
09:30-10:30 |
Debate: Is there a value for non-drug interventions for dementia prevention? |
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Capsule: Although non-drug interventional studies to-date have been inconclusive, epidemiological studies in prospective cohorts have suggested a decline in the incidence and prevalence of late onset dementias. These findings have reinvigorated interest in well-designed non interventional prevention studies. On the other hand, risk prediction is limited by the paucity of robust biomarker-based evidence and of validated risk biomarkers |
09:30-0940 |
Debate host: Leffkos Middleton, UK |
09:40-09:55 |
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09:55-10:10 |
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10:10-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:45 |
Session 10: MECHANISMS AND TREATMENT
Chairs: Horacio Firmino, Portugal; Jerzy Leszek, Poland |
10:45-11:45 |
Debate: Does transcranial magnetic stimulation (TMS) have a place in the treatment of patients with AD? |
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Capsule: Impaired plasticity is increasingly explored as the basis of neurodegenerative diseases. Non-invasive brain stimulation techniques such as repetitive transcranial magnetic stimulation (rTMS) may be able to induce and modulate neuroplasticity in humans. There are still major limitations to rTMS use, such as poor understanding of its after-effects and inter-individual variability, discrepancies in stimulation protocols and study designs, varied selection of the specific stimulated areas and control procedures. The results of rTMS research can only be considered preliminary at this time. Nevertheless, is it justified to initiate treatment in suitable patients? |
10:45-10:55 |
Debate host: Yoram Barak, Israel |
10:55-11:10 |
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11:10-11:25 |
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11:25-11:45 |
Discussion and rebuttals |
11:45-12:45 |
Debate: Digital patient support: The new age of patient-physician interactions |
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Capsule: The increasing complexity and subspecialization of medicine make the patient feel lost in the anonymity and complexity of modern medical service delivery. This leads to a misunderstanding of the increasing risks and impact of modern treatments, and restricts personal communication through knowledge-oriented approach, shortage of time, and insufficient communication skills, leading to dissatisfaction. It is our future task as physicians to change the framework of communication in medical practice, and to improve the therapeutic contract and humane contact with our patients |
11:45-11:55 |
Debate host: Venkat Thiruvallur, USA |
11:55-12:10 |
Pro: John Mulcahy, Switzerland |
12:10-12:25 |
Con: Yoram Barak, Israel |
12:25-12:45 |
Discussion and rebuttals |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
Industry-Sponsored Satellite Symposium
|
15:00-17:00 |
Session 11: DEMENTIA RESEARCH
Chairs: Eniko Kovari, Switzerland; Martine Simard, Canada |
15:00-17:00 |
Debate: Is dementia research ready for big data approaches? |
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Capsule: The BIG DATA paradigm has gained a lot of attention in a broad spectrum of application areas. The final communique of the G8 summit in December 2013 calls explicitly for a big data approach in dementia research and we see more and more usage of this "buzz word" in the discussion about future strategies in research on neurodegenerative diseases. A first manifestation of "Big Data in Dementia Research" came with the DREAM challenge (see http://www.the-dream-project.org/news/big-data-challenge-alzheimer's-disease-launches) on AD; which has seen global participation in that competition by groups applying Big Data principles to ADNI data. However, we may still have too little data in the area of neurodegeneration and dementia, to apply big data principles to dementia research. The controversy therefore tries to shed light on the question whether "dementia research is ready for big data approaches" or not |
15:00-15:10 |
Debate host: Martin Hofmann-Apitius, Germany |
15:10-15:25 |
Yes: Keith Elliston, USA |
15:25-15:40 |
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15:40-16:00 |
Discussion and rebuttals |
16:00-17:00 |
Debate: Are the tauopathies a spectrum or distinct diseases? |
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Capsule: Tau is deposited in the brain in several degenerative brain diseases, including AD, PSP, CBGD, FTD and other phenotypes. In GWAS, one of the strong signals appearing when studying Parkinsonian cohorts is MAPT, a tau related gene. Does that mean that tau is causally related to all of these diseases in the same way, and that actually tauopathies are a spectrum of diseases? |
16:00-16:10 |
Debate host: Kurt Jellinger, Austria |
16:10-16:25 |
A spectrum: Lea Grinberg, USA/Brazil |
16:25-16:40 |
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16:40-17:00 |
Discussion and rebuttals |
17:00-17:15 |
Coffee Break |
17:15-18:15 |
Session 12: NEUROPATHOLOGY AND PATHOGENSIS OF NEURODEGENERATIVE DISEASES
Chairs: Tibor Kovacs, Hungary; Katalin Sas, Hungary |
17:15-18:15 |
Debate: Does inflammation contribute to the development of post-stroke dementia? |
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Capsule: The brains of patients dying with dementia demonstrate inflammatory signs such as activated microglia and astrocytes. In addition, amyloid plaques contain pro-inflammatory molecules. Is the inflammation a compensatory response, partner in crime, or an innocent bystander? |
17:15-17:25 |
Debate host: Herbert Budka, Austria |
17:25-17:40 |
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17:40-17:55 |
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17:55-18:15 |
Panel discussion and Q&A |
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FRIDAY, MARCH 27, 2015
Hall D – Neuro-ophthalmology
Neuro-ophthalmology Section Head: Judit Somlai, Hungary |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Dementia, Epilepsy, Headache |
08:30-10:00 |
Session 13: NON-ARTERITIC ANTERIOR ISCHEMIC OPTIC NEUROPATHY
(NA-AION)
Chairs: Dániel Bereczki, Hungary; Judit Somlai, Hungary |
08:30-09:15 |
Debate: Is the etiopathomechanism of NA-AION the same as that of small vessel disease (SVD) of the brain? |
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Capsule:The term "ocular stroke" as NA-AION implies that NA-AION is part of a systemic vascular disease. Etiology-specific treatment may prevent not only the loss of vision in the other eye, but systemic thromboembolisation as well |
08:30-08:45 |
Debate host: Robert Gabor Kiss, Hungary |
08:45-09:00 |
NA-AION is part of a systemic disease: Judit Somlai, Hungary |
09:00-09:15 |
NA-AION is a stand-alone entity: Gordon Plant, UK |
09:15-10:00 |
Debate: NA-AION: Anti-VEGF or systemic therapy? |
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Capsule: Several approaches have been tried in an attempt to restore vision for NA-AION pateints but so far none have been successful. Does anti-VEGF as a local therapy have better efficacy? |
09:15-09:30 |
Debate host: Gyӧrgy Blaskó, Hungary |
09:30-09:45 |
Anti-VEGF treatment: Gordon Plant, UK |
09:45-10:00 |
Systemic therapies: Judit Somlai, Hungary |
10:00-10:30 |
Coffee Break |
10:30-12:00 |
Session 14: IDIOPATHIC INTRACRANIAL HYPERTENSION (IIH)
Chairs: Tamas Dóczi, Hungary; Judit Somlai, Hungary |
10:30-11:15 |
Debate: Is there any correlation between IIH and intracerebral venous circulatory disorders? |
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Capsule:Uni- or bilateral papilledema with moderate visual impairment (so called "big blind spot syndrome") may be an indicator of IIH. In the background of IIH, intracranial venous anomalies have been discovered. Should IIH be treated by drug and/or by endovascular approaches to restore venous flow? |
10:30-10:45 |
Debate host: Péter Barsi, Hungary |
10:45-11:00 |
Yes: Judit Somlai, Hungary |
11:00-11:15 |
No: Gyula Pánczél, Hungary |
11:15-12:00 |
Debate: Which is the first-line therapy in cases of IIH with bilateral papilledema? |
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Capsule: In the background of IIH, intracranial venous flow disorders, hematological syndromes and a combination of them may be discovered. Those can be treated by drugs or by endovascular surgery. What is the first-line therapy: Anti-coagulants or endovascular intervention? |
11:15-11:30 |
Anti-coagulant therapy, yes: Gyӧrgy Pfliegler, Hungary |
11:30-11:45 |
Anti-coagulant therapy, no: Pedro Fonseca, Portugal |
11:45-12:00 |
Endovascular treatment: Stephanie Lenck, France |
12:00-12:45 |
E-poster presentations
Neuro-ophthalmology, Biomarkers |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
Industry-Sponsored Satellite Symposium
|
15:00-17:00 |
E-poster presentations
Multiple Sclerosis, Rehabilitation |
17:00-17:15 |
Coffee Break |
17:15-19:00 |
E-poster presentations
Stroke |
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SATURDAY, MARCH 28, 2015
HALL A – Parkinson's disease & Movement disorders (PD/MD)
Section Heads: Péter Klivényi, Hungary & Heinz Reichmann, Germany |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Parkinson's disesae & Movement disorders, Neuropathology, Neuro-immunology |
08:30-10:30 |
Session 15: FUTURE DIRECTIONS OF PARKINSON'S DISEASE (PD) RESEARCH
Chairs: György Dibó, Hungary; Zvezdan Pirtošek, Slovenia |
08:30-08:50 |
Amos Korczyn, Israel |
08:50-09:40 |
Debate: PD starts in the gut |
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Capsule: Lewy bodies can be demonstrated in a predefined order in the nervous system, starting from the gut. The progression of the disease also follows certain routes. Does this mean that PD is an infectious disease? |
08:50-09:00 |
Debate host: Ubaldo Bonuccelli, Italy |
09:00-09:15 |
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09:15-09:30 |
No: Jens Volkmann, Germany |
09:30-09:40 |
Discussion and rebuttals |
09:40-10:30 |
Debate: Prion-like spreading is a relevant theory for neurodegenerative diseases |
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Capsule: Several neurodegenerative diseases progress in a distinct anatomical pattern with identified starting points and spread. It has recently been suggested that this is caused by a spread of the pathology in a prion-like mechanism. If correct, this theory is important for the development of disease modifying therapies. Has the prion hypothesis been proven for PD? |
09:40-09:50 |
Debate host: Kurt Jellinger, Austria |
09:50-09:05 |
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09:05-10:20 |
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10:20-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:45 |
Session 16: TREATMENT DILEMMAS IN EARLY PD
Chairs: Peter Riederer, Germany; Annamária Takáts, Hungary |
10:45-11:45 |
Debate: Is the effect of MAO-B inhibitors clinically relevant? Is safinamide better than selegiline and rasagiline? |
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Capsule: MAO-B inhibitors are frequently used in early PD. We still do not know whether they affect disease progression and their use in advanced stages of PD is also questioned. Are the new players any better? |
10:45-10:55 |
Debate host: László Vécsei, Hungary |
10:55-11:10 |
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11:10-11:25 |
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11:25-11:45 |
Discussion and rebuttals |
11:45-12:45 |
Debate: Is levodopa the optimal treatment in PD? |
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Capsule: The risk of motor complications, in contrast with the excellent motor control, is a constant dilemma when using levodopa: What is the evidence and what are the recommendations regarding the treatment strategy? |
11:45-11:55 |
Debate host: Péter Klivényi, Hungary |
11:55-12:10 |
Levodopa is the gold standard: Irena Rektorova, Czech Republic |
12:10-12:25 |
|
12:25-12:45 |
Discussion and rebuttals |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
|
15:00-16:45 |
Session 17: CURE OR ONLY SYMPTOMATIC RELIEF?
Chairs: Péter Klivényi, Hungary; Norbert Kovács, Hungary |
15:00-15:55 |
Debate: Prevention and modern therapy |
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Capsule: MRI guided focused ultrasound is a new technology enabling lesioning of brain structures without incisions through an intact skull. This new technology has been implemented in essential tremor patients where lesions of VIM reduces contralateral tremor. But should lesioning of VIM be done in PD and other movement disorders? Should lesioning be performed in other brain structures for PD and other movement disorders? |
15:00-15:10 |
Debate host: Stuart H. Isaacson, USA |
15:10-15:25 |
Ultrasound thalamic lesioning is useful for treatment ET only: Jens Volkmann, Germany |
15:25-15:40 |
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15:40-15:55 |
Discussion and rebuttals |
15:55-16:45 |
Debate: Neurodegenerative diseases are potentially curable |
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Capsule: Neurodegenerative diseases are widespread and based upon so many different underlying processes such as mitochondrial disturbances, toxic substances, abnormal proteasomal function and inflammation that it is difficult to visualize a cure |
15:55-16:05 |
Debate host: Roger Bullock, UK |
16:05-16:20 |
Yes: Johannes Streffer, Belgium |
16:20-16:35 |
|
16:35-16:45 |
Discussion and rebuttals |
16:45-17:00 |
Coffee Break |
17:00-19:00
|
Session 18: ARE PRESENT TREATMENTS OPTIMAL?
Chairs: Vladimir Kostic, Serbia; Elena Vostrikova, Russia |
17:00-18:00 |
Debate: Can levodopa delivery be improved? |
|
Capsule: The short plasma half-life of levodopa causes motor complications. To overcome this limitation several new directions in drug technology have been utilized |
17:00-17:10 |
Debate host: Heinz Reichmann, Germany |
17:10-17:25 |
|
17:25-17:40 |
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17:40-18:00 |
Discussion and rebuttals |
18:00-19:00 |
Debate: Are impulse control disorders (ICD) a real problem in PD? |
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Capsule: The dopaminergic therapy can affect certain aspects of behavior, which could interfere with the everyday life of the patients and the caregivers as well. More attention to behavior in PD is important, but is ICD one of the main targets? |
18:00-18:10 |
Debate host: Maja Relja, Croatia |
18:10-18:25 |
|
18:25-18:40 |
Con: Heinz Reichmann, Germany |
18:40-19:00 |
Discussion and rebuttals |
19:00 |
Poster Awards & Closing Ceremony |
|
SATURDAY, MARCH 28, 2015
HALL B – Stroke
Section Heads: Natan Bornstein, Israel & László Csiba, Hungary |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Parkinson's disesae & Movement disorders, Neuropathology, Neuro-immunology |
08:30-10:30 |
Session 19: MANAGEMENT OF ACUTE STROKE
Chairs: Christian Stapf, France; Joanna Wojczal, Poland |
08:30-08:50 |
Lecture: Personalized medicine in stroke
Lecture host: Natan Bornstein, Israel
|
08:50-09:40 |
Debate: Can ultrasound enhance the recanalization effect of tPA? |
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Capsule: Chemical thrombolysis by tPA is so far the only approved therapy for acute ischemic stroke. However, the overall recanalization rate is pretty low, only 30-40% and newer more effective treatments are acutely needed. One of the new methods which are promoted is transcranial ultrasound |
08:50-09:00 |
Debate host: Denes Pall, Hungary |
09:00-09:15 |
|
09:15-09:30 |
|
09:30-09:40 |
Discussion and rebuttals |
09:40-10:30 |
Debate: Is aggressive lowering of blood pressure (BP) in acute intracerebral hemorrhage (ICH) beneficial? |
|
Capsule: The BP is elevated in acute stroke and spontaneously decreases over the next few days. Should we influence this process pharmacologically or leave it alone? |
09:40-09:50 |
Debate host: Denes Pall, Hungary |
09:50-10:05 |
|
10:05-10:20 |
|
10:20-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:45 |
Session 20: VASCULAR INTERVENTIONS
Chairs: Ovidiu Bajenaru, Romania; Vida Demarin, Croatia |
10:45-11:45 |
Debate: Carotid revascularization in asymptomatic patients: Is intervention justified? |
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Capsule: Carotid intervention in asymptomatic carotid artery stenosis (ACAS) is still controversial because the change in the natural history and the decrease in the annual stroke rate are not convincing. However, many interventions are still being performed on patients with ACAS. Who is right and who is wrong? |
10:45-10:55 |
Debate host: László Csiba, Hungary |
10:55-11:10 |
|
11:10-11:25 |
|
11:25-11:45 |
Discussion and rebuttals |
11:45-12:45 |
Debate: Should patients with unruptured arterio-venous malformations (AVM) be referred for intervention? |
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Capsule: The management of unruptured AVM in the brain is still uncertain and is the scope of this debate. How should patients with incidental findings of AVM be managed? |
11:45-11:55 |
Debate host: László Bognar, Hungary |
11:55-12:10 |
|
12:10-12:25 |
|
12:25-12:45 |
Discussion and rebuttals |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
Industry-Sponsored Satellite Symposium
|
15:00-16:45 |
Session 21: HOT TOPICS IN STROKE MANAGMENT
Chairs: Rahim Aliyev, Azerbaijan; Svjetlana Šupe, Croatia |
15:00-15:55 |
Debate: Should survivors of hemorrhagic strokes be restarted on oral anticoagulants? |
|
Capsule: About 10-15% of stroke victims have intracranial hemorrhage (ICH). These patients frequently have concomitant cardiac diseases justifying anticoagulant therapy. To treat or not to treat? How to find the narrow path between the risk of re-bleeding and recurrent thromboembolic events? Are the newer oral anticoagulants (NOAC's) the answer in some cases? |
15:00-15:10 |
Debate host: Dieter Heiss, Germany |
15:10-15:25 |
|
15:25-15:40 |
|
15:40-15:55 |
Discussion and rebuttals |
15:55-16:45 |
Debate: Will stem cell therapy become important in stroke rehabilitation? |
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Capsule: Functional recovery after severe stroke is limited and so far all neuroprotective trials have failed. Autologous and heterologous stem cells implantations have shown promising but controversial results |
15:55-16:05 |
Debate host: Eva Feldman, USA |
16:05-16:20 |
|
16:20-16:35 |
|
16:35-16:45 |
Discussion and rebuttals |
16:45-17:00 |
Coffee Break |
17:00-19:00
|
Session 22: STATINS AND STROKE
Chairs: Erwin Stolz, Germany; Jorge Villacura, Chile |
17:00-18:00 |
Debate: Do statins cause cognitive impairment? |
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Capsule: The statins are used safely for more than 25 years in pateints with dyslipidemia. Risk of liver enzyme elevation, muscle aches, diabetes and cognitive impairment are widely discussed. However their effects on cognition are still debated |
17:00-17:15 |
Debate host: Jay P. Mohr, USA |
17:15-17:30 |
|
17:30-17:45 |
|
17:45-18:00 |
Discussion and rebuttals |
18:00-19:00 |
Debate: Should statins be used for secondary stroke prevention even in people with normal cholesterol levels? |
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Capsule: Statins were proven to reduce the risk of cardiovascular and stroke events. However, for secondary stroke prevention only a single RCT (SPARCL) was conducted. Therefore, it is still controversial whether every stroke survivor should receive statins regardless of lipids profile |
18:00-18:15 |
Debate host: Jonathan Streifler, Israel |
18:15-18:30 |
|
18:30-18:45 |
|
18:45-19:00 |
Discussion and rebuttals |
19:00 |
Poster Awards & Closing Ceremony
Hall A |
|
SATURDAY, MARCH 28, 2015
HALL C – Epilepsy
Section Heads: Jozsef Janszky, Hungary & Michael Sperling, USA |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Parkinson's disesae & Movement disorders, Neuropathology, Neuro-immunology |
08:30-10:30 |
Session 23: EPILEPSY DIAGNOSIS
Chairs: Joanna Jedrzejczak, Poland; Nandan Yardi, India |
08:30-09:30 |
Debate: Should epilepsy ever be diagnosed after a single seizure has occurred? |
|
Capsule:The ILAE has proposed that epilepsy can be diagnosed after occurrence of a single seizure provided there is at least 60% chance of seizure recurrence. This may be advantageous because it might influence the decision to treat. However, diagnosing epilepsy may have serious implications for an individual from clinical, societal and legal perspectives. Should the ILAE criteria be adopted or should we maintain the requirement that two seizures occur before diagnosing epilepsy? |
08:30-08:40 |
Debate host: Konrad Rejdak, Poland |
08:40-08:55 |
|
08:55-09:10 |
|
09:10-09:30 |
Discussion and rebuttals |
09:30-10:30 |
Debate: It is important and useful to establish a diagnosis of either focal or generalized epilepsy when epilepsy is first diagnosed |
|
Capsule: Physicians place great emphasis on correct diagnosis of an epileptic syndrome when they first evaluate patients with epilepsy. In the modern era, does this really matter? Does early syndromic diagnosis influence management soon after diagnosis? |
09:30-09:40 |
Debate host: Peter Halász, Hungary |
09:40-09:55 |
|
09:55-10:10 |
|
10:10-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:45 |
Session 24: EPILEPSY THERAPY
Chairs: Vladimir Donath, Slovakia; Konrad Rejdak, Poland |
10:45-11:45 |
Debate: Should antiepileptic drugs (AED's) be started after a first seizure in patients who have pre-existing brain injury? |
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Capsule: Starting AED therapy is a major decision since these drugs can have significant adverse effects and, once begun, are often prescribed for decades. What level of confidence should exist for physicians to initiate drug therapy? |
10:45-10:55 |
Debate host: Christoph Baumgartner, Austria |
10:55-11:10 |
|
11:10-11:25 |
|
11:25-11:45 |
Discussion and rebuttals |
11:45-12:45 |
Debate: 50-75% reduction in seizure frequency after is not a meaningful improvement in seizure control |
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Capsule: Government agencies approve new AED's based upon 50% reduction in seizure frequency or demonstration of greater reduction of mean seizure frequency compared with placebo. Are these clinically meaningful numbers or should a different standard be used when considering a drug effective? |
11:45-11:55 |
Debate host: Paul Boon, Belgium |
11:55-12:10 |
|
12:10-12:25 |
|
12:25-12:45 |
Discussion and rebuttals |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
Industry-Sponsored Satellite Symposium
|
15:00-16:45 |
Session 25: TREATING THE REFRACTORY PATIENT
Chairs: Irma Khachidze, Georgia; Istvan Kondakor, Hungary |
15:00-15:55 |
Debate: Polytherapy rarely provides benefit in patients who have not responded to monotherapy |
|
Capsule: Managing patients whose seizures fail to respond to therapy is challenging. While it is common to prescribe polypharmacy, does evidence support long-term efficacy of this approach? Does it convey meaningful benefit and at what cost? |
15:00-15:10 |
Debate host: Christoph Baumgartner, Austria |
15:10-15:25 |
|
15:25-15:40 |
|
15:40-15:55 |
Discussion and rebuttals |
15:55-16:45 |
Debate: Do all neurostimulatory treatments have similar efficacy? |
|
Capsule: Several different neurostimulation techniques have been approved for treatment of drug-resistant epilepsy, including vagus nerve stimulation, anterior thalamic nucleus stimulation, and cortical stimulation. Do any of these methods have advantage over the others, and should one of these techniques be considered as a first choice when offering stimulation therapy? |
15:55-16:05 |
Debate host: Ivan Rektor, Czech Republic |
16:05-16:20 |
|
16:20-16:35 |
|
16:35-16:45 |
Discussion and rebuttals |
16:45-17:00 |
Coffee Break |
17:00-19:00
|
Session 26: SURGICAL THERAPIES
Chairs: Peter Halász, Hungary; Miri Neufeld, Israel |
17:00-18:00 |
Debate: AED's should not ever be stopped after epilepsy surgery |
|
Capsule: AED medication can have detrimental effects and it is desirable to withdraw them when no longer needed. While epilepsy surgery often stops seizures, relapses may occur after surgery and surgery may not remove all epileptogenic cortex. Does the risk of recurrence in surgical responders warrant continuing medication indefinitely? |
17:00-17:10 |
Debate host: Ivan Rektor, Czech Republic |
17:10-17:25 |
|
17:25-17:40 |
|
17:40-18:00 |
Discussion and rebuttals |
18:00-19:00 |
Unusual epilepsy cases |
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Capsule: A series of challenging cases will be presented to course faculty for discussion of diagnosis and management |
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Moderators: Alla Guekht, Russia; Michael Sperling, USA |
|
Panel: All Epilepsy Faculty |
19:00 |
Poster Awards & Closing Ceremony
Hall A |
|
SATURDAY, MARCH 28, 2015
Hall D – Rehabilitation / Dementia
Rehabilitation Section Heads: Katalin Jakab, Hungary & Dafin Muresanu, Romania |
07:30-08:30 |
E-poster presentations, in the Exhibition Area
Parkinson's disesae & Movement disorders, Neuropathology, Neuro-immunology |
08:30-10:30 |
Session 27: REHABILITATION
Chairs: Katalin Jakab, Hungary; Dafin Muresanu, Romania |
08:30-09:30 |
Debate: Pharmacological treatment of diabetic neuropathy: Benfotiamine vs. alpha lipoic acid |
|
Capsule: Diabetic neuropathy is a complex heterogeneous condition. Based on pathogenic mechanisms, some therapeutic approaches have been developed. Several meta-analyses suggest that alpha–lipoic acid is an effective and safe drug for the treatment of diabetic polyneuropathy. Clinical studies revealed favorable safely profile of benfotiamine and suggested it to be effective in the prevention and treatment of diabetic complications |
08:30-08:40 |
Debate host: Tamas Várkonyi, Hungary |
08:40-08:55 |
Benfotiamine: Peter Kempler, Hungary |
08:55-09:10 |
Alpha lipoic acid: Dan Ziegler, Germany |
09:10-09:30 |
Discussion and rebuttals |
09:30-10:30 |
Debate: Enhancing brain plasticity for neurorehabilitation |
|
Capsule: Rehabilitation is defined as a process through which disabled persons reached maximum physical, functional, cognitive and psychosocial recovery within the limits of their disability. Endogenous defense activity (EDA) of the nervous system is the continuous process of neuroprotection and neuroregeneration. Our current major concern is how these important biological processes can be activated by pharmacological and non-pharmacological interventions |
09:30-09:45 |
Cognitive rehabilitation: Volker Hömberg, Germany |
09:45-10:00 |
Rehabilitation of phantom pain: Heinrich Binder, Austria |
10:00-10:15 |
Drug therapy: Alla Guekht, Russia |
10:15-10:30 |
Discussion and rebuttals |
10:30-10:45 |
Coffee Break |
10:45-12:30 |
Session 28: TOWARDS A NEW ROADMAP IN BRAIN PROTECTION AND REOCVERY
Chairs: Natan Bornstein, Israel; Dafin Muresanu, Romania |
10:45-11:00 |
|
11:00-11:15 |
|
11:15-11:30 |
Lecture: Neurorestorative treatments of experimental CNS injury
Michael Chopp, USA |
11:30-11:45 |
|
11:45-12:15 |
|
12:15-12:30 |
A clinical-genetic algorithm for calculating the stable therapeutic dose of acenocoumarol
Anca Dana Buzoianu, Romania |
12:45-13:45 |
Lunch Break |
12:45-13:45 |
Industry-Sponsored Meet the Expert - Lunch session
Pre-registration to this session is required
Click here for the full meet the expert |
13:45-14:45 |
Industry-Sponsored Satellite Symposium
|
|
|
15:00-16:30 |
Session 29: UPDATE ON DEMENTIA
Chairs: Soichi Katayama, Japan; Judit Málly, Hungary |
15:00-15:30 |
Lea Grinberg, USA/Brazil |
15:30-16:30 |
Debate: Is amyloid PET imaging really helpful in diagnosing and characterizing disease modifying treatment approaches in dementias? |
|
Capsule: In vivo visualization of amyloid fibrils using PET has been possible for more than a decade. The practical use of PiB however, is hampered by its short shelf-life. Are we ready to use PET for the pre-mortem diagnosis of AD and for evaluation of new therapeutics? Are questions on sensitivity, specificity and outcome measures defined? Are there other PET approaches that might be better? |
15:30-15:40 |
Debate host: Adriaan A. Lammertsma, The Netherlands |
15:40-15:55 |
Yes: Marcos Pagani, Italy |
15:55-16:10 |
No: Marios Politis, UK |
16:10-16:30 |
Discussion and rebuttals |
|
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