Scientific Program - Neuroimmunology / MS / ALS / ET

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Please see below the CONy Scientific Program. Please click on the appropriate section (ordered by ABC) to view the relevant program. Please note that the program and timing is subject to change. To view the program timetable, please click here
 

Neuroimmunology / Multiple Sclerosis / ALS / ET 
Section Heads:
 Hans-Peter Hartung, Germany & Marinos Dalakas, Greece                             
SATURDAY, MARCH 25, 2017
Hall C
 7:00-7:50 E-poster Guided Tours (Stroke, Parkinson's, Headache, & MS)
 
08:00-10:00
NEUROMYELITIS OPTICA (NMO)
Chairs: Georgia Deretzi, Greece; Maria-Magda Wysocka-Bakowska, Poland 
8:00-9:00 Debate: Aquaporin 4 antibody negative MMOSD is a new disease 
Capsule:
Up to 80% of patients with a clinical phenotype of a neuromyelitis optica spectrum disorder (NMOSD) harbor serum antibodies to the astrocyte water channel aquaporin-4 (AQP4). What about the remaining 20% or more of patients without these antibodies? Some patients negative for AQP4 antibodies are tested positive for antibodies to myelin oligodendrocyte glycoprotein (MOG). Do these patients with MOG antibodies and other, yet to be determined antibodies have NMOSD or rather a distinct neuroimmunological disease entity?
8:00-8:10  Host: Harry Alexopoulos, Greece
8:10-8:25    Pro: Brian Weinshenker, USA
8:25-8:40 Con: Friedemann Paul, Germany
8:40-9:00  Discussion and rebuttals

9:00-10:00
Proposition: The future treatment of NMO is immune tolerance, not immune suppression 
Capsule: In the absence of specific therapies for NMO that directly interfere with immunopathogenesis of the disease, most patients are treated with immunosuppressants such as azathioprine, steroids, or rituximab, with sufficient disease control in a subset, but oftentimes with the risk of serious adverse events. Could novel therapeutic approaches that do not convey broad immunosuppression but induce immune tolerance to the target antigens in NMOSD lead to a better risk-to-benefit ratio for patients with this devastating disease?
9:00-9:10 Host: John Ratchford, USA
9:10-9:25 Pro: Brian Weinshenker, USA
9:25-10:40 Con: Friedemann Paul, Germany
10:40-10:00
Discussion and rebuttals

10:45-12:45 MULTIPLE SCLEROSIS (MS)

Chairs: Elizabeth Andreadou,  Greece
10:15-11:10
Proposition: Leptomeningeal enhancement on MRI is a promising biomarker to monitor disease worsening, especially in progressive MS patients
Capsule: At this time it is difficult to determine the degree of cortical gray matter pathology in-vivo in MS patients. Because cortical subpial lesion pathology is challenging to visualize using 3T MRI, assessing leptomeningeal contrast enhancement has the potential to become an indirect marker of cortical pathology. This debate will discuss pros and cons of using this recently proposed imaging biomarker in clinical trials, research studies and routine follow-up of MS patients. 
10:15-10:25
Host: Flavia Nelson, USA
10:25-10:40
Pro: Robert Zivadinov, USA
10:40-10:55 Con: Hans-Peter Hartung, Germany
10:55-11:10 Discussion and rebuttals
11:10-12:10 Debate: Brain atrophy measurements should be used to guide therapy in MS
Capsule: The brain of MS patients shrinks over the disease course. How can this knowledge be utilized to understand this disease?  Do pharmacological interventions alter the rate of brain atrophy?  Should we measure this effect in following up patients?
11:10-11:20
Host: Jens Wuerfel, Germany
11:20-11:35
Pro: Robert Zivadinov, USA
11:35-11:50
Con: Ludwig Kappos, Switzlerand 
11:50-12:10 Discussion and rebuttals
15:05-17:00
AMYOTROPHIC LATERAL SCLEROSIS (ALS) 
Chairs: Antonio Politis, Greece; Georgios Manousakis, USA
15:05-15:25
ALS staging: pathology vs. imaging
Albert Ludolph, Germany


15:25-15:45
ALS as a prion disease
Magdelini Polymenidou, Switzerland 


15:45-16:10 The complex relationship between FTLD and ALS  
Lea Grinberg, USA / Brazil
 
 16:10-17:00 Genetic counseling in ALS: How this is affected by new technology
  Speaker: Vivian Drory, Israel 
Commentators:
Magdelini Polymenidou, Switzerland 
Albert Ludolph, Germany 
Lea Grinberg, USA / Brazil
 17:00-17:15  Coffee Break
 
17:15-19:00 MYASTHENIA GRAVIS AND ESSENTIAL TREMOR (ET)
  Chair: Ermal Kurmaku, Albania
17:15-18:10 Debate: Thymectomy should be routinely performed for all patients with generalized
autoimmune myasthenia gravis
Capsule:
Thymectomy is an invasive therapy, but its effects are delayed. However, it does not have the adverse effects of immune suppression. Should it be given only as a last resource?
17:15-17:25 Host: Vivian Drory, Israel
17:25 -17:40 Pro: Renato Mantegazza, Italy
17:40-17:55 Con: Marinos Dalakas, Greece
17:55-18:05 Discussion and rebuttals

18:05-19:00
Capsule: Essential tremor is thought to be the most common movement disorder. There is controversial evidence about its prevalence, phenomenology and pathology casting doubts on the common perception that ET is a single disorder. This debate will focus on evidence regarding this controversy
18:05-18:15 Host: Kurt Jellinger, Austria
18:15-18:30 Yes: Cenk Akbostanci, Turkey
18:30-18:45 No: Maria Stamelou, Greece 
18:45-19:00
Discussion and rebuttals