The World Congress on Controversies in Neurology

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The World Congress on Controversies in Neurology
The World Congress on Controversies in Neurology
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Preliminary Program3
 

Opening Plenary Session
The role of controversies in the growth of knowledge
M. Dascal, Israel
Cognitive agnosia: An underdiagnosed cause of controversies
V. Hachinski, Canada
Accelerating drug discovery by venture philanthropy
H. Fillit, USA
 

Multiple Sclerosis (MS)
 
Session: Multiple Sclerosis (MS)
Capsule: Many people believe that MS is a syndrome rather than a single nosologic entity. The role of auto-immune processes is also still problematic, and has important implications for therapy.
Debate: MS is a single nosologic entity due to an auto-immune mechanism
Yes:
P. Hartung, Germany
No: I. Steiner, Israel
 
 
Weak points in MS diagnosis
G. Giovannoni, Italy
 
Treatment of fatigue and cognitive impairment
P. Calabrese, Germany
 
Therapy of pseudobulbar symptoms
A. Miller, Israel
   
Debate:   
 
    
   
Does the presence of NABs against IFNs necessitate a switch to another class of
therapy
Yes: P.S. Sorensen, Denmark
No: J. Oger, Canada

Session: Treatment Strategies for Multiple Sclerosis
Capsule: Many issues regarding when and how to start treatment and what are the future avenues are not clear! 
Debate: Clinically isolated syndromes (CIS): to treat or not to treat
To treat: G. Comi, Italy
Not to treat: A. Siva, Turkey
 
Stem cells in multiple sclerosis: actuality vs. potentiality
G. Martino, Italy
 
 
Session:
Multiple sclerosis (MS) – Switching Between Treatments
 
Capsule: When and based on what should we switch between treatments in MS patients?
 
Role of Clinical and MRI parameters
TBA
 
Role of Biomarkers
K. Selmaj, Poland 
 
New players: The Natalizumab/Tysabri experience / FTY 720
P. Hartung, Germany


Stroke
 
Session:
tPA in Stroke
 
Capsule: tPA makes an important contribution to stroke therapy, but only a few benefit. How can we extend the value?
 
Intra-arterial tPA
TBA
  
Debate: Is tPA the treatment of choice in acute ischemic stroke?
TBA
 
 
Session:
Interventions in Stroke Prevention
 
Debate: Carotid endarterectomy is better than carotid stenting
Yes: J. Wojczal, Poland
No: N. Bornstein, Israel

Session:
Debate: Stereotactic Radiosurgery in Neurofibromatosis Type 2 (NF2)
Capsule: The relative benefits of radiosurgery and conventional operations is not yet clear
Pro radiosurgery: J. Rowe, UK
Pro operation: G. Evans, UK
  

Dementia
 
Session:
Mild Cognitive Impairment
 
Capsule: Dementia typically develops insidiously. An intermediate stage between normal aging and dementia termed mild cognitive impairment (MCI) is still not well understood nor generally accepted.
 
Debate: Is Mild Cognitive Impairment a useful concept?
Yes: S. Gauthier, Canada
No: J. Morris, USA
 
 
Session:
A Cure for AD
Capsule: Because beta-amyloid is a hallmark of Alzheimer disease, attempts are being made to eliminate this protein. One of the new methods to achieve this is through anti-amyloid immunization, while a competitive method is by inhibition of APP-cleaving enzymes.
 
Debate: Immunization will cure AD
Yes: TBA
No: E. Giacobini, Switzerland
   
Session: Autoimmune Dementia
Capsule: In addition to the common causes of dementia, some patients are thought to have an underlying autoimmune mechanism. When should these be considered and how should they be treated?
 
Hashimoto (dysthyroid) encephalopathy
A. Chaudhuri, UK
 
Potassium channel antibody encephalopathy
A. Vincent, UK
 
Anticardiolipin antibodies
J. Chapman, Israel
   
Session:
Treatment of Cognitive Impairment
 
Capsule: Cholinesterase inhibitors (ChEI's) and memantine are the only approved drugs for the treatment of Alzheimer’s disease (AD), but there is debate on their efficacy, both in early and (even more) in advanced AD.
Debate:  Treatment of dementia with ChEI’s is appropriate
Yes: B. Winblad, Sweden
No: TBA
 
 
BACE inhibition is the solution
H. Fillit, USA
Gamma secretase modulation
TBA

Session:
Incipient Dementia
  Capsule: Several studies demonstrate that education and involvement in intellectually demanding activities protect against dementia.
 
Debate: Cognitive training is a valuable tool for older people with memory impairment
Pro:
E. Shatil, Israel
Cons: TBA
 
Debate: Treatment of MCI is available and should be given
Yes:
L. Spiru, Romania
No: P.J. Visser, The Netherlands
   
Session: Debate: Vascular Cognitive Impairment is a Misleading Concept
  Capsule: Dementia or milder forms of cognitive decline can occure following obvious strokes or in conjunction with vascular risk factors. Recently the term vascular cognitive impairment has been suggested to encompass vascular dementia, Biswanger’s disease and multi-infarct dementia. However, this term has not been unchallenged.
  Yes: A. Kertesz, Canada
  No: V. Hachinski, Canada


Neuroprotection and neuroplasticity
 
Session:
Neuroprotection and Neuroplasticity
 
Blood-brain barrier and neuroprotection
H.S. Shanker, Sweden
 
Vascular protection in stroke
O. Bajenaru, Romania
Neuroprotection in acute ichemic stroke-Is there still hope?
N. Bornstein, Israel
  Neuroprotection - An innovative approach
L. Csiba, Hungary
  Neuroprotection and neuroplasticity - a dualistic vision of a continuous process
D. Muresanu, Romania
   

Parkinson
 
Session:
Pathogenesis of PD
Capsule: In spite of much research, the pathogenesis of PD is still contested. Is there one cause that can be thought of as initiating the cascade?
PD is a mitochondrial dysfunction disease
T. Schapira, UK
PD is due to synuclein dysfunction
W. Olanow, USA
Is PD a ferrinopathy?
D. Berg & J. Godau, Germany
Olfactory dysfunction in early PD suggests that the disease is caused by a toxin
H. Reichmann, Germany
   
Session:
Early PD
Capsule: Continuous dopaminergic stimulation in early PD may best prevent the development of motor complications
 
Are resagiline and selegiline neuroprotective?
M. Youdim, Israel
 
Is continuous dopaminergic therapy really important in the initial stages of PD?
F. Stocchi, Italy
 
Dopamine agonists are the treatment of choice in early PD
M. Guttman, Canada
 
 
Session:
Parkinson’s Disease: Motor Aspects
Capsule: How can we control the motor complications in PD?
DBS vs apomorphine infusions in complicated PD
TBA
Is DBS ready for early PD?
A. Kupsch, Germany
Spheramine–cell therapy for Parkinson’s disease
E. Reissig, Germany
   
Session:
Parkinson’s Disease: Non-Motor Aspects
 
Capsule: Non dopaminergic symptoms may be more relevant than DA-responsive motor symptoms in PD
 
The treatment of depression in PD patients
TBA
 
Is dementia inevitable in PD?
I. Litvan, USA
 
Compulsive behaviour is the most significant adverse event due to dopaminergics
N. Giladi, Israel
  
Daytime somnolence in PD – How to avoid and how to treat?
K.R. Chaudhuri, UK
   
Session: Parkinsonian Syndromes
Capsule: Movement disorders with Parkinsonian features have been diagnosed using different methods, using different criteria, but the basic question remains of the nosologic entities underlying these neurodegenerative diseases.
Debate: Are PSP and CBGD the same disease?
For: A. Kertesz, Canada
Against: I. Litvan, USA
 
SPECT imaging in the differential diagnosis of Parkinsonian syndromes
TBA
   


Epilepsy
 
Session:
Epilepsy
 
Patients with epilepsy who are unresponsive to drugs should be considered for surgery and the identification of suitable cases usually involves expensive videotaping and seizure monitoring.
 
Debate: Is videotaping always necessary for decision on surgery in epilepsy?
Yes: H. Stefan, Germany
No: M. Sperling, USA
  
The success rate of a third antiepileptic drug is so low that it is unjustified to delay surgery
S. Benbadis, USA
 
 
Session:
Psychogenic Neurological Disorders
 
Capsule: Clinicians are still facing frequent difficulties in differentiating “organic” from “functional”  disorders
 
Is psychogenic dystonia a valid diagnosis?
K. Black, USA
 
Vertigo as a psychogenic disorder
M. Strupp, Germany
 
Is Regional Sympathetic Dystrophy (RSD)–dystonia an organic disease?
M. Hallett, USA
 
 
Psychogenic non-epileptic seizures – can they be diagnosed by any neurologist?
Can they be treated by neurologists? 
C. Elger, Germany
   
Session: Autoimmune Disorders
 
Capsule: The pathogenesis of “antibody-negative” myasthenia is still unclear. What is the role of antibodies against non-cholinergic targets? The role of thymectomy in the treatment of myasthenia is also still controversial.
 
 
The autoimmune spectrum of myasthenia
A. Vincent, UK
  CIDP
TBA


Session:
Treatment of Migraine: Beyond Triptans
Capsule: Therapy of chronic headache frequently unsatisfactory and newer methods for symptomatic therapy are needed. Botulinum toxin injections are such methods, which have still not received wide acceptance.
Debate: Botulinum toxin in the treatment of headache
Proposition: Botox is effective for headache
TBA
Opposition: Botox should be used cautiously, due to its risk
TBA


 
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