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      EAN News

      Plans in progress for 30th Anniversary of the European Journal of Neurology (1994-2024)

      December 6, 2023

      Advocacy

      Executive Page: European neurology united as ever heading into milestone year

      December 6, 2023

      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      Executive Page

      Executive Page: European neurology united as ever heading into milestone year

      December 6, 2023

      Executive Page

      Executive Page: Join or renew your membership now and celebrate 10 years of the EAN

      November 6, 2023

      Executive Page

      Executive Page: Advocacy for brain health gaining momentum across the neurological landscape

      October 1, 2023

      Executive Page Dear EAN members, dear friends, It is my pleasure to give you an update on behalf of the EAN Scientific Committee following a busy year since my appointment as chair. It has been a privilege to be so deeply involved in the scientific activities of the EAN and to work closely with an amazing community of people who are so dedicated to the advancement of neurology. One of the strongest threads within that community is the EAN’s group of Scientific Panels, which are often referred to as the organisation’s ‘scientific backbone’. The panels have a hand in everything the EAN does from a scientific point of view, including coordinating clinical research, disseminating good practice, assisting in planning the EAN annual congress, supporting the EAN’s educational efforts, and producing guidelines that assist neurologists in daily practice. All of this work requires a considerable amount of oversight, and this is why each panel is run by its own Management Group, elected by the panel members. Being a part of one of these Management Groups (PDF) is an opportunity to play a direct part in determining the direction of scientific progress within Europe, and I am excited to say that the call for applications to stand for election will be announced in September. All panel members and EAN individual members are eligible to apply to be candidates, with the vote being held among the existing panel members in autumn. I would like to urge every neurologist with a passion for the scientific future of their special area of interest to consider standing for election to the relevant Management Group and to look out for the call for applications later this month. I can tell you from personal experience that fulfilling a role such as this within the structure of the EAN is a fascinating and extremely rewarding experience. The chance to take on such a unique leadership position should not be missed! The most satisfying aspect of being involved in the EAN’s organisational structure is surely seeing all the hard work and planning come to fruition when a small idea evolves into a newly launched project. One such example is the 1st EAN Science School, taking place in Salzburg next March. The idea of the Science School is to offer early career neurologists with an interest in translational research a new avenue for learning about basic pathomechanisms of neurological disorders. Application for this very first edition, on ‘Pathophysiology of disorders of the nervous system’, closed last week and we have been delighted with the level of interest. It was a pleasure to be part of the task force in charge of planning this new project and I look forward to seeing it officially transferred to the hands of the Scientific Committee after a successful event and evaluation in spring. Of our ongoing activities, one of the most significant is the EAN Neuro-covid Registry, which aims to collate epidemiological data on neurological manifestations in patients with COVID-19 infection reported by neurologists in outpatient services, emergency rooms, and hospital departments. We currently have 1,542 patients entered in the database, from 35 centres across 23 countries. So far, 29 patients have been followed for 12 months and 387 have completed the 6-months follow up. This is a decent start, but I would like to strongly encourage EAN members and their institutions to get involved and contribute cases to what will become an invaluable resource for neurologists and clinicians to improve care for Covid-19 patients. Finally, I would like share a word on a forthcoming collaboration between EAN and the Human Brain Project in December, that I think will interest a lot of EAN members. The EAN-EBRAINS joint workshop on ‘The future of medical data sharing in clinical neurosciences’ will be a three-day virtual event that aims to discuss issues and challenges associated with data sharing in Europe, from ethics to data safety and privacy, including those specific to data federation, such as the development and validation of federated algorithms. The whole workshop is completely free of charge and registration is open until 25 November, so please check out the details and sign up! I wish you all a healthy and pleasant autumn and I look forward to updating you again. Best wishes Thomas Berger Chair of the EAN Scientific Committee

      Executive Page: Management Group elections are coming – run for office and help shape our future!

      September 1, 2023

      EAN News

      Plans in progress for 30th Anniversary of the European Journal of Neurology (1994-2024)

      December 6, 2023

      EAN News

      Executive Page: European neurology united as ever heading into milestone year

      December 6, 2023

      EAN News

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      EAN News One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      EAN Congress news

      EAN 2024 – Abstract submission and registration OPEN!

      November 22, 2023

      EAN Congress news

      Burden of Sleep/Wake Disorders Project at EAN Congress 2023

      October 19, 2023

      EAN Congress news

      African Academy of Neurology features in Special Studio Session at EAN 2023

      July 25, 2023

      EAN Congress news

      Find photos, facts, figures and reports in our EAN Congress Review

      July 24, 2023

      Interviews

      Video Interview: Prof. Mary Reilly, Moritz Romberg lecturer at EAN 2023

      July 4, 2023

      Interviews

      Video Interview: Mark Hallett, C. Brown-Séquard lecturer at EAN 2023

      July 3, 2023

      Interviews

      Video Interview: Josep Dalmau, Camillo Golgi Lecturer at EAN 2023

      July 2, 2023

      Interviews

      Video Interview: Dementia & Cognitive Disorders Panel Co-Chairs

      September 8, 2022

  • Research
    • All Paper of the Month Research Highlights
      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      Paper of the Month

      Research Paper of the Month: Effects of oral anticoagulation in people with atrial fibrillation after spontaneous intracranial haemorrhage (COCROACH)

      November 6, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – November 2023

      November 6, 2023

      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Paper of the Month

      Research Paper of the Month: Effects of oral anticoagulation in people with atrial fibrillation after spontaneous intracranial haemorrhage (COCROACH)

      November 6, 2023

      Paper of the Month

      Research Paper of the Month: Transdermal Nicotine Treatment and Progression of Early Parkinson’s Disease

      October 1, 2023

      Paper of the Month

      Research Paper of the Month: Soluble Nogo-Receptor-Fc decoy (AXER-204) in patients with chronic cervical spinal cord injury in the USA

      September 1, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – November 2023

      November 6, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – October 2023

      October 1, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – September 2023

      September 1, 2023

  • Education
    • All eLearning Student Corner Resident and Research Fellows Fellowship reports
      eLearning

      End 2023 with highlighted content on the eanCampus!

      December 2, 2023

      Resident and Research Fellows

      EAN Spring School 2024 – Apply NOW until 31 January 2024

      December 1, 2023

      Resident and Research Fellows

      EAN Autumn School 2023: Report

      November 30, 2023

      eLearning

      Call for Applications: e-Learning Platform Associate Editors

      November 7, 2023

      eLearning

      End 2023 with highlighted content on the eanCampus!

      December 2, 2023

      eLearning

      Call for Applications: e-Learning Platform Associate Editors

      November 7, 2023

      eLearning

      Kick off the new season with highlights on the eanCampus

      October 13, 2023

      eLearning

      World Brain Day with the European Academy of Neurology

      July 21, 2023

      Student Corner

      Student Teaser Fellowship reports 2022 – Pisa, London, & Lausanne

      September 13, 2023

      Student Corner Illustration of a vertical pencil point on a blue background, with a yellow light bulb above it

      Student Corner: My EAN Congress experience

      September 5, 2023

      Student Corner

      Student Teaser Fellowship reports 2022 – Rotterdam, London, & Paris

      August 22, 2023

      Student Corner

      Student Teaser Fellowship winners 2023

      June 28, 2023

      Resident and Research Fellows

      EAN Spring School 2024 – Apply NOW until 31 January 2024

      December 1, 2023

      Resident and Research Fellows

      EAN Autumn School 2023: Report

      November 30, 2023

      Resident and Research Fellows

      Research Fellowship Report 2022 – Oxford Autoimmune Neurology Group

      September 16, 2023

      Resident and Research Fellows

      Research Fellowship Report 2022 – Centre Hospitalier Universitaire Vaudois, Lausanne

      September 15, 2023

      Fellowship reports

      Research Fellowship Report 2022 – Oxford Autoimmune Neurology Group

      September 16, 2023

      Fellowship reports

      Research Fellowship Report 2022 – Centre Hospitalier Universitaire Vaudois, Lausanne

      September 15, 2023

      Fellowship reports

      Research Fellowship Report 2022 – Department of Neuromuscular Diseases Institute, University College London

      September 14, 2023

      Fellowship reports

      Student Teaser Fellowship reports 2022 – Pisa, London, & Lausanne

      September 13, 2023

  • Other News
    • All EAN Staff EBC News in general Surveys
      EAN Staff

      EAN Head Office Profiles: Ulla & Piyapat

      December 1, 2023

      EAN Staff

      EAN Head Office Profiles: Maria & Immanuel

      November 7, 2023

      Advocacy

      Brain community launches Call to Action during Brain Health & Research Day at UNGA78

      October 19, 2023

      EAN News

      Brain Innovation Days 2023: Meet the speakers!

      October 2, 2023

      EAN Staff

      EAN Head Office Profiles: Ulla & Piyapat

      December 1, 2023

      EAN Staff

      EAN Head Office Profiles: Maria & Immanuel

      November 7, 2023

      EAN Staff

      EAN Head Office Profiles: Kathrin & Sasha

      August 28, 2023

      EAN Staff Anja Sander receiving flowers at the end of EAN Congress 2023

      Celebrating 20 Years of Excellence: Anja Sander, EAN’s Executive Director!

      August 3, 2023

      EBC

      Brain community launches Call to Action during Brain Health & Research Day at UNGA78

      October 19, 2023

      EBC

      Brain Innovation Days 2023: Meet the speakers!

      October 2, 2023

      EBC

      Brain Innovation Days: Discover the early programme and register today!

      July 21, 2023

      EBC

      Join the community’s calls for a European Brain Research and Innovation Plan

      July 21, 2023

      News in general

      WHO’s Intersectoral Global Action Plan on epilepsy and other neurological disorders (IGAP) published in all six UN languages

      August 3, 2023

      News in general

      WHO recognises the public health need for effective and affordable treatments for multiple sclerosis

      August 3, 2023

      News in general

      Brain Innovation Days: Discover the early programme and register today!

      July 21, 2023

      News in general

      Join the community’s calls for a European Brain Research and Innovation Plan

      July 21, 2023

      Surveys

      Neurorehabilitation Across Europe after Ischemic and Traumatic Brain Injuries: a survey to increase knowledge on brain-injury-specific neurorehabilitation

      July 14, 2023

      Surveys

      ILAE survey on genetic testing in the epilepsies

      July 14, 2023

      Surveys

      COVID-19 and neurology: a survey of previous and continued restrictions on clinical practice, professional education and neuroeconomics

      March 3, 2023

      Surveys

      Help EAN contribute towards the development of a European Pain Research strategy

      December 5, 2022

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eanpages

  • EAN News
    • All Executive Page EAN News EAN Congress news Interviews
      EAN News

      Plans in progress for 30th Anniversary of the European Journal of Neurology (1994-2024)

      December 6, 2023

      Advocacy

      Executive Page: European neurology united as ever heading into milestone year

      December 6, 2023

      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      Executive Page

      Executive Page: European neurology united as ever heading into milestone year

      December 6, 2023

      Executive Page

      Executive Page: Join or renew your membership now and celebrate 10 years of the EAN

      November 6, 2023

      Executive Page

      Executive Page: Advocacy for brain health gaining momentum across the neurological landscape

      October 1, 2023

      Executive Page Dear EAN members, dear friends, It is my pleasure to give you an update on behalf of the EAN Scientific Committee following a busy year since my appointment as chair. It has been a privilege to be so deeply involved in the scientific activities of the EAN and to work closely with an amazing community of people who are so dedicated to the advancement of neurology. One of the strongest threads within that community is the EAN’s group of Scientific Panels, which are often referred to as the organisation’s ‘scientific backbone’. The panels have a hand in everything the EAN does from a scientific point of view, including coordinating clinical research, disseminating good practice, assisting in planning the EAN annual congress, supporting the EAN’s educational efforts, and producing guidelines that assist neurologists in daily practice. All of this work requires a considerable amount of oversight, and this is why each panel is run by its own Management Group, elected by the panel members. Being a part of one of these Management Groups (PDF) is an opportunity to play a direct part in determining the direction of scientific progress within Europe, and I am excited to say that the call for applications to stand for election will be announced in September. All panel members and EAN individual members are eligible to apply to be candidates, with the vote being held among the existing panel members in autumn. I would like to urge every neurologist with a passion for the scientific future of their special area of interest to consider standing for election to the relevant Management Group and to look out for the call for applications later this month. I can tell you from personal experience that fulfilling a role such as this within the structure of the EAN is a fascinating and extremely rewarding experience. The chance to take on such a unique leadership position should not be missed! The most satisfying aspect of being involved in the EAN’s organisational structure is surely seeing all the hard work and planning come to fruition when a small idea evolves into a newly launched project. One such example is the 1st EAN Science School, taking place in Salzburg next March. The idea of the Science School is to offer early career neurologists with an interest in translational research a new avenue for learning about basic pathomechanisms of neurological disorders. Application for this very first edition, on ‘Pathophysiology of disorders of the nervous system’, closed last week and we have been delighted with the level of interest. It was a pleasure to be part of the task force in charge of planning this new project and I look forward to seeing it officially transferred to the hands of the Scientific Committee after a successful event and evaluation in spring. Of our ongoing activities, one of the most significant is the EAN Neuro-covid Registry, which aims to collate epidemiological data on neurological manifestations in patients with COVID-19 infection reported by neurologists in outpatient services, emergency rooms, and hospital departments. We currently have 1,542 patients entered in the database, from 35 centres across 23 countries. So far, 29 patients have been followed for 12 months and 387 have completed the 6-months follow up. This is a decent start, but I would like to strongly encourage EAN members and their institutions to get involved and contribute cases to what will become an invaluable resource for neurologists and clinicians to improve care for Covid-19 patients. Finally, I would like share a word on a forthcoming collaboration between EAN and the Human Brain Project in December, that I think will interest a lot of EAN members. The EAN-EBRAINS joint workshop on ‘The future of medical data sharing in clinical neurosciences’ will be a three-day virtual event that aims to discuss issues and challenges associated with data sharing in Europe, from ethics to data safety and privacy, including those specific to data federation, such as the development and validation of federated algorithms. The whole workshop is completely free of charge and registration is open until 25 November, so please check out the details and sign up! I wish you all a healthy and pleasant autumn and I look forward to updating you again. Best wishes Thomas Berger Chair of the EAN Scientific Committee

      Executive Page: Management Group elections are coming – run for office and help shape our future!

      September 1, 2023

      EAN News

      Plans in progress for 30th Anniversary of the European Journal of Neurology (1994-2024)

      December 6, 2023

      EAN News

      Executive Page: European neurology united as ever heading into milestone year

      December 6, 2023

      EAN News

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      EAN News One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      EAN Congress news

      EAN 2024 – Abstract submission and registration OPEN!

      November 22, 2023

      EAN Congress news

      Burden of Sleep/Wake Disorders Project at EAN Congress 2023

      October 19, 2023

      EAN Congress news

      African Academy of Neurology features in Special Studio Session at EAN 2023

      July 25, 2023

      EAN Congress news

      Find photos, facts, figures and reports in our EAN Congress Review

      July 24, 2023

      Interviews

      Video Interview: Prof. Mary Reilly, Moritz Romberg lecturer at EAN 2023

      July 4, 2023

      Interviews

      Video Interview: Mark Hallett, C. Brown-Séquard lecturer at EAN 2023

      July 3, 2023

      Interviews

      Video Interview: Josep Dalmau, Camillo Golgi Lecturer at EAN 2023

      July 2, 2023

      Interviews

      Video Interview: Dementia & Cognitive Disorders Panel Co-Chairs

      September 8, 2022

  • Research
    • All Paper of the Month Research Highlights
      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      Paper of the Month

      Research Paper of the Month: Effects of oral anticoagulation in people with atrial fibrillation after spontaneous intracranial haemorrhage (COCROACH)

      November 6, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – November 2023

      November 6, 2023

      Paper of the Month

      Research Paper of the Month: Apixaban for Stroke Prevention in Subclinical Atrial Fibrillation

      December 4, 2023

      Paper of the Month

      Research Paper of the Month: Effects of oral anticoagulation in people with atrial fibrillation after spontaneous intracranial haemorrhage (COCROACH)

      November 6, 2023

      Paper of the Month

      Research Paper of the Month: Transdermal Nicotine Treatment and Progression of Early Parkinson’s Disease

      October 1, 2023

      Paper of the Month

      Research Paper of the Month: Soluble Nogo-Receptor-Fc decoy (AXER-204) in patients with chronic cervical spinal cord injury in the USA

      September 1, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – December 2023

      December 1, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – November 2023

      November 6, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – October 2023

      October 1, 2023

      Research Highlights One glowing light bulb that stands out from unlit or dim lamps on a blue background

      Research Highlights of the Month – September 2023

      September 1, 2023

  • Education
    • All eLearning Student Corner Resident and Research Fellows Fellowship reports
      eLearning

      End 2023 with highlighted content on the eanCampus!

      December 2, 2023

      Resident and Research Fellows

      EAN Spring School 2024 – Apply NOW until 31 January 2024

      December 1, 2023

      Resident and Research Fellows

      EAN Autumn School 2023: Report

      November 30, 2023

      eLearning

      Call for Applications: e-Learning Platform Associate Editors

      November 7, 2023

      eLearning

      End 2023 with highlighted content on the eanCampus!

      December 2, 2023

      eLearning

      Call for Applications: e-Learning Platform Associate Editors

      November 7, 2023

      eLearning

      Kick off the new season with highlights on the eanCampus

      October 13, 2023

      eLearning

      World Brain Day with the European Academy of Neurology

      July 21, 2023

      Student Corner

      Student Teaser Fellowship reports 2022 – Pisa, London, & Lausanne

      September 13, 2023

      Student Corner Illustration of a vertical pencil point on a blue background, with a yellow light bulb above it

      Student Corner: My EAN Congress experience

      September 5, 2023

      Student Corner

      Student Teaser Fellowship reports 2022 – Rotterdam, London, & Paris

      August 22, 2023

      Student Corner

      Student Teaser Fellowship winners 2023

      June 28, 2023

      Resident and Research Fellows

      EAN Spring School 2024 – Apply NOW until 31 January 2024

      December 1, 2023

      Resident and Research Fellows

      EAN Autumn School 2023: Report

      November 30, 2023

      Resident and Research Fellows

      Research Fellowship Report 2022 – Oxford Autoimmune Neurology Group

      September 16, 2023

      Resident and Research Fellows

      Research Fellowship Report 2022 – Centre Hospitalier Universitaire Vaudois, Lausanne

      September 15, 2023

      Fellowship reports

      Research Fellowship Report 2022 – Oxford Autoimmune Neurology Group

      September 16, 2023

      Fellowship reports

      Research Fellowship Report 2022 – Centre Hospitalier Universitaire Vaudois, Lausanne

      September 15, 2023

      Fellowship reports

      Research Fellowship Report 2022 – Department of Neuromuscular Diseases Institute, University College London

      September 14, 2023

      Fellowship reports

      Student Teaser Fellowship reports 2022 – Pisa, London, & Lausanne

      September 13, 2023

  • Other News
    • All EAN Staff EBC News in general Surveys
      EAN Staff

      EAN Head Office Profiles: Ulla & Piyapat

      December 1, 2023

      EAN Staff

      EAN Head Office Profiles: Maria & Immanuel

      November 7, 2023

      Advocacy

      Brain community launches Call to Action during Brain Health & Research Day at UNGA78

      October 19, 2023

      EAN News

      Brain Innovation Days 2023: Meet the speakers!

      October 2, 2023

      EAN Staff

      EAN Head Office Profiles: Ulla & Piyapat

      December 1, 2023

      EAN Staff

      EAN Head Office Profiles: Maria & Immanuel

      November 7, 2023

      EAN Staff

      EAN Head Office Profiles: Kathrin & Sasha

      August 28, 2023

      EAN Staff Anja Sander receiving flowers at the end of EAN Congress 2023

      Celebrating 20 Years of Excellence: Anja Sander, EAN’s Executive Director!

      August 3, 2023

      EBC

      Brain community launches Call to Action during Brain Health & Research Day at UNGA78

      October 19, 2023

      EBC

      Brain Innovation Days 2023: Meet the speakers!

      October 2, 2023

      EBC

      Brain Innovation Days: Discover the early programme and register today!

      July 21, 2023

      EBC

      Join the community’s calls for a European Brain Research and Innovation Plan

      July 21, 2023

      News in general

      WHO’s Intersectoral Global Action Plan on epilepsy and other neurological disorders (IGAP) published in all six UN languages

      August 3, 2023

      News in general

      WHO recognises the public health need for effective and affordable treatments for multiple sclerosis

      August 3, 2023

      News in general

      Brain Innovation Days: Discover the early programme and register today!

      July 21, 2023

      News in general

      Join the community’s calls for a European Brain Research and Innovation Plan

      July 21, 2023

      Surveys

      Neurorehabilitation Across Europe after Ischemic and Traumatic Brain Injuries: a survey to increase knowledge on brain-injury-specific neurorehabilitation

      July 14, 2023

      Surveys

      ILAE survey on genetic testing in the epilepsies

      July 14, 2023

      Surveys

      COVID-19 and neurology: a survey of previous and continued restrictions on clinical practice, professional education and neuroeconomics

      March 3, 2023

      Surveys

      Help EAN contribute towards the development of a European Pain Research strategy

      December 5, 2022

Fellowship reportsEducation

Clinical Fellowship Reports 2018

September 1, 2018

 

Manel  Ben Hmidene Ep Tezeghdenti, Ben Arous, Tunisia

Term of the stay: 6 weeks

Hosting department: 2nd Department of Neurology – Mazarin, Groupe Hospitalier de la Pitié Salpêtrière, 47 Boulevard de l’Hopital, 75013, Paris, France

Supervisor:  Pr. Jean-Marc Leger, MD, jean-marc.leger@aphp.fr

 

 

 

I achieved 6 weeks of internship from May, 25th to July, 7th at the neuromuscular pathology unit of the Pitié-Salpêtrière Hospital as part of the EAN Clinical Fellowship program.

Within this framework, I would like to thank the European Academy of Neurology for giving me this opportunity to deepen my knowledge in this field. Many thanks are also due to Professor KHE HUANG XUAN, Head of the department of Neurology at Pitié-Salpêtrière hospital and Professor BRUNO EYMARD, head of the neuromuscular pathology unit, for their help. Then, I am very grateful to my supervisor Dr. Jean Marc Leger who has been guiding and supervising me during this internship and to all the staff of the department and the electrophysiology team.

My visit to the neuromuscular pathology unit was very successful. This unit, which is one of the reference centers of the region, is part of the Institute of Myology, located at the Babinski building of the Pitié-Salpêtrière hospital. Here, activities are divided as follows:

– Day hospitalization (for patients with neuromuscular diseases coming either for a check-up or to receive hospital treatments such as intravenous immunoglobulin or immunosuppressive treatments).

– Multidisciplinary consultations for the latter patients (in neurology, cardiology, pulmonology and functional rehabilitation)

– Specialized consultations, namely consultations on muscular pathology, consultations on Dysimmune Neuropathies and consultations on Hereditary Neuropathies.

– Cardiac and pulmonary exploration units for patients with neuromuscular disorders.

– A clinical electrophysiology unit

– A neuromuscular biopsy unit.

– Weekly staff meeting to discuss the cases seen during the week.

As far as I’m concerned everything was settled from the first week:

Monday Tuesday Wednesday Thursday Friday
In the morning I attended the consultation of dysimmune neuropathies with Dr LEGER I attended the consultation of hereditary neuropathies

With Dr LOUIS

I attended muscle biopsies with Dr BEHIN and Dr BASSEZ and nerve biopsies with Dr MAISONOBE I attended the consultation of peripheral neuropathies with Dr CHASSANDE and the EMG practice at the electrophysiology unit I attended the EMG practice with Dr. MARINAUD at the electrophysiology unit
In the afternoon I visited the day hospital I visited the day hospital I attended a consultation of muscular pathologies I attended a Staff meeting of neuromuscular biopsy I attended a Staff meeting of ENMG

 

Saturday was devoted to the theoretical training in neuromuscular pathologies. Indeed, I had the opportunity to attend the “SUMMER SCHOOL of Myology”, a day of training on Channelopathies, a day of training on hereditary neuropathies and the “21st French Days of ElectroNeuroMyography”. I have learned about new features in genetic studies, and therapeutic trials in the treatment of some neuromuscular diseases (such as Spinal Muscular Atrophy, Dysimmune and inherited neuropathies). During the whole period of my internship, I got actively involved in the different activities of the service. I worked in a good atmosphere with other residents, I took part in outpatient clinics, and had meetings with nurses and therapists. I also assisted in the practice of electroneuromyograms and attended functional rehabilitation consultation dedicated to patients with neuromuscular pathology.
Indeed, it was an excellent learning opportunity for me I have valued every moment of my fellowship; I really did not have any negative impressions during my stay.

 


 

 

Viktoria Papp, Aabyhøj, Denmark

Term of the stay: 05.03.2018 – 31.05.2018

Hosting department: Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital Oxford, UK – Headley Way, Headington, Oxford OX3 9DU

Supervisor: Maria Isabel Leite, MD, DPhil

 

 

 

It is my honour to write this report regarding my clinical fellowship at Nuffield Department of Clinical Neurosciences, John Radcliffe Hospital Oxford. I would like to thank the European Academy of Neurology and particularly Dr. Maria Isabel Leite from John Radcliffe Hospital Oxford for their support and contribution to my education in neurology. Dr. Leite kindly offered possibility to prolong the EAN fellowship for 3 months.

The principal purpose of my visit was to learn about immune-mediated diseases of CNS at the department that is world leader in research for these conditions, and where many of the currently known antibodies were identified. As a PhD student working in the field of NMO/anti-MOG antibody associated diseases, I could not have a greater opportunity (than?) visit the Neurosceince Department of John Radcliff Hospital.

Furthermore, I wished to get experience on how the patient care is organised in other countries and I hoped to bring some of the gained experience back to my current workplace.

My main supervisor was Dr. Leite, specialist in NMO, anti-MOG associated diseases, autoimmune encephalitis and myasthenia gravis. She welcomed me from day 1 and ensured that I could actively participate in the clinical and research work of the team. The weekly program was organized in a flexible way. So, I was able to participate in the outpatient clinic, ward work and meeting related to my focus, while at the same time I could also join other activities of the neuroscience department. Every Tuesday I attended the neuroradiology meeting, focusing on NMO and anti-MOG patients. The day continued with the NMO/MOG outpatient clinic and the weekly NMO team meeting, where the more complicated cases were discussed. Wednesdays were addressed to the autoimmune encephalitis and myasthenia gravis clinic. There was a weekly journal club bringing up interesting topic that led to fruitful and vivid discussion. The highlight of Fridays was the “patients grand round”, with unique patient presentations.

 

Dr. Woodhall introduced me the laboratory facilities, where the anti-MOG and anti-AQP4 antibody tests are performed. In addition, I could exercise in the reading and interpretation the CBA results.

All above I also had the possibility to visit other out-patient clinics, such as movement disorder, neurogenetic, peripheral neuropathy and MS clinics, where I met patients with rare conditions and cases with difficult diagnostic or treatment challenges. The many different highly specialised clinics helped me to become better at conducting focused neurological examination.

I was also involved in a clinical research project within NMO, where we could set up an international collaboration. Hopefully, our results will be submitted soon.

Beside of the scientific world, I have experienced another form of patient-doctor relationship, another hospital culture and way of approaching patient and involving them to research studies. I must add that I was very happy for being able to complete the fellowship in a country where I could understand the local language and I was able to communicate with patients without translation. This let me get an idea of the unfiltered daily life of a British hospital.

 

Finally, I have also started to understand English humour, thanks for the family I was staying with.

I wish this experience could be repeated in future.

01.07.2018     Viktoria Papp

 

 


 

Khachik Petrosyan, Yerevan , Armenia

Term of the stay: 07.05.2018-05.07.2018

Hosting department: CHU Limoges / University Hospital Center of Limoges/
Department of Neurology, Neuromuscular Diseases Unit
2, Avenue Martin Luther King, 87042 Limoges, France

Supervisor: Prof. Jean -Michel  Vallat

 

 

 

Dear members of the EAN Educational Committee.

Thank you very much for this great opportunity in my professional life. I want to point out that my clinical study visit was a great achievement for me. The reason was that I chose the right hospital where I was get much more than my expectations.

Especially want to mention my supervisor Professor Vallat. I am proud to be able to name Professor Valatin as my teacher on the path of my medical professional education.

Extremely caring and attentive, ready to help in any matter, ready to explain and teach any material. Being an extremely busy and demanding physician, he always gave me time and even found for me an accommodation.

In the hospital  had not any problems or worries. The staff and doctors of the department were very respectful and ready to help and teach.

I am extremely interested in neuromuscular diseases and had a great opportunity to deepen my knowledge and learned the methods of electrophysiological examination, particularly the EMG.

Four days a week I was studying the EMG, which gave me the opportunity to master the method and now actively use in my country. Every week were performed biopsy of nerves, muscles and skin , with subsequent morphological examination. This was very important, as technically mastering  helped me to bring it to Yerevan  and performe biopsies  here, because it was not used at all in Armenia.

All of this provided an opportunity to learn about the diagnosis and management of neuromuscular diseases, rare and herediatary polyneurapathies: clinical examination, electrophysiological research methods, biopsy, morphological examination, treatment.

I had the opportunity to see many patients with rare problems that are rarely seen in our country, which allowed me to learn and master the most important points of the differential diagnosis.

There was in the hospital  the opportunity to study the best medical journals in electronic and print versions.

It was also an excellent opportunity to participate in the work of the ALS Center with a detailed database of 1400 patients. I passed also a lot of time in vascular and intensive care units.

It is also very important that during my stay in France, I had the opportunity to participate in a “6th Translational research meeting on peripheral neuropathies”.

The organizer of meeting was the “National Reference Center of Rare Polyneuropathies“, headed by profesors Vallat and Magy. It was a great opportunity to get acquainted with the latest scientific research in the field, how to introduce them in clinical practice and to have many new useful acquaintances. During that conference, I perfectly enriched my knowledge of tunnelopathies.

In the future I would be happy to return to the University Hospital of Limoges, which remained in my memory as a symbol of evidence-based medicine, competent doctors, good people and a high degree of collegiality. Of course, I would like to work much longer in this department, although I stayed 8 weeks instead of the planned 6 weeks.

All young doctors who will apply for clinical training in the future and want to deepen their knowledge in the field of neuromuscular diseases, I recommend choosing a University Hospital in Limoges.

 

Once again, I am deeply grateful for the great opportunity.

 

 


 

 

Eugenia Tsoma, Uzhhorod, Ukraine

Term of the stay: 23 April 2018 – 03 June 2018.

Hosting department: Dept. of Neurology and Center of Clinical Neuroscience Charles University in Prague, 1st Faculty of Medicine and General University Hospital in Prague, Katerinska 30, Praha 2, Czech Republic.

Supervisor: Prof. Evzen Ruzicka, MD, DSc, FCMA, FEAN.

 

 

 

 

During my 6-week fellowship in Dept.of Neurology and Center of Clinical Neuroscience Charles University in Prague, 1st Faculty of Medicine and General University Hospital in Prague I have had a huge clinical experience for my medical practice.

 

First of all I want to say Thank You to EAN organisators and especially Prof. Evzen Ruzicka for the possibility of this training, humanic acceptance and the opportunity to have access to all clinical, scientific and diagnostic methods in Center of Clinical Neuroscience General University Hospital in Prague.

 

Field of my interests is movement disorders. Through my medical practice I have many patients with various types of movement desorders (PD, dystonia, Parkinson + syndrom etc.). That`s why I was very interested in new treatment methods, rehabilitation and improving a quality of life for patients in this area of neurology which Center of Clinical Neuroscience is specializing on. So I was trying to find new practical skills for my future rutine daily medical practice.

 

 I observed everyday clinical activities in department, morning patients` visits in department of extrapiramidal disorders, participated in discussing clinical cases, gained knowledge in different aspects of typical and atypical Parkinsonism.

 

Every day I have co-ambulatione with doctors in Center of Extrapyramidal desorders where I have exemined patients with PD, essential tremor, tics, dystonias, blepharospasm, hemifacial spasm, functional desorders etc.

During this ambulation I have improve my knowledge in drug titration, new reccomendations for each clinical case with PD and atypical Parkinsonism, dose-correction in case of motor and non-motor fluctuations.

 

Each Wednesday and Friday I have take a part in botulotoxin injection for dystonia, spasticity and other hyperkinetic disorders (with/without ultrasound and EMG – control).

Also, I have exemined patients with DBS, try to correct frequency and intencity of DBS stimulator in each case, if needed. Find out all indications and exclussion criteria for DBS.

A few times I have attended meeting of multidisciplinary team for duo-doppa implication for PD-patients with uncontroled motor fluctuations.

Also I have take a part in radiological conference where complecated clinical cases were discussed.

Every wednesday afternoon I have an opportunity to visit open lectures in Charles University in Center of Clinical Neuroscience where the interesting topics were presented such as new treatment of multiple sclerosis, depression, narcolepsy and cataplexy etc.

One week through my fellowship I was in department where patients with multiple sclerosis and myastenia gravis are treated, try to do method of evoked potentials and EMG.

A few days I was in department of sleep disturbances where I have learned carrying of typical polysomnography and examination of patients with insomnia, narcolepsy, REM-behavioral disorders.

In the end of my fellowship programme I have had an invitation to present my own clinical case in Czech summer course of extrapyramidal disease in Pisek, Czech Republic.

 

It was a very big and unforgettable experience for me. During this fellowship I have not just only improve my clinical knowledge but also improve my Chech language skills, so now I can  contact my Chech collegues for collaboration and patients without any problems or translation to English.

Also I want to say seperately thanks to Prof. Jan Roth, Hana Brozhova, PhD; Petr Dushek, PhD; Martin Ruml, MD; Kamila Polakova, MD; Olga Ulmanova,PhD; Tereza Seranova, PhD; Without Them my clinical training wasn`t so fullness.

 

P.S. I highly recommend Dept. of Neurology and Center of Clinical Neuroscience Charles University in Prague for young neurologists who will attend fellowship programme in future years.

And also, as for me, Prague is the most beautiful, highly cultural and historical city in Western Europe.

 

 


 

 

Donatas Zailskas, Kaunas, Lithuania

Term of the stay:  23/04 – 01/06/2018

Hosting department: Neurodegeneration Imaging Group (NIG), Maurice Wohl Clinical Neuroscience Institute, Basic and Clinical Neuroscience Department, King’s College, 125 Coldharbour Lane, Camberwell, London SE5 9NU, UK

Supervisor: Prof. Marios Politis

 

 

First of all, I would like to thank European Academy of Neurology for accepting my application and granting me the opportunity for a 6 week Clinical fellowship. Second, a sincere thank you to prof. Marios Politis, dr. Flavia Niccolini and all of the members of the Neurodegeneration Imaging Group for agreeing to be my hosting department for this duration. During my stay I had the opportunity to spend my time at King’s College Hospital (KCH) and Queen Elizabeth Hospital (QEH). I can honestly say that in both hospitals I was greeted with kindness, friendliness and professionalism. My typical week was as follows:

  • Monday (QEH): general neurology clinic, neuroradiology multidisciplinary team meeting, ward referrals;
  • Tuesday (QEH): ward referrals, movement disorder outpatient clinic;
  • Wednesday (KCH): Neurodegeneration Imaging Group (NIG) multidisciplinary movement disorder team meeting at Maurice Wohl Clinical Neuroscience Institute, movement disorder outpatient clinic;
  • Thursday (QEH): general neurology clinic, ward referrals;
  • Friday (KCH): movement disorder outpatient clinic with Parkinson’s disease nurse.

Even though my main purpose was to strengthen my knowledge in movement disorders, I tried to use my time to the fullest and take in as much as I can from the surrounding environment, ranging from such subtle things like the doctor-patient relationship or communication among peers to general workings of the National Health Care service in UK. I found the healthcare system to be extremely patient-oriented with an emphasis on patient satisfaction and quality of life. This in turn was mirrored in everyday practices of all the physicians I worked with. Before the fellowship my preliminary objectives and expected gains were:

  • Improvement of current history taking to make it more structured, focused and suitable for patients with movement disorders;
  • Modification of various current neurological examination components to make it more precise and specialised for movement disorders;
  • Apprehension of the spectrum of abnormal neurological examination findings in patients with movement disorders;
  • Examination of patients and differential diagnoses of various movement disorders, especially – Parkinson’s disease, atypical parkinsonian syndromes and Huntington’s disease;
  • Employment of functional neuroimaging for detection of pathology and differentiation between Parkinson’s disease and atypical parkinsonian disorders such as Multiple System Atrophy, Progressive Supranuclear Palsy, and Corticobasal Degeneration.

I can safely say that I achieved most of them, and my experience exceeded my expectations. Aside from previous points, I had the chance to observe and improve my knowledge in botulinum toxin injections for tremor and dystonia, attend NIG multidisciplinary team meetings, listen to scientific presentations and give a presentation on the updated tremor consensus statement by the Movement Disorders Society myself. Even though I did not see the full spectrum of movement disorders like I would have wanted or did not have the opportunity to frequently review functional neuroimaging, I now realise that even for a longer period than 6 weeks those objectives would have been unrealistic.

At the end, this fellowship benefited my general neurological practice, my interest in movement disorders and broadened my worldview. Throughout my stay never once have I felt out of place, misusing  my time, mistreated or unable to approach another specialist for a discussion. The environment was very social, calm and made me feel at home. I found these features to be extremely important when entering a new social and professional circle for 6 weeks. I can safely say that this experience was a turning point in my career and, given the opportunity to again pick a location for a fellowship, I’d make the same decision once more.

 

 

Clinical Fellowship Reports 2018 was last modified: November 13th, 2018 by Editor
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