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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

Resident and Research FellowsFellowship reportsEducation

Clinical Fellowship Reports 2019 – December

December 1, 2019

 

Below are three reports from those who took part in the EAN clinical Fellowships in 2019. Keep visiting EANpages over the next months to read more reports from other particpants from 2019.

Want to take part in an EAN Clincial Fellowship? The deadline for applications for 2020 is October 31, 2019, so be sure to apply soon.

You can find further details on the Clinical Fellowship page on the EAN website.

Report 1:

Fellowship recipient: Catarina Falcão de Campos, Lisbon, Portugal

Duration of Fellowship: 10th January until 30th June 2019

Hosting Department: Hôpital Pitié Salpêtrière, Paris, France

During my clinical fellowship at Institut de Myologie, Hôpital Pitié Salpêtrière at Paris, France I had the opportunity to train in the clinical approach to neuromuscular disorders. My main aims were the following:

  • Improve my clinical skills in the evaluation of a patient with a suspected neuromuscular disorders, including differential diagnosis
  • Perform different neurophysiological studies in the context of diagnostic approach in a patient with a suspicion of neuromuscular disorders
  • Learn to analyse and interpret muscle biopsies
  • Collaborate in different scientific projects.

During this period, I attended in the outpatient clinic, where I had the opportunity to see a large diversity of patients with neuromuscular disorders, including genetic and acquired neuropathies, diseases of the neuromuscular junction, acquired and genetic myopathies and muscle channelopathies. I also actively participated in the examination and discussion of patients admitted to one-day hospitalisation, where patients were examined in detail by a neurologist and submitted to different work-up tests such as EMG, muscle MRI, muscle biopsy, respiratory function evaluation and cardiac evaluation. At the same time, I performed, under supervision, different neurophysiological studies namely conduction velocities study, needle EMG, repetitive nerve stimulation in order to assess neuromuscular junction function and short and long exercise tests to study muscle channelopathies. I also had the opportunity to read some muscle biopsies in optic microscope and participate in weekly multidisciplinary discussions on patients who had muscle biopsy. Lastly, I had the opportunity to collaborate in two different projects: study of a cohort of patients with MYH7-related myopathy and description of two families with hereditary sensory autonomic neuropathies.

In conclusion, I consider that my six-month fellowship at Institut de Myologie was critical to improve my skills in the clinical approach of a patient with a neuromuscular disorder. It was a great experience to work with a multidisciplinary team with highly experienced colleagues. I believe that my experience will help me to contribute to better care of patients with neuromuscular disorders.

 

Report 2:

Fellowship recipient: Kamila Shamtieva, Moscow, Russian Federation

Duration of Fellowship: 19.08.19 – 03.10.19

Hosting Department: Roger Salengro Hospital, Lille, France

I want to express my gratitude to the European Academy of Neurology for the opportunity to study in France. I am glad that I went through clinical fellowship in Roger Salengro Hospital in Lille, the largest thrombectomy center in France.

I saw the really significant difference compared to my country, where the doctors strictly follow the classical standards, including dual therapy, consisting of thrombolysis and thrombectomy. In Europe neurologists have already started practising completely new approaches, such as assessing the mismatch between diffusion-weighted MRI and FLAIR or using thrombectomy without thrombolysis for patients with large deep ischaemic stroke. So, now we can do thrombolysis outside the 4.5-hour window. I was able to see how clinical trials on this problem, such as SWIFT, are being conducted, which should become the basis for recommendations on the use of these different types of therapies in the future.

The patients also significantly differ from ours.  I had never before seen patients with thrombosis of venous sinuses due to sickle cell anaemia, haemorrhage due to dissection at the age of 72 years, post-radiation arteriopathy and patients with transient global amnesia. Surprisingly, despite the older age of the patients, they have practically no signs of small vessel disease, while in Russia most people over 50 years of age already have Fazekas 1, and we have a lot of young patients under 50 years of age with severe stage of cerebral microangiopathy. It was extremely amazing for me to see people aged 80-90 years old with the first lacunar stroke or microbleed, this makes me seriously think about the peculiarities of the genetic prerequisites for cerebrovascular pathology and how they may vary between countries.

I am very glad that my supervisor in Lille was Prof. Didier Leys, who has enormous knowledge in neurology, which he willingly shared in communication with me. Moreover, he exemplifies his every statement, referring to certain studies and articles. Conversations with him greatly enriched my own knowledge.

He also arranged with Dr. Thibaud Lebouvier my attendance at his outpatient practice at the memory centre once a week, which was a great opportunity for me. Dr. Lebouvier has vast knowledge in the field of cognitive decline, dementia and research on the effectiveness of various drugs. I saw so many patients with Lewy body dementia, corticobasal degeneration and frontotemporal dementia during these visits. Dr. Thibaud Lebouvier introduced me to many studies and outlined the volume of articles necessary to get acquainted with, for which I am very grateful to him. The approach to the argumentation of his diagnoses and treatment prescribed by him, made me think that perhaps this is the problem which I would like to deal with in my future clinical work in Moscow.

In the stroke unit I was given the opportunity to be on the duty with Barbara Casolla, Marco Pasi, Marie Bodenant, who explained the most difficult issues to me in English. That was a very important part of my clinical fellowship. I saw how the emergency department for stroke patients is organised, which I am sure will certainly help me in my work as a duty neurologist.

In my free time, I also visited the neurophysiology office to see the process of electroneuromyography. Fortunately, they had the same device for electroneuromyography as the one in our centre. Again, despite the similarity in the basic principles, there are significant differences. I saw some types of examination which I had not met before. The differences in needle electroneuromyography are very striking, because the doctors I worked alongside evaluated only the interference pattern and spontaneous activity, while throughout our country and neighbouring countries it is customary to collect motor units.

It is very interesting that the technical part of electroneuromyography in university clinics is carried out by nurses. And in the stroke unit, the nursing staff themselves assess The Glasgow Coma Scale and the National Institutes of Health Stroke Scale, participate in visiting patients with doctors and view neuroimaging data. This is of great help to doctors, simplifies the work and improves its quality.

It was very important for me to communicate with residents and it was interesting to compare the level of their knowledge with ours which we receive during the residency. It was also curious to listen to how their process of education goes. It was also interesting to communicate with PhD students, especially with other foreign students, who were also going though clinical fellowships in this department. From them I learnt for myself some points on data processing using programs for making charts and approaches to publishing articles in international journals. I am sure that it will be extremely useful to me in the future.

Of course, It is quite difficult to study in a country with another language. Even though I studied French at school and, after receiving a grant, I also begun to study it with a tutor, my knowledge was enough only to understand the main points in communicating with patients. At the same time, this average knowledge of French did not inhibit my learning. Towards the end of the fellowship there was no doubt that my understanding of patients had improved. It had also become much easier to understand how the clinic operated, and when and where I needed to go in order to see more.

Probably with hindsight, I would have taken a longer period, perhaps three months, which could have contributed to even more effective assimilation of information. Nonetheless, for the two incomplete months that I spent in the Roger Salengro Hospital, I learnt an enormous amount of information that I should go over by myself upon my returning home.

Regarding my staying in Lille, it was initially quite difficult to settle due to the many different day-to-day things, for example how buses run, which travel card is better to buy. However, in general, after two months, it does not seem so complicated to me now.

I managed to rent a small studio apartment an hour away from the hospital, which might have been a bit far, but it didn’t cause any problems. The studio cost me about 1,000 euros for less than two months, public transport expenses seemed very expensive, and food cost about twice as much as in my country. In general, in addition to the grant itself, I spent about the same amount on my living in Lille, but it seemed to me that it was not as expensive as it could have been.

I am very pleased with the chosen location, because Lille is situated on the border with Belgium and not far from Holland, so during the weekend I had an opportunity to visit other cities and countries, which also enriched my life experience.

Once more I would like to express my deep appreciation to the European Academy of Neurology, Prof. Franz Fazekas and Magda Dohnalova, who give this opportunity to young neurologists, also Prof. Charlotte Cordonnier and Prof. Didier Leys, who agreed to take responsibility for me, for this amazing experience that I have received. I will try to use all the knowledge gained during this fellowship and I am certainly going to share everything I saw and heard with my colleagues.

 

Report 3:

Fellowship recipient: Vincent Van Iseghem, Sint-Andries, Belgium

Duration of Fellowship: 7.1 – 15.1.2019 and 21.1 – 22.2.2019

Hosting Department: APHP Pitié-Salpétrière, Paris, France

I carried out my clinical fellowship at the Paris Pitié-Salpétrière hospital, facilitated by the EAN clinical fellowship grant for six weeks.

During my stay I completed further training in the field of movement disorders under the guidance of Prof. Marie Vidailhet. A warm welcome and introduction to all different activities was personally handled by Prof. Vidailhet after which the whole movement disorders staff was informed about my presence. We agreed to three principal goals; training in movement disorders electrophysiology (for which I was introduced to Prof. Emanuelle Apartis in the neighbouring Saint-Antoine hospital), training in deep brain stimulator (DBS) programming and general training in movement disorder consultations.

Depending from week to week, on average I spent one- or two- half days in electrophysiology training, three- to four- half days in consultation, one- to two- half days in grand rounds and one- to two- half days in self-study. Every Tuesday at noon there was a movement disorders gathering, presented by one of the movement disorders specialists in which clinical cases or topics were discussed. Every Thursday at noon there was a general neurology gathering, presented by different neurology clinics (epilepsy, neuromuscular diseases, neuro-oncology, neurovascular etc.).

Evaluating my time, I believe that I reached the set goals.

  • I have made enormous progress in the field of movement disorders electrophysiology thanks to the guidance of Prof. Apartis, expert in this field. In particular, this is something I would like to implement in my hospital in the future, as we don’t have or use this particular kind of expertise in Flanders.
  • Next to that, having the possibility of being present in the consultations by experienced movement disorders specialists, observing and learning directly from them, will be always be a precious memory. My appreciation of French neurology and their particular way of semiologically evaluating patients has only grown.
  • In the field of DBS, I was able to practise and witness several useful programming and problem-solving strategies.
  • I saw and learned about some very interesting and rare movement disorder cases.

More unexpectedly, but just as valuable, I have learned about:

  • functional movement disorders and implementing several treatment strategies; communication about the disorder, positive diagnosis by electrophysiological examination, transcranial magnetic stimulation (TMS) and alternative treatment options such as hypnosis.
  • Dance therapy for Parkinson’s disease. I’ve been present in several dance sessions and got to talk with patients and organisers, who both were very enthusiastic about its positive impact.
  • Echography as a tool in botulinum toxin therapy
  • Organisation of a movement disorders unit and – as asked by Prof. Vidailhet – evaluating the movement disorders unit.
  • Neurology in different European countries. I got to know several other fellows from Ireland, Switzerland, Portugal, Spain, Brazil and Italy. We shared common experiences but also discussed the differences in healthcare systems, training as a resident, epidemiology of neurological diseases etc.
  • Being away from the comfort zone of my hospital and home was a humbling experience.

In my final evaluation, I can only express my satisfaction with this clinical fellowship experience, which has enriched my view on neurology, movement disorders and my personal functioning. Thinking about any negative points is hard as I’ve been welcomed appropriately and was educated so generously in all the above-mentioned aspects. The only remark I had – the freedom – I had to choose my own programme and the assignment of very few specific tasks. This makes you sometimes feel dispensable, but on the other hand it makes you think more about what you really want yourself to learn and to do. So, I feel it had a positive side as well.

To conclude, I would like to thank Prof. Marie Vidailhet for her enthusiastic guidance and interest in me, her entire movement disorders group who are all inspiring personalities, my head of department Prof. Paul Boon for giving me this opportunity and EAN for the clinical fellowship grant.

Clinical Fellowship Reports 2019 – December was last modified: December 2nd, 2019 by Editor
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