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The revision of the International Classification of Diseases (ICD) is a highly complicated process handled by experts in statistics at the WHO in Geneva. The influence of Neurological Societies onto the creation of a revision is through the accredited Societies which are for Neurology and Stroke the World Federation of Neurology (WFN) and the World Stroke Organisation (WSO). They are working within the Topic Advisory Group Neurology (TAGN) and can only make recommendations to the experts. April 2011 the TAGN advised to shift the section “Cerebrovascular diseases” covering all types of stroke from the “Diseases of the circulatory system” class (as it is in ICD-10) into the “Diseases of the nervous system” class (as it proposed in the draft ICD-11). This corresponds to a change of the statistical and legal placement of stroke from Internal Medicine to Neurology. This was then executed accordingly 5 years ago and stroke went under the neurological diseases (08) in the beta-version of the ICD-11. Neurologists all over the world agreed with this decision.

or May 2017 we have selected: Kermer P, Eschenfelder CC, Diener H-C, et al.  Antagonizing dabigatran by idarucizumab in cases of ischemic stroke or intracranial hemorrhage in Germany – A national case collection. International Journal of Stroke 2017; doi: 10.1177/1747493017701944. The use of non-vitamin-K-antagonist oral anticoagulants (NOACs) to prevent stroke in patients with atrial fibrillation is increasing worldwide.

Romania  geographically belongs to Eastern Europe, but by history, tradition and culture it is perfectly expressing the values of an United Europe. With the Danube River as a large part of our Southern border (with Serbia and Bulgaria), the Danube… Continue Reading

The annual congress is the most important event of our Society. This year European and International Neurologists are invited to attend the third EAN congress in Amsterdam, The Netherlands, June 24-27. Literally hundreds of EAN-members are involved to in the preparation of this congress. I wanted to explain to our members how the congress programme is developed. In its third year of existence of the Society, some of the preparation has come to routine but most of the tasks are highly challenging year after year as one of the aims of the Society is to have new innovations every year.

For April 2017, we have selected: Chen H, Kwong JC, Copes R, et al.  Living near major roads and the incidence of dementia, Parkinson’s disease, and multiple sclerosis: a population-based cohort study. Lancet 2017:389;718-726. Some studies have suggested that smog and noise can play a role in the pathogenesis of neurodegenerative disorders by inducing oxidative stress, neuroinflammation, microglia and neuronal antibody activation.

by Catharina G. Faber Neuromuscular Centre the Netherlands The field of neuromuscular diseases in the Netherlands is characterized by a longstanding tradition of collaboration between seven neuromuscular centres of the university hospitals. This collaboration has been formalised since 1993, when… Continue Reading

2 years ago I have already highlighted the work of the European Affairs sub-Committee of the European Academy of Neurology. This is to more closely introduce the partners of EAN at this in Brussels. It is important that our members know about activities of our Society on a European level.

For March 2017, we have selected: Timm FP, Houle TT, Grabitz SD, et al.  Migraine and risk of perioperative ischemic stroke and hospital readmission: hospital based registry study. BMJ 2017 Jan 10;356:i6635. doi: 10.1136/bmj.i6635. A higher risk of ischemic stroke has been found in patients with migraine, especially in those with migraine with aura.

It is unknown which of his many books James Parkinson (1755-1825) has considered the most important one. His 500 pages ‘Medical Admonitions’ for lay people, his ‘Chemical Pocket Book’ covering interesting facts on modern chemistry of the late 18th century, the ‘Hospital Pupil’ on the educational standards of physician education, his collection of minerals and fossils  ‘Organic Remains of a Former World’ or any other of his many contributions. History has clearly shown that his most important contribution was his 1817 ‘Essay on the Shaking Palsy’ which celebrates its 200th birthday this year.

For February 2017, we have selected: Grool AM, Aglipay M., Momoli F., et al., for the Pediatric Emergency Research Canada Concussion Team.  Association between early participation in physical activity following acute concussion and persistent postconcussive symptoms in children and adolescents. JAMA 2017:316;2504-2514. Practical recommendations in the management of concussion in pediatric patients have stressed the need of physical and cognitive rest starting immediately after the injury.

Hungary is a unitary parliamentary republic in the Central Europe. It covers an area of 93,030 square kilometres, situated in the Carpathian Basin. With about 10 million inhabitants, Hungary is a medium-sized member state of the European Union. The official language is Hungarian. Hungary's capital and largest metropolis is Budapest.

For January 2017, we have selected: Patel M, Agarwal K, Arshad Q, et al. Intratympanic methylprednisolone versus gentamicin in patients with unilateral Ménière’s disease: a randomized double-blind, comparative effectiveness trial. Lancet Neurol 2016;388:2753-2762. Disabling vertigo attacks and hearing loss are characteristics of Ménière’s disease. In patients with severe and frequent vertigo spells, intratympanic injections of gentamicin have proved to be effective, but at the price of permanent vestibular damage and hearing loss.

Kazakhstan, officially the Republic of Kazakhstan (Kazakh: Қазақстан Республикасы), is located at the center of the Eurasia continent. On the north and west sides, Kazakhstan shares borders with Russia, on the east with China, and on the south with Kyrgyzstan, Uzbekistan, and Turkmenistan. Kazakhstan is a huge country, being at the 9th place in the world for its size.

The objective of the “Clinical Fellowship Programme” is to provide a well- defined clinical observational experience in a department with recognised expertise in a specific field.
With this programme, neurologists that are still in the process of training, or recently… Continue Reading

European institutions are sometimes discredited and put into questions. This is particularly true in these times of populistic political movements which try to steer the wheel of European unification backwards. Reasons given by opponents are that ‘European efforts are considered too slow, too burocratic and too inflexible’. ‘There are too many cooks preparing the meal’. Sometimes we hear this also from scientists. The logical conclusion is to spend the money at home in their own countries. The latter view is sometimes even expressed by people who in principle share the European perspective. Populistic politicians go so far to even question the whole EU project. In this respect medical research community can make an argument and a big contribution to the understanding why the EU is important.