Day 1 :
Keynote Forum
Alain L Fymat
International Institute of Medicine and Science, USA
Keynote: A disrupted blood brain barrier may allow potentially new epileptic treatments
Time : 09:30-10:10
Biography:
Abstract:
Keynote Forum
Chandramohan Wakade
Augusta University, USA
Keynote: Niacin attenuates inflammatory cytokine upregulation in PD mediated through GPR109A
Time : 10:30-11:10
Biography:
Abstract:
Keynote Forum
Alcibiades J Rodriguez
NYU School of Medicine, USA
Keynote: Case presentations: sleep phenomena or seizures
Time : 11:10-11:50
Biography:
Abstract:
Background: Epilepsy and sleep are closely related. Not only sleep or lack of sleep can influence EEG and seizures, but seizures can have an impact in sleep consolidation and architecture. Beyond that, the differential diagnosis of nocturnal paroxysmal events include seizures and parasomnias (abnormal sleep behavior). These phenomena may co-exist.
Objective: The goal of the presentation is to discuss different cases of seizures and sleep events, which may overlap or be in the differential diagnosis.
Methods: We will present several video-EEG/sleep cases in order to discuss differential diagnosis of these events. Audience participation will be encouraged.
Conclusion: We hope to clarify similarities and differences, as well as point out strategies to distinguish seizures vs. sleep phenomena.
- Parkinsons Disease | Insights and Therapeutics: Parkinsons Disease | Neurosurgery
Location: Athens
Chair
Alain L Fymat
International Institute of Medicine and Science, USA
Co-Chair
Jae Moon Lee
Kainos Medicine Inc., South Korea
Session Introduction
Laurice Yang
Stanford University, USA
Title: Diagnosis and treatment for dystonia
Time : 11:50-12:15
Biography:
Laurice Yang earned a Master’s Degree in Health Administration at the University of Southern California where she received the high honor as a Dean Merit Scholar. She went on to obtain her Medical Degree from the University of Vermont and completed her Neurology Residency at the University of Southern California where she was appointed Neuroscience Chief Resident and spent the year revamping the entire medical student/resident education curriculum. She completed her clinical training as a Movement Disorders Fellow at the University of California in Los Angeles under Dr. Jeff Bronstein. She is a board-certified Neurologist, specializing in the diagnosis of movement disorders including Parkinson’s disease, atypical parkinsonian disorders, essential tremor, and Huntington’s disease. She has an interest in dystonia and spasticity and has been trained to perform botulinum toxin injection under ultrasound guidance to better ensure accuracy and efficacy with each procedure. She has also presented lectures on topics in dystonia, education, and healthcare administration for CME (Continuing Medical Education) faculty development courses and at the American Academy of Neurology.
Abstract:
Dystonia is a characterized by intermittent, abnormal and often repetitive muscle contractions. The diagnosis of dystonia can often be difficult to assess due to the variability and complexity of the disease. During this lecture, we will first review the historical context of how dystonia was discovered and how the clinical understanding of dystonia had evolved over the last several decades. We will discuss the clinical characteristics of the most common types of dystonia and review how to accurately describe and categorize this very complex disease. We will also review the medical treatment options and discuss the efficacy of botulinum toxin as well as techniques on how to be more accurate during the injection procedure. We will explore the other types of treatment such as sensorimotor retraining therapies, which takes advantage of the neuroplasticity of the brain to help “relearn” normal movement. And lastly, we will explore the surgical options that are available now as well as other types of procedures that could supplement the current treatment options. The learning objectives for this presentation are: Understanding the main diagnostic components of dystonia; being familiar with the different types of dystonia; describing medical and surgical treatment; and describing sensorimotor retraining and its role in those who have dystonia.
Kambiz Hassanzadeh
Kurdistan University of Medical Sciences, Iran
Title: The role of oxidative stress and inflammation in Parkinson’s disease: Current knowledge and future therapeutic strategies
Time : 12:15-12:40
Biography:
Abstract:
Byung-Jun Park
Daejeon University, South Korea
Title: HEPAD, a novel therapeutic approach of Parkinson’s disease
Time : 13:20-13:45
Biography:
Abstract:
Parkinson’s disease (PD) is a neurodegenerative disorder involving abnormal body movements. The degenerative loss of dopaminergic neurons in the substantia nigra leads to the onset of PD symptoms, including slow movement, tremor, stiffness, and abnormal posture. Because L-3,4-dihydroxyphenylalanine (L-DOPA) treatment is very effective for symptom inhibition, it is the most widely prescribed treatment of patients with PD. However, long-term L-DOPA treatment is not recommended because of its serious side effects, including dyskinesia. Moreover, L-DOPA does not prevent the progression of PD. Therefore, a novel therapeutic approach is greatly needed for PD. Hepad, a herbal medicine, consists of six Korean medicinal herbs that were selected based on Korean medicine theory. The treatment of patients with PD using Hepad has been clinically effective. In addition, Hepad treatment reduces the required doses of conventional PD drugs, and some patients were able to terminate conventional PD treatments without additional symptom manifestation. A preclinical study has reported that Hepad prevents neuronal cell death by suppressing the production of reactive oxygen species. These neuroprotective effects of Hepad have also been observed in animal experiments. Hepad treatment in a PD animal model increased dopaminergic neuron number and dopamine levels in the substantia nigra to similar or higher levels than those in L-DOPA-treated animals. Considering the complexity of PD, a multi-targeted approach with multiple compounds would be more effective than single-compound treatment. Taken together, these results suggest that Hepad, a mixed Korean herbal medicine, would be an effective treatment for patients with PD.
D’Auria Stanislao
Ospedale Santa Maria della Misericordia di Udine, Italy
Title: Steering stimulation and directional leads- a recent reliable concept to improve follow-up in implanted patients: A preliminary experience
Time : 13:45-14:10
Biography:
Abstract:
- WORKSHOP
Location: Athens
Chair
Alain L Fymat
International Institute of Medicine and Science, USA
Co-Chair
Jae Moon Lee
Kainos Medicine Inc., South Korea
Session Introduction
Selver Burcu TellioÄŸlu
Tarsus State Hospital , Turkey
Title: Clinical and neuropsychological study of natural course of light cognitive failure, alzheimer disease and parkinson dementia
Time : 14:10-15:10
Biography:
Abstract:
Objective:
The Objective of this study is to examine the natural courses of Alzheimer Disease (AD), Light Cognitive Failure (LCF) and Parkinson ‘s Dementia (PD) cases free of any therapeutic procedure and with neuropsychological test series; to determine the transformation ratio of these cases to dementia and to examine the courses of clinical factors.
Tools and Method:
120 patients consisting of 72 AD, 16 PD and 32 LCF patients and 24 healthy controls who are the spouses of the patients or healthy volunteers, who have applied to Mersin University Faculty of Medicine Education and Research Hospital Neurology Department between years 2007 and 2016, have been included in the research.
Patients have been invited to control visits once every 6 months and healthy individuals have been invited to control visits once a year.
Findings:
In the patient groups, functionality and DLA scores have considerably failed in comparison with the scores of control group. In the LCF group, MMSE, forward and backward counting range, calculation, abstraction, praxis, memory of word list, understanding, construction, clock drawing scores have been higher than the other groups but lower than the control group. In the LCF group, total NPI and NPI trouble scores have been lower than the other groups. In the PDgroup, total NPI scores have been determined to be higher than the AD and LCF groups. Total NPI trouble score has been higher for the AD group when compared with PD and LCF groups. In the LCF group, for 11 % of the patients, diagnosis have transformed to AD in the control period. In the control visits, MMSE values of the control group have risensignificantly after the second visit. In the LCF group, falls in word list memory scores which are statistically meaningful have been determined in the first and third trials.
Result:
In our study, we determined that 11,1% of the patients with LCF cogenesis had transformation to AD, in this group no transformation to PD has been observed in the control time, no transformation in the healthy control group has been observed.
- Epilepsy Therapeutics
Location: Athens
Chair
Alain L Fymat
International Institute of Medicine and Science, USA
Co-Chair
Jae Moon Lee
Kainos Medicine Inc., South Korea
Session Introduction
Rapita Naresh Sood
McGill University, Canada
Title: Role of the mTOR signaling pathway in epilepsy specifically in eIF4ebp2 KO mice
Time : 15:25-15:50
Biography:
Rapita Naresh Sood has completed her PhD from University of Haifa Israel and presently doing her Postdoctoral studies from Goodman Cancer Research Center, McGill University in the laboratory of Dr. Nahum Sonenberg. She has published eight papers in reputed journals and has also received the Richard and Edith Strauss Fellowship which is a McGill Internal fellowship award for one year. Also, her project on epilepsy is giving a new direction to rescue the mTOR pathway which is a new perspective for future therapy of epilepsy.
Abstract:
Epilepsy, a common neurological disorder characterized by recurrent seizures that are unpredictable and sometimes progressively severe affecting 50 million people worldwide. Mutations in TSC1/2, PTEN and FMR1 genes cause Tuberous Sclerosis, PTEN hamartoma syndrome and fragile X syndrome respectively and lead to intellectual disability, autistic-like behaviour and epileptic seizures. Mutations in these genes cause upregulation of mTORC1 signalling, however the role of mTORC1 downstream effectors, such as 4E-BPs and S6K, in the pathophysiology of the disorders is not well understood. In the current project we set out to study the contribution of cap-dependent translation and 4E-BP2, downstream of mTORC1, in the susceptibility to seizures. Our previous study showed that deletion of 4E-BP2 leads to autism-like phenotypes and imbalance of excitatory to inhibitory synaptic activity. We recently found that eIF4ebp2 KO mice show reduced threshold to seizure-inducing agent (PTZ) at concentration of 70 mg/kg IP. As part of this project we would like to see whether inhibition of eIF4A would rescue or attenuate the seizure phenotype. The first experiment we are planning is to inject intraperitoneally WT and eIF4ebp2 KO mice with vehicle and eIF4A inhibitor. The experimental studies is still going on and furthermore, is needed to understand the role of mTOR signaling pathway in epileptogenesis, and that it may be a target for the development of novel therapies that eliminate the progressive effects of seizures.
Farnaz Nikbakht
Iran University of Medical Sciences, Iran
Title: Anticonvulsant and antiepileptogenic effects of metformin
Time : 15:50-16:15
Biography:
Abstract:
Background: Current medications for epilepsy are just anticonvulsive agents and cannot protect against epileptogenic processes. On the other hand, theses anticonvulsive drugs are ineffective for one-third of epilepsy patients. Regarding these limitations, there is an urgent and growing need for a new drug to process both properties. Metformin, a common antidiabetic drug, has been shown to act as an anticonvulsive drug in some experimental models. However, the antiepileptic properties of metformin are not yet clear.
Materials & Methods: Sixty male Wistar rats are divided randomly into four groups: control, kainate (KA group), metformin+KA group and metformin group. Temporal lobe epilepsy was induced by intracerebroventricular (ICV) microinjection of 0.5 µg KA. Metformin was orally administered, starting two weeks before epilepsy induction. Following epilepsy induction, animals were monitored for behavioral seizure severity. Epileptogenesis was assessed by evaluating four factors: Hippocampal neuronal loss and neurodegeneration using Nissl and Fluoro Jade B(5 days after surgery); Neurogenesis using BrdU (5 days after surgery); Mossy Fiber sprouting, using Timm staining (30 days after surgery) and; EEG (30 days after surgery).
Results: Metformin as an anticonvulsant drug: the latency to seizure and the seizure severity were both reduced significantly, following metformin treatment (P<0.001). Metformin as antiepileptic drug: According to the Nissl and Fluoro-Jade B staining, the best protected areas in the hippocampus after metformin administration were CA3 and hilus (P<0.00). Behavioral EEG monitoring revealed that metformin-treated rats displayed spontaneous seizures at lower frequencies compared with epilepsy group. Metformin alone increased the neurogenesis which was even greater than Ka-induced neurogenesis. However, metformin-treated rats after epilepsy showed the immigration of new neurons to the hilar and CA3 areas. Metformin also reduced significantly mossy fiber sprouting.
Conclusion: Altogether we conclude that metformin acts not only as an anticonvulsant but an antiepileptogenic drug.
Abraham Ratna Joseph Nayakanti
Avalon University School of Medicine, Curacao
Title: Anencephaly a chance of teratogenicity by Antiepileptic drugs during organogenic period
Time : 16:15-16:40
Biography:
Abstract:
Arindam Ghosh Mazumder
CSIR- Institute of Himalayan Bioresource Technology, India
Title: Exploring the anti-seizure potential of selective PI3K inhibitor in zebrafish model of pentylenetetrazole induced seizure
Time : 16:40-17:05
Biography:
Arindam Ghosh Mazumder is a Senior Research Fellow, currently pursuing his PhD from CSIR-Institute of Himalayan Bioresource Technology, Palampur, Himachal Pradesh, India. He was awarded DST-INSPIRE Fellowship for pursuing PhD, sponsored by the Department of Science and Technology (DST), Government of India, 2013.