Educational courses

Educational courses

Educational courses are not included on the registration fee. You must book and pay the corresponding course fee, for each session you wish to attend (please refer to the Registration section).


 

LONG EDUCATIONAL COURSES

ECL1 | Hands-on Teaching Course on Nerve and Muscle Excitability Studies, including MScan MUNE
Day: Wednesday, June 5
Scheduled hour: 07.30 – 16.00 *** New starting and ending time
Chair-Organiser: Hatice Tankisi
Speakers: 
1 ) Hugh Bostock, Introduction to nerve excitability testing and the TROND protocols. 
2 ) Peter Grafe, Examples of TROND protocols in pharmacological studies.
3 ) James Howells, An introduction to mathematical modelling of axonal excitability.
4 ) Werner Z´Graggen, Muscle excitability testing: methodology and clinical perspectives.
5 ) Hatice Tankisi, MScan MUNE- Methodology and clinical perspectives.

More info

Description:
Nerve excitability testing is a non-invasive method of obtaining information about the resting potential and activity of axonal voltage-gated ion channels in vivo, which cannot be achieved by conventional electrophysiological methods. Nerve excitability testing has helped in understanding disease pathophysiology and diagnosis of several neurological disorders. The field has recently been expanded, as the technique has been adapted to muscle membrane, and as the software now comprises a novel method for motor unit number estimation (MUNE), so-called MScanFit MUNE (MScan). Muscle excitability testing has proved of particular interest in muscle channelopathies and critical illness myopathy. MScan is quick and simple to use, and has been shown to be more reproducible than more traditional MUNE methods. MScan has also been found to be more sensitive in detecting motor unit loss in Amyotrophic Lateral Sclerosis. The aim of this course is to provide basic theoretical and practical knowledge for the participants on nerve and muscle excitability testing and MScan MUNE. After ½-hour lectures on each topic, the experts will demonstrate the methods, and all participants will have the possibility to practice one or more of the methods in small groups of 4-6 persons, supervised by experts.

ECL2 | Implementing Neuromuscular Ultrasound in clinical neurophysiologic everyday practice
Day: Wednesday, June 5th
Scheduled hour: 07.30 – 16.00 *** New starting and ending time
Chair-Organiser: Erisela Qerama Montvilas
Speakers:
1 ) General Indications for neuromuscular ultrasound in 2018 – Evidence based review; by Luca Padua ( Universita Cattolica, Rome, Italy )
2 ) Compiling diagnostic ultrasound scores for usage in the daily neurophysiologic practice; by Alexander Grimm ( University of Tübingen, Germany )
3 ) Establishing normal values in ultrasound and clinical experience in diagnostic work up; by Erisela Q. Montvilas ( Univ. of Aarhus, Denmark ) and Nils Wolfram ( Univ. of Copenhagen, Denmark )
4 ) Insights in daily implementation of neuromuscular ultrasound in the neurophysiologic clinical practice ( all speakers will present with the insights from their respective departments ).

More info

High-resolution ultrasound of nerves and muscles has been shown to have a considerable supplementary value to the neurophysiological diagnosis. With the ultrasound, the neurophysiologist is equipped with a powerful tool to supplement the functional diagnosis with a structural insight in the nerve pathology. In this teaching course we will aim to provide the participants with a comprehensive overview over the practical use of neuromuscular ultrasound. The workshop will focus on practical issues with implementing ultrasound in the daily clinic such as establishing normal material, acquiring ultrasound practical knowledge and implementing the method in the daily use of the department. This will be done by presenting evidence, abundance of cases and reviews of ultrasound praxis in three /more departments of Clinical Neurophysiology in Europe. There will moreover be a hands-on session with demonstration of ultrasound of upper and lower extremities nerves and plexus brachialis.

SHORT EDUCATIONAL COURSES

EC01 | Single-Fiber EMG
Day: Wednesday, June 5
Scheduled hour: 07.30 – 11.30 *** New starting and ending time
Chair-Organiser: Donald Sanders
Speakers:
1 ) Erik Stålberg – SFEMG recording principles ( incl. filter,trig, VRF )
2 ) Donald Sanders – SFEMG parameters: jitter, FD ( ways to measure )
3 ) Janice Massey – DEMO – Vol SFEMG: FD & Jitter; normal + patient
4 ) Erik Stålberg – Stimulation SFEMG, method, pitfalls
5 ) Erik Stålberg – CNE Jitter – method, definition, pitfalls
6 ) Erik Stålberg – DEMO CNE Jitter – Vol and stim
7 ) Donald Sanders – Jitter in MG and LEM       

More info

   

Abstract: SFEMG measurement of jitter is the most sensitive electrophysiological method to detect disturbed neuromuscular transmission, and can be useful not only in confirming the diagnosis of myasthenia gravis (MG), but also in following disease progression. Over the last years the method has been modified by the using a concentric needle electrode to measure jitter, preferably one with the smallest recording surface. This requires new reference values, which are now available. Muscle fibers may be activated by voluntary contraction or by electrical stimulation for jitter measurements. In some pathological situations these may give different results because of bias regarding the first activated motor unit.

Learning objectives:
1.Understand the principles of jitter measurements and the differences between recordings made with SFEMG and concentric needle electrodes (CNE)
2.Recognize SFEMG and CNE signals with normal and abnormal jitter
3.Understand possible differences in jitter results with voluntary activation and electrical stimulation
4.Understand the role of jitter measurement in myasthenia gravis and Lambert-Eaton myasthenia

EC02 | EEG processing and analysis
Day: Wednesday, June 5
Scheduled hour: 07.30 – 09.00 *** New starting and ending time
Chair-Organiser: Martin Lamoš
Speakers:
1 ) EEG data processing and analysis in SignalPlant, by Filip Plešinger ( Institute of Scientific Instruments, The Czech Academy of Sciences, Brno, Czech Republic )
2 ) Analysis of high density EEG data: EEG microstates, Electrical Source Imaging, by Martin Lamoš ( Central European Institute of Technology, Masaryk University, Brno, Czech Republic )
3 ) Multi-way decomposition of EEG data, by Radek Mareček ( Central European Institute of Technology, Masaryk Univ., Brno, Czech Republic )

More info

1 ) Exploring large data: Current high-density scalp recordings and multiple contacts in intracranial electrodes require user friendly tool for exploring the data. SignalPlant as a free Windows-based software for signal examination, scoring and post-processing will be introduced.
2 ) Processing the data: Suitable pre-processing pipeline is necessary step before data analysis. This part will cover suppression of artefacts by proper data mounting, filtering and interpolation. Suppression of artefacts related to simultaneous acquisition (e.g. fMRI-EEG) will be also addressed.
3 ) Data analysis: Besides basic approaches (ERP, time-frequency analysis) the course will focus on the analysis of high-density data by microstates and multiway array decomposition techniques (ICA, PARAFAC).

EC03 | Conventional neurophysiology options for the study of small fibers
Day: Wednesday, June 5
Scheduled hour: 07.30 – 09.00 *** New starting and ending time
Chair-Organiser: Josep Valls-Solé
Speakers:
1 ) Sensory nerve conduction studies of very distal foot nerves; by Josep Valls-Sole ( University of Barcelona, Spain )
2 ) Cutaneous silent period to electrical stimulation of peripheral nerves; by Markus Kofler ( Department of Neurology, Hochzirl Hospital, Zirl, Austria )
3 ) The sudomotor skin response test; by Isabel Conceiçao ( Department of Neurosciences, Hospital de Santa Maria, Lisbon, Portugal )

More info

Conventional nerve conduction studies are very useful for the assessment of peripheral neuropathies involving disorders of nerve conduction velocity, conduction block or loss of axonal excitability. However, some polyneuropathies involve only, or mainly, small fibers. Conventional nerve conduction studies tend to be normal in these conditions and, therefore, the examiner should be aware of other possible tests. The idea of this proposed educational symposium is to revise the tests available for the assessment of function in small fibers using conventional neurophysiological testing. They include a thorough evaluation of very distal nerves of the feet, cutaneous silent periods and the sudomotor skin response.

EC04 | Testing of the vestibular system for the beginners *** This course has been canceled
Day:
Scheduled hour:

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EC05 | Challenges of EEG Interpretation in Critically-ill Patients: Case-based Course
Day: Wednesday, June 5
Scheduled hour: 09.30 – 11.30 *** New starting and ending time
Chair-Organiser: Betul Bayka
Speakers:
1 ) Standards of the Continuous EEG Monitoring and Terminology; by E. Altindag ( Istanbul Bilim University, Medical Faculty, Istanbul, Turkey ).
2 ) Indications, Problems and Solutions in Clinical Practice of Continuous EEG monitoring in Patients with Coma; by N. Dericioglu ( Hacettepe University, Medical Faculty, Ankara, Turkey ).
3 ) New Sets of Criteria of NCSE in ICU: Are They Useful or not?; by S. Benizcky ( Aarhus University Hospital, Aarhus, Denmark ).
4 ) To Treat or not to Treat? Nonconvulsive, Subtle Seizures and beyond; by B. Baykan ( Istanbul University, Istanbul Medical Faculty, Istanbul, Turkey ).

More info

The interpretation of EEG in critically ill patients remains a challenge. It’s important to define and understand the clinical significance of EEG patterns in patients with coma. Nonconvulsive status epilepticus (NCSE) is an important clinical entity suspected in patients with coma of unexplained reason with some minor or without any motor phenomena. Several EEG criteria to diagnose NCSE have been suggested. Finally, a set of consensus criteria for NCSE by using new critical care EEG terminology was developed. However, ictal-interictal distinction of periodic and rhythmic discharges in patients with impaired consciousness have remained a source of debate. The faculty will discuss each related topic interactively based on case presentations, to provide intensive training on interpretation and management of these patients.

EC06 | Improving the ENMG in children *** This course has been canceled
Day:
Scheduled hour:

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EC07 | From interictal and ictal EEG to syndrome diagnosis and etiology
Day: Wednesday, June 5
Scheduled hour: 14.00 – 16.00
Chair-Organiser: Anna Kaminska
Speakers:
1 ) Anna Kaminska ( France )
2 ) Emma Losito ( France )
3 ) Marie-Dominique Lamblin ( France )

More info

The aim of this teaching course is to present, as an interactive workshop,  electro-clinical patterns able to point toward a specific genetic, structural or metabolic etiologies. Video-EEG cases  from the neonatal period to childhood will illustrate some of paediatric epilepsy syndromes (neonatal epileptic encephalopathies with suppression–burst, West syndrome, ring chromosome 20 syndrome, progressive myoclonic epilepsies, structural focal epilepsy …) and etiologies (genetic (KCNQ2, KCNT1, STXBP1…), structural (neurocutaneous syndromes, malformations of cortical development…); metabolic (pyridoxine-dependency, mitochondrial diseases, glucose transporter type 1 deficiency, congenital disorders of glycosylation syndrome..). Discussion will focus on recording protocols, interictal and ictal EEG patterns including semiology and seizure type diagnosis, genetic and phenotypic heterogeneity as well as differential diagnosis.

EC08 | Mastering semi-quantitative motor unit potential analysis skills
Day: Wednesday, June 5
Scheduled hour: 14.00 – 16.00
Chair-Organiser: Devon Rubin

More info

Motor unit potential assessment in clinical electromyography may be performed using quantitative analysis; however, with appropriate learning, semi-quantitative analysis through auditory recognition may be more efficient and just as accurate. Furthermore, some parameters, such as recruitment, cannot be analyzed by formal quantitation.  Learning semi-quantitation in EMG requires being taught the skills of auditory analysis of different parameters, along with deliberate practice and direct feedback. This unique educational symposium will use a deliberate practice teaching method with audience participation and EMG waveform examples to teach the skills of accurate auditory recognition of the various MUP parameters that are assessed in clinical electromyography.  Focus will be on recognition of the changes in MUP recruitment, stability, phases, and duration, in neurogenic and myopathic disorders. The goal of the symposium is to demonstrate how, with appropriate practice, mastery of these skills can be achieved in a short period of time.

1 ) Introduction to Auditory Training in Semi-quantitation; by Devon I. Rubin, MD
2 ) Recruitment Analysis: Learning Firing Rate and MUP Recruitment Analysis; by Devon I. Rubin, MD
3 ) Recognizing MUP Morphology Changes … without Measuring; by Devon I. Rubin, MD

EC09 | Needle EMG testing: how to solve problems when interpretation becomes difficult…
Day: Thursday, June 6
Scheduled hour: 07.30 – 09.00
Chair / Organiser: Yann Pereon

More info

Needle EMG may be very difficult in many circumstances, making it critical to differentiate normal recordings, from myopathic or neuropathic ones. The aim of this teaching session is to remind the bases of interpretation of the recordings; to provide the proper tools to appropriately analyze the recordings, including both visual and (semi) automated analyse ones (quantitative EMG);  and to address the many pitfalls that may confuse the examiner. This by using a large number of EMG videos + practical demonstration with an EMG system, which is always more useful to the audience and make it more interactive.

EC10 | How and when to test the autonomic nervous system?
Day: Thursday, June 6
Scheduled hour: 07.30 – 09.00
Chair-Organiser: Mario Habek
Speakers: 
1 ) Mario Habek ( Croatia )
2 ) Ellen Merete Hagen ( Austria )
3 ) Alessandra Fanciulli ( UK )

More info

In the first part a special emphasis will be given to fully quantitative and clinically validated protocol for testing of autonomic functions. The second part of the educational course will be clinically/patient orientated with interactive presentation of clinical vignettes. This part will be divided into two sections: A) Functional disorders in which syncope, postural orthostatic tachycardia syndrome and complex regional pain syndrome will be discussed in details accompanied with patient presentations; and B) Structural disorders, which can be divided into central and peripheral dysautonomias, so diseases like myelopathy and spinal cord injury, multiple system atrophy, Parkinson’s disease, multiple sclerosis and autoimmune autonomic ganglionopathy, autonomic neuropathies, respectively. During the last conference in Budapest in 2017, the course was well received and it was sold out a month before the start of the conference. ANS disorders are far more frequent than reported, so with this educational course we aim to raise the recognition of this problem and to learn the participants how to perform and when to order testing of the ANS.

EC14 | Seizure types: An interactive video-EEG session
Day: Thursday, June 6
Scheduled hour: 07.30 – 09.00
Chair-Organiser: Sándor Beniczky

More info

The gold standard for classifying seizures is video-EEG. The International League Against Epilepsy issued a revised version of seizure classification in 2017. This interactive video-EEG session will present typical examples for each seizure type. At the end of the session, a short quiz will be presented. Learning objective: at the end of the session the participants will be able to classify seizures, using semiology and EEG data.

EC11 | EMG approach to acute and chronic polyneuropathy
Day: Thursday, June 6 *** New date and time
Scheduled hour: 11.00-15.00 *** New date and time
Chair-Organiser: Pascal Proot

More info

Patients with symptoms of weakness, numbness and / or tingling are commonly referred for a nerve conduction study and electromyogram to look for the one of many different peripheral neuromuscular disorders that may account for their symptoms. The identifiable etiologies are distributed among myopathies, motor neuron diseases, polyradiculopathies and neuromuscular junction disorders. A clinical history followed by systematic and focused neurological examination make part of a well-defined approach, since identifiable causes of weakness make up only 11 % of patients seen in an EMG laboratory. The role of electrodiagnostic testing is stressed because it provides unique information on the pathologic features of the neuropathy not otherwise available from symptoms and clinical signs. The process is divided in 7 steps. We would like to elaborate how electroneuromygrophy is involved in these steps to full characterisation of the polyneuropathy. Most recent publications in the field of neuromuscular diseases are shown to prove the importance of each step.

EC12 | Conventional and Threshold Tracking TMS
Day: Friday, June 7
Scheduled hour: 07.30 – 11.00
Chair-Organiser: Bülent Cengiz
Speakers:
1 ) Basic Principles of paired-pulse TMS paradigms; by Ulf Ziemann ( Director of the Department Neurology & Stroke, Co-Director of the Hertie-Institute for Clinical Brain Research, University of Tübingen, Germany ).
2 ) The reproducibility of threshold tracking and conventional (amplitude) SICI measurements; by Gintaute Samusyte ( Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, United Kingdom ).
3 ) Potential advantages of threshold-tracking TMS; by Martin Koltzenburg ( Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, London, United Kingdom )
4 ) Threshold tracking TMS in ALS; by Bulent Cengiz ( Gazi University, Faculty of Medicine, Department of Neurology, Besevler, Ankara, Turkey ).

More info

Currently, paired pulse transcranial magnetic stimulation (TMS) methods, in particular short interval intracortical inhibition (SICI) and intracortical facilitation (ICF) measurements are the most attractive way of examining cortical excitability. Conventional SICI and ICF measurements were done by measuring the amplitude of the motor evoked potential (MEP) after constant stimulation. However, this method only allows measurements of inhibition over a limited range, and therefore the TT-TMS technique, where a constant target MEP response is tracked by a test stimulus was introduced. With TT-TMS, a reduction or absence of SICI, together with an increase in ICF, indicative of cortical hyperexcitability, have been documented and suggested as biomarkers of Amyotrophic Lateral Sclerosis (ALS). The aim of this course is to explain basic concepts of electric fields induced by TMS and to provide theoretical and practical knowledge for the participants on paired-pulse TMS methods. The participants will also get to know the existing literature on the use of paired pulse TMS methods in ALS. After lectures on each topic, the experts will demonstrate conventional and threshold tracking SICI and ICF measurements on volunteers.

EC13 | Hands-on Teaching Course on Quantitative Electromyography
Day: Friday, June 7
Scheduled hour: 07.30 – 11.00
Chair-Organiser: Christian Krarup
Speakers:
1 ) Basic principles of quantitative electromyography
Christian Krarup ( Dept. of Clinical Neurophysiology, Neuroscience Center, Copenhagen Univ. Hospital (Rigshospitalet), Copenhagen, Denmark )
2 ) A novel method for Quantitative MUP analysis- EMGTools
Steffen Birk ( Dept. of Clinical Neurophysiology, Neuroscience Center, Copenhagen Univ. Hospital (Rigshospitalet), Copenhagen, Denmark )
3 ) MUP analysis in neurogenic and myopathic disorders
Clarissa Crone ( Dept. of Clinical Neurophysiology, Neuroscience Center, Copenhagen Univ. Hospital (Rigshospitalet), Copenhagen, Denmark
4 ) Quantitative interference pattern analysis/peak ratio analysis in neurogenic and myopathic disorders
Hatice Tankisi ( Dept. of Clinical Neurophysiology, Aarhus Univ. Hospital, Aarhus, Denmark )

More info

Quantitative Electromyography (EMG) may enable more reproducible and evidence based information about motor unit properties compared to qualitative measurements. Quantitative EMG can particularly be useful in borderline cases and may provide comparable results between laboratories and over time. Quantitative motor unit potential (MUP) analysis reflects pathophysiological and physiological changes in motor units recruited at weak effort, whereas interference pattern (IP) analysis may reflect changes in motor units recruited in the whole force range. Peak ratio analysis is a quantitative IP analysis method which is freely available in some EMG machines. The aim of this teaching course is to provide basic theoretical and practical knowledge for the participants on quantitative MUP and IP analyses. The participants will also be introduced to the novel quantitative MUP analysis method, EMGTools. After ½ hour lectures on each topic, the experts will demonstrate all methods, and participants will have the possibility of practicing on each other supervised by experts.

 

Session format for educational courses

Based on a well-established scientific or clinical theme and provide an update on an established, contemporary and relevant scientific or clinical topic.
Should be planned for 90 minutes and should include no more than three (3) speakers for theoretical courses while hands-on courses may be planned for 120, 180 or 240 minutes and may include four (4) speakers. All suggested speaker should agree with the proposal.
Should utilize a lecture style learning format.
The Scientific Program Committee shall make the final determination regarding the format and content.
Please provide the following information :
1) The title of your session proposal.
2) The names and affiliations of each proposed speaker.
3) The title of each speaker’s talk.
4) A 200 words session description.
All the proposals must be submitted through the online Symposia & EC Proposals form, available on this website.

Conditions of participation

Teaching courses will require a minimum number of 15 participants.
The Congress organization will cover two nights’ accommodation and congress fee for the organizer of the course, if he/she is also speaker.
The Congress organization will cover the congress fee for the invited speakers ( maximum 3 speakers ).