THE 40TH INTERNATIONAL DANUBE SYMPOSIUM IN CONJUNCTION WITH THE 6TH CONGRESS OF THE ROMANIAN SOCIETY OF NEUROLOGY MAY 21ST-24TH, 2008 SINAIA, ROMANIA SCIENTIFIC PROGRAM WEDNESDAY, MAY 21ST 09.00 Opening of the registration desk Hall A 10.30 – 12.30 Teaching course: Evidence based medicine Chairpersons: M. Davidson, O. Bajenaru 10.30 – 11.00 B.O. Popescu (Romania) – Where does it start the idea of a new treatment? Relevance of experimental medicine for progression to real drugs. 11.00 – 11.30 D.F. Muresanu (Romania) – Phase II and III clinical studies 11.30 – 12.00 M. Davidson (Israel) – Strengths and weaknesses of evidence-based medicine (EBM) and evidence-based decision making (EBDM) 12.00 – 12.30 O. Bajenaru (Romania) – Why do we need new drugs and new clinical studies? 12.30 – 14.30 Lunch 14.30 – 16.30 Session of the Romanian Society for the Study of Neuroprotection and Neuroplasticity (SSNN) 1 Chairpersons: N.M. Bornstein, D.F. Muresanu 14.30 – 14.55 N.M. Bornstein (Israel) – Neuroprotection and neurorecovery in stroke 14.55 – 15.20 J. Thome (United Kingdom) – Neurotrophic factors and depression 15.20 – 15.45 M. Anca-Herschkovitsch (Israel) – Looking for a neuroprotective strategy in movement disorders 15.45 – 16.05 B.O. Popescu (Romania) – The contribution of the blood brain barrier to neurodegeneration in dementia 16.05 – 16.30 D.F. Muresanu (Romania) – Neurorecovery regulation by neurotrophic factors 16.30 – 17.00 Coffee break 17.00 – 18.30 Scientific symposium: Do we treat Mild Cognitive Impairment? Chairperson: O. Bajenaru 17.00 – 17.30 M. Simu (Romania) – Pathogenic mechanisms in Alzheimer’s disease 17.30 – 18.00 G. Prada (Romania) – The complex impact of Alzheimer’s disease in the elderly 18.00 – 18.30 O. Bajenaru (Romania) – Treatment of Mild Cognitive Impairment – clinical studies update 19.00 Welcome reception THURSDAY, MAY 22ND Hall A and B 08.00 – 08.20 Opening ceremony of the 40th International Danube Symposium for Neurological Sciences and Continuing Education, organized in conjunction with the 6th Congress of the Romanian Society of Neurology Chairpersons: O. Bajenaru, F. Gerstenbrand, C. Popa, L. Vecsei 2 08.20 – 08.40 W. Grisold (Austria) – The mission of UEMS in the European Neurology 08.40 – 09.40 ‘Gheorghe Marinescu’ honorary lecture V. Hachinski (Canada) – The insidious threat: silent cerebrovascular and Alzheimer’s disease 09.40 – 10.00 Coffee break 10.00 – 11.30 Plenary session: Dementia Chairpersons: A. Korczyn, G. Ransmayr 10.00 – 10.25 E.C. Toescu (United Kingdom) – The vulnerability of aged brain 10.25 – 10.50 A. Korczyn (Israel) – Depression and dementia 10.50 – 11.10 G. Ransmayr (Austria) – Difficulties in the treatment of dementia with Lewy bodies 11.10 – 11.30 S. Szatmari (Romania), D. Bereczki (Hungary) – An important database for the treatment of dementia: The Cochrane Library 11.30 – 12.00 Coffee break 12.00 – 13.30 Scientific symposium: Antiplatelet treatment in stroke prevention Chairperson: O. Bajenaru 12.00 – 12.45 S. Tuta (Romania) – Risk of atherothrombotic events in patients with cerebrovascular disease 12.45 – 13.30 O. Bajenaru (Romania) – Antiplatelet therapy options in patients with concomitant cerebrovascular and peripheral vascular diseases 13.30 – 14.30 Lunch 3 Parallel sessions Hall A 14.30 – 16.00 Oral session: Stroke (I) Chairpersons: N.M. Bornstein, A. Czlonkowska 14.30 – 14.55 D. Bereczki (Hungary) – Anticoagulants and antiplatelets in acute stroke 14.55 – 15.20 N.M. Bornstein (Israel) – Secondary stroke prevention 15.20 – 15.40 A. Czlonkowska (Poland) – Stroke in women 15.40 – 16.00 C. Tiu (Romania) – Stroke in children and adolescents Hall B 14.30 – 16.00 Oral session: Neuroprotection and Neuroplasticity Chairpersons: B.O. Popescu, L. Vecsei 14.30 – 14.55 L. Vecsei (Hungary) – How to improve endogenous neuroprotection 14.55 – 15.20 M. Gerlach (Germany) – The conceptual limits of neuroprotective clinical trials in Parkinsons’s disease: Is there a solution? 15.20 – 15.40 B.O. Popescu (Romania) – Mechanisms of cell death and neuroprotection in Alzheimer’s disease 15.40 – 16.00 S. Baloyannis (Greece) - Cajal-Retzius cells in the visual cortex in early cases of Alzheimer’s disease: A Golgi and Electron Microscope study Hall C 14.30 – 16.00 Oral session: Neuroethics Chairpersons: F. Gerstenbrand, I. Pascu 14.30 – 15.00 F. Gerstenbrand (Austria) – The right and the ethical obligation for a care in severest neurological conditions 15.00 – 15.30 I. Pascu (Romania) – Placebo-controlled trials 4 15.30 – 16.00 A. Korczyn (Israel) – Research in demented people 16.30 – 17.00 Coffee break Parallel sessions Hall A 17.00 – 18.30 Oral session: Stroke (II) Chairpersons: D. Bereczki, L. Perju-Dumbrava 17.00 – 17.25 C. Popa, S. Tuta (Romania) - Follow-up and treatment of middle cerebral arteries stenosis 17.25 – 17.45 H. Muresian, A. Nistorescu, R. Nistorescu, D. Mihalcescu (Romania) – Simultaneous bilateral carotid endarterectomy 17.45 – 18.05 R. Nechifor, B. Dorobat, L. Tomescu, G. Iana (Romania) - Endovascular treatment of cerebral aneurysms and arteriovenous malformations 18.05 – 18.30 F. Antochi, B. Dorobat, R. Nechifor (Romania) – Carotid endarterectomy versus carotid angioplasty Hall B 17.00 – 18.30 Oral session: Neurorehabilitation Chairpersons: J.A. Opara, C.D. Popescu 17.00 – 17.30 H. Binder (Austria) - New methods of brain stimulation in post-stroke rehabilitation 17.30 – 18.00 J.A. Opara (Poland) - Redefinition of spasticity and rehabilitation 18.00 – 18.30 C.D. Popescu, V. Bohotin, B. Ignat, C. Bohotin (Romania) - Reorganization of motor area under active and passive movement in patients with stroke: a transcranial magnetic stimulation study Hall C 5 17.00 – 18.30 Oral session: Epilepsy Chairpersons: C. Panea, D. Schmidt 17.00 – 17.25 D. Schmidt (Germany) - Long-term seizure outcome of epilepsy treatment 17.25 – 17.50 S. Magureanu (Romania) – Particularities of epilepsy in children 17.50 – 18.10 C. Panea (Romania) - From guidelines to real life: a realistic approach of adult epilepsy’s management in Romanian space 18.10 – 18.30 R. Gilad, N. Iskovitz, R. Dabby, A. Rapoport, M. Sadeh, Y. Lampl, B. Weller (Israel) – Treatment of status epilepticus and acute repetitive seizures with iv valproic acid versus phenytoin Parallel scientific symposia Hall A 18.30 – 20.00 Scientific symposium: Innovating treatments for CNS diseases Chairperson: C.D. Popescu 18.30 – 19.00 O. Bajenaru (Romania) – Levetiracetam – the beginning of a new era in the treatment of epilepsy 19.00 – 19.30 C.D. Popescu (Romania) – Rotigotine – an efficient option for continous dopaminergic stimulation 19.30 – 20.00 I. Mindruta (Romania) – Oxybate – the first pharmacological treatment for narcolepsy with cataplexy Hall B 18.30 – 20.00 Scientific symposium: Alzheimer’s disease - one century later Chairperson: M. Davidson 18.30 – 19.00 B.O. Popescu (Romania) – Alzheimer’s disease treatment - symptomatic benefits and beyond 19.00 – 19.30 M. Davidson (Israel) - Comparative safety and tolerability of Alzheimer’s disease treatments 6 19.30 – 20.00 A special moment dedicated to Alzheimer’s disease patients and carers Hall C 18.30 – 20.00 Scientific symposium: Optimal pharmacological treatment in epilepsy Chairperson: S. Magureanu 18.30 – 19.15 S. Magureanu (Romania) – New evidence for efficacy of sodium valproate in treatment of generalized and partial epilepsy 19.15 – 20.00 L. Perju-Dumbrava (Romania) – The risks of switch to generic drugs in epilepsy treatment FRIDAY, MAY 23RD 07.00 – 08.30 Poster session I: sections of cerebrovascular disorders, epilepsy, migraine, neuroethics, neuroinfections, neurooncology, sleep disorders and varia. Chairpersons: N.M. Bornstein, J.A. Opara, L. Vecsei. Posters from these sections can be mounted from Thursday, May 22nd, 18.00 and must be removed until Friday, May 23rd, 17.00. Hall A and B 08.30 – 10.00 Plenary session: Movement disorders (I) Chairpersons: V. Kostic, D. Truong 08.30 – 08.55 D. Truong (USA) - Impulse control disorders and Parkinson’s disease 08.55 – 09.20 F. Alesch (Austria) – Deep brain stimulation in dystonia 09.20 – 09.40 C. Scherfler (Austria) – The role of imaging in the clinical work-up of parkinsonism 09.40 – 10.00 V. Kostic (Serbia) – Secondary dystonias 7 10.00 – 10.30 Coffee break Parallel sessions Hall A 10.30 – 12.00 Oral session: Multiple sclerosis Chairpersons: J. Drulovic, D. Karussis 10.30 – 10.50 D. Karussis (Israel) – Neuroprotection in multiple sclerosis: focus on the potential use of stem cells 10.50 – 11.05 R. Balasa (Romania) – Remyelination in multiple sclerosis 11.05 – 11.25 J. Drulovic (Serbia) – Quality of life in patients with multiple sclerosis 11.25 – 11.40 C. Ionete (USA) – New therapeutic options in multiple sclerosis – phase 3 clinical trials 11.40 – 12.00 Y. Dokova, I. Milanov (Bulgaria) - Adherence and compliance and related cognitive impairments in patients with multiple sclerosis on immunomodulatory treatment Hall B 10.30 – 12.00 YNT session Chairmen: C. Falup-Pecurariu, W. Struhal 10.30 – 10.45 W. Struhal (Austria) – Information on the new pan-European Neurology examination 10.45 – 11.00 F. Gerstenbrand (Austria), W.Struhal (Austria) – Ethical rules in diagnosis, treatment and rehabilitation of neurological patients 11.00 – 11.15 A. Korczyn (Israel) – The value and limitations of Evidence Based Medicine 11.15 – 11.30 L. Vécsei (Hungary) – The Hungarian Brain Council: Future Activities 11.30 – 11.45 I. Pascu (Romania) – Philosophical and ethical aspects of brain death 11.45 – 12.00 C. Falup-Pecurariu (Romania) – Topics in the YNT activities 8 Hall C 10.30 – 12.00 Oral session: Neurooncology Chairpersons: Z. Ram, R. Soffietti 10.30 – 10.55 R. Soffietti (Italy) – New perspectives in the management of gliomas: clinical and translational aspects 10.55 – 11.15 Z. Ram (Israel) – High grade glioma: emerging therapies 11.15 – 11.40 O. Bajenaru (Romania) – Diagnosis challenges for the neurologist in general oncology 11.40 – 12.00 R. Tanasescu, M. Ticmeanu (Romania), P. Beauchesne, L. Taillandier (Franta) – A neuroimmunological aproach to CNS neoplastic disease: the way to immunotherapy Parallel scientific symposia Hall A 12.00 – 13.30 Scientific symposium: Glatiramer acetate in treatment of multiple sclerosis Chairperson: T. Ziemssen 12.00 – 12.30 R. Balasa (Romania) - Binding and neutralizing antibodies to IFN B during the treatment of multiple sclerosis 12.30 – 13.00 T. Ziemssen (Germany) – Neuroprotection in multiple sclerosis 13.00 – 13.30 M. Simu (Romania) – Evidence based data about disease modifying therapies in multiple sclerosis Hall B 12.00 – 13.30 Scientific symposium: Shouldn't dopaminergic control be continuous? Chairperson: F. Stocchi 12.00 – 12.20 L. Perju-Dumbrava (Romania) - The unmet needs of the patients with Parkinson’s disease 9 12.20 – 12.45 A. Korczyn (Israel) – Continous dopaminergic stimulation benefits 12.45 – 13.05 B.O. Popescu (Romania) – The development of continous dopaminergic therapy delivery 13.05 – 13.30 F. Stocchi (Italy) – Clinical perspectives on continous dopaminergic therapy Hall C 12.00 – 13.30 Scientific symposium: The transdermal patch - a new therapeutic option in the management of dementia Chairperson: O. Bajenaru 12.00 – 12.30 M. Simu (Romania) – The importance of dual cholinesterase inhibition in Alzheimer’s disease 12.30 – 13.00 C. Tudose (Romania) – Rationale for a rivastigmine transdermal patch in dementia 13.00 – 13.30 O. Bajenaru (Romania) – IDEAL Study - The first transdermal patch in Alzheimer's disease 13.30 – 14.30 Lunch 13.30 – 14.30 Meeting of the Danubian Executive Board Parallel sessions Hall A 14.30 – 16.00 Workshop: The management of multiple sclerosis in Danubian countries (round table with active participation of the representatives of Danubian countries) Chairpersons: C. Tiu, L. Vecsei Hall B 14.30 – 16.00 Oral session: Movement disorders (II) 10 Chairperson: Z. Pirtosek, P. Riederer 14.30 – 14.55 Z. Pirtosek (Slovenia) – Psychogenic movement disorders 14.55 – 15.15 O. Bajenaru, A. Ene, I. Mindruta, D. Popescu (Romania) – Treatment with botulinic toxin in neurological disorders 15.15 – 15.40 P. Riederer (Germany) – Continous dopaminergic stimulation: fact or fiction? 15.40 – 16.00 M. Relja (Croatia) – Continuous dopaminergic stimulation: Where we are now? Hall C 14.30 – 16.00 Oral session: Peripheral neuropathies Chairpersons: I. Milanov, M. Relja 14.30 – 14.45 C. Pottier (Romania) – Molecular diagnosis of inheritable neuromuscular disorders 14.45 – 15.05 I. Mindruta, S. Radesi, O. Bajenaru (Romania) – Immune response in chronic inflammatory demyelinating polyneuropathy 15.05 – 15.20 T. Lupescu, R. Gheorghe, C.A. Sirbu, D. Constantin – Mechanical nerve lesions 15.20 – 15.40 M. Moldovan, C. Krarup (Denmark) – Persistent abnormalities in excitability of regenerated nerves 15.40 – 16.00 W. Struhal, H. Lahrmann (Austria) – Autonomic testing: assets and drawbacks of time domain and frequency domain methods 16.00 – 16.30 Coffee break Parallel scientific symposia Hall A 16.30 – 18.00 Scientific symposium: Maximizing the benefits of multiple sclerosis treatment Chairperson: R. Balasa 11 16.30 – 17.00 C.D. Popescu (Romania) – Multiple sclerosis therapy: choosing the right treatment 17.00 – 17.30 R. Balasa (Romania) - The benefit of early treatment in multiple sclerosis 17.30 – 18.00 C. Panea (Romania) - The impact of early treatment with IFN beta-1b on sustained neurological impairment. Hall B 16.30 – 18.00 Scientific symposium: Pramipexol – more than motor control in Parkinson’s disease and restless legs syndrome Chairperson: L. Perju-Dumbrava 16.30 – 17.00 A. Frasineanu (Romania) – Motor and non-motor symptoms in Parkinson’s disease 17.00 – 17.30 C.D. Popescu (Romania) – Pramipexol in depression management in Parkinson’s disease 17.30 – 18.00 L. Perju-Dumbrava (Romania) – Pramipexol – proved efficacy in restless legs syndrome Hall C 16.30 – 18.00 Scientific symposium: Actualities and perspectives in the topic of neuropathies Chairperson: K. Reiners 16.30 – 17.00 O. Bajenaru (Romania) – Benfotiamin – neuroplasticity and neuroprotection. The importance of microangiopathy in diabetic neuropathy. 17.00 – 17.30 K. Reiners (Germany) – Current aspects in diagnosing and treating diabetic neuropathy 17.30 – 18.00 M. Milanova (Bulgaria) – Neuropathies – the Bulgarian experience in diagnosis and treatment Parallel scientific symposia 12 Hall A 18.00 – 19.30 Scientific symposium: Natalizumab - targeting alfa4 integrins - another way to fight multiple sclerosis. Chairman: C.D. Popescu (Romania) 18.00 – 18.30 D. Karussis (Israel) – Natalizumab – efficacy data 18.30 – 19.00 C. Tiu (Romania) – Natalizumab – safety evaluation 19.00 – 19.30 N. Putzki (Germany) – The patient algorithm for therapeutical option Hall B 18.00 – 19.30 Scientific symposium: Alleviating neuropathic pain – the current options Chairperson: O. Bajenaru 18.00 – 18.45 O. Bajenaru (Romania) – Mechanisms of neuropathic pain 18.45 – 19.30 E. Copaciu (Romania) – Actual guidelines in pharmacological treatment of neuropathic pain Hall C 18.00 – 19.30 Scientific symposium: Vestibular disorders: from diagnosis to treatment - state of the art Chiarperson: H. Kingma 18.00 – 18.25 S. Butković-Soldo (Croatia) – Vertigo from neurologist´s point of view 18.25 – 18.45 I. Marginean (Romania) – Therapeutical approaches in vertigo – Integrated balance therapy 18.45 – 19.05 L. Perju Dumbrava (Romania) – The role of betahistine in the treatment vestibular vertigo 19.05 – 19.30 H. Kingma (The Netherlands) – Evaluation and treatment of the patient with benign paroxysmal positional vertigo 13 20.00 Faculty Gala Dinner SATURDAY, MAY 24TH 07.00 – 08.30 Poster session II: sections of dementia, movement disorders, peripheral neuropathies, multiple sclerosis, and myasthenia gravis and muscle disorders. Chairpersons: S. Baloyannis, M. Gerlach, I. Pascu. Posters from these sections can be mounted from Friday, May 23rd, 18.00 and must be removed until Saturday, May 24th, 13.00. Hall A and B 08.30 – 10.00 Plenary session: Myasthenia gravis Chairpersons: S.A. Apostolski, F. Stefanache 08.30 – 08.55 C. Vilciu, A. Campeanu, A. Dulamea et al. (Romania) – Myasthenia gravis – diagnosis and treatment 08.55 – 09.20 R. Vizeteu, B. Smeu, M. Damian, A. Stoica (Romania) - Video-assisted thoracoscopic extended thymectomy (VATET) with cervical approach for non-thymomatous myasthenia gravis. 09.20 – 09.40 D. Maslarov, N. Velkov (Bulgaria) - Anticholinesterase treatment of myasthenia gravis - optimizing the daily dosage, distribution and ingestion scheme 09.40 – 10.00 A. Dulamea, C. Vilciu, A. Campeanu et al. (Romania) - Myasthenia gravis associated with autoimmune diseases 10.00 – 10.30 Special Conference Z. Lackovic (Croatia) – PhD studies in Danubian countries – the Orpheus program 10.30 – 11.30 Session of late breaking news in neurological sciences 11.30 – 12.00 Closure of the 40th International Danube Symposium for Neurological Sciences and Continuing Education 14 12.00 – 12.15 Coffee break 12.15 – 13.15 General Assembly of Romanian Society of Neurology (attendance restricted to members of RSN). 15