IRISH NEUROLOGICAL ASSOCIATION 42nd Annual Meeting 11th and 12th May 2006 Connemara Coast Hotel, Furbo, Galway. Thursday, May 11th 14.0 Opening of Meeting and Welcome Dr. Michael Hennessy, President, Irish Neurological Association. Session 1. Chair: Dr. Michael Hennessy O1 14.10 O2 14.20 O3 14.30 O4 14.40 O5 14.50 O6 15.00 O7 15.10 O8 15.20 O9 15.30 15.40 A Young Irish Patient with Frontotemporal Dementia and Parkinsonism linked to Chromosome 17 and associated with a new Tau Mutation (G335S). Bermingham N, Spina S, Murrell J, Sweeney B, Ghetti B, Keohane C. Outcomes of Immunosuppressive Therapy in Aβ-associated Cerebral Vasculitis Dr. Jaspreet Bhangu, Dr. Sinead Murphy, Dr. Michael Hurley, Dr. Michael Farrell, Dr. Francesca Brett, and Dr. Joan Moroney. Neurological manifestations of Idiopathic CD4 + Lymphocytopaenia; A case presentation. E. C. Chaila, M. J. Hennessy, T. Lang, V. Tormey, C. E. Connolly Slowly progressive gloabal dysaesthesia with later emerging palatal myoclonus and olivary hypertrophy. A unique syndrome, resembling adult Alexander disease? Donal Costigan A novel ATP1A2 gene mutation in an Irish kindred with Familial Hemiplegic Migraine. Desiree M. Fernandez, Collette K. Hand, Brian J. Sweeney, Nollaig A. Parfrey. Opsoclonus-Myoclonus associated with benign ovarian teratoma. A case report and literature review Fitzpatrick A, Gray OM, McDonnell GV Transverse venous sinus stenosis and intracranial hypertension: evidence for which comes first. D Kidd, R Simister, PL Wilson, B Unwin, JV Bowler. The spectrum of disease seen in non-paraneoplastic voltage-gated potassium channel antibody positive encephalopathy Michael Marnane MB MRCPI, Andrew McKeon MB MRCPI, Timothy Lynch Variant Creudzfeldt-Jakob Disease: first two indigenous cases in Republic of Ireland. Case Report and Perspective. McHugh J1, Bradley D1, Hutchinson M1, Connolly S2, Farrell M3, Tubridy N1. Coffee, Exhibits and Posters Session 2 O10 16.00 O11 16.10 O12 16.20 O13 16.30 O14 16.40 O15 16.50 O16 17.00 O17 17.10 O18 17.20 19.00 Retrospective Study of Appropriateness and Efficacy of Preventative Therapies for migraine at a Specialist Headache Clinic. Merwick A. MRCPI1*, Fernandez D.M. MRCP (UK)2*, O’Sullivan E.MICGP3, Sweeney B.J. FRCPI1. A Study of Idiopathic Generalised Epilepsy in an Irish Population Mullins GM, O’Sullivan SS, Nelligan A, McCarthy AJ, McNamara B, Galvin RJ, Sweeney BJ. Seizure and epilepsy classification, and antiepileptic drug use in Northern Tanzania. Murphy K. MRCPI*^, Maro V. MD*, Kisenge P. MD*, Shao J. MD* A Retrospective Audit of Nerve Conduction Studies in cases of suspected Compression Neuropathies of the Upper Limb Neligan A2, O’ Sullivan SS1 McCarthy A1, Kinsella J1, Kowalski1 R, McNamara B2. The role of the standard EEG in clinical psychiatry O’Sullivan SS a, Mullins G a, Cassidy EM b, McNamara B a Changes in Spatial Discrimination Threshold during Treatment with Botulinum Toxin: Further Evidence of a Central Effect? Richard Walsh, Michael Hutchinson Progressive Encephalomyelitis with rigidity and Auto Immune Polyglandular Syndrome; A Case Report Shiv Saidha; Matthew Murphy; Michael Hennessy. The relationship between the patient-rated Multiple Sclerosis Impact Scale (MSIS-29) and the physician-rated Multiple Sclerosis Functional Composite (MSFC): a cross-sectional study L.Costelloe, K.O’ Rourke, M.Duggan, L.Gribbin, M.Hutchinson An Epidemiological Study of Multiple Sclerosis in the North-East Region of Northern Ireland. Gray OM, McDonnell GV, Hawkins SA. President’s Reception Friday, May 12th Session 3 O19 09.00 O20 09.15 O21 09.30 O22 09.45 O23 10.00 10.15 O24 10.30 The Epidemiology of Amyotrophic Lateral Sclerosis in Northern Ireland: Results from a population based prospective register. Colette Donaghy1*, Orla Hardiman2, Victor Patterson1 Elevated serum angiogenin levels in spinal-onset amyotrophic lateral sclerosis Simon Cronin*§, Matthew Greenway#, Jochen Prehn* and Orla Hardiman§ The role of the ER stress pathway in the pathogenesis of Multiple Sclerosis lesions Aoife Ni Mhaille1, Jill Mc Mahon1, Stephen Mc Quaid2 and Una Fitzgerald1 Persistent Endothelial Abnormality with Leak (PEAL): a new concept in multiple sclerosis John Kirk1 Stephen McQuaid2 & Suzie Leech1 Development and Validation of Novel Cell based Anti-Interferon Beta Neutralising Antibody Assay. Dr. Rachel Farrell, Dr. Gavin Giovannoni. Impact of beta-interferon on disability progression in relapsingremitting multiple sclerosis: a bayesian analysis. Killian O’Rourke, Cathal Walsh, Michael Hutchinson. Coffee and viewing of Posters Session 4 O25 11.00 O26 11.15 O27 11.30 O28 11.45 O29 12.00 O30 12.15 O31 12.30 O32 12.45 13.00 Endoscopic third ventriculostomy: an outcome analysis of primary cases and procedures performed after ventriculoperitoneal shunt malfunction Donncha F. O’Brien, M.D., F.R.C.S.I. (SN), Mohsen Javadpour, F.R.C.S. (SN), David R. Collins, PH.D., Pietro Spennato, M.D., Conor L Mallucci FRCS (SN) C1-C2 transarticular screw fixation for atlantoaxial instability due to Rheumatoid Arthritis: a 7-year analysis of outcome. J. Nagaria, L. McEvoy, C. Bolger. Re-evaluating the role of Wada testing prior to selective hippocampectomy for patients with right sided temporal lobe epilepsy in an Irish cohort. Dr Deborah McIntyre, Maeve Walkin, Dr Catherine Dinneen, Prof Jack Philips, Dr Norman Delanty, Dr Niall Pender Anatomical hemispherectomy for intractable seizures: excellent seizure control, low morbidity and no superficial cerebral haemosiderosis Donncha F. O’Brien , Surajit Basu, Dawn H. Williams and Paul L. May Resource frustrations in epilepsy surgery evaluation in Ireland White M, Ennis P, Corr P, Flynn C, Murphy K, Pender N, Phillips J, Delanty N Brain volumes in patients with Autistic Spectrum Disorders compared to controls Hallahan BP, Daly E, Toal F, O’Brien F, Hales S, Murphy D.G., Murphy K.C. Neuromyelitis optica spectrum disorders and non-organ-specific autoimmunity Sean J Pittock, MD, 1, 2 Vanda A Lennon, MD, PhD, 1-3 Jerome de Seze, MD, 4 Patrick Vermersch, MD, 4 Henry A Homburger, MD,3 Dean M Wingerchuk, MD, 5 Claudia F Lucchinetti, MD, 1 and Brian G Weinshenker, MD1 Neuromyelitis optica brain lesions localize at sites of high aquaporin-4 expression Sean J Pittock, MD 1, 2, Brian G Weinshenker, MD 1, Claudia Lucchinetti, MD 1, Dean M Wingerchuk, MD 4, John R Corboy, MD 5 and Vanda A Lennon, MD, PhD 1-3. Lunch P 14.0 Session 5: Guest Lecture Professor Robert C Griggs, University of Rochester. Developing New Treatments for Neurological Channelopathies. The INA guest lecture this year will be dedicated to the memory of Dr Noel Callaghan, recently deceased. The inaugural Callaghan Lecture will be delivered by Prof. Robert Griggs, who will also receive a commemorative medal. 15.10 Coffee, Exhibits and Posters Session 6 Chair: 033 A case of rapidly progressive proximal myopathy. 15.30 Elijah Chaila, Michael Hennessy 034 15.45 035 16.00 036 16.15 037 16.30 038 16.45 Assessment of intracortical inhibition in familial adult-onset dystonia. Connolly S 1, O’Dwyer J 2, Walsh R 2, Molloy F 3, Hutchinson M 2. Direct comparison of microvascular endothelial function and carotid intima-media thickness in patients with large vessel and small vessel ischaemic stroke. Dr A Fulton, Dr A Stanton, Dr J Thornton, Dr J Moroney Oxidative stress, antioxidant capacity, and MMP-9 in acute ischemic stroke: The Biomarker Evaluation for Antioxidant Therapies in Stroke (BEAT-Stroke) Study Peter J Kelly 1,2 MD, MS, FRCPI, Jason D Morrow MD 3, Jeffrey Blumberg4, Paul Milbury4, Ho-Kyung Kwak4, MingMing Ning 2, MD, Walter Koroshetz 2, MD, Erin Terry 3, BS, Megan Barron 2, BS, Megan Lederer 2, BS, Karen L Furie 2, MD, MPH Mutations in the gene LRRK2 encoding dardarin (PARK8) cause familial and sporadic Parkinson’s disease: clinical, pathological, olfactory, functional imaging and genetic data. John M Lynch1, Naheed L Khan 1, Shushant Jain1, 2, 3, William P Gilks1, Nicola Pavese4, Patrick Abou Sleiman1, Janice L Holton5, Daniel G Healy1, Mary G Sweeney1, Milan Ganguly5, Vaneesha Gibbons1, Sonia Gandhi1, Jenny Vaughan1, Louise H Eunson1, Karen Shaw5, Regina Katzenschlager2, Juliet Gayton6, Graham Lennox7, Tamas Revesz5, David Nicholl8 , Kailash P Bhatia9, Niall P Quinn9, Vincenzo Bonifati10, David Brooks4, Andrew J Lees1,2,3, Mary B Davis1, Paola Piccini4, Andrew B Singleton3, Nicholas W Wood1. Embedding the ‘e’ in Neurology – The socio-technical challenge. Mc Quaid L1 ., Breen P1., Murphy K1., Kenny T1., Connolly S2., Reid V1, Doherty C3., Molloy FM. 1, Delanty N1., Fitzsimons M1. 17. 15 Irish Neurological Association Business Meeting. 17.45 Announcement of Prizes. 19.30 Reception and INA Dinner Poster Presentations 1. Recurrent Stroke Leading to the Early Detection of Ovarian Carcinoma M Alexander, T Monaghan, D Murphy, R Lonnergan, M Hutchinson and N Tubridy. 2. Neurologic syndromes, paraneoplasia and autoantibodies—a clinical spectrum E Ali, D Costigan, E Chaila, T Monaghan and T Counihan. 3. Staged Reduction and Fusion with External Fixateur and Combined Approach for Spondyloptosis. A. Al- Khayer, M. P. Grevitt, J. B. Nagaria 4. Intracranial plasma cell granuloma – case report. F Al-Sabah, T Flannery, J Bhangu, M Farrell, F Brett, C Pidgeon. 5. The protean manifestations of intravascular lymphoma J Bhangu, MA Farrell, S Cronin, I Jordan, FM Brett 6. Stroke secondary to ovarian hyperstimulation Bourke S *, Langan Y #. 7. Serum levels of IL-17 and IFN-gamma in Multiple Sclerosis patients L. Costelloe, J.Fletcher, L.Gribbin, M.Duggan, C.O'Farrelly, K.Mills, M.Hutchinson, N.Tubridy 8. A quantitative analysis of natural regulatory T cells using FoxP3 expression in a Multiple Sclerosis (MS) cohort compared to controls. L.Costelloe, J.Fletcher, M.Duggan, L.Gribbin, C.O'Farrelly, K.Mills, M.Hutchinson, N.Tubridy. 9. Is there an outbreak of sporadic CJD in West Cork? O. de Buyl*, P. Wieneke 10. Diagnostic delay in Motor Neurone Disease: a population based study Colette Donaghy1*, Alison Dick1, Victor Patterson1 11. Sleep deprivation as an activation procedure of epileptiform abnormalities Downey, T and Connolly, S 12. Sporadic Tauopathies: Clinical Overlap Syndromes C Duggan, A McKeon, D Donegan, B Murray, T Lynch. 13. The Multiple Sclerosis Impact Scale (MSIS-29) as a measure of quality of life in multiple sclerosis OM Gray, GV McDonnell, SA Hawkins 14. A Voxel based morphometry study comparing pre-mutation and full mutation fragile X brains Hallahan BP, Daly E, Tassone F, MacDonald M, Murphy D.G., Murphy K.C. 15. Email triage of neurology referrals from primary care is safe Mark Henderson, Victor Patterson*. 16. Carotid artery stenting with embolic cerebral protection: assessing the Irish learning curve, treatment options and outcomes Dr Michael Hurley, Dr Ailsa Fulton, Dr Noel Fanning, Dr Sinead Murphy, Dr Joan Moroney MD, Dr Paul Brennan MD, Dr John Thornton MD. 17. Interstitial deletion of the 9q22:q32 region causes a syndrome with distinct features: A case with unique presentation Mudassir Iqbal, Raymond Murphy 18. Is Brachioradial pruritus a central neurological disorder? JA Johnston1, OP Pearson1, TP Pickersgill1 and R Logan2 19. Intraosseous meningioma of the skull:a rare lesion mimicking metastasis. S Kalimuthu, CJ Marks, M Guiney, C Keohane 20. The north Dublin population stroke study (NDPSS). Kelly LA, Moroney J, McCormack PME, Moore A, Duggan J, Kyne L, Kelly PJ. 21. A case of Malignant Dysphasia. Lonergan R, O’Gorman G, Hutchinson M, Tubridy N. 22. A novel method to characterise the phenotype of levetiracetam response for genetic association studies. John M Lynch1, Sarah K Tate2, Carles Vilarino-Guel3, Mike E Weale2, Josemir W Sander1, Nicholas W Wood3, David B Goldstein2, Sanjay M Sisodiya1 23. A difficult case of neurosarcoidosis treated with adalimumab Michael Marnane, MB, MRCPI; Peter Kelly, MD, MSc, MRCPI. 24. European working time directive in Derry: impact on a stroke unit Mark O. McCarron MA, MRCP, MD, Margaret Armstrong RGN 25. The Prevalence of Sport Related Traumatic Brain Injury Referrals to the National Neurosurgical Centre over a Two Year Period McEvoy L., Phillips JP. 26. EEG in a case of primary reading epilepsy: comparison of several reading stimuli McGee M, Connolly S. 27. Diagnosis of Multiple Sclerosis – McDonald Criteria and the Real World JC McHugh, L Galvin, RP Murphy. 28. An audit of a specialist out-patient stroke clinic. Deborah McIntyre, Sinead M Murphy, Simon Cronin, Joan T Moroney 29. Recurrent stroke-like episodes in MELAS triggered by cocaine use A McKeon1, O Sheehan1, D Ni Chroinin1, T Lynch1, J Stack2, M O’Connell2, PJ Kelly1. 30. Fine tuning the phenotype of drug-responsiveness in genetic association studies in epilepsy. Murphy K1, Shahwan A1, Doherty C1, Cavalleri GL4, Muckian C3, Dicker P3, McCarthy M1, Kinirons P1, Goldstein D4, Delanty N1,2. 31. Sneddon’s Syndrome, Marantic Endocarditis and Lung Cancer: A Paraneoplastic Phenomenon Sinead M Murphy 1, Mary Keogan 2, Michael Farrell 3, Joan T Moroney 1 32. Is transthoracic echocardiography useful in investigation of patients with suspected cardioembolic stroke? Sinead M Murphy, Deborah McIntyre, Simon Cronin, Joan T Moroney. 33. Cerebral Ischaemia and Intracerebral Haemorrhage in Association With the Hypereosinophilic Syndrome (HES) Sinead M Murphy 1, Philip Murphy 2, Joan T Moroney 1 34. A Retrospective Audit of an EEG Questionnaire to elicit possible indicators of Seizure and Seizure type Neligan A1, Mullins G2, Daly S1, Kowalski R2 and McNamara B1. 35. A Rare Cause of Intra-cranial Haemorrhage Neligan A1, Mullins G1, Chua HL2, Fitzgerald P1, Sweeney BJ1 and Harrington H2 36. Maturation of limbic regions in Asperger Syndrome: a 1H Magnetic Resonance Spectroscopy Study Finian M. O’Brien; Lisa Page; Ruth L. O’Gorman; Patrick Bolton; Ajay Sharma; Gillian Baird; Eileen Daly; Brian Hallahan; Sarah Curran; Declan G.M. Murphy; Kieran C Murphy. 37. Sudden Unexpected Death in Epilepsy : Pilot study in the West of Ireland 1,2 Deirdre O’Rourke, 2Norman Delanty and 1Michael J. Hennessy. 38. The Face-Symbol Test and the Symbol-Digit Test are not reliable surrogates for the Paced Auditory Serial Addition Test in multiple sclerosis. Killian O’Rourke, Jennifer Williams, Michael Hutchinson, Niall Tubridy 39. Aetiology and prognosis of encephalopathic patterns on electroencephalogram in a general hospital O’Sullivan SS, Neligan A, Mullins GM, McNamara B, Galvin RJ, Sweeney BJ. 40. The opinion of the General Practitioner towards clinical management of patients with psychogenic non-epileptic seizures O’Sullivan SS, Sweeney BJ, McNamara B. 41. Panniculitis and lipoatrophy after subcutaneous injection of interferon beta in a patient with multiple sclerosis O’Sullivan SS a, Cronin EM a, Sweeney BJ a, Bourke J b, Fitzgibbon J c 42. Post-thymectomy amyotrophic lateral sclerosis, cutaneous lupus erythematosus and alopecia areata in a patient with myasthenia gravis. O’Sullivan SS, Mullins GM, O’Riordan N, Galvin RJ, McNamara B. 43. Incidence and prevalence of ALS/MND in Ireland 2002-4 Orna O’Toole, Colm Sheehan, Bryan Traynor, Orla Hardiman. 44. Increased risk of Type II Diabetes Mellitus in Post Polio Syndrome Phukan J, Hatunic M, O’Toole O, Gasparro D, Brema I, Hannon L, Murphy C, Nolan J, Hardiman O. 45. Nocardia brain abscesses and linezolid-induced neuropathy M Quinn1, S Haffey2, S Hunt3, M McCloskey4, S Hedderwick5 and MO McCarron6 46. A suite of quantitative magnetic resonance imaging (QMRI) endophenotype measures for genetic studies in epilepsy. Lisa Ronan1, Cathy Scanlon1, Patricia Breen1, Kevin Murphy2, Colin Doherty3, Norman Delanty2, Mary Fitzsimons1 47. Mitoxantrone in the treatment of Progressive Multiple Sclerosis Jacqueline Scott (RGN, MSCN, CMSN, PG.Dip) 48. Utilization and Yield of EEG in the Elderly Population Widdess-Walsh P1, Sweeney B2, Galvin R2, McNamara B3.