INTRAOPERATIVE NEUROPHYSIOLOGIC MONITORING



First

INTRAOPERATIVENEUROPHYSIOLOGIC MONITORING

JOINTCROSSATLANTIC EDUCATIONALSYMPOSIUM

Thursday?Saturday November4-6,2010

Groningen,HollandTheNetherlands

ProgramChair&Host:

H.LOUISJOURNEE,MD,PHD

 JointSponsorshipBy:

ASNMChairwoman:RebeccaClarkBash

Thissymposiumprovidescomprehensiveupdatesforneurolophysiologicmonitoring

professionalsandadvancedpractitionerswhocollaborateontheneuromonitoring

team,aswellassurgeonsandanesthesiologistswhorequireintraoperative

neuromonitoring(IONM)duringprocedures.ExpertsfromtheinternationalIONM

communitywillexaminecommonandimportantupdates,including:

SEP&TranscranialMotorEvokedPotentialsandEMGforspinesurgery

AuditoryEvokedPotentialsandCranialNervemonitoringforcraniotomyand

skull-basedmonitoring

EEGandSEPforcarotidendarterectomyandaneurysmmonitoring

Didacticsessionsandinteractivepanelforumswillfocusonpre-existing

conditions,dataanalysis,anestheticconsiderations,complicationsand

troubleshooting.

IntraoperativemonitoringprofesionalsNeurophysiologistsNeurosurgeons

NeurologistsOrthopedistsENTSurgeonsAnesthesiologistsNurses

AudiologistsProfessionalsinvolvedininterventionalintraoperative

neuromonitoringofevokedpotentials,EMGandEEGduringsurgicalprocedures

Atthecompletionofthissymposium,participantsshouldbeableto:

Discussthecomprehensiveprinciplesforconductingandinterpretingintraoperative

neurophysiologicalmonitoringacrossmultimodalityapplicationsofIONM

IdentifyneuroanatomyandneurophysiologyrelevanttoIOM

Describetheprinciplesandmethodsofrecordingandmonitoring

IdentDevelopanunderstandingoftheelementsforclinicaldecisionmakingduringIOM.

DevelopanunderstandingofthebasicaspectsrelatedtothebusinessofIOM.

Registrationisavailableonlineat:



ASNMGRONINGENSYMPOSIUMFACULTY(I)

JefferyE.Arle,MD,PhD

DepartmentofNeurosurgery LaheyClinic Burlington,MAUSA

DavidB.MacDonald,MD,FRCP(C),ABCN

Head,SectionofNeurophysiology,Departmentof Neurosciences KingFaisalSpecialistHospital,Riyadh,SaudiArabia

RebeccaClark-Bash,CLTM,CNIM,F.ASNM

President,DirectorofEducation&Training KnowledgePlus,Inc. Lincolnshire,IlUSA

JanJacobA.Mooij,MD,PhD

ChiefDeptofNeurosurgery UniversityMedicalCenterGroningen Groningen,TheNetherlands

UlrichBeese,MD,PhD

DeptofAnesthesiology UniversityMedicalCenterGroningen TheNetherlands.

AageR.M?ller,PhD,D.Med.Sci.

ProfessorofCognitionandNeuroscience MFJonssonEndowedChair,SchoolofBehav.&Brain Sciences TheUniversityofTexasatDallas,Richardson,TXUSA

BernardAllanCohen,PhD,D.ABNM

NeurologicalMonitoringAssociates,LLC Milwaukee,WIUSA

ErnstBMuskens

DeptofClinicalNeurophysiology UniversityMedicalCenterGroningen Groningen,TheNetherlands

CorJ.KalkmanMD,PhD

DepartmentofAnesthesiology UniversityMedicalCenterUtrecht Utrecht,TheNetherlands

DachlingPang,MD,FRCS(C),FRCS (Eng),FACS

ProfofPediatricNeurosurgery,UnivofCalifornia Davis RegionalCentreforPediatricNeurosurgery KaiserPermanenteHospitals,Oakland,CaliforniaUSA

VedranDeletis,MD,PhD

Director,IntraoperativeNeurophysiology InstituteforNeurology&Neurosurgery St.LukesRooseveltHospital,NewYork,NYUSA

HerbertEPolak

Deptofanesthetics SintMaartenskliniek Nijmegen,TheNetherlands

JosepM.Espadaler,MD,PhD

Dir,Clin.NeurophysiologyDepart,HospitaldelMar AssocProf.,MedSchool,Univ.AutonomadeBarcelona Barcelona,Spain

IlonaR?cz

Deptofanesthetics SintMaartenskliniek Nijmegen,TheNetherlands

ASNMGRONINGENSYMPOSIUMFACULTY(II)

IsabelFernandez-Conejero,MD

DepartmentofIntraoperativeNeurophysiology HospitalUniversitarideBellvitge, L?HospitaletdeLlobregat Barcelona,Spain

M.Sc.MajaRogic?

DepartmentforNeuroscience Lab.forHumanExperimentalNeurophysiology SchoolofMedicine,UniversityofSplit,Coratia

ChantalvanHal,MD

DeptofOrthepedics SintMaartenskliniek Nijmegen,TheNetherlands

FrancescoSala,MD,PhD

SectionofNeurosurgery,AssistProfofNeurosurgery HeadIntraoperativeNeurophysiologyUnit DepartmentofNeurologicalSciencesandVistion UniversityofVerona,Italy

EricA.HoebinkMD

DepartmentofOrthopedics AmphiaHospitalBreda TheNetherlands

JayL.Shils,PhD,D.ABNM,F.ASNM

Director,IntraoperativeMonitoring LaheyClinic Burlington,MA01805

EelcoWHoving,MD,PhD

DepartmentofNeurosurgery UniversityMedicalCenterGroningen Groningen,TheNetherlands

StanleySkinner,MD,PhD

AbbottNorthwestern'sNeuroscienceInstitute Minneapolis,MN

H.LouisJournee,MD,PhD

DeptsofNeurosurgery*anOrthopedics~ *UniversityMedicalCenterGroningen ~SintMaartenskliniekNijmegen, TheNetherlands

TodSloan,MD,MBA,PhD

AssociateChairforDevelopment UniversityofColoradoatDenver, SchoolofMedicine,DepartmentofAnesthesiology, Aurora,ColoradoUSA

KarlF.Kothbauer,MD

Chief,DivisionofNeurosurgery,Dept.ofSurgery GeneralandPediatricNeurosurgery LuzernerKantonsspital,Luzern,Switzerland

MichielJ.StaalMD,PhD

ProfofNeuromodulationDepartmentofNeurosurgery UniversityMedicalCenterGroningen Groningen,TheNetherlands

FieteLange,MD,PhD

DeptofClinicalNeurophysiology UniversityMedicalCenterGroningen Groningen,TheNetherlands

MarkSteckerMD,PhD,D.ABNM,F.ASNM

ProfofNeuroscienceandDir.ofNeurophysiology MarshallUniversitySchoolofMedicine/Cabell HuntingtonHospital,Huntington,WVUSA

DanielleLangelooMD,PhD

DepartmentofOrthopedicSurgery SintMaartenskliniek Nijmegen,TheNetherlands

PDDr.med.AndreaSzel?nyi

DepartmentforNeurosurgery JohannWolfgangGoetheUniversityHospital Frankfurt,Germany

Prof.RogerLemon,BSc,MA,PhD,FMedSci

NationalHospitalforNeurology UCL,12QueenSquare LondonWC1N3BGUK

ChuckYinglingPhD,D.ABNM,F.ASNM

AdjunctFaculty-ClinicalProfessor ProfessorofOtolaryngology/HeadandNeckSurgery StanfordSchoolofMedicine,PaloAlto,CA

INTRAOPERATIVENEUROPHYSIOLOGICMONITORING

JOINTCROSSATLANTIC

EDUCATIONALSYMPOSIUM

PROGRAM

UniversityMedicalCenterGroningen

TheNetherlands

ThursdayNovember4,2010

9:00a.m. WelcomebytheASNM&ISINPresidents

BernieCohen,PhD,DABNMKarlF.Kothbauer,M.D.

9:10a.m. Introduction&HostWelcome

H.LouisJournee,MD,PhD

SessionI:ComprehensivePrinciplesinIntra-OperativeNeurophysiology

9:15a.m.* Sensorysystemandsensoryevokedpotentials

DavidB.MacDonald,MD,FRCP(C),ABCN

9:45a.m.* MotorsystemandMotorEvokedPotential

VedranDeletis,MD,PhD

10:15a.m.* AuditoryEvokedPotentials:NeurophysiologyandIONM

AageR.M?ller,PhD,D.Med.Sci.

10:45a.m.* BreakwithExhibitors

11:00a.m.* Anestheticprinciples

TodSloan,MD,MBA,PhD

11:30a.m.* SelectiveVascularModelStudiesonIschemicEffectsonResponsesofMotorPathways

&Muscles

CorJ.KalkmanMD,PhD

11:50a.m.* EvaluationLiveIONM

Moderator:H.LouisJournee,MD,PhD

12:30p.m. Lunch

*)subjectedtodelayreservationbreakingliveIOMsession

SessionII:

ConcurrentFocusSessions

NeurosurgeryI:

1:30p.m. VascularandBrainTumorSurgerySzelenyi

Workshops&Hands-on

2:15p.m. MEPIONMintheBrainStemRegionFernandez

NeurosurgeryII:

1:30p.m. DBS:Micro-ElectrodeRecordingShils&Arle

AdvancedApplications

2:15p.m. Conus-CaudaSurgeryYingling

SpineSurgery

1:30p.m. ScoliosisSurgeryPolak&R?cz

2:15p.m. SpinalMonitoringSkinner

VascularSurgery

1:30p.m ProperChartingandMedicalLegalAspectsofIONM .Cohen

2:15p.m. Thoraco-AbdominalAneurysmsLange

3:00p.m.

3:30p.m.

PosterPresentations:PracticalIssuesinNeurophysiologicMonitoring

Moderator:BrettNetterton

BreakwithExhibitors

I N M NTRAOPERATIVE EUROPHYSIOLOGIC ONITORINGUniversityMedicalCenterGroningen

JOINTCROSSATLANTICEDUCATIONSYMPOSIUMTheNetherlands

ThursdayNovember4,2010(continued)

Forumdiscussion:

QualityDevelopment&ManagementofIntraoperativeNueromonitoringService

4:00p.m. TelevotingI

Moderator:MarkSteckerMD,PhD

4:10p.m. EstablishingAQualityIONMProgram:USExperience

MarkSteckerMD,PhD

4:00p.m. EstablishingAQualityIONMProgram:EuropeExperience

AndreaSzelenyiMD,PhD

4:40p.m. RequirementsforIONMinaHospitalOrganization:Challenges&Integrationin

MedicalCarePrograms,Financing,EducationprogramsandCredentialing

RebeccaClarkBash,R.EEG/IM,CLTM,FASNM

5:10p.m. RemoteMonitoring:CopingwithUnderstaffing-FeaturesandLimitationsofRemote

MonitoringFromOppositeViews

CharlesYinglingPhD,DABNM,FASNMe

5:30p.m. IntroperativeMonitoringServiceOutsourcing:Pros&Cons

BernieCohen,PhD,DABNM

5:40p.m. TelevotingII

Moderator:MarkSteckerMD,PhD

5:50p.m.

ForumDiscussionGuidedbyTelevotingQuestionary

Moderator:MarkSteckerMD,PhD

6:15p.m. Adjourn

PleaseJoinUs

For

ASNM&ISIN

CocktailReception

When:ThursdayEvening

Time:6:15p.m.?8:00p.m. Location:

I N M NTRAOPERATIVE EUROPHYSIOLOGIC ONITORINGUniversityMedicalCenterGroningen

JOINTCROSSATLANTICEDUCATIONSYMPOSIUM TheNetherlands

FridayNovember5,2010

7:30a.m. BreakfastOpenDiscussionSessions(SelectOne)

I.TES-MEPMonitoring

V.MonitoringinAneurysmandBrainTumor

VedranDeletis,MD,PhD

SurgeryPDDr.med.AndreaSzel?nyi

II.FossaPosteriorMonitoring:Auditory,Motor&VI.M appingofEloquentAreasoftheBrain

CranialNerve

IsabelFernandez-Conejero,MD

AageR.M?ller,PhD,D.Med.Sci.

III.SpinalCordMonitoring

VII.AnestheticConsiderationsinMonitoring

KarlF.Kothbauer,M.D.

TodSloan,MD,MBA,PhD

IV.Micro-ElectrodeRecording

JayL.Shils,PhD,D.ABNM,F.ASNM&JeffreyArleMD,Phd

ScientificSession:SpinalCordMonitoring

8:30a.m. WarningCriteriaUsingEpiduralRecordedD-waves&MuscularMEP'sinMedularyTumor

Surgery

KarlF.Kothbauer,M.D.

8:55a.m. WarningAmplitudeCriteriaofTESEvokedMEP'sinReconstructiveSpineSurgery

DanielleLangelooMD,PhD

9:10a.m. WarningCriteriaBasedonTESThreshold&MorphologyofMEP's.

ChuckYinglingPhD,D.ABNM,F.ASNM

9:35a.m. ContinuousEMGMonitoringinSpinalCordSurgery:AnExperimentalStudy&Features

inTES-MEPClinicalMonitoring

StanleySkinner,MD,PhD

10:00a.m. CurrentWarningMEPCriteria:WhatDoandDon'tTheyShare?

H.LouisJournee,MD,PhD

10:15a.m. BreakwithExhibitors

ScientificSession:OptimizingTES

10:30a.m.

PhysiologicalbaseofMEPandD-waves

ProfessorRogerLemon,BSc,MA,PhD,FMedSci

11:00a.m.

Inter-PatientVariabilityofInter-PulseInterval(IPI)inTES

ChantalvanHalMD

11:15a.m.

MinimizingTESInducedMovements

EricHoebinkMD

11:30a.m.

HowandWhentoUseConditioningTechniques?

H.LouisJournee,MD,PhD

11:50a.m. ProcedureforOptimizingTESParameters

H.LouisJournee,MD,PhD

ScientificSession:SafetyofTranselectricalStimulation(TES)

12:00p.m. SafetyofTranscranialStimation

DavidB.MacDonald,MD,FRCP(C),ABCN

12:30p.m. Lunch

ScientificSession:Neurosurgery(Brain)

A.Workshop:NeurophysiologicMappingofMotorSpeechRelatedCorticalAreas

2:00p.m. NeurophysiologyofTMSInducingSpeechArrestandIt'sMechanisms

M.Sc.MajaRogic?

2:10p.m. NeurophysiologicMarkersofMotorSpeechRelatedCorticalAreas

VedranDeletis,MD,PhD

2:20p.m. PreoperativeTestingofPatientsRequiringSurgeryofMotorCortexEloquentAreas

JosepM.Espadaler,MD,PhD

I N M NTRAOPERATIVE EUROPHYSIOLOGIC ONITORINGUniversityMedicalCenterGroningen

JOINTCROSSATLANTICEDUCATIONSYMPOSIUM The

Netherlands

FridayNovember5,2010(continued)

2:30p.m. NewApproachtotheIntraoperativeNeurophysiologicMappingoftheEloquentCortex

IsabelFernandez-Conejero,MD

2:40p.m. LiveDemonstrationUsingMagneticallyInducedSpeechArrest&Pre-OperativeMapping

3:00p.m. OpenDiscussion

ScientificSession:FossaPosterior

3:10p.m. NeurophysiologyinNeurosurgicalTreatmentofHemifacialSpasm

JanJacobA.Mooij,MD,PhD

3:30p.m. IntraoperativeMonitoringofTheCorticobulbarPathways

IsabelFernandez-Conejero,MD

3:50p.m. BreakwithExhibitors

ScientificSession:SupraTentorialRegion

4:10p.m. MEPMonitoringAneurysmandBrainTumorSurgery

PDDr.med.AndreaSzel?nyi

4:30p.m. Cortical&SubcorticalMapping

FrancescoSala,MD

4:50p.m. OpenDiscussion

ScientificSession:FunctionalNeurosurgery

5:00p.m. Neuromodulation:PresentandFutureTrends

MichielJ.StaalMD,PhD

4:20p.m. ModeledNeurophysiologicalassessmentofSCSelectrodesandmotorCortexStimulation

JeffreyE.Arle,MD,PhD

5:40p.m. DeepBrainStimulation:Micro-ElectrodeRecording

JayL.Shils,PhD,D.ABNM,F.ASNM

6:00p.m. NeurophysiologicalAssessmentinPlacementofMCSElectrodes

JayL.Shils,PhD,D.ABNM,F.ASNM

6:15p.m. OpenDiscussion

Workshops

Colloquiumrooms(ParticipationisLimitedto25Attendees)

5:00a.m.

I.BrainStemMapping

III.Charting&Documentation

IsabelFernandez-Conejero,MD

RebeccaClarkBash,R.EEG/IM,CLTM,FASNM

II.MonitoringinScoliosisSurgery

IV.AnesthesiaProtocolsinSpineSurgery

FieteLangeMD,PhD&ErnstBMuskens UlrichBeeseMD,PhD

5:45p.m. ScientificPosterPresentations

EricHoebinkMD

ExhibitHallCocktailReception

6:30p.m.?7:30p.m.

FridayEvening

PleaseJoinUsThisLastNightinGroningen!

I N M NTRAOPERATIVE EUROPHYSIOLOGIC ONITORINGUniversityMedicalCenterGroningen

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