Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 28th World Congress on Neurology & Neuroscience Mövenpick Hotel Zürich Regensdorf, Zurich Switzerland.

Day 1 :

Keynote Forum

Spyros Kollias

University of Zurich, Switzerland

Keynote: Metastatic disease of the brain

Time : 10:00-10:40

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Spyros Kollias photo
Biography:

Dr. Spyridon Kollias is Professor of Radiology with specialization in Neuroradiology at the University of Zurich, Switzerland and Chief of the MRI section at the Department of Neuroradiology. He was trained in Radiology at the University of Athens, Greece from 1986-1990 and in neuroradiology in the US from 1990-1993. He authored more than 350 peer-reviewed publications, reviews, letters and book chapters and he is co-editor of three books in the field of high resolution medical imaging (recent impact points of publications: 861, citations: 7495, h-index: 49). He serves at the editorial board and reviews for several scientific journals and funding organizations. His main interest is in multimodal Neuroimaging and the applications of advanced magnetic resonance (MR) imaging technology in the diagnosis of neurologic diseases.

Abstract:

Metastases are among the most common mass lesions in the brain. 20-25% of systemic malignancies show metastases in the CNS and 15% of them will present with neurological symptoms before the diagnosis of the systemic cancer. Among them, 40-60% have an abnormal chest radiograph suggestive of bronchogenic primary or other metastases to the lung. Chest radiography should be included in the workup of any brain mass lesion. Additional imaging modalities such as CT, positron emission tomography (PET), and bone scanning are used to stage the systemic disease. CNS metastasis has many manifestations to the skull, dura, leptomeninges and brain parenchyma. CT underestimates the number of brain lesions even when contrast medium is used. Magnetization transfer imaging, perfusion and diffusion imaging and MR spectroscopy can potentially differentiate between a metastatic lesion from multifocal glioma or lymphoma. Many non-neoplastic neurological diseases can mimic metastatic disease on neuroimaging including MS, pyogenic abscess, toxoplasmosis, cysticercosis, sarcoidosis, tuberculosis, fungal infections, and others. Conversely, several brain metastases, can present in the absence of typical tumefactive lesions. When the diagnosis of a brain metastasis is raised, a thorough assessment of history, a physical examination, and a minimal workup can provide important clues on the nature of the lesion (i.e., neoplastic versus vascular, inflammatory, or infectious lesions) and will avoid missing obvious diagnoses. For practical purposes, decisions should continue to be based on adequate clinical judgment, a high index of suspicion for alternative diagnoses, and concordance among different examinations. Biopsy or surgical resection is indicated for all patients in whom the diagnosis of brain neoplasm could not be confidently excluded.

Keynote Forum

Raghu Vemuganti

University of Wisconsin-Madison, USA

Keynote: Role of epigenetics in cerebral ischemic brain damage

Time : 10:40-11:20

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Raghu Vemuganti photo
Biography:

Raghu Vemuganti has completed his PhD at University of Hyderabad and Postdoctoral studies at University of Montreal. He is a Professor and Vice-Chair for Basic Research, Department of Neurological Surgery, University of Wisconsin-Madison. He has published more than 150 papers in reputed journals and has been serving as an Editorial Board Member for Stroke, Journal of Cerebral Blood Flow and Neurochemistry International. He also serves on several NIH, AHA,
VA and DOD grant review panels.

Abstract:

Epigenetics play a significant role in brain pathologies. We evaluated the role of a CNS-enriched epigenetic modification known as 5-hydroxymethylcytosine (5hmC) in regulating transcriptomic and pathogenic mechanisms following focal ischemia. Young and aged mice were subjected to transient middle cerebral artery occlusion (MCAO) and the peri-infarct region was analyzed at various reperfusion times. To decipher the functional role of 5hmC, mice were injected either with an siRNA against the 5hmC producing enzyme TET3 or ascorbate (TET3 activator) in mice subject to transient MCAO. Focal ischemia rapidly induced 5hmC levels, TET activity and expression in neurons and astrocytes. Levels of 5hmC were increased in a TET3-dependent manner, and inhibition of TET3 led to wide-scale reductions in the postischemic expression of neuroprotective genes involved in antioxidant defense and DNA repair. TET3 knockdown in adult male and female mice further increased brain degeneration and mortality following focal ischemia, demonstrating a role for TET3 and 5hmC in endogenous protection against stroke. Ascorbate treatment following focal ischemia enhanced TET3 activity and 5hmC enrichment in the peri-infarct region. TET3 activation by ascorbate provided robust protection against ischemic injury in young and aged mice of both sexes. Moreover, ascorbate treatment improved motor function recovery in both male and female mice. Collectively, these results indicate the potential of TET3 and 5hmC as novel stroke therapeutic targets.

Keynote Forum

Patricia A. Quigley

Nurse Consultant LLC, USA

Keynote: Redesigning fall and fall injury prevention strategies for stroke patients

Time : 10:00-11:00

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Patricia A. Quigley photo
Biography:

Dr. Patricia Quigley, PhD, ARNP, CRRN,  FAAN, FAANP,  Nurse Consultant, both a Clinical Nurse Specialist and a Nurse Practitioner in Rehabilitation.  Her contributions to patient safety, nursing and rehabilitation are evident at a national and international level – with emphasis on clinical practice innovations designed to promote elders’ independence and safety.  For over 40 years, Dr. Quigley has practice in the field of rehabilitation nursing, 32.5 years with the Veterans Administration. Her leadership resulted in redesign measurement of patient safety indicators for falls and fall injuries that link organizational unit and patient-level variables that are relevant and evidencebased. She has conducted large-scale studies to examine trends and cost savings on national interventions to reduce harm from falls.  Dr. Quigley has served as principal or co-investigator in 35 research studies, totaling over $7.5 million. She has a track record of interdisciplinary research with health economists, epidemiologists, and statisticians for population-based outcomes research. She has co-authored and served as associate director for 11 VISN 8 Patient Safety Center of Inquiry center grants from 1999-2016, totaling over $13 million. She has authored, co-authored over 60 peer-reviewed manuscripts and over 50 non-peer reviewed manuscripts,  book chapters,  products and media works.  She provides on going consultation to the nursing staff, quality management, and patient safety coordinators for management of complex patients at risk for falls.
Email:pquigley1@tampabay.rr.com

Abstract:

Falls and fall-related injuries remain a frequent complication of strokes. Fall and injury prevention based on fall risk scores and level of fall risk, such as low, moderate or high, is insufficient, requiring that clinicians redesign fall prevention programs based on patient’s individualized fall and injury risk factors. Accepting that stroke is one of the leading causes of disability world-wide, all efforts should be made to protect these patients from falls and fall-related injuries. It is well known that falls result in fear of falling, greater disability and even loss of life. While the evidence for stroke-specific fall prevention interventions is still emerging, clinical experts must rely on clinical expert knowledge to conduct stroke-specific fall risk assessment needed to individualize fall prevention plans of care, while assuring injury risk and prevention strategies are included. This population-based approach presented in this lecture redesigns traditional universal programs in order to enhance infrastructure and capacity to individualized fall and injury risk factors and history, and protection from injury should a fall occur. Increased attention is essential to protect stroke patients from fall-related injuries. Clinical expertise is essential for safe practices for these patients. Equipment use specifically designed to reduce trauma during a fall, such as hip protectors and floor mats, must be reliably integrated into patient care. Even though acute care units have diverse patients, known fall and injury risk factors specific to type and severity of stroke must be implemented and tested for effectiveness.

Keynote Forum

Char-Nie Chen

Chinese University of Hong Kong, Hong Kong

Keynote: Novel ideas in sleep medicine

Time : 11:20-12:00

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Char-Nie Chen photo
Biography:

Char-Nie Chen has completed his Graduation in Medicine from the National Taiwan University (NTU). He is trained in Psychiatry at NTU and St. George’s Hospital Medical School, London (SGHMS), UK. He completed his MSc in Department of Physiology, University College London. He was a Lecturer and Senior Lecturer in Psychiatry at SGHMS and; Founding Professor of Psychiatry, Faculty of Medicine, Chinese University of Hong Kong (CUHK) from 1981 to 1998. His professional orientation is in Psychosomatic Medicine, and he has worked on eating disorders, sleep disorders, mood disorders, substance use disorders as well as psychiatric problems in PLHIV/ AIDS. Currently, he is a Clinical Professor of Psychiatry at CUHK and a Specialist in Psychiatry in Hong Kong. He is a Fellow of the Royal College of Psychiatrists, Royal Australian and New Zealand College of Psychiatrists and Past President and Honorary Fellow of the Hong Kong College of Psychiatrists.
Email:cnc@cuhk.edu.hk

Abstract:

Sleep medicine lags behind other medical disciplines because of the complexity in neurosciences, especially in discrete brain areas related to sleep-wake mechanisms. With the advancement of biotechnology and neurobiology, new ideas have emerged in sleep medicine. For example, new imaging technique has found out that the brain GABA level was reduced in un-medicated primary insomniacs. Sleep-wake cycle disturbances may be used for early diagnosis of neurocognitive disorders with aberrant tau protein, as it was found to be a cause for the damage of neurons in patients with neurocognitive disorders leading to sleep disturbance which may be used to pathological fibrillation of alpha-synuclein protein, leading to the formation of Lewy bodies, could be prevented by monoclonal antibodies against Epstein-Barr virus, or a rosmarinic acid or cuminaldehyde. The possible biomarker of rapid-eyemovement sleep behaviour disorder (RSBD) may help in earlier diagnosis and treatment for Parkinson’s disease. This point towards a direction for future treatment of alpha-synucleinopathies including Parkinson’s Disease and their sleep problems. The central pathology may give a new direction of management for patients with Alzheimer’s disease or others with tauopathy.

Keynote Forum

Natallia Halinouskaya

Gomel State Medical University, Belarus

Keynote: Status of autonomic nervous system in patients with transient ischemic attack and stroke

Time : 12:00-12:30

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Natallia Halinouskaya photo
Biography:

Natallia Halinouskaya  has completed her PhD at the National Academy of Sciences of Belarus and Postdoctoral studies at Gomel State Medical University and National Science and Practice Centre of Medical Assessment and Rehabilitation. She is the Dean of the Postgraduate Faculty at Gomel State Medical University, the Coordinator of the Educational Program Today and Tomorrow for stroke patients and patients with stroke risk factors. She has published more than 150 papers in reputed journals and has been serving as an Editorial Board Member of reputed journals.
Email:stroke.ynt@tut.by

Abstract:

Aim: This study purpose was to determine the autonomic nervous system (ANS) parameters that may differ the pathogenesis of transient ischemic attack (TIA) from stroke. Methodology: A prospective cohort study was conducted in the Department of Neurology and Neurosurgery at the Gomel State Medical University, Stroke Unit of the Gomel Regional Veterans Hospital, between May 2014 and March 2016 which includes 97 patients: TIA group - 13 patients and 84 stroke patients: 61 having size of stroke lower than 15 mm (lacunar stroke – LS), 23 having size of stroke greater than 15 mm (total stroke – TS). Heart rate variability (HRV) was used to describe status of the ANS. It was measured at 1st and 10th day after admission. Obtained HRV records were analyzed using the following four parameters: SDNN (standard deviation of the normal-to-normal R-R intervals, in ms), ΔX (the difference between maximal and minimal R-R interval, in ms), Mo (mode of the duration of R-R intervals, in ms), AMo (amplitude of the R-R intervals mode, in percent). Results: For the HRV taken on the 1st day, the dependence between ΔX (representing activity of parasympathetic part of ANS) and Mo (representing sympathetic part of ANS) was found to be significantly different for TIA and TS groups (p=0.016). Conclusion: The key difference between TIA and TS is a difference in the relationship between the humoral regulation of the activities of the ANS and the parasympathetic part activity at 1st day, which determines specific features of pathogenesis of the transient ischemia.

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Gabriele Saretzki photo
Biography:

Gabriele Saretzki has completed her PhD at Humboldt University, Berlin and performed most of her Postdoctoral studies at the Institute for Ageing and Health in Newcastle upon Tyne (UK) where she is a Lecturer in Ageing Research since 2002. Her main research interests include “Telomeres, telomerase, senescence, ageing, oxidative stress and mitochondria”. She has pioneered work on non-canonical functions of the telomerase protein TERT shifting her focus recently to brain ageing and neurodegenerative diseases. She has published more than 84 papers in peer-reviewed journals and is an Editorial Board Member of BMC Biology, PLOS One and Oxidative Medicine and Cellular longevity.
Email:gabriele.saretzki@ncl.ac.uk

Abstract:

While telomerase maintains telomeres in dividing cells, its protein component TERT (telomerase reverse transcriptase) has various non-canonical functions such as localisation to mitochondria resulting in decreased oxidative stress, apoptosis and DNA damage. TERT protein persist in adult neurons while telomerase activity is downregulated early during development. We recently demonstrated increased mitochondrial TERT protein in hippocampal neurons from Alzheimer’s disease brains and mutual exclusion of pathological tau and TERT. Transduction of mutated tau into cultivated neurons confirmed that TERT decreases mitochondrial oxidative stress and lipid oxidation. Mitochondrial dysfunction is also involved in the development of other neurodegenerative diseases. Treatment of Parkinson’s disease (PD) model mice overexpressing human wild-type alpha-synuclein with 2 telomerase activators resulted in increased TERT expression in brain and amelioration of PD symptoms by significantly improving balance, gait and motor function as well as mitochondrial function. Analysing levels of total and phosphorylated alpha-synuclein we found a substantial decrease of both proteins in the hippocampus and neocortex suggesting a better protein degradation after telomerase activator treatment. Interaction of TERT with proteasomal and autophagy pathways has been described recently. Accordingly, we found a decrease in poly-ubiquitinated proteins and the autophagy receptor p62 and analyse the involvement of these degradation pathways currently. We also present data on DNA damage, telomere-associated foci (TAFs), BDNF, MnSOD, mitochondrial proteins and aggregated alpha synuclein in different brain regions. Thus, our results suggest that telomerase activators might form novel treatment options for better degradation of toxic proteins in neurodegenerative diseases such as PD and AD.

Keynote Forum

Hebah Hefzy

Henry Ford Hospital, USA

Keynote: Intravenous thrombolysis - Expanding the indictions

Time : 14:10-14:40

Conference Series Neuroscience Congress 2019 International Conference Keynote Speaker Hebah Hefzy photo
Biography:

Hebah Hefzy has completed her Medical Doctorate from North-eastern Ohio Medical University in 2005, Residency in Neurology at the University of Pittsburgh Medical Center, and a fellowship in Vascular Neurology at Henry Ford Hospital. She is the Medical Director of the Stroke Program at Henry Ford West Bloomfield Hospital. She has published several papers in reputed journals and has been active in clinical trials and other research activities.
Email:hhefzy1@hfhs.org

Abstract:

Intravenous thrombolysis (IV tPA) has been the standard of care for acute stroke patients presenting within 3 hours of symptom discovery for over 20 years. Over the years, there are many more clinical scenarios in which IV tPA has proven to be beneficial to patients. This presentation will highlight these indications.

  • Speaker Session
Location: St. Gallen II

Session Introduction

Jennifer Brown

Hillfield Pediatric Dentistry, USA

Title: The components of the adolescent brain and its unique sensitivity to sexually explicit material

Time : 11:40-12:10

Speaker
Biography:

Dr. Jennifer Brown received her bachelor’s degree in microbiology from Weber State University. She then attended Creighton University Dental School where she received her Doctorate of Dental Surgery. She is the proud mother of five boys.

Abstract:

Introduction: The focus of this brief literature review is to explore whether there is a relationship between the unique anatomical and physiological paradigms of the adolescent brain and an increased sensitivity to sexually
explicit material.
Methods: The EBSCO Research Data bases were searched using the following key terms: adolescence, adolescent brain development, neuroplasticity, sexually explicit material, sexualization, and pornography.
Results: The literature highlighted several components of the adolescent brain that are different than the mature brain. These include: an immature prefrontal cortex and over-responsive limbic and striatal circuits, heightened period for neuroplasticity, overactive dopamine system, a pronounced HPA axis, augmented levels of testosterone, and the unique impact of steroid hormones. The physiological response to sexually explicit material is delineated. The overlap of key areas associated with the unique adolescent brain development and sexually explicit material is noteworthy. A working model summary that compares the response of the adult and adolescent brain to the same sexually explicit stimulus is outlined.
Conclusions: The literature suggests that the adolescent brain may indeed be more sensitive to sexually explicit material, but due to a lack of empirical studies this question cannot be answered definitively. Suggestions for future
research are given to further advance the work in this applicable field of today.

Speaker
Biography:

Dr. Wilma Delphine Silvia CR, MBBS, MD, DNB, MNAMS, has 24 years of teaching experience. She is currently Professor and Head, Department of Biochemistry at Akash Institute of Medical Sciences and Research Centre, Bangalore. She pursued MBBS from Bangalore Medical College, Bangalore and MD from Kasturba Medical College, Manipal. She is the recipient of Excellence award and Basavashree award. Executive Editor of IJCDR and Associate Editor of IJPBS. She has published more than 80 Scientific papers in an International and National Journals and published books on “Mnemonics in Biochemistry” and “PracticalBiochemistry for MBBS Students”. Also a PhD guide, NABL Assessor, NABH Entry Level Assessor and a subject expert for entrance book project under Macula Health Care Pvt Ltd. She has travelled in UK, USA and Europe.

Abstract:

Stress has become part of students’ academic life. Adolescents are particularly vulnerable to the problems associated with academic stress as transitions occur at an individual and social level. Albeit, it becomes imperative to understand the academic stress in order to derive efficient intervention strategies. Hence, the study was aimed for
“Evaluation of stress among medical students during examination using Artificial Intelligence based Graphology and its correlation with salivary cortisol”. This study employed a quantitative research design where 43 medical students (19 males and 24 females) enrolled as subjects, within the age group of 18-26 years. Subjects were monitored to follow the protocol prior to the collection of salivary samples. Salivary samples were collected during pre examination and post examination for cortisol estimation by Competitive ELISA method. Cortisol the “stress hormone” spike during
times of high stress in the body. Salivary cortisol has been used as a biomarker of psychosocial stress and can be indirectly used to assess psychobiological mechanisms that trigger the hypothalamus-pituitary-adrenal axis. Written examination manuscript images were captured for Artificial Intelligence based Graphology analysis. Graphology can be a useful tool in spotting health problems before they become too severe, and is excellent at identifying stress in the individual. The negative traits, which reflects the stress was determined by handwriting were explored in this study. Artificial intelligence (AI) aims to mimic human cognitive functions. In medicine, applications of artificial intelligence have been innovative. The diverse areas of AI include: neural networks, programming languages, genetic algorithms, speech/handwriting recognition etc. The results of the study indicated statistically significant elevated salivary cortisol levels during examination. Students with raised salivary cortisol during post examination levels showed raised negative graphology traits score & low academic performance (P< 0.05). Handwriting was processed through trained Convolutional Neural Network Model of AI. Compared the Negative traits extracted by CNN with
Negative traits determined by Graphology. This study is the first of its kind in India to prove that empirically AI based graphology can be used to assess the stress levels as a screening assistive tool for Psychologist, counselors & academic mentors. It would facilitate the development of effective counselling modules and intervention strategies
in order to help the students to alleviate stress.

Yuhong Man

The Second Hospital of Jilin University, China

Title: Vitamin B12 , homocysteine level and vascular dementia

Time : 12:40-13:10

Speaker
Biography:

Yuhong Man has completed her PhD at the age of 35 years from Jilin University. She is the group leader of Teaching Group of Behavioral Medicine in Jilin University. She has published more than 35 papers in Chinese journals.

Abstract:

Vitamin B12 , homocysteine level and vascular dementia: This study aim to investigate the relationship of vitamin B12, homocysteine level and vascular dementia. This was a retrospective study and we reviewed 162 patients with brain magnetic resonance imaging (MRI) and mini-mental state examination (MMSE) confirmed admitted patients with vascular dementia (VaD). Vitamin B12 and homocysteine level were assessed to determine their values for predicting functional outcome at the admission first and the follow-up 6 months clinic visits after discharge from the hospital. Associations between vitamin B12, homocysteine level and severity of VaD at admission was analyzed using logistic regression. Results have shown that serum vitamin B12 levels were significantly lower, but the plasma homocysteine level was higher in patients with VaD. High homocysteine levels were independently associated with a decreased risk of MMSE at admission score of VaD (OR 2.87, 95% CI 1.13, 4.63). We found that lower levels of vitamin B12 were associated with worse prognosis at admission and the follow-up 6 months with VaD(OR 3.40, 95% CI 1.16,8.33). Our findings suggested that higher homocysteine levels and lower levels of vitamin B12 was associated with better outcome at admission and the follow-up 6 months with VaD.

Speaker
Biography:

Joao Alexandre Lobo Marques is associate professor at University of Saint Joseph, Macau, SAR China and visiting associate professor at the Chinese Academy of Sciences, Shenzhen (SIAT/CAS), China. He received post doctorate and honorary research fellow from the University of Leicester, UK. He did PhD in Engineering of Teleinformatics at UFC/Brazil and Technische Universität München, Germany (2010). He is the Board Member of the XS Innovation Group in Brazil and former associate professor. He is research and innovation Director at University Lusiada of Angola (2009-2016). He is also associate professor and chief of the software major area at the University UGS, Angola (2016). He has experience in signal processing, applied computer science and artificial intelligence system modeling and implementation, based on several machine learning techniques, artificial neural networks (ANN) and deep learning architectures.

Abstract:

The application of low cost and user friendly equipments must be considered during neuromarketing experiments and projects. The adoption of single channel EEG based on pre frontal cortex monitoring, might provide long and short term information about relevant information for neuromarketing applications, such as attention, focus and relaxation levels. Many studies have been performed using EEG or fMRI for neuromarketing, nevertheless, nonlinear metrics has not been applied yet in a wide and comparative approach. The main goal of this research is to perform nonlinear analysis of attention and relaxation time series during emotional based activities using entropy measures such as Approximate Entropy (ApEn) and Sample Entropy (SampEn), which are template based widely used to measure physiological time series complexity. The considered database consists in 100 experiments from 10 individuals (50% male), ages 24.3 ± 2.00. Three categories of web video advertisements were considered: emotional related, sports relate and food related, with a minimum duration of 45 seconds. Attention and Relaxation levels from the prefrontal cortex were recorded minimum 1 minute before, during and 1 minute after the web video ads. The preliminary results presents that the entropies for attention level changed significantly for the three groups. The entropies for the relaxation level showed significant difference for the emotional related ad category. No significant difference has been stablished for gender analysis. The results are promising and the application of the entropies of attention and relaxation time series as a measure of effectiveness of web video advertisement can be considered. In future studies, a larger number of subjects and a broader range of advertisements are going to be considered.

Speaker
Biography:

Introduction: Primary osteosarcoma (OS) is the second most common primary bone malignancy, the first being multiple myeloma. OS occurs in the second decade, with a predilection for ends of long bones.Head and neck involvement is seen in 2–9% with extragnathic craniofacial bones in 1–2% of cases.Small cell OS (SCO) constitutes 1.3–4% of all OS, skeletal distribution and age range being similar.
Materials–Methods: We report two rares osteosarcoma and we done the review of the litterature about the management and the outcome about intracranial osteosarcoma in our department of neurosurgery.
Results: it is two osteosarcoma cases about a 72-year-old man and one 49-year-old man who both mimiking first meningioma. The first cases is an unsual site parietal and the second case is occipital.the both benefited surgery with excision and exam of histology confirm diagnosis. But the first case died 15 days after surgery in intensive unit care and the second cases died after one year, he benefited surgery and chemotherapy.
Conclusion: Small cell osteosarcoma (SCO) is an extremely uncommon entity that mainly involves the metaphysis of long bones and, rarely, the skull. Histopathology is the key to establishing the correct diagnosis, including subtyping for appropriate management and prognostication, as radiological features are not specific.

Abstract:

BANKOLE Nourou Dine Adeniran born on 11/03/1991 in Cotonou / BENIN, Single. He started medical studies in 2009 and he had been graduated in 2016 Doctor in medicine at Senegal. He is a great passionate of neuroscience including Neurosurgery. Now, he is in 3rd year of residency training in neurosurgery at the Faculty of Medicine and Pharmacy of Rabat / Mohamed V University, WFNS reference center for training of African Neurosurgeons. He is the principal author of this publication in literature 2018 “Child Spinal Cord Compression without Trauma, 113 Cases in Senegal. Yangtze Medicine, 2, 114-128.’’

Speaker
Biography:

Abstract:

Introduction: Primary brain tumors, including brainstem gliomas, are a diverse group of diseases that together constitute the most common solid tumor of childhood. Immunohistochemical analysis, cytogenetic and molecular genetics findings, and measures of mitotic activity are increasingly used in tumor diagnosis and classification. Most children with DIPG are diagnosed between the ages of 5 and 10 years. Focal pilocytic astrocytomas in the brain stem occur less frequently. The goals of our study is to highlight through a literature review since the 1975s to nowadays the progress in the management of DIPG in children and to reach a consensus in our contexts in Africa and to share our experience with multimodal management results about 12 cases in our neurosurgery department.
Materials –Methods: This is a retrospective monocentric study (Department of Neurosurgery Specialty Hospital of Rabat). Included are all children with DIPG Brainstem who managed between January 2008 to December 2018. We studied sex, age, management.
Results: 12 patients were included. The Average age is 6.4Y with extremis 1.3year to 17Y. The sex ratio is two with 67% of boys and 13% of girls. We performed BST on three cases to have histology, and two patients have focal resection, 6 patients benefited shunt (VCS, DVP), and all of our patients had benefited neurooncology treatment, and we have three cases who are benefited directly chemotherapy and X-Ray Therapy before multidisciplinary staff and didn’t benefited any surgery procedure.
Conclusion: Brain tumors have classified according to histology, but tumor location and extent of spread are important factors that affect treatment and prognosis. Approximately 300 to 400 pediatric brain stem tumors are diagnosed each year in the United States. DIPG accounts for approximately 75% to 80% of pediatric brain stem  tumors and constitue 15-20% of all CNS tumours in children and the main cause of death.