This course
will focus on the early management and diagnosis of neurovascular emergencies.
With the advent of many new techniques (medical, surgical and endovascular), physicians
are left questioning old practices. Determination of appropriate therapy can be
confusing for specific patients during the first few minutes and hours after an
acute neurovascular event. This symposium will be directed at clarifying current
techniques and decision making strategies. In addition to medical considerations,
legal issues of neurovascular emergencies will be discussed. The
symposium will be directed to emergency room personnel (physicians, nurses, physician
assistants), neurologists and primary care physicians who deal with neurovascular
emergencies. The
format will be lectures and case discussion. CME credit will be available.
Registration Information:
Tuition Fee: $150.00. Reduced fee for Residents/Fellows in Training/Nurses/Physician
Assistants - $75.00. Lunch will be provided. Please make check payable to the
MGH Brain Aneurysm / AVM Center and mail with application to:
MGH Brain
Aneurysm / AVM Venter
VBK 710
Fruit Street
Boston, MA 02114.
Other
Information:
Inquiries should be directed to the above address or phone:
(617)-726-3303
or (617) 726-5531 For
specific question about the course, call DeDe Buckley, RN at (617)726-5531 or
E-mail buckley@helix.mgh.harvard.edu
JONATHAN
ADLER, M.D., Instructor
in Medicine, Harvard Medical School, Assistant in Emergency Medicine, Associate
Director of Emergency Medicine Residency Program, Massachusetts General Hospital,
Boston, MA WILLIAM
BUTLER, M.D., Assistant
Professor of Surgery (Neurosurgery), Harvard Medical School, Assistant in Neurosurgery,
Massachusetts General Hospital, Boston, MA BOB
CARTER, M.D., Ph.D., Neurosurgical
Service and Emergency Medicine, Massachusetts General Hospital, Boston, MA
IN
SUP CHOI, M.D., Associate
Professor of Radiology, Harvard Medical School, Director, Interventional Neuroradiology,
Co-Director of the MGH Brain Aneurysm/ AVM Center, Massachusetts General Hospital,
Boston, MA ALASDAIR
CONN, M.D., Assistant
Professor of Surgery, Harvard Medical School, Chief of Emergency Services, Massachusetts
General Hospital , Boston, MA |
STEVEN
FESKE, M.D., Instructor
in Neurology, Harvard Medical School, Director, Neurology Emergency Services,
Brigham and Women's Hospital, Boston, MA R.
GILBERTO GONZÁLEZ, M.D.Ph.D., Associate
Professor of Radiology, Harvard Medical School , Director of Neuroradiology, Massachusetts
General Hospital, Boston, MA STEVEN
GREENBERG, M.D., Ph.D., Assistant
Professor of Neurology, Harvard Medical School, Assistant Neurologist, Massachusetts
General Hospital, Boston, MA WALTER
KOROSHETZ, M.D., Assistant
Professor of Neurology and Internal Medicine, Associate Director, Stroke Service,
Associate Director, Neurology Clinical Service, Massachusetts General Hospital,
Boston, MA MARILYN
McMAHON, J.D., Risk
Manager, Massachusetts General Hospital, Boston, MA |
CHRISTOPHER
S. OGILVY, M.D., Associate
Professor of Surgery, Associate Visiting Neurosurgeon, Director of Cerebrovascular
Surgery, Co-Director of the MGH Brain Aneurysm/AVM Center, Massachusetts General
Hospital, Boston, MA GUY
RORDORF, M.D.,
Instructor in Neurology, Harvard Medical School, Assistant in Neurology, Massachusetts
General Hospital, Boston, MA LEE
SCHWAMM, M.D., Instructor
in Neurology, Harvard Medical School, Assistant in Neurology, Massachusetts General
Hospital, Boston, MA GREGORY
SORENSON, M.D., Instructor
of Radiology, Harvard Medical School, Director, Quantitative Therapeutic Visualization,
Massachusetts General Hospital, Boston, MA SUSAN
WEDEL, M.D., FACP, Executive
Medical Director, New England Life Flight ,Inc., Boston, MA
|
| FRIDAY,
OCTOBER 18, 1996 Registration
~ 7:30- 8:30
Welcome
and Introduction ~
Christopher
S. Ogilvy, M.D., Walter Koroshetz, M.D. and Alasdair K. Conn, M.D. ~ 8:30-8:40
General
management of patients with a presumed neurovascular event (ischemic or hemorrhagic)
~ Moderator: A. Conn, M.D.
Critical care
transport of patients with acute neurologic conditions ~ S. Wedel, M.D. ~ 8:40-9:00
Airway and blood pressure control with presumed and confirmed diagnosis ~ J. Adler,
M.D. ~ 9:00-9:20 Intervening
in Acute Ischemic Stroke ~ Moderator: W. Koroshetz, M.D.
Confirming and documenting
the diagnosis:New techniques in radiologic evaluation ~ G Sorenson, M.D. ~ 9:20-9:40
Coffee
Break ~ 10:05-10:25 Emergency
institution of therapy: Thrombolytic therapy -
<>Timing and administration
of therapy <>Risks and efficacy of treatment:
Intra-arterial
~ In Sup Choi, M.D. ~ 10:10-10:40
Intravenous rt--PA - The NINDS rt-PA and the E CASS study ~ L.Schwam, M.D. ~ 10:40-11:10
Other medical therapies: Hypertension, Heparin - Rationale and experience ~ G.
Rordorf ~ 11:10-11:30
A rationale approach to treatment of acute stroke ~ W.Koroshetz, M.D. ~11:30-11:50
Surgical therapy -Emergency endarterectomy, hemicraniectomy ~ B. Carter ~ 11:50-12:10
DISCUSSION
~ W. Koroshetz, S. Feske, M.D. ~ 12:10- 12:30
LUNCH ~
12:30-2:00 Special
topic: Legal issues in emergency management of cerebrovascular
disease. ~ C. Ogilvy, M.D., W. Koroshetz, M.D.
Hemorrhagic disease: Subarachnoid and intraparenchymal hemorrhage
~ . Moderator: C. Ogilvy, M.D
SAH: Making
the diagnosis and emergency treatment
Patients in good neurologic condition ~ G. Rordorf, M.D ~ 2:00-2:20
Patients in
poor neurologic condition ~ C. Ogilvy, M.D ~ 2:20-2:40
Intraparenchymal Hemorrhage: Radiologic clues regarding the eitology of hemorrhage
G. Gonzalez, M.D. 2:40- 3:00 Coffee
Break ~ 3:00-3:30
Emergency treatments:
Hypertensive hemorrhage-
treatment and results ~ W. Butler, M.D ~ 3:30-3:50
Amyloid angiopathy ~ S. Greenberg, M.D ~ 3:50-4:10
Vascular malformations ~ C. Ogilvy, M.D ~ 4:10-4:30 DISCUSSION
~ C. Ogilvy, M.D. ~ 4:30-5:00
|
|
|
![[Cerebrovascular Surgery Center]](/images/VASChome12.JPG)
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![[Cerebrovascular Surgery Center]](/images/VASChome8.JPG){kind=small}
![[Functional and Stereotactic Neurosurgery]](/images/INRadhome8.JPG){kind=small}
