DBS effectiveness against nonmotor features in PD is similar to those of infusion therapies.
Capsule: DBS and infusion therapies are both recognized as therapeutic approaches in the treatment of motor symptoms in advanced stage PD when patients develop “wearing off” and/or dyskinesias with oral dopaminergic medication. However, the effects of these two therapeutic approaches on nonmotor features are still under debate, but seem to have similar beneficial effects.
08:30-08:40
Host: Fiona Gupta, USA
08:40-08:55
Yes: AbdelhamidBenazzouz, France
08:55-09:10
No: Keyoumars Ashkan, UK
09:10-09:20
Discussion and rebuttals
09:20-10:10
When is the right time to refer PD patients for deep brain stimulation?
Capsule: Deep brain stimulation(DBS) is effective in treating of medication-refractory symptoms (motor and non-motor) and improving patients’ quality of life in advanced Parkinson’s disease (PD).Currently, it is usually performed in late stage of PD. Advances in our understanding of the natural history of the disease, improved surgical techniques, brain imaging, short and long-term safety profile and device design require us to re-evaluate the right time for DBS to earlier stages of the disease than for which it is currently used and to confer long-term symptomatic benefit for patients
09:20-09:30
Host: Mike Samuel, UK
09:30-09:45
Late: Patricia Limousin, UK
09:45-10:00
Early: Vladimira Vuletic, Croatia
10:00-10:10
Discussion and rebuttals
10:10-10:25
Coffee Break
10:25-12:05
CONTROVERSIES IN CLINICAL APPROACH
10:25-11:15
Clinical assessment in PD – Motor assessment is the key and nonmotor is not required
10:25-10:35
Host: Irene Litvan, USA
10:35-10:50
Yes:
10:50-11:05
No: Pedro Garcia Ruiz, Spain
11:05-11:15
Discussion and rebuttals
11:15-12:05
Should untroubling dyskinesia be treated?
Capsule: Over several years, evidence has been accumulating that suggests vascular disease impacts on common causes of dementia, in particular Alzheimer’s disease. Modifiable vascular risk factors such as hypertension, diabetes, dyslipidaemia and adiposity are all linked to Alzheimer’s disease. However, it is unclear whether these factors contribute to or promote Alzheimer’s disease pathology and neurodegeneration. This debate will address whether vascular changes are just coincident with Alzheimer type of pathology or part and parcel of Alzheimer’s disease.
11:15-11:25
Host: Daniel Kremens, USA
11:25-11:40
Yes: Rajesh Pahwa, USA
11:40-11:55
No: Ray Chaudhuri, UK
11:55-12:05
Discussion and rebuttals
12:15-13:15
Industry Supported Symposium
13:15-14:15
Lunch Break
13:15-14:15
Meet the Expert
14:15-15:45
CONTROVERSIES IN THERAPEUTIC STRATEGIES
14:15-14:55
Should PD patients carrying (GBA) mutations be treated differently from gene negative?
14:15-14:25
Host: Vladimira Vuletic, Croatia
14:25-14:35
Yes: AnthonySchapira, UK
14:35-14:45
No: Rajesh Pahwa, USA
14:45-14:55
Discussion and rebuttals
14:55-15:45
Is continuous dopaminergic stimulation better strategy than pulsatile in every patient?
14:55-15:05
Host: Fernando Pagan, USA
15:05-15:20
Yes: Stuart Isaacson, USA
15:20-15:35
No: Tatyana Simuni, USA
15:35-15:45
Discussion and rebuttals
15:45-16:00
Coffee Break
16:00-19:00
CONTROVERSIES IN PD ETIOPATHOGENESIS
16:00-16:50
Is CSF alpha-snyuclein a useful biomarker for PD?
Capsule: A change in the content of α-synuclein (α-SN) in CSF is considered as a promising biomarker of PD. Indeed, the total α-SN content in CSF decreases, and the fractions of phosphorylated and oligomeric α-SN increase in PD compared to aging control. However, all attempts to use α-SN as a biomarker for differential diagnosis or prognosis of progression and severity were unsuccessful. It is hoped that α-SN in CSF can be used as a biomarker for the differential diagnosis of PD, but only in combination with biomarkers of other diseases.
16:00-16:10
Host: Michael Ugrumov, Russia
16:10-16:25
Yes: Georgia Xiromerisiou, Greece
16:25-16:40
No: Mark F. Lew, USA
16:40-16:50
Discussion and rebuttals
16:50-17:40
Are there important environmental factors for PD?
Capsule: The etiology of the neurodegenerative processes which characterize idiopathic Parkinson’s disease (PD) is not fully understood. Although several genes were found responsible for the development of PD, the causative agents for a great percent of cases remain unclear. Various factors were incriminated to increase the risk of PD development. The possible interaction between environmental and genetic factors is thought to play an important role in PD pathogenesis.
16:50-17:00
Host: Alastair Noyce, UK
17:00-17:15
Yes: Cristian Falup-Pecurariu, Romania
17:15-17:30
No: Zvezdan Pirtosek, Slovenia
17:30-17:40
Discussion and rebuttals
17:40-18:10
The personalized Parkinson’s Ray Chaudhuri, UK
18:10-18:15
Discussion
18:15-19:00
Clinical pathological conference (CPC) – organized by Tamas Revesz –CBD case with a PSP clinical phenotype (CBD-PSPS) Tom Warner, Queen Square – Helen Ling, UK