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APRC Associate School of Neuroscience, Bangkok

APRC Associate School of Neuroscience, Bangkok

 

 

Dates: July 28 – August 1, 2013

School Web Site URL: http://www.tnsthai.com/

Organizer: Kanokwan Tilokskulchai

Purpose of the School : To provide basic knowledge of electroencephalography from basic research to clinical research and clinical application.

The Faculty of Medicine Siriraj Hospital, Mahidol University and the Thai Neuroscience Society, in cooperation with the International Brain Research Organization (IBRO), is pleased to announce the opening of the IBRO-APRC Associate School 2013 with financial support from the IBRO Asian/Pacific Regional Committee (IBRO-APRC). The Associate School will take place at the Faculty of Medicine Siriraj Hospital, Mahidol University and will consist of five days of intensive basic and advanced lectures with demonstrations, discussion by lecturers from Canada, the US, Japan and Thailand.

Deadline for applications: April 28, 2013 (Midnight GMT)

You must register to apply:  http://ibro.info/register/

Please log-in if you’ve already registered: http://abc.yt/z

Epilepsy Masterclass

 

Epilepsy Masterclass (Download program_pdf file)

 

   14th June – Programme

   15th June – Programme

Registration closes on 7th June 2013.

www.agoralive.com/UCB/event8

    14th June – Programme

Session 1: Diagnosis and classification of epilepsy: challenges and unmet needs in the Asia Pacific region. Chair: Mark Cook, Australia

08:00-08:10 Chair’s welcome and introduction Mark Cook, Australia

08:10-09:00 Epilepsy syndromes classification: academic versus practical advantages.

Part 1: Classification

Eugen Trinka, Austria

09:00-09:50 Epilepsy syndromes classification: academic versus practical advantages.

Part 2: Differential diagnosis in epilepsy

Mohamed Armin, Australia

09:50–10:05 Q & A

10:10-10:30 Coffee break

Workshops: (delegates to attend A or B)

10:30-12:30 A. EEG course in Mandarin (Delegates from China) Xiao Rong Liu, China

B. EEG course in English (Delegates from India, Australia & Japan) Udaya Seneviratne, Australia

12:30-13:30 Lunch

Session 2: Treatment of epilepsy: the need for comprehensive care. Chair: Mark Cook

13:30-14:10 Antiepileptic treatments: when, how and for how long? Patrick Kwan, Australia

14:10-14:50 What are the alternatives when drugs don’t work? Mark Cook, Australia

14:50–15:50 Debate: Does mechanism of action really matter?

Chair: Udaya Seneviratne, Australia

Terry O’Brien, Australia & Patrick Kwan, Australia

15:50-16:05 Coffee break

16:05-16:45 Comprehensive care in epilepsy Yushi Inoue, Japan

16:45–17:00 Q & A

Workshops: (delegates to attend C, D or E)

17:00-18:30 C. Using AEDs in women with epilepsy Terry O’Brian, Australia

D. What to do when the first monotherapy fails? Yotin Chinvarun, Thailand

E. Acute management of seizures across the age divide Anna Berroya, the Philippines

 

15th June – Programme

Session 3: New horizons in epilepsy. Chair: Peter Bergin, New Zealand

8:00-08:10 Chair’s introduction to Day 2 Peter Bergin, New Zealand

8:10-08:40 EpiNet: Connecting to better help patients Peter Bergin, New Zealand

8:40-09:35 Immunology-mediated seizures Wendyl D’Souza, Australia

09:35-10:30 Non-convulsive status epilepticus Mohamed Armin, Australia

10:30-10:45 Coffee break

10:45–11:40 Research horizons in epilepsy Weiping Liao, China

11:40–11:55 Q & A

Workshops: (delegates to attend F, G or H)

12:00-13:30 F. Treating epilepsy: do doctors and patients have the same expectations? Candan Gürses, Turkey

G. SUDEP in epilepsy Eugen Trinka, Austria

H. Managing quality of life of patients with epilepsy Manjari Tripathi, India

13:30-14:30 Lunch

14:30-15:30 Debate: Is it worth retrying an AED which failed to control a patient previously?

Chair: Udaya Seneviratne, Australia

Wendyl D’Souza, Australia & Manjari Tripathi, India

15:30-15:40 Meeting close and departure

 

We kindly invite you to register to this Regional Epilepsy Masterclass. This will give you exclusive access to the live event and/or recorded webcast & presentation kit after the masterclass. Registration closes on 7th June 2013.

www.agoralive.com/UCB/event8

Sleep: “Update in Sleep Disorder Breathing management”

Sleep_dreams_v11

 

 

 

 

 

“Update in Sleep Disorder Breathing management” (download)

18th March 2013 At Dr.Pongsak Viddayakorn Conference Room

(7th Floor, Rehabilitation Building) Bangkok Hospital Medical Center

Limited seating. Please Contact

ลงทะเบียนผ่าน Contact center Tel: 1719

11:30-12:30 LUNCH

12:30-12:45 Opening Remarks : Dr. Yotin Chinvarun M.D., PhD

12:45-13.30 “Sleep-Disordered Breathing and Acute Ischemic Stroke” Dr. Yotin Chinvarun M.D., PhD

13:30-14:15 Metabolic consequences of SDB

-Can we make the difference. Prof. McEvoy

14:15-14:45 Q & A, BREAK

14:45-15:30 How to diagnose & treat difference types of SDB Prof. McEvoy

15:30-16:30 WORKSHOP: Dr.Tripat Singh

-Scrolling & Demonstration.

-Titration, CPAP & ASV algorithms-Philips Respironics.

Professor Douglas McEvoy is a respiratory/sleep physician-scientist and NHMRC (National Health Medical Research

Council) Practitioner Fellow. His skills in respiratory and sleep physiology and clinical trials in Sleep Disorders

are internationally recognized.

Prof McEvoy’s key roles:

 Director of the Adelaide Institute for Sleep Health

 Board Member of the Sleep Health Foundation

 Executive Committee member of the Australasian Sleep Trials Network.

Prof McEvoy is Principal Investigator of the ongoing Sleep Apnea CardioVascular Endpoints (SAVE) Study- a large international

multi-centre, randomized controlled trial to determine whether CPAP treatment reduces the incidence of

stroke and othercardiovascular events.

Dr. Yotin Chinvarun M.D. Ph.D. is a senior Neurologist/Epileptologist/Sleep medicine at the Pramongkutklao

hospital and Bangkok hospital. He had been trained as epilepsy fellow at the Austin hospital, Melbourne University

(1995-1999) and achieved the Ph.D. (Neurology) degree from there. He had set up the sleep lab and the EMU at the

Pramongkutklao hospital and at the Bangkok hospital for 16 years. He is a pioneer of epilepsy surgery in Thailand and

has an experienced in sleep medicine

He is now working as:

President of the Sleep club, Neurological society of Thailand

Board committee of the Snoring society of Thailand, Epilepsy society of Thailand and Thailand

Neurological society of Thailand

Consultant Neurologist at the Pramongkutklao hospital and Bangkok hospital

 Director of Comprehensive Epilepsy and Sleep disorder Program at the Pramongkutklao hospital

and Bang kok hospital

 Associate director of PET center, Wattanosoth Hospital

Invited speaker.

EEG Workshop 2013

PMK EEG WORKSHOP 2013

26-27 February 2013, Fi 5, Marusuwan Room, PMK hospital

 

PMK

EEG Teaching Course

Bangkok, Thailand

Day 1: 26th February 2013, Tuesday

Time

Topics

Speakers

08.00 –08.45          Registration
08.45 –09.00          Opening Addresses Yotin
09.00 –09.30

09.30 –10.30

         Technical 1 – The BasicBreakout Session 1 Yotin
10.30 –11.00          Coffee/Tea Break
11.00 –11.30

11.30 –12.30

         Normal EEG 1 – Awake and SleepBreakout

Session 2

Pasiri
12.30 –13.30          Lunch
13.30 –14.00

14.00 –15.00

         Technical 2 – Localization and Artifacts

Breakout Session 3

Suthida
15.00 – 15.30          Coffee/Tea Break
15.30 –16.00

16.00 –17.00

         Normal EEG 2 – Normal VariantsBreakout

Session 4

Montri
17.00 –17.10          Closing Remarks

 Proposed Teaching Faculty

 Dr. Montri Saengpattrachai M.D.

 Dr. Pasiri  Sithinamsuwan M.D.

 Dr. Suthida Yenjun   M.D.

 Dr. Yotin Chinvarun M.D. Ph.D.

 Day 2: 27th February 2013, Wednesday

Time

Topics

Speakers

09.00 –09.30

09.30 –10.30

      Non-Epileptiform PatternsBreakout Session 5 Pasiri
10.30 –11.00       Coffee/Tea Break
11.00 –11.30

11.30 –12.30

      “How to Read and How to Report an EEG?” Yotin
12.30 –13.30        Lunch
13.30 –14.00

14.00 –15.00

      Focal Epileptiform PatternsBreakout Session7 Montri
15.00 –15.30       Coffee/Tea Break
15.30 –16.00

16.00 –17.00

      Generalized Epileptiform PatternBreakout

Session 6

Suthida

 

 

 

 

Sleep disorders

Sleep disordersleep disorder

A (somnipathy) is a medical disorder of the sleep patterns of a person or animal. Some sleep disorders are serious enough to interfere with normal physical, mental and emotional functioning. A test commonly ordered for some sleep disorders is the polysomnogr

Most common sleep disorders include:

  • Insomnia:Continuously having difficulty in falling asleep and sleep maintenance.
  • Bruxism: Involuntarily grinding or clenching of the teeth while sleeping
  • Delayed sleep phase syndrome (DSPS): inability to awaken and fall asleep at socially acceptable times but no problem with sleep maintenance, a disorder of circadian rhythms. Other such disorders are advanced sleep phase syndrome (ASPS) and Non-24-hour sleep-wake syndrome (Non-24), both much less common than DSPS.
  • Hypopnea syndrome: Abnormally shallow breathing or slow respiratory rate while sleeping
  • Narcolepsy: Excessive daytime sleepiness (EDS) often culminating in falling asleep spontaneously but unwillingly at inappropriate times.
  • Cataplexy, a sudden weakness in the motor muscles that can result in collapse to the floor.
  • Night terror, Pavor nocturnus, sleep terror disorder: abrupt awakening from sleep with behavior consistent with terror
  • Parasomnias: Disruptive sleep-related events involving inappropriate actions during sleep stages – sleep walking and night-terrors are examples.
  • Periodic limb movement disorder (PLMD): Sudden involuntary movement of arms and/or legs during sleep, for example kicking the legs. Also known asnocturnal myoclonus. See also Hypnic jerk, which is not a disorder.
  • Rapid eye movement behavior disorder (RBD): Acting out violent or dramatic dreams while in REM sleep
  • Restless legs syndrome (RLS): An irresistible urge to move legs. RLS sufferers often also have PLMD.
  • Situational circadian rhythm sleep disorders: shift work sleep disorder (SWSD) and jet lag
  • Obstructive sleep apnea: Obstruction of the airway during sleep, causing lack of sufficient deep sleep; often accompanied by snoring. Central sleep apnea is less common.
  • Sleep paralysis is characterized by temporary paralysis of the body shortly before or after sleep. Sleep paralysis may be accompanied by visual, auditory ortactile hallucinations. Not a disorder unless severe. Often seen as part of Narcolepsy.
  • Sleepwalking or somnambulism: Engaging in activities that are normally associated with wakefulness (such as eating or dressing), which may include walking, without the conscious knowledge of the subject.
  • Nocturia: A frequent need to get up and go to the bathroom to urinate at night. It differs from Enuresis, or bed-wetting, in which the person does not arouse from sleep, but the bladder empties anyway.

Classifications of sleep disorders

  • Dyssomnias – A broad category of sleep disorders characterized by either hypersomnolence or insomnia. The three major subcategories include intrinsic (i.e., arising from within the body), extrinsic (secondary to environmental conditions or various pathologic conditions), and disturbances of circadian rhythm.MeSH
    • Insomnia
    • Narcolepsy
    • Obstructive sleep apnea
    • Restless leg syndrome
    • Periodic limb movement disorder
    • Hypersomnia
      • Recurrent hypersomnia – including Kleine-Levin syndrome
      • Posttraumatic hypersomnia
      • “Healthy” hypersomnia
    • Circadian rhythm sleep disorders
      • Delayed sleep phase syndrome
      • Advanced sleep phase syndrome
      • Non-24-hour sleep-wake syndrome
  • Parasomnias
    • REM sleep behaviour disorder
    • Sleep terror
    • Sleepwalking (or somnambulism)
    • Bruxism (Tooth-grinding)
    • Bedwetting or sleep enuresis.
    • Sleep talking (or somniloquy)
    • Sleep sex (or sexsomnia)
    • Exploding head syndrome – Waking up in the night hearing loud noises.
  • Medical or Psychiatric Conditions that may produce sleep disorders
    • Psychoses (such as Schizophrenia)
    • Mood disorders
      • Depression
      • Anxiety
    • Panic
    • Alcoholism
  • Sleeping sickness – a parasitic disease which can be transmitted by the Tsetse fly
  • Snoring – Not a disorder in and of itself, but it can be a symptom of deeper problems.
  • Sudden infant death syndrome (or SIDS)

Common causes of sleep disorders

Changes in life style, such as shift work change (SWC), can contribute to sleep disorders.

Other problems that can affect sleep:

  • Anxiety
  • Back pain
  • Chronic pain
  • Sciatica
  • Neck pain
  • Environmental noise
  • Incontinence
  • Various drugs – Many drugs can affect the ratio of the various stages of sleep, thus affecting the overall quality of sleep. Poor sleep can lead to accumulation of Sleep debt.
  • Withdrawal – Drug Withdrawal during the cold turkey actual withdrawal stage can lead to loss of ability to get to sleep and can last for several days through to several weeks. It is particularly a pervasive symptom for withdrawal from Opiods and in particular Heroin, see Heroin#Withdrawal.
  • Endocrine imbalance mainly due to Cortisol but not limited to this hormone. Hormone changes due to impending menstruation or during the menopause transition years.
  • Chronobiological disorders, mainly Circadian rhythm disorders

A sleep diary can be used to help diagnose, and measure improvements in, sleep disorders. The Epworth Sleepiness Scale and the Morningness-Eveningness Questionnaire.

According to Dr. William Dement, of the Stanford Sleep Center, anyone who snores and has daytime drowsiness should be evaluated for sleep disorders

Any time back pain or another form of chronic pain is present, both the pain and the sleep problems should be treated simultaneously, as pain can lead to sleep problems and vice versa.

General principles of treatment

Treatments for sleep disorders generally can be grouped into four categories:

  • behavioral/ psychotherapeutic treatments
  • rehabilitation/management
  • medications
  • other somatic treatments

None of these general approaches is sufficient for all patients with sleep disorders. Rather, the choice of a specific treatment depends on the patient’s diagnosis, medical and psychiatric history, and preferences, as well as the expertise of the treating clinician. Often, behavioral/psychotherapeutic and pharmacological approaches are not incompatible and can effectively be combined to maximize therapeutic benefits. Management of sleep disturbances that are secondary to mental, medical, or substance abuse disorders should focus on the underlying conditions.

Medications and somatic treatments may provide the most rapid symptomatic relief from some sleep disturbances. Some disorders, such as narcolepsy, are best treated pharmacologically. Others, such as chronic and primary insomnia, may be more amenable to behavioral interventions, with more durable results.

Special equipment may be required for treatment of several disorders such as obstructive apnea, the circadian rhythm disorders and bruxism. In these cases, when severe, an acceptance of living with the disorder, however well managed, is often necessary.

Sleep medicine

Due to rapidly increasing knowledge about sleep in the 20th century, including the discovery of REM sleep and sleep apnea, the medical importance of sleep was recognized. The medical community began paying more attention than previously to primary sleep disorders, such as sleep apnea, as well as the role and quality of sleep in other conditions. By the 1970s in the USA, clinics and laboratories devoted to the study of sleep and sleep disorders had been founded, and a need for standards arose.

 

Epilepsy in Thailand

 

Epilepsy in Thailand

The epidemiology of epilepsy in Thailand is about 1 % of the population (Thai population 67 million). Approximately700,000 of epilepsy cases is reported in Thailand and about 40,000 cases who are refractory to the conventional AEDs.

Epilepsy is quite a burden disorder to the patient. Only a few patients are employed and epilepsy was classified as a formidable disease to be the civil servants. From several studies found that there was a lot of wrong perception among the public.

Only a few of epilepsy medical services are available in Thailand and also there is no medical care benefit or compensation aids. In addition, most of he new AEDs are not covered by the national medicare scheme for the poor people.

PMK Comprehensive Epilepsy Program

03-pmk2

 

 

 

 

 

Pramongkutklao Comprehensive Epilepsy and Sleep disorders program

This center had been established since year 2000. We are the upper front of the epilepsy centers in Thailand and had created the Epilepsy surgery program in Thailand. The center is also the epilepsy research and training program of the Thai Neurological Society and the Thai Royal Army Medical Center and Medical college.