The aims of the Educational Webinar series support the mission of ESO promoting the education of young stroke physicians across Europe. This ongoing educational series seeks to provide a balance between an interactive webinar and didactic teaching.
The next ESO Educational Webinar series will begin in autumn 2023 with new topics, new speakers, and fruitful discussions among stroke professionals from around the world.
Stay tuned for more details via ESO social media, or wherever you get your ESO news updates.
Vascular Cognitive Impairment
This webinar was led by Prof. Sarah Pendlebury (University of Oxford, UK) and Dr. Frank Wolters (Erasmus MC, The Netherlands). Dr. Wolters presented a case to illustrate the challenges in the nosological diagnosis of cognitive impairment, including some treatment dilemmas, to improve clinical reasoning for the diagnosis and management of VCI. Following the case presentation, Prof. Pendlebury discussed vascular cognitive impairment with particular reference to post-stroke dementia, mixed dementia and the role of systemic factors outside the brain.
This webinar aims to give participants insight into:
- the epidemiology of dementia and post-stroke dementia
- diagnostic criteria for VCI/VaD
- typical cognitive domain impairment profile
- post-stroke dementia including risks of dementia in relation to the background population
- key risk factors
- delirium, transient impairments and cognitive trajectory
- role of systemic factors
Dr. Alastair Webb and Dr. Else C. Sandset moderated an interactive discussion among presenters and participants directly following the presentations.
Prevention of Complications in Acute Stroke
One of the commonest reasons for high morbidity after acute stroke is due to the development of complications that result in secondary harm, both directly from the stroke itself and from the medical complications of neurological dysfunction. Prevention of these complications is therefore critical.
In this webinar, Prof. Christine Roffe (Keele University, UK) and Dr. Lina Palaiodimou (Attikon University Hospital, Greece) use an illustrative case to demonstrate the current state of both evidence and clinical practice for preventing these complications, such as deep vein thrombosis, aspiration pneumonia, and many others.
Management of SAH and aneurysms
In this webinar, Prof. Gabriel Rinkel (UMC Utrecht Brain Center) and Prof. Nima Etminan (University Hospital Mannheim) discuss current evidence on the management of ruptured intracranial aneurysms and subarachnoid hemorrhage, as well as provide a brief overview on the evidence on risk of rupture and risks of treatment of unruptured intracranial aneurysms and on how to form treatment advice.
By the end of the session, participants will be informed about the contemporary management of aneurysmal subarachnoid hemorrhage, including detection and management of delayed cerebral ischemia and current evidence from the latest clinical trials. They will also come to understand the most important factors to take into account in consultations with patients with unruptured intracranial aneurysms and how to discuss the management options with the patient.
An interactive discussion among presenters and participants is moderated by Dr. Diana Aguiar de Sousa and Dr. Yvonne Zuurbier.
Interventions in Cardioembolic Stroke (PFO and LAA)
In this webinar, Prof. Peter Schellinger, Johannes Wesling Medical Center Minden, and Dr. Thomas Meinel, Inselspital Bern, covered borderline scenarios of PFO closure and challenging scenarios of LAAO closure through clinical case presentations and didactic information on the various scenarios.
An interactive discussion among presenters and participants was moderated by Dr. Alastair Webb and Dr. Yvonne Zuurbier.
The 7th Episode of ESO`s Educational Webinars featured speakers Dr. Soffien Ajmi and Prof. Bart van der Worp, who focused on decompressive hemicraniectomy in malignant MCA ischaemic stroke.
Dr. Ajmi discussed a real-life case demonstrating the complexity of decisions required in clinical practice to balance this life-saving intervention against the probability of severe disability, and to what extent this remains valid in patients outside the specific indications of the seminal trials. Prof. van der Worp discussed the evidence base and indications in clinical practice for when intervention is appropriate in this population, and what we know about more difficult questions that occur in real-life practice. The webinar was moderated by Dr. Else C. Sandset and Dr. Alastair Webb.
Stroke Outcome Prediction
The 6th Episode of ESO`s Educational Webinars featured speakers Prof. Katharina Stibrant Sunnerhagen and Dr. Giuseppe Reale who presented the topic of stroke outcome prediction through a discussion covering current research and clinical experience.
There is no such thing as primary intracerebral haemorrhages (ICH)
Intracerebral haemorrhages (ICH) gathers an heterogeneous group of underlying vessel diseases. The cause of ICH is important to identify because it will influence the outcome and the risk and nature of future vacsular or cognitive events.
In the 5th Episode of ESO`s Educational Webinars, Barbara Casolla presented cases of ICH and solicited participants input to choose the etiological work-up. Charlotte Cordonnier provided an overview of the causes of ICH and how to build the etiological work-up. An interactive discussion followed and was moderated by Alastair Webb and Yvonne Zuubier.
Challenges in the diagnostic work-up of Ischaemic Stroke in the young
The incidence of young-onset ischaemic stroke has been increasing during the last decades, with patients suffering from high morbidity and long-term mortality. This 4th Episode of ESO`s Educational Webinars provided a practical overview on epidemiology, risk factors and the wide spectrum of stroke etiology in the young. Furthermore, recommendations for etiologic work-up were covered.
Dr. Nicolas Martinez-Majander presented two cases of young stroke and solicit participant input, and Prof. Jukka Putaala provided an overview of ischemic stroke in the young: Risk factors, etiologic distribution, and diagnostic considerations. An interactive discussion followed and was moderated by Prof. Alastair Webb and Prof. Diana Aguiar de Sousa.
Mimics and Chameleons in the Emergency Department
Not every emergency ‘Code Stroke’ is a stroke: how to deal with stroke mimics in the acute setting. Learning from the diagnostic process and treatment decisions of two common stroke mimics.
In the 3rd Episode of ESO’s Educational Webinars, Valeria Caso and Annemijn Algra addressed this important subject with case presentations, accompanied by an interactive discussion with input from the audience. The discussion was moderated by Else Charlotte Sandset and Diana Aguiar de Sousa.
The Role of Thrombolysis in Patients with Large Vessel Occlusion
Whether acute stroke patients with large vessel occlusion with immediate access to endovascular therapy should be pre-treated with intravenous thrombolysis has been investigated in randomized clinical trials, however results of these trials are conflicting. Moreover, observational data suggest a potential role of thrombolysis after thrombectomy.
In this 2nd Episode of ESO’s Educational Webinars, Urs Fischer and Johannes Kaesmacher addressed this highly debated subject with case presentations, followed by an overview on the current literature. The webinar was moderated by Alastair Webb and Else Charlotte Sandset.
Secondary Prevention: Medical Management of Large Artery Disease
The 1st Episode of ESO`s Educational Webinars featured speakers Peter Kelly and Linxin Li. Dr. Li presented a case study where participants could indicate how they would proceed and Prof. Kelly then presented his suggestion and compared the audience response with the actual response in the clinic. Prof. Kelly followed with a detailed didactic lecture on the topic. The session culminated with an interactive discussion moderated by Alastair Webb and Yvonne Zuurbier.