Echoes of the Agora: Insights from the 28th ESO Stroke Summer School in Athens

This September, as part of the ESO Emerging Leader Programme, we had the privilege of attending the 28th ESO Stroke Summer School in Athens, and it turned out to be one of the most rewarding weeks of our professional journey so far. It was a unique blend of high-level science, practical training, and cultural exchange — all set within the historic vibe of one of Europe’s most ancient cities. From the very first day, the atmosphere has been welcoming and inspiring. We were reminded right away that stroke medicine is truly multidisciplinary. The early sessions on stroke unit care set the stage, emphasizing how essential ESO stroke unit certification is to establishing a highly professional, recognised, and valuable center for stroke care. Meanwhile, the “Heart and Brain” lectures revealed the complex interplay between cardiology and neurology — from atrial fibrillation and heart failure to PFO-associated strokes and left atrial appendage occlusion. These lectures highlighted how deeply interconnected our fields are and how advances in one specialty directly influence patient outcomes in another.

One of the things that made this sense of connection even stronger was our WhatsApp group, an open space where everyone could ask questions, share information, and stay in touch. It quickly became an essential part of the experience, and the best part is that it will stay active even after the Summer School, keeping the whole group connected. The interactive case discussions quickly became a highlight of the course. Using live voting,
we were challenged to think through real-life scenarios, compare perspectives, and then learn from expert feedback. It created an energy in the room that kept us engaged long after the sessions ended.

Day 3 of the Summer School was especially memorable. On that day, we had the privilege of learning directly from members of the ESO Executive Committee, world-leading physicians and researchers who are shaping the future of stroke medicine at the highest level. To hear them present updates on thrombolysis, stroke care systems including mobile stroke units, new technologies used in rehabilitation, artificial intelligence – it’s current and future role in stroke management as well as cerebral venous thrombosis management was both humbling and motivating. These lectures did not just give us knowledge — they gave us a sense of being connected to the cutting edge of the field, and of belonging to a community that is pushing boundaries worldwide. It felt like a true highlight of the week, and one we will not forget. The hands-on workshops were another unforgettable moment. At Attikon University Hospital, rotating between neurosonology practice and endovascular simulation was a chance to put theory into practice, guided by experts. Later in the week, at the Attica Rehabilitation Center, we explored botulinum toxin injections, transcranial magnetic stimulation, and exoskeleton-assisted therapy — a reminder that stroke care does not end with reperfusion, but continues into rehabilitation and long-term recovery. Beyond lectures and workshops, the social programme organised by the local team helped us create memories and connections with other peers from the same field that were just as valuable. Walking together through the narrow streets of Plaka on the first evening immediately broke the ice, and dinners at traditional tavernas or by the sea became opportunities to bond and form real friendships. The guided tour of the Acropolis Museum was breathtaking, and the farewell dinner at Mikrolimano Port, overlooking the water, felt like the perfect way to close the week. These moments reminded us that medicine is also about human connection and that we are all working towards the same goal – to ensure better care for our stroke patients.

Looking back, what stays with us is not just the knowledge we gained but the sense of belonging to a wider community. Stroke care is one of the best examples of multidisciplinary medicine, and throughout the week we saw how neurologists, radiologists, cardiologists, neurosurgeons, and rehabilitation specialists can come together, each bringing their unique perspective to improve patient care.

We are deeply grateful to the European Stroke Organisation, to Professor Tsivgoulis, Lina Palaiodimou and the local organising committee, and to the incredible faculty for their effort, warmth, and dedication. The 28th ESO Summer School was more than just an academic course — it was a journey of learning, inspiration, and friendship. But still, after this whole high-level scientific week, one question remains unanswered and still lingers — what really is the perfect temperature for a lecture room? Too cold? Too warm? Those who were there will understand… and for everyone else, feel free to ask, we’ve got stories to tell! And for those who want stories of their own, apply for the next ESO Summer School!

Learn more about the ESO Summer School