By: Dr. G. Reale, ESO YSPR Committee

In the futuristic and visionary 1982 movie “Tron”, a young Jeff Bridges was thrown in a virtual cyberspace where he was able to walk and talk with the avatars of the programs of his computer.

In the ultra-modern frame of the Congress Venue at ESOC 2019, there are very many E-Posters, stored in a server and projected on wide screens and explorable by a tablet interface in several stations in the Exhibition area. So, as Kevin Flynn did, let’s have an E-walk among E-posters.

Keeping an eye on the future, “Stroke detection by wearable accelerometers and machine learning algorithms – proof of concept of a stroke alarm (Wassélius J et al)” and “A wristwatch-like actigraphic system to monitor motor performance after acute ischemic stroke and predict three-month outcomes: a new device for stroke unit multimodal continuous monitoring? (Caliandro P et al)” remind us that technology, together with artificial intelligence, might provide a deeper insight on stroke prognosis and monitoring. Back to the present -but somehow linked to our future- “Particulate matter and the association with disease incidence in Dublin, Ireland (Byrne C et al)” and “Association of residential air pollution, noise, and neighborhood greenspace with initial stroke severity (Vivanco-Hidalgo R et al)” highlight the impact of pollution as a stroke risk factor. In this view, the recent planting of thousands of trees funded by ESO announced during the Congress inauguration is an important message.

From trees to vascular trees, “Carotid plaque neovascularization detected with contrast-enhanced ultrasound predicts ischemic stroke recurrence (Camps-Renom P et al)”. and Carotid web and ischemic stroke: a more frequent association than previously thought? (Zedde ML et al)” describe interesting aspect of neuroimaging and stroke etiology. Moreover, following roots and trunk does not always lead to the expected branch and this might cause confusion during the stroke etiology assessment, as “Acute bi-hemispheric strokes from a single carotid source: frequency and risk factors (Scoppettuolo P et al)” elegantly describes.

The virtual “E-xperience” ends with an unfortunately growing reality, that is pediatric stroke. The reasons of this increasing burden and the main features are well presented in the “Pediatric stroke code. Frequence, clinical features and final diagnosis (Fuentes B et al)” poster, while endovascular treatment is described by “Endovascular treatment of acute ischemic stroke in the pediatric population – a single-center experience (Fragata I et al)”.

The aforementioned E-posters are just the tip of the ice-berg. If you want a full “E-xperience”, look for the E-poster stations or just explore posters using the ESOC 2019 app. As for Tron, we wait for a Legacy in next ESOC.