SNI Blog

SNI Blog

SNI Grand Round Series 2011 - Epilepsy Genetics

Karen Pabillon
Thursday, February 3, 2011
7:30am - 8:30am
Swedish Education Conference Center, Room B

Marcio Sotero de Menezes, MD, Pediatric Epilepsy, Pediatric Neurology, Swedish Neuroscience Institute

Objectives:

At the conclusion of this session, attendees will have an increased ability to:

  • Identify genetic epilepsy syndromes
  • Explain treatment of genetic epilepsy syndromes

SNI Grand Round Series is every 1st and 3rd Thursday of each month.

Winter Issue of BrainWaves Now Available

Karen Pabillon

The Winter 2010 edition of BrainWaves is now available online.

BrainWaves is the newsletter of the Swedish Neuroscience Institute. Published quarterly, BrainWaves provides information about neurological conditions treated at the Institute, and also profiles the programs, services, and new initiatives of the institute and its staff.

Also check out our past editions of the BrainWaves newsletter.

SNI Grand Rounds Series 2011 - Opportunities with Implantable Hearing Technologies

Karen Pabillon
Thursday, January 6, 2011
7:30am - 8:30am
Swedish Education and Conference Center, Room B
Douglas Backous, Neurotology, Otology, Swedish Neuroscience Institute

Objectives: At the conclusion of this session, attendees will have an increased ability to:

  • Discuss the options for hearing restoration using osteointegrated implants and cochlear implants
  • Describe the role of auditory brainstem implants
  • Outline the indications for cochlear implants and auditory brainstem implants (ABI)

SNI Grand Round Series is every 1st and 3rd Thursday of each month.

Detection of Cerebral Microemboli by Transcranial Doppler

John W Henson IV

John W Henson IV
Director, Neurology

FROM BRAINWAVES: Since its introduction in 1982, transcranial doppler ultrasound (TCD) has evolved into a portable, multimodality, noninvasive method for real-time imaging of intracranial vasculature. The detection of cerebral microemboli is among the more remarkable capabilities of TCD. Emboli create countable signals in the ultrasound display due to the higher reflection of sound waves compared to the blood cells. Experimental models have shown a high sensitivity and specificity for detection of a variety of substrates, including thrombotic, platelet and atheromatous emboli.

Microembolic signals (MES) within the intracranial vasculature are most frequently identified in patients with large-vessel atherosclerotic disease, such as carotid stenosis. They have also been reported in intracranial arterial stenosis, arterial dissection, cardiac disease and atheroaortic plaque. Additionally, they have been seen in arteries distal to coiled aneurysms.

There is strong evidence that MES detection predicts future ipsilateral stroke risk in patients with symptomatic carotid stenosis (Markus HS, et al.; King A, et al.). A recent study of patients with asymptomatic carotid stenosis demonstrated that MES predicted subsequent ipsilateral stroke and TIA, and also ipsilateral stroke alone, and that it is helpful in selecting patients who will benefit from carotid endarterectomy.

Swedish Expands Radiosurgery Services

Karen Pabillon

There was cause for celebration in the Swedish Radiosurgery Center on Thursday, Dec. 16, as neurosurgeon Ronald Young, M.D. (left), medical director of the Gamma Knife® program, and radiation oncologist Bob Meier, M.D. (below), medical director of the CyberKnife program, treated the center’s first two Gamma Knifepatients. The center, formerly known as the Seattle CyberKnife Center, supports both the Swedish Cancer Institute and the Swedish Neuroscience Institute.

The center has offered CyberKnife services since 2006. This year Swedish installed an Elekta Leksell Perfexion Gamma Knife®, making it one of the most advanced stereotactic radiosurgery centers in the country. CyberKnife can be used to treat cancerous and noncancerous tumors in all areas of the body.

At Swedish, Gamma Knife will be used to treat cancer of the brain and some neurological conditions, such as essential tremor, trigeminal neuralgia and arteriovenous malformations. Providing Swedish neurosurgeons and radiation oncologists access to both of these advanced technologies gives them greater flexibility in selecting the best radiation therapy for their patients. For more information, go to www.swedish.org/radiosurgery or call 206-320-7130.

SNI Grand Rounds Series 2010 - Extending the Window for Stroke Therapy: The Role of Imaging

Karen Pabillon
Thursday December 16, 2010
7:30am - 8:30am
Swedish Education and Conference Center, Room B
Gregory W. Albers, M.D., Professor of Neurology, Stanford University
Objectives:

At the conclusion of this session, attendees will have an increased ability to:

  • Discuss options for expanding the treatment window for acute ischemic stroke
  • Review the role of neuroimaging for identification of salvable tissue in stroke patients
  • Discuss the results of the DEFUSE trial and the study design of the ongoing DEFUSE 2

SNI Grand Round Series is every 1st and 3rd Thursday of each month.

Brain Tumor Board Launches WebEx® Remote Conferencing

John W Henson IV

John W Henson IV
Director, Neurology

The brain tumor board at Swedish/Cherry Hill successfully launched its first WebEx® conference on Monday, November 29 from a Seattle Science Foundation conference room. Dr. Namou Kim presented a case remotely from his office at First Hill, and an Ivy Center staff member attended the conference from the East Coast. The software allows providers to attend the conference remotely via desktop computer and telephone when a patient they refer is being discussed, or they can present films and pathology to the subspecialists present onsite at the conference. The program will now be rolled out to physicians throughout the Pacific Northwest. For more information or to present a case, contact John W. Henson, MD, FAAN, at john.henson@swedish.org or 206-320-2300.

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Top Authors

Karen Pabillon
John W Henson IV

John W Henson IV
Director, Neurology

Peggy Shortt, MN, ARNP

Peggy Shortt, MN, ARNP
Manager, Swedish Deep Brain Stimulation Program

Erin Kieper

Erin Kieper
Program Development Manager, Swedish Radiosurgery Center