Square One   …travelling but never arriving

Elizabeth Loder reports on two important debates at the World Congress on Controversies in Neurology held in Prague last week:

Should patients who have brain microbleeds on MRI be anticoagulated for secondary prevention of cardiovascular or cerebrovascular disease?

Should tissue plasminogen activator (TPA) be given to patients with ischemic stroke beyond 3 hours from onset of symptoms?

Elizabeth’s report is here.

There are also webcasts on debates from last year here. Issues covered in these debates include:

• Is migraine a disease or a syndrome?
• Blood pressure in acute ischaemic stroke
• Enzyme-inducing AEDs should not be used as first-line agents in the treatment of epilepsy
• Epilepsy surgery should be performed in patients with structural lesions even if seizures are controlled by medication
• Cholinesterase inhibitors (ChEI’s) in Alzheimer’s Disease with severe dementia
• Should patients with Parkinson’s Disease already be treated in the premotor phase?