All episodes

Ep. 182: Small Fibre Neuropathy

Ep. 182: Small Fibre Neuropathy

27m 45s

Moderator: Caterina Leone (Rome, Italy)
Guest: Andrea Truini (Rome, Italy)

In this episode, Caterina Leone speaks with Andrea Truini about small fibre neuropathy, a frequently under-recognised condition with a significant impact on patients’ quality of life. They discuss key clinical features, including neuropathic pain and autonomic symptoms, and explain why routine nerve conduction studies are often normal. The conversation highlights the role and limitations of skin biopsy and functional testing, the importance of identifying underlying causes, and practical approaches to diagnosis and management with realistic treatment expectations.

Ep. 181: Advancements in CIDP Treatment

Ep. 181: Advancements in CIDP Treatment

32m 55s

Moderator: Rob Hadden (London, United Kingdom)

Guest: Claudia Sommer (Würzburg, Germany)

In this episode, Rob Hadden and Claudia Sommer discuss ongoing challenges in treating CIDP. While most patients benefit from current therapies, some remain treatment-refractory, driving the need for innovation. They highlight emerging response definitions, promising FcRn and complement inhibitors, and the importance of individualized care and serum biomarkers for improving patient outcomes.

This episode has been supported by an educational grant from Argenx. The programme has not been influenced in any way by its supporter.

Ep. 180: Cognitive problems in Multiple Sclerosis

Ep. 180: Cognitive problems in Multiple Sclerosis

31m 59s

Moderator: Yilidz Degirmenci (Istanbul, Türkiye)
Guest: Hanneke Hulst (Auckland, New Zealand)

In this episode, Yıldız Değirmenci speaks with Hanneke Hulst about cognitive problems in multiple sclerosis, an often invisible but highly disabling aspect of the disease. They discuss how common cognitive impairment is in MS, the domains most frequently affected, particularly information processing speed and memory, and the underlying white and gray matter pathology. The conversation highlights the real-world impact on work, relationships, and quality of life, as well as practical strategies for early detection, screening, and cognitive support in clinical practice.

Ep. 179: Language and communication impairment after coma

Ep. 179: Language and communication impairment after coma

16m 15s

Moderator: Alfonso Magliacano (Florence, Italy)

Guest: Charlène Aubinet (Liege, Belgium)

In this episode, Alfonso Magliacano is joined by Charlène Aubinet to examine how language and communication impairments shape the assessment and recovery of patients emerging from coma. They discuss the clinical distinctions between unresponsive wakefulness syndrome and the minimally conscious state, highlighting how aphasia and other comorbidities can obscure signs of awareness and lead to misdiagnosis. Dr. Aubinet outlines emerging tools, from eye-tracking assessments to EEG and fMRI markers, that help detect residual language processing even without behavioral responses. The conversation also explores how early linguistic abilities can serve as...

Ep. 178: Interpreting emergency EEG in suspected non-convulsive status epilepticus

Ep. 178: Interpreting emergency EEG in suspected non-convulsive status epilepticus

37m 44s

Moderator: Justyna Paprocka (Katowice, Poland)
Guests: Stephan Rüegg (Basel, Switzerland), Markus Leitinger (Salzburg, Austria)

In this episode, Justyna Paprocka welcomes Stefan Rüegg and Markus Leitinger to examine how clinicians can approach emergency EEG in suspected non-convulsive status epilepticus (NCSE). They discuss NCSE epidemiology, the importance of continuous EEG, and the use of structured diagnostic frameworks including the Salzburg criteria and the 2HELPS2B score. The conversation highlights practical strategies such as IV anti-seizure medication trials, pitfalls in benzodiazepine use, and the complexities of distinguishing NCSE from encephalopathy. The experts also address EEG interpretation in post-anoxic patients and recommend foundational literature for...

Ep. 177: Bridging Insights: Highlights from the EAN Pain and Headache Panels

Ep. 177: Bridging Insights: Highlights from the EAN Pain and Headache Panels

35m 3s

Moderator: Messud Ashina (Copenhagen, Denmark)
Guests: Theodoros Mavridis (Dublin, Ireland), Oxana Grosu (Chișinău, Moldova)

In this episode, Messud Ashina is joined by Theodoros Mavridis and Oxana Grosu to discuss the latest advances in pain and headache medicine, as highlighted in the EAN Pain and Headache Panels' Yearbook chapters. The conversation dives into recent breakthroughs in the pathophysiology of pain and headaches, as well as cutting-edge approaches to prevention and treatment. The experts explore how new research is influencing clinical practice, with a focus on the synergies between pain and headache management. They also examine emerging trends, potential future directions, and...

Ep. 176: Embolic Stroke of Undetermined Source: Diagnostic Challenges and Therapeutic Options

Ep. 176: Embolic Stroke of Undetermined Source: Diagnostic Challenges and Therapeutic Options

36m 4s

Moderator: Theodoros Mavridis (Dublin, Ireland)
Guests: Diana Aguiar de Sousa (Lisbon, Portugal), Mira Katan (Basel, Switzerland)

Embolic stroke of undetermined source (ESUS) continues to challenge clinicians as its definition and diagnostic approach evolve. In this episode, Theodoros Mavridis is joined by Diana Aguiar de Sousa and Mira Katan. They explore the epidemiological, clinical and mechanistic nuances of ESUS, discuss insights gained from major clinical trials, and examine current therapeutic strategies. The conversation also highlights advances in detecting covert embolic sources, the emerging relevance of atrial myopathy, the role of PFO closure, and the promise of biomarkers in shaping future patient...

Ep. 175: Acute Ischemic Stroke: Evolving Guidelines and Clinical Decisions

Ep. 175: Acute Ischemic Stroke: Evolving Guidelines and Clinical Decisions

24m 51s

Theodoros Mavridis (Dublin, Ireland)

Ana Catarina Fonseca (Lisbon, Portugal)

In this episode, Theodoros Mavridis speaks with Ana Catarina Fonseca about the updated European guidelines for acute ischemic stroke. They discuss advances in reperfusion therapy, including extended time windows for thrombolysis using advanced imaging, broader eligibility criteria, and evidence supporting thrombectomy in patients with low ASPECTS scores, mild deficits, and posterior circulation strokes. The conversation also highlights the continued importance of stroke unit care and emerging pre-hospital technologies aimed at speeding diagnosis and improving outcomes.

Ep. 174: Breakthrough Stroke: Diagnostic and Therapeutic Dilemmas

Ep. 174: Breakthrough Stroke: Diagnostic and Therapeutic Dilemmas

22m 47s

Moderator: Theodoros Mavridis (Dublin, Ireland)

Guest: David Seiffge (Bern, Switzerland)

In this episode, Theodoros Mavridis speaks with guest David Seiffge about breakthrough strokes, a challenging condition where ischemic strokes occur despite the use of antithrombotic therapies. They explore the diagnostic process, investigating compliance, and identifying competing etiologies. Prof. Seiffge also discusses potential treatment options, including emerging therapies like Factor 11 inhibitors and left atrial appendage closure, offering insights into ongoing trials aimed at improving patient outcomes.

Ep. 173: Acute Intracerebral Haemorrhage: Modern Management Strategies

Ep. 173: Acute Intracerebral Haemorrhage: Modern Management Strategies

21m 42s

Moderator: Benedetta Storti (San Donà di Piave, Italy)

Guest: Charlotte Cordonnier (Lille, France)

Join Benedetta Storti and Charlotte Cordonnier for a discussion on the acute management of intracerebral hemorrhage. Discover the latest European Stroke Organization guidelines, the importance of timely intervention, and the evolving role of reversal agents and surgical approaches in stroke care.