Cambridge Postgraduate Medical Centre

EEG Course - Further information

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This is the sixth UK ILAE (International League Against Epilepsy) EEG course. Last year we extended the course to include an additional day of clinical epilepsy, particular focusing on seizure semiology and ictal EEG. Our aim is to provide an EEG course for non-neurophysiologists that teaches: 

(a) the basic principle of EEG interpretation
(b) clinical settings in which a routine EEG will provide useful information and those in which it will not, and
(c) recognition of different seizure types and accompanying EEG changes.

We appreciate that neurologists in the UK do not routinely report EEG, however it is well recognised that a lack of understanding of EEG is a major contributor to the misdiagnosis of patients wrongly labelled as having epilepsy. Better knowledge of EEG interpretation and clinical utility will have a direct impact on improving your management of patients with possible seizure disorders and increasing efficiency of EEG services.

Further more, the diagnosis of epilepsy is still founded on the clinical history often from witnesses with no neurological background. Understanding the features of different seizure types, and the information these features may give about the underlying epilepsy syndrome is fundamental to the management of epilepsy, including increasing access to epilepsy surgery in appropriate patients. We have structured this part of the course to include the common pitfalls ("red flags" for each seizure type.

The course is designed primarily for neurologists and paediatric neurologists, but would also be of interest to intensivists and learning disability psychiatrists who commonly encounter epilepsy in their practice. We will assume no prior knowledge of EEG, but those with some experience of EEG will also find this a useful refresher course, and tutorial groups will be matched on experience.

The course will run over 3 days and comprises a series of short lectures followed by tutorials with hands-on reviewing and reporting of EEG and seizure examples in small groups of 5-6 participants, each group with their own workstation facilitated by a tutor. The course faculty consists of neurologists and neurophysiologists expert in EEG who are able to advise on both technical and clinical aspects of EEG.

The course is modelled on the successful Australia and New Zealand Association of Neurology (ANZAN) EEG course run by Dr Andrew Bleasel (Director of Epilepsy Unit, Westmead Hospital Sydney) and Professor Ernie Somerville (Director of Epilepsy Services, Prince of Wales Hospital, Sydney).

At the end of the course participants will be able to:

1. Interpret and localise EEG activity using different EEG montages.

2. Identify the range of normal variants of the routine adult and paediatric EEG in wakefulness and sleep.

3. Identify epileptiform and non-epileptiform abnormalities on the EEG.

4. Select appropriately when to order an EEG.

5. Distinguish the role of EEG in epilepsy and non-epilepsy neurological disorders.

6. Utilise EEG in intensive care and suspected non-convulsive status epilepticus.

7. Employ EEG to influence the clinical management of patients with epilepsy.

8. Recognise semiological features of different seizure types

9. Interpret and localise ictal EEG of different seizure types

10. Be aware of "red flags" when determining seizure types and seizure localisation

As you will see from the attached programme, the venue is the fantastic Moller Centre at Churchill College, Cambridge on Please see the application form for the Fee Schedule.

The fee includes Thursday and Friday night accommodation (B&B), lunches and a course dinner on thursday evening.

For further information please contact Deborah Leith at the Postgraduate Medical Centre on 01223 274419 or e-mail: DL342@medschl.cam.ac.uk

Please note that all applications will be vetted before acceptance by course organisers, and confirmed only on receipt of payment. The number of attendees at this meeting is limited to 40.

We look forward to welcoming you in March 2017.

Yours sincerely

Dr Andrew Michell Dr Rachel Thornton Dr Tejal Mitchell


UK ILAE EEG and Seizure semiology Course Faculty 2018

Course organisers

Dr Andrew Michell MA PhD MRCP

Consultant in Clinical Neurophysiology

Addenbrooke’s Hospital, Cambridge.

Trained at the National Hospital for Neurology and Neurosurgery, Queen Square with an Epilepsy Fellowship, Sydney, 2008. Experience in organising a busy adult and paediatric EEG service reporting routine, sleep, ambulatory and inpatient video-telemetry EEG. Author of a number of articles including Medlink’s ‘The Role of the EEG in Epilepsy’.

Dr Tejal Mitchell BSc PhD MRCP

Consultant Neurologist

Addenbrooke' s Hospital, Cambridge

Neurology Specialist training at the National Hospital for Neurology and Neurosurgery, Queen Square, London with a one year Clinical EEG and Epilepsy Fellowship, Westmead Hospital, Sydney Australia in 2007 and a PhD in MRI in Epilepsy from 1999-2002. Currently manage a local and regional specialist epilepsy service which includes a videotelemetry EEG service.

Dr Rachel Thornton PhD MRCP

Consultant in Clinical Neurophysiology

Great Ormond Street Hospital for Children, London and Addenbrooke’s Hospital, Cambridge

Faculty

Dr Chris Derry BSc Mb BS MRCP PhD

Consultant Neurologist, Department of Clinial Neurosciences, Western General Hospital, Edinburgh
Neurology Specialist training in Edinburgh, with a four year clinical and research fellowship in epilepsy (including EEG, videotelemtry and polysomnography interpretation) at the Austin Hospital, Melbourne, Australia. PhD in sleep and epilepsy awarded 2006. Currently one of two epileptologists in the Edinburgh and South East Scotland epilepsy service, which includes EEG and video-EEG telemetry service and an epilepsy surgery program.

Dr Nick Kane MBChB, MSc, MD (Hons), FRCS, FRCP (by election)

Consultant Clinical Neurophysiologist and Honorary Senior Clinical Lecturer at Bristol University.

I trained in Clinical Neurophysiology at Burden Neurological Institute, the National Hospital for Neurology and Neurosurgery and Great Ormond Street Hospital for Children. I am a full time NHS Consultant Clinical Neurophysiologist and Honorary Senior Clinical Lecturer at Bristol University. My special interests include event and evoked related potentials, operative monitoring and the surgical treatment of epilepsies in children.

Dr Aileen McGonigal MBChB MRCP

Praticien HospitalierService de Neurophysiologie Clinique et Unité d’Epileptologie, Hôpital de la Timone, Marseille, France

Neurology specialist training in Glasgow with an interest in epileptology and EEG. Based in Professor Patrick Chauvel’s epilepsy unit in Marseille since 2003. This unit is particularly known for its expertise in stereo-electroencephalography in the context of epilepsy pre-surgical evaluation, and study of seizure semiology. Initial clinical research post (2 years) followed by neurology post within the French system, working in both clinical epileptology and EEG (including video-EEG telemetry, depth recording interpretation and standard EEG in adults and children).

Dr Ronit Pressler MA MD PhD MRCPCH
Consultant in Clinical Neurophysiology, clinical lead of the telemetry unit,
Great Ormond Street Hospital, London. Trained at the National Hospital for Neurology, Queen Square and Great Ormond Street Hospital. Experience in paediatric EEG and telemetry with special interest in neonatal seizures and pre-surgical investigation. Author of a number of articles and book chapters as well as Editor of ‘Neonatal and Paediatric Clinical Neurophysiology’, 2008.

Professor Matthew Walker MSc PhD FRCP

Consultant Neurologist at National Hospital for Neurology and Neurosurgery, and Professor of Clinical Neurology at UCL Institute of Neurology, University College London.

I, with two other Consultants, run the Video-EEG telemetry Unit at the National Hospital for Neurology for the diagnosis of paroxysmal conditions, including epilepsy and sleep disorders and for the presurgical assessment of patients with epilepsy. I have reported video-EEG telemetry for over 10 years and as a Consultant for 8 years.

In addition to my clinical duties I run an active research team in the Institute of Neurology, UCL addressing questions in clinical and basic epileptology. I undertake regular teaching to doctors, undergraduate and post-graduate students, and lecture at national and international meetings on epilepsy, EEG and related subjects. I am an associate editor of Epilepsia, and associate editor of Therapeutic Advances in Neurological Disorders.


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