Abstracts / Journal of the Neurological Sciences 405S (2019) 116541
e
Ghaem Hospital, Mashhad University of Medical Scinences,
Neuroendovascular section, Neurosurgical Department, Mashhad, Iran
Background
Mechanical thrombectomy (MT) has become the standard
care of treatment for eligible patients with large vessel
occlusion (LVO) leading to acute ischemic stroke. In this study
we review and compare compromise the outcome of general
anesthesia (GA)and conscious sedation (CS) in mechanical
thrombectomy
Method and material
This Study was conducted in Mashhad, Iran in 2018 and 2019.All
patients with following criteria were included into study:acute
ischemic stroke and large vessel occlusion. We compare procedural
outcome, imaging outcome and clinical outcome between two
groups of GA and CS.
Results
114 patients were included into the study. Mean of age was 55.9
±13.5 years (19-79). Mean of passage was 2.4±1.5 (1-8). MCA, ICA
and vertebrobasilar artery occlusion were seen in 57 patients (50%),
49 patients (43%) and 8 patients (7%) respectively. 74 patients
(64.9%) underwent CS and 40 patients (35.1%) GA for mechanical
thrombectomy. In CS group, successful recanalization (TICI 2b or
more) was 81% and in GA group successful recanalization was 65%.
Despite better recanalization in GA group, the difference was not
significant (p=0.057). Time interval between symptom onset and
femoral puncture was 5.7 ± 2.5 for GA and 5.4 ± 2.2 hours for CS
(p=0.639). Mean passage number in GA and CS was 2.4±1.4 and 2.3
±1.6 respectively. The difference was not significant (p=0.753).
Good outcome (mRs 0-2) was 46.3% in CS group and 40.7% in GA
group (p=0.635).
Conclusion
Our results showed type of Anesthesia (GA versus CS) do not
significantly affect the time interval between symptoms onset and
femoral puncture, passage number, successful recanalization, and
clinical outcome of patients.
doi:10.1016/j.jns.2019.10.726
WCN19-1991
Journal of the Neurological Sciences 405S (2019) 104389
Poster Session 1
Online EEG teaching – Identifying the most effective and
preferred learning methods on a web-based EEG training course
M. Asukilea, C. Viljoenb, E. Lee Pana, R. Eastmana, L. Tuckera
a these studies
University of Cape Town, Department of Medicine, Division of
Neurology, Cape Town, South Africa
b Material and methods
University of Cape Town, Department of Medicine, Division of
Cardiology, Cape Town, South Africa
Introduction
Web-based, distance learning programs may provide effective
electroencephalogram (EEG) training in resource-poor settings.
EEGonline is an interactive, web-based, 6-month multi-modality,
151
learning program designed to teach basic principles and clinical
application of EEG. This study aimed to determine which learning
modality within the program was associated with the best
outcome in final test scores and which one was most preferred
by learners.
Methods
One hundred and sixty participants (71 neurologists, 55 neurology
residents and 22 neurology technologists, 12 other doctors) from over
15 mostly African countries registered on EEGonline between June
2017 and December 2018, were enrolled. Pre- and Post-course
multiple-choice question (MCQ) test results and EEGonline user logs
were analysed. Differences in pre- and post-test performance were
correlated with quantified exposure to various EEGonline learning
modalities. Participants’ impressions of EEGonline efficacy and useful-
ness were assessed through Pre- and Post-course perception surveys.
Preliminary results
Ninety-one participants attempted both pre- and post-course tests.
Mean scores were 46.7% before the course and 64.1% after the course
(pb0.0001). Initial analysis revealed that post-course test performance
was better in participants accessing interactive EEG-activities versus
didactic lecture-notes. Additional results of the analysis correlating
post-course test performance with overall use of EEGonline and its
various learning modalities will be presented. Preferred tools of
learning based on most frequent use will also be presented
doi:10.1016/j.jns.2019.10.727
WCN19-2034
Journal of the Neurological Sciences 405S (2019) 104390
Poster Session 1
Challenges of the informed consent in the mena region: A
literature review
F. Abou-Mrada, T. Habibb, K. Richab
a
Lebanese University, Faculty of Medical Sciences, Saint Charles
Hospital, Neurology, Fayadieh, Lebanon
b
Lebanese University, Faculty of Medical Sciences, Medical Ethics, Hadat,
Lebanon
Background
The world of medicine has seen a shift from a paternalistic to a
patient-centered approach along with a surge in medical research
in the MENA region. This medical revolution is accompanied by
ethical challenges, most importantly concerning the informed
consent. Countries in the MENA region have become aware of this
as several studies aim to study these challenges, their cause, and
their solution. This article summarizes all the major findings of
45 articles were reviewed in order to form a proper idea about
the importance of informed consent and its applicability in the
MENA region. Literature review included the following countries:
Algeria, Bahrain, Djibouti, Egypt, Iran, Iraq, Jordan, Kuwait, Lebanon,
Libya, Malta, Morocco, Oman, Palestine, Qatar, Saudi Arabia, Sudan,
Syria, Tunisia, UAE, and Yemen.