Brain Health Initiative in India

By Drs. Chandrashekhar Meshram, JMK Murthy, Nirmal Surya and U. Meenakshisundaram.

The Tropical and Geographical Neurology Specialty Group of the WFN joined hands with the Indian Academy of Neurology (IAN) to celebrate the Brain Health initiative on Jan. 11, 2021, to raise awareness for the importance of brain health.

A public education and awareness activity in the form of a panel discussion was planned through virtual meeting. The theme of the session was brain health and what happens if brains are not healthy. Dr. Chandrashekhar Meshram, chief coordinator of the program, released the press note.

Dr. JMK Murthy, president of Indian Academy of Neurology and clinical director and chair of the Department of Neurology, CARE Hospitals Hyderabad, inaugurated the event.

Dr. Meshram, in his introductory remarks, emphasized the relevance of this initiative by the World Federation of Neurology. Dr. Sarosh Katrak, past president of IAN, explained the importance of the brain, explained its functions and discussed why brain health is the priority.

IAN Secretary Dr. U. Meenakshisundaram spoke about various brain diseases and when people should consult a neurologist. Dr. Subhash Kaul, past president of IAN, mentioned various risk factors for brain diseases and how a change in lifestyle is important for prevention of neurological disorders.

Marathon runner and neurologist Dr. Anuradha explained how regular physical exercises improve brain health. Dr. Meshram highlighted the misconceptions about diet and stressed the need to shift to a low carbohydrate diet. He said that wrong diet is responsible for the pandemic of metabolic syndrome all over the world.

Dr. Gagandeep Singh, past secretary of IAN, informed about the current status of COVID vaccine. Dr. Sudhir Kothari said that developing hobbies is a good idea to maintain brain health and suggested that there is no age bar to learning new things. Dr. Sudhir Shah explained the positive effects of meditation and yoga on brain health. Dr. Sumit Singh stressed the effects of air pollution on brain health and discussed the sources of air pollution.  Dr. Sudhir Bhave explained the need for sleep hygiene and the role of positive thinking.

The emphasis was on maintaining brain health and prevention of brain diseases.

Dr. Nirmal Surya, IAN president-elect, was the moderator, and he interacted with the panelists. Participants enjoyed the session and the opportunity to interact with the experts during the question-and-answer session. •

Selçuk University Hospital: One Year Later

By Ani-Osheku Ifeyinwa, Nigeria

Neurology Grand Rounds

In December 2019, I had the utmost privilege to spend four weeks at the neurology department of the Selçuk University in Konya, Turkey. It remains one of the most gratifying moments in my career as a young neurologist.

It has been over a year, yet the memories are ever so fresh. I clearly remember the feeling of excitement as I walked into the massive Selçuk University Hospital and made my way to the “nöroloji poliklinik” where I was greeted with so much warmth by the entire neurology staff. I met Prof. Şerefnur Öztürk, my supervisor, who provided me with the itinerary and a road map of what I was to expect in the coming weeks.

Indeed, it was a four-week period of intense learning in a relaxed and friendly environment. I had the privilege of exploring the world of the practice of neurology by the Turks under the able guidance and excellent mentorship of the neurology team of the Selçuk University Hospital.

Certificate presentation and the new year celebration.

Case after case, I witnessed the translational art of the pathological basis of neurologic diseases from therapeutic theorem to practical strategies using cut-edge technology and evidence-based medicine in the management of various neurologic conditions, including stroke, movement disorders, demyelinating disease (especially multiple sclerosis), neuromuscular diseases, and seizure disorders.

Prof. Öztürk shared with me priceless clinical pearls especially in the area of vascular neurology during the daily morning rounds in the neuro-intensive service as well as in the outpatient service. Her depth of knowledge combined with her wealth of experience has inspired me to push the limits of my career.

It was intriguing watching Prof. Gökhan Özdemir navigate stenosed and occluded vessels inserting stents and retrieving clots and ultimately achieving revascularization.

My experience with the neurophysiology laboratories left quite an impression on me that instinctively I knew I would pursue a fellowship in this area. I participated in carrying out and interpreting several EEGs, needle EMGs, and nerve conduction studies under the supervision of Profs. Gökhan Özdemir, Haluk Gümüş, and Dr. Hakan Ekmekci.

I learned the techniques of peripheral nerve blockade in the management of headaches and this service is one of the treatment modalities currently offered to patients with headache disorders in our neurology clinic. The ease of application coupled with the dramatic improvement has been a rewarding experience.

Lunch with neurology residents

I joined the neurosurgical team in the collaborative management of patients especially those with movement disorders, where I witnessed the usefulness of deep brain stimulation in advanced Parkinson’s disease.

One of the highlights of my stay was the opportunity to speak on “Nigeria, Its People, and Its Health Care System: A Focus on Neurological Diseases.” This lecture was delivered on Dec. 25,  2019, in the Dekanlik Donem 2 Amfisi, and I tagged it “A Christmas to Remember!”

The rich cultural heritage of the Turks makes the city a tourist’s delight. I savored the tastebud tantalizing Turkish foods and enjoyed the sceneries of some of the city’s famous sites, like the famous Mevlâna Museum and Alaaddin Cami.

Despite the numerous challenges the novel Covid-19 pandemic brought, redefining interactions in the health care sector along with restrictions in movements that put a hold on dreams for the physical quest in knowledge acquisition, I have continued to cascade the knowledge so acquired in my time in Selçuk in order to positively impact the lives of patients with neurological needs in Nigeria. I am currently working on various projects that include the transfer of skills acquired, especially relating to headache management and protocols for managing various neurology conditions.

Dr. Ani-Osheku Ifeyinwa giving a lecture

My profound gratitude to the WFN/TNS for this wonderful and innovative collaboration to give young neurologists like me the opportunity to experience the practice of neurology in an advanced society and a chance to improve our skills and broaden our horizons. Plenty of thanks to Mrs. Jade Levy and Mr. Burak for the seamless facilitation of my trip and stay in Konya. My deep appreciation to Selçuk University and  the dean of the College of Medicine for providing the enabling environment for my visit. To Prof. Şerefnur Öztürk, you inspire me in numerous ways to be the best version of myself. Finally, to the exceptional team at the Selçuk neurology department that showed me true friendship, generosity, and ensured I was well integrated, I say thank you!

I had the most amazing time in Konya and established alliances that I believe will go a long way. The lessons learned from my four weeks to Selçuk University will always be a reference point in my career development. •