More than 2,400 attendees turned out for the 19th annual event in Florence, Italy.
By Marianne de Visser, Wolfgang Grisold, and Steven L. Lewis

Prof. Benedikt Schoser outlines a roadmap for converting science into approved therapy during his presentation.
The World Federation of Neurology (WFN) Specialty Group on Neuromuscular Diseases held a successful International Congress on Neuromuscular Diseases (ICNMD) July 7-11, in Florence, Italy. The congress was hosted by Prof. Antonio Toscano and was supported by many Italian contributors.
The event started with an inspiring Patients’ Day (See Patient Advocacy, Education, and Training), followed by teaching courses, including standing-room-only hands-on sessions, and a rich scientific program with plenaries, scientific lectures, free topics, and posters. In addition, the industry symposia, supported by pharmaceutical companies, provided excellent speakers and programs.
The meeting of delegates was well organized. Fortezza da Basso, located within the 14th century walls of Florence, provided an excellent meeting site and offered space for breaks and interactions while enjoying delicious Italian ice cream.
Social meetings, such as the opening event, featured the attendance of a representative of the city of Florence and an address from a patient representative. The networking event provided a pleasant atmosphere to continue neuromuscular conversations.

From left to right: Prof. Steven Lewis, WFN president, Prof. Marianne de Visser, acting WFN secretary general, and Prof. Wolfgang Grisold, WFN past president.
The WFN was represented by President Steven Lewis, Past President Wolfgang Grisold, and acting Secretary General Marianne de Visser.
The neuromuscular field is moving forward, propelled by research, revealing new immunological, genetic, and molecular findings. Many (therapeutic) innovations have entered the clinical stage and increasingly contribute to a better future for neuromuscular patients.
Providing the trajectory between research, bedside, and other aspects of neuromuscular disease that attracts eminent speakers is a significant strength of the ICNMD.
ICNMD Congress: By the Numbers
The ICNMD Congress was attended by 2,464 people from 77 countries.
420 presenters delivered 252 presentations.
296 posters were displayed, and 519 abstracts were received.
This was the largest ICNMD. We thank the Italian hosts and the numerous committees that worked continuously on the program. The important technical congress organization was provided by ICS.
Impressions

Prof. Alexander Grimm of the German NervClub gives a presentation on nerve surgery, reinnervation, and rehabilitation.
The scientific program was introduced with an inspiring and somewhat provocative lecture by Prof. Benedikt Schoser from Munich, Germany, titled “Redefining Muscle Disease Management: A Roadmap to 2030.” Prof. Schoser explained how the neuromuscular landscape is shifting from mainly supportive care to pathomechanism — targeted therapy. This is true for both acquired and hereditary neuromuscular diseases.
Of course, many hurdles still need to be overcome. These include identifying appropriate biomarkers for early diagnosis and monitoring the course of the disease. We must also assure trial readiness, including natural history data, outcome measures, patient registries, and network infrastructure.
Artificial intelligence (AI) can play an important role in diagnosis, outcome modeling, digital biomarkers, assisting target discovery, trial recruitment, and remote monitoring. However, information technology infrastructure is still lacking in many places. Data protection policy is frequently locally organized, and regulatory and ethical frameworks for clinical AI are just starting to take shape.
Prof. Schoser also warned of the threat of reduced manpower capacity if novel therapies are approved and must be administered in-hospital. He proposed moving care to the patient, which requires the use of appropriate patient-reported outcome measures and connected safety and efficacy monitoring via wearables.
Other splendid plenary lectures dealt with many topics, including:
- The paradigm shift in the treatment of chronic inflammatory demyelinating polyneuropathy (CIDP), presented by Dr. Pietro Emiliano Doneddu
- Myasthenia gravis, presented by Dr. Carolina Barnett-Tapia
- ALS, presented by Dr. Pamela Shaw

Prof. Maurizio Leone presents an update on a paper by the WFN post-COVID work group.
Several lectures discussed the relationship between cancer therapies and the neuromuscular system. The plenary lecture by Dr. Yves Allenbach highlighted the complex mechanism of the side effects of immune check inhibitors.
The event also featured a joint ICNMD-WFN session that included a paper by the WFN post-COVID work group. The paper, “Prevalence and Trajectories of Post-COVID-19 Neuromuscular Conditions: A Systemic Review and Meta Analysis,” was published in the Journal of the Neurological Sciences. It was presented by Prof. Maurizio Leone. The same session also included news on the globally important topic of leprosy, presented by Dr. Pedro Tomaselli, and emergencies of the neuromuscular system in India, presented by Dr. Sarath Menon.
The program also included joint symposia with other societies such as the Peripheral Nerve Society (PNS), the World Muscle Society (WMS) (focusing on inequalities in access to treatments), and the WFN Autonomic Disorder Group. These symposia featured discussions on aspects of supportive and palliative care, mental health in neuromuscular diseases, aging of the neuromuscular system, and tailoring myasthenia gravis care for women. In addition, the German NervClub provided a view into the exciting world of nerve surgery, reinnervation, and rehabilitation.
On the final day of the conference, one session was devoted to the aging and senescence of the neuromuscular system, including senescence, aging of nerves, and sarcopenia.
The closing ceremony featured awards for the four best posters, summarized the meeting, and announced the next meeting, which will take place July 5-9, 2027, in Chiba, Japan. •




































