VOL. 33 • NO.2 • MARCH/APRIL 2018

THE OFFICIAL NEWSLETTER OF THE WORLD FEDERATION OF NEUROLOGY

PRESIDENT’S COLUMN INSIDE FEATURES Q&A WITH STANLEY WFN Takes Stock and Moves Forward PRUSINER his, my second president of the newly formed African and clear communication channels but Douglas S. Lanska shares an oral column, is to Academy of Neurology; Prof. Riadh they must be financially sustainable and history interview with Dr. Prusiner on T inform you Gouider, representing Prof. Chokri have clear and measurable outcomes. the origin of the term Prion. of some impor- Mhiri , president of the Pan Arab Union Through the careful diligence, foresight, PAGE 3 tant steps taken by of Neurological Societies; Prof. Marco and enterprise of the strategy meeting the new admin- Medina, president of the Pan American attendees, we have largely attained this CALL FOR APPLICATION istration and the Federation of Neurological Societies; goal. It was with much pleasure that I was FOR GRANTS rationale for these. and Prof. Boon Soek Jeon, president able to observe enthusiastic contribution Do not miss the May deadline to apply WILLIAM They comprise of the Asian Oceanian Association of of all participants and a most successful for a grant-in-aid. CARROLL, MD the essence of the Neurology. We were also especially outcome. PAGE 5 strategy meeting honored to have Prof. Ralph Sacco, Here are the items that I believe to be held Feb. 12-13 in London. president of the American Academy of of most interest to the membership. WFN INVITES BIDS TO HOST Such strategy meetings have been Neurology, and Prof. Franz Fazekas, WCN 2023 held from time to time previously. But president-elect of the European Education Information for applying to serve as due to the value of this strategy meeting, Academy of Neurology and representing Regional Training Centers. There are five host city for the World Congress. the trustees have decided it should Prof. Gunther Deuschl. centers that are presently operating; four PAGE 5 become a regular biennial event for this Over two days, all WFN activities were in Africa and one in Mexico. A proposition administration. The World Federation discussed, evaluated, and had action plans was received from Bangalore for which CLEAN AIR FOR A HEALTHY of Neurology (WFN) was most fortu- developed to proceed for each. All such the WFN was most grateful. BRAIN nate that this meeting was attended by plans were carefully scrutinized by Prof. The strategy meeting participants July 22 serves as World Brain Day 2018. all of its elected representatives and the Richard Stark, WFN treasurer. While the considered that the Asian proposition Learn more about the initiative and the presidents or the representatives of the WFN activities have been largely centered was different than that developed for need for clean air. regional neurological organizations affili- on education in neurology, the WFN Africa and required careful review by the PAGE 6 ated with the WFN. must ensure that such programs are not Education Committee to clearly define the These included Prof. Yomi Ogan, only properly established with oversight see PRESIDENT, page 2

SRI LANKAN NEUROLOGISTS Annual Academic Sessions Update

BY PROF. UDAYA K. RANAWAKA sented by an official ABN delegation. Prof. Shakir delivered the opening he Association of Sri Lankan plenary on global neurology challenges. Neurologists (ASN) held its 11th The JB Peiris Oration was delivered by T Annual Academic Sessions in A/Prof. Udaya Seneviratne from Monash November 2017 at the Cinnamon Grand, University in Melbourne, Australia. Colombo, under the theme of Neurology The overseas faculty consisted of 19 for Tomorrow. Prof. Raad Shakir, speakers from Australia, India, Pakistan, president of the World Federation of Singapore, the United Kingdom, and the Neurology (WFN), was the chief guest at United States, and was complemented by the Welcome Ceremony, and Prof. Man the local faculty. The academic program Mohan Mehndiratta, president of the spanned three days and had a strong Asia Pacific Stroke Organization (APSO), emphasis on new advances in neurology. was the guest of honor. The Association Two half-day symposia were held on Procession of guests at the Welcome Ceremony. of British Neurologists (ABN) was repre- see SRI LANKA, page 2 2 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018

FROM THE EDITORS

BY STEVEN L. LEWIS, MD, EDITOR, AND WALTER STRUHAL, MD, CO-EDITOR e are pleased to welcome you to the March-April 2018 issue of W World Neurology, the official publication of the World Federation of Neurology (WFN). In this issue, a number of WFN initiatives are discussed, Prof. Udaya Ranawaka, ASN president, delivers the Welcome Address. beginning with the Presidents’ Column STEVEN L. WALTE R LEWIS, MD STRUHAL, MD where WFN President William Carroll SRI LANKA year of 2017, academic activities were discusses the new steps taken by the new conducted in eight of the nine prov- continued from page 1 administration of the WFN as outlined Jan Kuks announces the next examination inces of the country, with a view to at the recent strategy meeting that took of the European Board of Neurology movement disorders and stroke. The promoting professional development place in London. that will be taking place on June 15, other topics covered included epilepsy, among those serving in the peripheries. In this issue, we are also pleased to 2018, at the European Academy of demyelinating diseases, neurological In addition, monthly updates were held announce the seventh year that the WFN Neurology Congress in Lisbon. Martin infections, CNS vasculitis, neurology in the city of Colombo, primarily aimed is offering educational grants to sponsor Kaddumukasa, MD, reports on his and sleep, neurology of autonomic at the postgraduate trainees in internal high impact educational and outcome- eye-opening visit to St. Josef Hospital dysfunction, eye movement disorders, medicine and neurology. based research projects. Interested in Cochum (University Clinic of Ruhr myasthenia gravis, neuroplasticity, and The Annual Academic Sessions are young investigators should waste no University) in the department visit neurorehabilitation. the pinnacle of the academic activities time as the deadline for applications is program sponsored by the German Two post-lunch quizzes tested the of the ASN. The 2017 sessions went quickly approaching. Another important Neurological Society and the WFN. neurology knowledge of participants a long way toward meeting the key announcement in this issue is the invitation In this issue’s history column, Douglas and provided light entertainment in objectives of the ASN, of promoting for bids from national member societies in Lanska reports on his interview with between the intense academic delib- continued education and training, the Americas to host the World Congress Nobel laureate Stanley Prusiner on the erations. A guided poster tour was fostering research, and facilitating of Neurology (WCN) in 2023. origin of the term prion, an article that introduced at the Annual Sessions, and networking and exchange of ideas. The The theme for this year’s World should be of both historical and medical provided young researchers a good social programs (the Welcome Cere- Brain Day (July 22, 2018) campaign interest to all readers. Eduardo Wilson opportunity to showcase their research. mony, President’s Dinner, and the ASN is also announced in this issue and all provides a biography of Victor Soriano, A parallel workshop on EEG was Banquet) provided time for networking, neurological societies are encouraged to who is honored by the Soriano lectures conducted for EEG technologists. camaraderie, as well as building and participate. held every two years at the World The Association of Sri Lankan strengthening friendships. We hope John D. England, the editor-in-chief of Congress of Neurology. Finally, Nadir Neurologists is still a fledgling orga- these will lead to closer collaborations the Journal of the Neurological Sciences, the Bharucha provides a touching obituary nization, being only 10 years old, but between the ASN and its friends across official journal of the WFN, announces a of Professor Eddie Phiroz Bharucha, a remains strongly committed to the the globe, and ultimately improvements special issue devoted to tardive dyskinesia, pioneer of neurology in India, who passed promotion of continuous education. in neurological care in Sri Lanka. • edited by Dr. Daniel Truong and Dr. away in December and whose name will It has held successful annual meet- Robert Hauser. It is available free online also live on in an endowed lectureship at ings every year over the last 10 years. for all readers through 2018. the World Congresses of Neurology. Its membership is scattered rather Prof. Udaya K. Ranawaka, MD, FRCP, FCCP, FAAN, Dr. Udaya K. Ranawaka reports on We hope you enjoy this issue, and we thinly across the country, with only 41 FAHA, is professor of neurology at the Faculty of the 11th Annual Academic Sessions of the invite articles from neurologists around neurologists serving 21 million people, Medicine, University of Kelaniya, and was the Association of Sri Lankan Neurologists the globe to keep us all up to date about with less than one neurologist per president of the Association of Sri Lankan Neurolo- that was held last November. Professor news of interest to all neurologists. • 500,000 population. During the calendar gists in 2017.

PRESIDENT World Congress of Neurology (WCN). The Scientific Program Committee and continued from page 1 New Committee Chairs Teaching Course Committee for the 2019 WCN, to be held in Dubai, will meet Nominating Committee Prof. Hidehiro Mizusawa goals, location, collaborative organization, during the upcoming AAN meeting in Los Constitution and Bylaws Committee Prof. Phil Smith and the funding and outcome measures Angeles. Under Prof. Chris Kennard and Finance Committee Prof. Bo Norrving before proceeding. It is hoped this review Prof. Steven Lewis, the program develop- Regional Liaison Committee Prof. Ralph Sacco will be completed quickly. ment is ahead of schedule. Publications Committee Prof. John England Regional Teaching Courses. These We all remember the wonderful 2015 Public Awareness and Advocacy Committee Prof. Tissa Wijeratne are predominantly held in Africa at the WCN held in Santiago, Chile. Notices Education Committee Prof. Steven Lewis present time through a collaboration of have gone out to member national Standards and Evaluations Committee Prof. Jan Kuks the EAN, WFN, and specialty groups, societies asking for nominations for the Membership Committee Prof. Morris Freedman such as the WSO, the MDS, and this year 2023 venue. In this year, the WCN is again Applied Research Committee Prof. Albert Ludolph ECTRIMS. One proposition that was scheduled to be hosted in the Americas. Congress Committee Prof. Ryuji Kaji considered to have some merit was the This WFN region encompasses North E-Communications Committee Prof. Walter Struhal linking of every second regional teaching America (Canada and the U.S.), Central course in Africa with the African America, and South America. Academy of Neurology. Junior Traveling Fellowships. The African Academy of Neurology Applications closed after the receipt of 82 principal aims. First, to provide young areas of need. Six grants of up to is of fundamental importance, and this requests for one of 30 JTFs, each valued neurologists with the opportunity and U.S. ($) 25,000 to a maximum total of nascent but most essential development at GBP1,000. Applicants will be advised of funds to undertake a piece of original U.S. ($) 100,000 will be available this year. may require its organizational structure to the results shortly. research. Second, that the research would For more details, please refer to the grant be nurtured for the time being. Having a Grants. It was determined at the result in both a publication for the author announcement on page 5 of this issue of formal relationship in place facilitates its strategy meeting that these should be and provide data with which to launch a World Neurology. growth. more focused and targeted with two larger project or direct local resources to see PRESIDENT, page 6 3 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018

HISTORY

WORLD FEDERATION OF NEUROLOGY Stanley Prusiner Editors-in-Chief Steven L. Lewis (Editor) Walter Struhal (Co-editor) on the Origin WFN London Office Chester House Fulham Green of the Term Prion 81-83 Fulham High Street London SW6 3JA BY DOUGLAS J. LANSKA, MD, MS, MSPH, FAAN United Kingdom In an oral history interview for the Tel.: +44 (0)20 3542 1657/1658 Fax: +44 (0)20 3 542 1301 American Academy of Neurology con- [email protected] ducted April 27, 2017, at the Boston

WFN OFFICERS Convention Center, I spoke with Nobel President William Carroll (Australia) laureate Stanley B. Prusiner, the only First Vice President Ryuji Kaji (Japan) Secretary General Wolfgang Grisold (Austria) living neurologist to have won a Nobel Treasurer Richard Stark (Australia) Prize (Lanska and Klaffke, 2017, Lan-

ELECTED TRUSTEES ska, 2017). Morris Freedman (Canada) Prusiner was the sole recipient of the Riadh Gouider (Tunisia) Steven L. Lewis (USA) Nobel Prize in Physiology or Medicine in 1997 “for his discovery of Prions — a CO-OPTED TRUSTEES Jean-Marc Léger, MD (France) new biological principle of infection.” Here is an excerpt from that interview REGIONAL DIRECTORS Saeed Bohlega (Pan-Arab) concerning how Prusiner created the Ralph Sacco (North America) term prion, which he introduced in a Günther Deuschl (Europe) Marco Tulio Medina (Latin America) landmark paper in Science in 1982 Man Mohan Mehndiratta (Asian-Oceania) (Prusiner 1982). Mansour Ndiaye (Pan-Africa)

EDITOR OF THE JOURNAL OF THE NEUROLOGICAL SCIENCES Prusiner: [In the fall of 1980,] I was with a thing holding it up is the word, and I’m Prusiner: For infectious. John England (USA) friend of mine who was a professor at Har- trying to figure out a word. vard. This was [American chemist] Frank So I go through Latin dictionaries, Lanska: Protein, infectious, agent…p-i-a. You Westheimer, PhD (1912-2007). [He was because I knew — I still know — a lot of added an “f.” receiving] an honorary professorship in the Latin. I’m not a scholar in it; that’s for sure. pharmacy school. He came to see me and I don’t know any Greek. I don’t really know Prusiner: So you just underline the “f ” in [we] talked. I went over everything I was how to come up with a word. I want a word infectious, right? That’s where the letters WORLD NEUROLOGY, an official publication of the World Federation of Neurology, provides reports doing. He said, “Stan, this is really fantastic. like exon. I thought that’s a great word. all come from. from the leadership of the WFN, its member societ- You’ve discovered something really new, Where do I find somebody who can do that? I always liked [French cabaret singer ies, neurologists around the globe and news from the cutting-edge of clinical neurology. Content for and you need to give it a name, and you I kept thinking of somebody at Berkeley and songwriter] Édith Piaf [1915-1963; World Neurology is provided by the World Federa- need to give it a good name. You need to [who] can help me, but then I didn’t even nee Édith Giovanna Gassion; she adopted tion of Neurology and Ascend Integrated Media. think about this name for a long time. A know who to talk to. I thought this is going her stage name, Piaf, from her nickname, Disclaimer: Articles in World Neurology represent the authors’ personal views and do not necessarily lot of work needs to go into this. Because, to be just frivolous to go to Berkeley and try which is French slang for sparrow]. Now, represent the opinions of the editors, trustees, or if you give it a crappy name, someone else to find some professor of words who will “sparrow” is announcing all of this, right? leadership of the World Federation of Neurology or the publisher. The World Federation of Neurology will come along and give it another name, help me. [Prusiner laughs.] and Ascend Media will not assume responsibility and they will end up with the lion’s share of Then, I said, “OK, I’ve got to come up I then sent it to a friend of mine for damages, loss, or claims of any kind arising from or related to the information contained in the credit, but you will have done the work, with some rational approach to a word, just named Sidney Udenfriend (1918-2001), an this publication, including any claims related to and that’s not a good idea. This is what taking a bunch of letters, and where are these American biochemist and pharmacologist products, drugs or services. you’ve done with your life, and you need letters going to come from? Well, they’re who was running the Roche Institute in Editorial Correspondence: Send editorial correspondence to World Neurology, Dr. Lewis to make sure that you don’t screw it up. So going to come from words that have some- Molecular Biology. This was a fabulous at [email protected] or Dr. Struhal you need to spend a lot of time on this.” thing to do … [with the responsible agent].” place that was created by Roche to do basic at [email protected]. So I wrote out [the words] protein, infectious, science that would create drugs. Eventually, World Neurology, ISSN: 0899-9465, is published bimonthly by Ascend Integrated Media Lanska: Could you to talk about how you and agent. I started with that. I got piaf out of they shut it all down, because they never 7171 W. 95th Street, Suite 300 came up with the term? that, because I wanted protein, and I wanted got one drug out of spending hundreds of Overland Park, KS 66212 Phone +1-913-344-1300 infectious, and then I wanted agent. millions of dollars over 20 years. He reads Fax: +1-913-344-1497 Prusiner: OK. I’m happy to recite this… the paper, and he says, “Stan, this is an ©2018 World Federation of Neurology [I]t’s the spring of 1981, and I need to Lanska: You just kind of threw on an extra American discovery, not a French discovery. finish this paper [Prusiner 1982]. The only “f ” for fun? You don’t need a French word. You need another word. Go find another word.” So that was the end of piaf. Short. You need something short. You PUBLISHING PARTNER Ascend Integrated Media need to have two vowels. Great words are President and CEO words like virus. That’s a fabulous word. And Barbara Kay quark [pronounced kwork] is a great word. Vice President of Content Rhonda Wickham Those are words that I think are just A+. Vice President of eMedia So I then throw out agent, because Scott Rarden I don’t need agent. That’s totally non- Vice President of Sales Donna Sanford specific, and I’m left with protein and

Project Manager infectious. Whenever I would go to a Amanda Nevala lecture, I would write out infectious Art Director across the top and protein on the side, Brianna Vaughn or vice versa. Then, I’d just pick letters Editorial Offices randomly. I didn’t get anywhere until 7171 W. 95th Street, Suite 300 Overland Park, KS 66212 one day. I’d probably stumbled across the +1-913-469-1110 same word 10 times and never picking it see PRUSINER, page 4 4 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018

Lanska: You wrote in your book, though, that one of the reviewers of your paper objected, You’ve discovered something really new, and you that the name had unfortunate echoes of the author’s name, Prusiner ions (Prusiner 2014, need to give it a name, and you need to give it a pp. 90-91). good name. Prusiner: Yes. That was pretty clever, [but] there was so much vitriol in the rest of the Frank Westheimer review.

PRUSINER Lanska: Now, of course, proteinaceous infec- continued from page 3 of words have more than one meaning. tious gets you proin rather than prion… There’ll be two pronunciations. If I’m out: p-r-i-o-n. I read it, and I say, “This is right, this will be the No.1 definition, and Prusiner: Right, which is like loin. prion.” I could have pronounced it pry-on, the bird will continue to live on in oblivi- but I pronounced it pree-on. Then, I said, on, because no one is interested in prions Lanska: Which has kind of a funny sound “I’m going to write p-r-e-e-o-n as the [pry-ons]. I’ve never heard of a prion [pry- to it, of course, no matter how you pronounce Stanley Prusiner pronunciation in parentheses.” on]. It’s a petrel that lives in the south, the it. So you made another, little flexible change I leave this defunct faculty club that Southern Ocean [Antarctic Ocean].” in that, just to give it a more catchy flavor, I Prusiner: Yes. was now a sandwich shop across the It’s not worth worrying about the bird. think. Is that fair? street, and I walk upstairs. I look in my I said, “There’ll be a little crap from some Lanska: There was a lot of backlash. Why do Webster’s Unabridged Dictionary, because of my competitors who will say, ‘That’s Prusiner: Yes. Proin is not a good word. you think there was so much animosity to that there are no computers. I find a bird with a bird.’” But I said, “It doesn’t matter.” term? a sawtooth beak. So that’s where it came from. It had ion, Lanska: But proteinaceous infectious as an so it looked like it was something highly acronym would get you that, right? Prusiner: If you read what other people Lanska: A whalebird. basic. An ion really gets right down to have said, they didn’t like it, because es- the essence. And it was short. It had two Prusiner: Yes. sentially I took over the field by putting Prusiner: Right. And I said, “Well, you syllables. It was going to be OK. my imprimatur on the field prematurely, know, this really doesn’t matter. Lots Lanska: A lot of people didn’t like the term. because I didn’t have enough informa- tion to come up with a word. That really is what I should have done was call it a Gibbs or a Gajdusek, [after NIH research- ers C. Joseph Gibbs, PhD (1924-2001) and Quark: What’s in a Name? D. Carleton Gajdusek, MD (1923-2008), rusiner is certainly not alone in In 1963, when I assigned the name intended quark to rhyme with Mark. who first demonstrated the experimental devoting considerable energy to “quark” to the fundamental constitu- An equivalent model to Gell-Mann’s transmission of kuru and Creutzfeldt- P devising a catchy word for a newly ents of the nucleon, I had the sound quark model was independently Jakob disease to chimpanzees in the period described entity in science or medicine, first, without the spelling, which could proposed by Russian-American physicist from 1966-1968 (Gajdusek et al, 1966, and indeed he developed exemplars based have been “kwork.” Then, in one of my George Zweig (1937-) in 1964 (Zweig 1968; Gibbs et al 1967)] or a Gajdusek and on prior scientific neologisms. Later, in occasional perusals of Finnegans Wake, 1964a,b), the same year as Gell-Mann’s a Gibbs, or a Gibbs and a Gajdusek, or the public interview, Prusiner recalled: I came across the word “quark” in the model, but Zweig did not propose a simi- something like that, or a Dickinson [after My model words [for prion] were phrase, “Three quarks for Muster Mark.” larly catchy term and ultimately Zweig British veterinary geneticist and scrapie virus and quark [pronounced correctly Since “quark” (meaning, for one thing, did not share the 1969 Nobel Prize in researcher Alan Dickinson, PhD (1930- as qwork]. I thought Murray Gell-Mann the cry of the gull) was clearly intended Physics. 2017)]. Of course, this was nonsense from was terrific with that, stealing that from to rhyme with “Mark,” as well as “bark” Both Prusiner and Gell-Mann my point of view. Lewis Carroll [sic]. So I looked through and other such words, I had to find an described or proposed new entities that I did exactly what Frank Westheimer Alice in Wonderland for another one, but excuse to pronounce it as “kwork.” But warranted new scientific nomenclature. told me to do. The result was exactly I didn’t find one. (Lanska, 2017) the book represents the dream of a Both saw the new names as important what Westheimer wanted to have happen, American physicist Murray Gell- publican named Humphrey Chimpden factors in establishing and cementing which was to get a good word and not have Mann (1929-) received the 1969 Nobel Earwicker. Words in the text are typically their ideas in the “scientific marketplace” somebody else take over. They had a lot of Prize in physics “for his contributions drawn from several sources at once, like (anonymous 2012), and consequently time. I was the new guy on the block. But and discoveries concerning the classifica- the “portmanteau” words in Through both devoted considerable time and they never could figure out anything about tion of elementary particles and their the Looking-Glass [and What Alice energy to the effort of inventing a term what was truly going on. They didn’t have interactions.” Found There (1871), the novel by Lewis that was short, catchy, and in some way a way of doing something, or they weren’t Gell-Mann coined the term quark Carroll]. From time to time, phrases clearly novel, but that still could be justi- clever enough, or they weren’t sufficient (which he pronounced kwork) in 1963 occur in the book that are partially fied in a plausible way (Gell-Mann 1995; showmen to figure out where all of this to refer to the fundamental constituents determined by calls for drinks at the bar. Prusiner, 2014; Lanska and Klaffke 2017; was going to go. But Westheimer saw it of the nucleon (i.e., either a proton or I argued, therefore, that perhaps one of Lanska 2017). To emphasize the novelty and called it completely. a neutron, considered in its role as a the multiple sources of the cry, “Three of their terms, both chose idiosyncratic component of an atomic nucleus) (Gell- quarks for Muster Mark” might be non-phonetic pronunciations and repeat- Lanska: I think they were stuck in one little Mann, 1964, 1995). Despite Prusiner’s “Three quarts for Mister Mark,” in which edly emphasized the “correct” pronun- framework. recollection to the contrary, the term case the pronunciation “kwork” would ciation in subsequent discourse. quark did not originate in the fantasy not be totally unjustified. In any case, the If Prusiner’s and Gell-Mann’s later Prusiner: Yes. novel Alice’s Adventures in Wonderland number three fitted perfectly the way experiences are any guide, Westheimer’s (1865), written by English mathematician quarks occur in nature. (Gell-Man, 1995, advice to Prusiner was certainly Lanska: And they struggled to keep fiddling Charles Lutwidge Dodgson (1832-1898) p. 180) prescient: The names of newly described with “unconventional virus” [or] “slow virus.” under the pseudonym Lewis Carroll. Joyce’s line struck Gell-Mann as scientific entities do matter in estab- Instead, Gell-Mann derived the non- particularly appropriate, because the lishing and maintaining scientific turf. Prusiner: They had their own words, that’s phonetic spelling from a whimsical poem hypothetical elementary particles Although Lewis Carroll’s Alice character true, but they were really dumb. “Uncon- in Finnegans Wake (1939) by Irish writer combined in groups of three to form was not the source of either neologism, ventional virus” is as dumb as it gets. James Joyce (1882-1941). baryons, such as protons and neutrons. she might still have had something to There’s that great quote that’s in According to Gell-Man’s account Gell-Mann adopted Joyce’s spelling for say about this if she had been consulted: [my memoir] from [scrapie researcher] (1995): his “quork,” even though Joyce clearly “Curiouser and curiouser!” • Iain Pattison [of the British Agricultural Research Council’s Compton Research see PRUSINER, page 5 5 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018 PRUSINER GRANTS-IN-AID continued from page 4

Institute], in which he says: 2018 Call for Applications for Grants “The fourth decade of my associa- tion with scrapie ended in 1978, with the o further its mission to “foster Relevance: How does the project directly can be a scientific society, such as ILAE causal agent still obscure, and virologists quality neurology and brain health address the mission of the WFN? or Movement Disorder Society (MDS), as adamant as ever that theirs was the only T worldwide,” the WFN is offering up a regional society, or a national society. worthwhile point of view. To explain find- to six grants of $25,000 with a maximum Value: What is the return on invested ef- The partner organization will sign a ings that did not fit with a virus hypoth- spend of $100,000. To see the complete fort in funds and/or time? sponsorship agreement with the WFN esis, they rechristened the causal agent an rules and regulations for the 2018 grants, to define the shared costs and the role of ‘unconventional virus.’ Use of this inge- The WFN has been offering grants since Viability: Is this a time-limited project the individual partners in this project. nious cover-up made ‘virus’ meaningless 2011. For the list of prior grantees and with a measurable outcome or is it an Project responsibility and reporting — for is not a cottage an unconventional reports, click here. initiative that will grow and support the will be shared by the WFN and the castle?” (Pattison, 1988) • To download Grants in Aid 2018 Rules development of further research or care? partner organization. and Regulations click here. References: Synergy: Will this enhance interaction Deadlines • Anonymous. The scientific marketplace. Nature Eligibility within and between the WFN and among • Application due by June 20, 2018. Materials 2012;11:259. Young neurologists, less than 10 years committees, initiatives, and task forces, • Applicants notified of results by July 31, • Anonymous. What Does ‘Quark’ Have to Do from graduating in neurology, from WFN with outside partners, governmental and 2018. with Finnegans Wake? How a word used by Member Societies are eligible. non-governmental organizations, the • Applicants informed of final results by James Joyce became the name for an elemen- Preference will be given to residents in World Health Organization (WHO), and Oct. 3, 2018. tary particle of matter. Merriam-Webster, 2017. areas of World Bank low/lower middle- fundraising agencies? • Funding of successful applicants begins https://www.merriam-webster.com/words-at- income countries. Please suggest possible partners. For as soon as it can be arranged thereafter. play/quark [Accessed 12-12-17]. The WFN wants to fund low-cost, example: A project on stroke would prob- • Applications are exclusively submitted • Gajdusek DC, Gibbs CJ, Alpers M. Experimental high-impact educational and outcomes ably be interesting for the World Stroke using the WFN grant application and transmission of a Kuru-like syndrome to chim- research projects. International coopera- Organization (WSO); epilepsy possibly should include the following: panzees. Nature. 1966;209(5025):794-796. tion is encouraged with a priority on low- with the International League Against • Gajdusek DC, Gibbs CJ Jr, Alpers M. Transmis- income countries. Epilepsy (ILAE). Application Checklist sion and passage of experimental “kuru” to chim- Note: Projects to provide routine health • The name of the sponsoring group and panzees. Science. 1967;155(3759):212-214. care and fund ongoing research proposals Evaluation: How will the research out- lead applicant with curriculum vitae • Gell-Mann M. A schematic model of baryons and are not eligible. come be measured? Outcomes and goals • Title of the project mesons. Physics Letters. 1964;8(3):214-215. should be defined in the application. • Description of the project • Gell-Mann M. The Quark and the Jaguar: Ad- Criteria • Direct relevance of the project to the ventures in the Simple and the Complex. New Projects should be in education, improve- Management: Good governance, trans- mission of the WFN York: Henry Holt and Co., 1995:180 ment of services (regional or national) or parent monitoring, and clear interim and • Viability of the project • Gibbs CJ Jr, Gajdusek DC, Asher DM, Alp- scientific, and require the collection of financial reports are required. • Timeline of the project, dates and dura- ers MP, Beck E, Daniel PM, Matthews WB. data to test a hypothesis. tion Creutzfeldt-Jakob disease (spongiform en- Each grant will have to satisfy its terms Co-Sponsored Grants • Detailed budget in U.S. dollars cephalopathy): transmission to the chimpan- of agreement. (See below.) The WFN encourages co-sponsored • Bank electronic funds transfer with zee. Science. 1968;161(3839):388-389. In the application, address the grants. These grants will be co- confirmation of the same by that bank • Lanska DJ, Klaffke L. Stanley Prusiner, MD, following points: sponsored by the WFN and a partner • Votum of the local ethics committee • FAAN. American Academy of Neurology Oral organization. The partner organization History Archive Private Interview. 69th Annual meeting of the American Academy of Neurol- ogy, Boston, Massachusetts; April 27, 2017. • Lanska DJ. Stanley Prusiner, MD, FAAN. Ameri- can Academy of Neurology Oral History Archive Public Interview. 69th Annual meeting of the WFN Invites Bids to Host WCN 2023 American Academy of Neurology, Boston, Mas- he World Federation of Neurology by mid-December 2018, and a site visit by sachusetts; April 27, 2017. is pleased to invite bids to host the WFN officers to evaluate the proposed • Pattison IH. Fifty years with scrapie: a personal T World Congress of Neurology program and facilities on offer will take reminiscence. Vet Rec 1988;123:661-666. (WCN) in 2023 from national member place in the ensuing three months. A • Prusiner SB. Novel proteinaceous infec- societies in the Americas. report and recommendation will then tious particles cause scrapie. Science If your national society would like to be submitted to the Council of 1982;216:136-144. be a candidate to host WCN 2023, please Delegates meeting during • Prusiner SB. Madness and Memory: The Dis- write to the WFN Headquarters Office the WCN 2019 in Dubai, covery of Prions—A New Biological Principle of at the address below to express your United Arab Emirates, Disease. Yale University Press, 2014. preliminary interest by July 31, 2018. where the final vote will • Zweig G. An SU(3) model for strong interac- World Federation of Neurology occur. tion symmetry and its breaking. (CERN Report Chester House The WFN looks forward No.8182/TH.401. 1964a. Fulham Green to hearing from any • Zweig G. An SU(3) model for strong interaction 81-83 Fulham High Street member neurolog- symmetry and its breaking: II. CERN Report London ical society that No.8419/TH.412. 1964b. SW6 3JA wishes to be United Kingdom considered email: [email protected] as the host Douglas S. Lanska is associate chief of staff for edu- You will be sent an application form of WCN 2023. • cation at the VA Medical Center, in Tomah, Wiscon- to complete and return by Sept. 18. All sin. He is also professor of neurology at the University applications will be treated in confidence of Wisconsin School of Medicine and Public Health and will be reviewed by the WFN to in Madison, Wisconsin, and professor of psychiatry draw up a short list of possible venues. at the Medical College of Wisconsin in Milwaukee, Those that are short-listed will be notified Wisconsion and the chair of the History and Archives Committee of the American Academy of Neurology. 6 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018

PRESIDENT continued from page 2

Structure and Visibility The London office has been relocated to a larger space within its present location in Chester house in Fulham. The office staff will continue to be led by Laura Druce and assisted by Jade Levy (nee Roberts) and Carlos Hunte and with Chiu Keung Man providing valuable IT support. Chiu will also review all electronic media to harmonize the WFN logo and livery Clean Air for a Healthy Brain across the website and all communication platforms (Facebook, Twitter, and the website) as well as Office Communica- July 22, 2018 tions and all WCN material. He is also completing the insertion of the newly BY MOHAMMAD WASAY to chemotherapy and metabolites in patients with other vascular risk factors or promulgated EU General Data Privacy AND WOLFGANG GRISOLD hospital personnel and the biologic circle a prior history of stroke. Regulations into all the WFN member he theme for this year’s World Brain resulting in contamination of surface Stroke is the leading cause of motor information. Day was carefully selected to raise water. disability, the second cause of death in A new committee, the e-Communica- T awareness of the influence of air people older than 60 years, one of the tions Committee, will oversee these activi- pollution on neurological diseases. We Which Are These Pollutants? main reasons for hospitalization, and a risk ties and will be chaired by Prof. Walter hope that this campaign will follow the The chemical nature of environmental factor for dementia. Struhal. A subgroup of this committee, success of previous World Brain Day pollutants is complex and variable. Some The list of possible air pollution and aided by Profs. Wolfgang Grisold, Morris campaigns and will touch an emerging, gases (carbon dioxide and methane) are environmental pollution adverse effects is Freedman, and Riadh Gouider, are but equally important issue, which is the emitted into the atmosphere naturally increasing. Neurodevelopmental disor- preparing a paper on e-learning to guide role of pollution and neurological disease. from the decay of organic waste. Many are ders and neurodegenerative diseases, and the WFN on this aspect. In recent times, the effects of air entirely manmade. possibly also neuroinflammatory diseases, pollution on our health has attracted are discussed among others as having a increasing interest with international insti- What Are the Sources potential association to polluted air. tutions providing growing mortality and of the Pollutants? With this base, the morbidity data. The latest estimation of Although there are some natural sources Awareness deaths attributable to air pollution world- of air pollution such as volcanic eruptions Air pollution and environmental pollution WFN will be in a wide is 9 million deaths annually. These and fires, most can be attributed to hu- is a potentially modifiable risk factor for deaths are related to cardiac diseases such man activities. The major source derives some cerebrovascular and neurodegenera- position to explore and as myocardial infarction or congestive from widespread reliance on combustible tive diseases. The dogma has changed: heart failure, and neurological events such fossil fuels for energy needed by indus- Prevention is definitely not only an expand its educational as stroke, lung diseases, and cancer. Stroke tries, transportation, and temperature individual concern but must be consid- notwithstanding, the suspected impact of control (both heating and cooling). Other ered at the societal level. This enlarging and other activities. air pollution on the brain is an emerging human activities, such as agriculture worldwide public health problem requires and worrisome issue. practices, livestock, and deforestation, are environmental health policies to reduce air important additional sources. pollution to protect brain health and not What Is Air Pollution? only lungs. Air pollution is a global and diffuse Impact on Brain Health contamination by noxious bio-aerosols Recent publications have shown evidence Next Steps The new committee members will be (pollen, germs, and toxins) and chemical for air pollution as a stroke risk. WFN material for the World Brain Day posted on the WFN website shortly. The compounds (manmade or of natural The recent Global Burden of Disease has been developed and will be sent to roles and charges for each committee origin). Mostly long-term exposure to study, for example, has investigated data member neurologic societies. If you have will be updated by the new committees. relatively high levels of certain chemicals from 1990 to 2013 in 188 countries. It any queries and suggestions, contact us On behalf of the trustees, I offer my in workplace air has resulted in many demonstrated that air pollution contrib- at [email protected]. thanks and congratulations on those who examples of nervous system damage over utes to up to 30 percent of the burden of We look forward to many activities have assumed new roles. I also offer my the past century. stroke. around the 2018 World Brain Day! • most sincere thanks to those who have In addition to air pollution, occu- The adverse effects of air pollution completed their two-year terms for jobs pational and residential air pollution is are most important in low- and medium- Mohammad Wasay is the WBD committee chair. well done. emerging. An example is the exposure income countries and for vulnerable Wolfgang Grisold is the WFN secretary general. With increasing activities to be managed by the London Office and the WFN committees, Prof. Wolfgang Grisold, the secretary-general, is preparing a “universal calendar.” It is envisaged that this will contain the timelines for all routine office activities and those for all committees each year. It will be an impor- tant e-document that will be relatively easy to revise and update as required and to which the Standard Operating Proce- dures (SOP) for each and every function will be able to be added. It is hoped that this will aid the efficiency of the office for day-to-day work and its “corporate memory.” With this base, the WFN will be in a position to explore and expand its educa- tional and other activities. • 7 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018 Next European Board Examination in Neurology

BY PROF. JAN KUKS

he next Exam of the European Board of Neurology (EBN) will take place T on Friday, June 15, 2018 at the EAN congress site in Lisbon. Prof. Wolfgang Grisold from Vienna successfully started this annual event in 2009. This year, we celebrate the 10th examination. Every year, the number of participants increases. We receive a lot of mostly posi- tive feedback from our candidates, which makes it possible to improve the exam continuously. Many young neurologists consider taking this exam to aid them while preparing for the written tests and writing their contributions for the oral exams. Participating in the EBN exam is not merely a way of showing success in retrieving information accumulated during training and reading literature, but more than that a demonstration of the ability of sound reasoning, presenting insight and working with accessible knowledge. Candidates are allowed to use external reference sources and prepare Candidates at the European Board Examination in Amsterdam. work at home that will be judged – and can be modified after personal feedback – of the European Board of Neurology” Company Orzone) will allow us to extend www.uems-neuroboard.org. before they come up for the real exam. (which does not coincide with “fellow of our questions to imaging, signal analysis, We sincerely hope to get more Euro- They can update and expand their the EAN”) may enhance the candidate’s and clinical judgment with the help of pean candidates, not only junior neurolo- knowledge and abilities, take part in a possibilities to work in other countries movies. gists, but also those who are already unique academic experience, and get an within and outside Europe. Candidates who are members of practicing. • additional sign of excellence. Thus, they For the next years, the collaboration EAN’s Resident and Research Fellow show their commitment for life-long between EBN and EAN will be intensi- Section for at least one year now get a Prof. Jan Kuks is the chair of the EBN examination learning. Although the EBN exam has fied in a great way. Using more technical considerable reduction. committee, and works at the University Medical no legislation until now, the title “fellow possibilities (as provided by the Swedish More information can be found at Center Groningen in the Netherlands.

JOURNAL OF THE NEUROLOGICAL SCIENCES

Editor’s Update site through the year 2018. Elsevier JOHN D. ENGLAND, EDITOR-IN-CHIEF, has added a special link via the online JOURNAL OF THE NEUROLOGICAL SCIENCES journal site called “SI Vol 389, 2018” under the tab “Free Articles” to enhance or many years, tardive dyskinesia accessibility. was a poorly understood clinical The special issue is also available on F syndrome with no effective therapy. ScienceDirect. I encourage all of you to Thanks to new research, we now have a access this issue, which is currently the greater understanding of the pathophys- most up-to-date monograph on tardive iology of tardive dyskinesia dyskinesia. Its publication is and new therapies for the especially timely since there are condition. new medications and other new A summary of this new treatments for the condition. and important information I would like to take this July 6-7 about tardive dyskinesia is opportunity to thank 19th European Federation of now available in the Journal of Drs. Truong and Hauser and Calendar Autonomic Societies Meeting the Neurological Sciences. I am all of the invited authors of this (#EFAS18) pleased to announce that a JOHN D. special issue for their outstanding Vienna, Austria special issue on Tardive Dyski- ENGLAND, MD contribution to the Journal of of Events http://efasweb.com/ nesia, edited by Drs. Daniel the Neurological Sciences and the Truong and Robert Hauser, medical and scientific commu- June 16-19 July 6-10 has been completed as volume 389 (June nity. Also, I would like to acknowledge Fourth Congress of the European 15th International Congress on 15, 2018) and is available on the website for Peter Bakker, our executive publisher Academy of Neurology Neuromuscular Diseases the Journal of the Neurological Sciences. at Elsevier, for helping us arrange free (EAN 2018) (ICNMD 2018) Importantly, the special issue will online access of this series of articles for Lisbon, Portugal Vienna, Austria be “free access” via the online journal the remainder of the year. • https://www.ean.org/lisbon2018 http://www.icnmd2018.org/ 8 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018 Victor Soriano The Soriano Lectures at the World Congresses of Neurology were named for his contributions and lasting presence

EDUARDO WILSON to Prof. Americo Ricaldoni’s teachings of In 1939, Vlctor married Clara Benzecry clinical neurology at the Hospital Maciel. (Clarita, as she was known). She was his ictor Soriano was born on Feb. 8, Prof. Ricaldoni was the first academic wife and his efficient secretary as well and 1909, in the Isle of Rhodes. At the neurologist in Uruguay. Due to his efforts, permanently encouraged him in all his V time, the Isle of Rhodes was under the Instituto de Neurología of Monte- activities, both social and medical. After the possession of Turkey, and soon after video was founded in 1926, having Prof. Victor founded the Uruguayan Committee of Italy. Victor was the second of five Ricaldoni as its first director. of Friends of the Weizmann Institute of siblings. His parents were Félix Soriano After graduating, Victor Soriano was Israel, it was Clarita who organized its and Catalina Junio, both Sephardic Jews. appointed neurologist of the Instituto meetings, which were held at the Sorianos’ They emigrated to Uruguay when Victor de Neurología in 1935. This was a chal- home. Every Tuesday evening, she hosted was 9 months old. This explains why lenging time for the institute, because of scientific, literary, and musical events. Victor considered himself Turkish, Italian, the absence of a leader after Prof. Ricaldo- In 1945, Victor traveled to the United and Uruguayan. ni’s death in 1928, scarcely one year after States as a Rockefeller fellow, staying Victor Soriano Once in Uruguay, the Soriano family the inauguration of the new institute. at Yale University with John Farquhar settled in its capital city, Montevideo, in Two years later, the authorities finally Fulton, Sterling professor of physi- the historical district, where Victor chose appointed Prof. Alejandro Schroeder ology, who appointed him instructor a special symposium, every two years, to live the rest of his life. His father, an as Ricaldoni’s successor in 1937. Prof. of physiology. Fulton inspired in Victor simultaneously with the World Congress efficient and respected tailor, soon became Schroeder started a period of reconstruc- a deep and lasting admiration. In 1947, of Neurology and the ANA meeting, popular among the Jewish community. His tion with the help of the few remaining as visiting investigator of the Rock- where selected leaders of neurosci- income quickly increased, and he gained neurologists, Victor being one of them. efeller Institute for Medical Research, ence should give lectures on advances great respect, especially after founding the In 1939, Victor was promoted to assis- he worked with Prof. Hiram Houston in nervous system research. The first of first Sephardic synagogue in the city. tant neurologist. Simultaneously, he was Merritt at the Montefiore Hospital of these symposia was held in Atlantic City Young Victor was a hard-working invited to teach neurology at different Columbia University. Since 1948, he in 1965 and continued for many decades, student who in 1925 was admitted to medical clinics in the Hospital Maciel and attended with Clarita all of the meetings sponsored by the World Federation of the school of medicine, from which he the Orthopedical and Traumatological of the American Neurological Asso- Neurology (WFN) and the ANA and orga- graduated in 1934. During his period as a Institute. In 1943, he was appointed asso- ciation (ANA). In 1950, he was named nized by Victor and Clarita. medical student, he paid special attention ciate professor of medicine. delegate for Uruguay to the Iberoamer- In 1987, Victor and Clarita decided ican College of Neurologists. Victor and to sponsor a lectureship to be given Clarita were regular attendees to the at the ANA, after 40 years of consecu- International Congresses of Neurology tive attendance to its meetings. The from the initial preparatory meeting lecture must be given by a member During his last four decades, he devoted much of his in Lisbon in 1953 and the first official of the ANA. When asked in 1989 why time to medical journalism, publishing in the most congress held in Brussels in 1957. they chose to sponsor a lectureship, the At the congress held in Rome in 1961, Sorianos answered: “When we first went important newspapers of Uruguay weekly columns on Earl Walker of Baltimore, Giuseppe to the United States in 1945, to stay with Moruzzi of Pisa, and Victor of Monte- Prof. John F. Fulton and afterward with different subjects: sanitary education, innovations in video paid tribute to the memory of John Prof. H. Houston Merritt, we enjoyed medicine, historical aspects of medical practice, with F. Fulton, who had died the previous the most cordial and warm welcome year. At that meeting, Fulton’s friends everywhere, establishing lasting bonds the intention of popularizing and simplifying medical and collaborators decided to organize the of friendship with outstanding prom- Fulton Society, and Victor was elected ising young doctors, who are now senior knowledge. as permanent president. This society members of the American Neurological commended its president to organize see SORIANO, page 9

DEPARTMENT VISIT UPDATE Neurology Training at St. Josef Hospital in Bochum

BY MARTIN KADDUMUKASA, MD included thrombolysis, exposure to new • Intrathecal treatment management, active techniques and treatment modalities, spe- options for MS rehabilitation, and 24-hour Training Dates: cialist for education, and existing training • Intensive care patient nutri- patient evaluation. Nov. 6-Dec. 4, 2017 programs. The training allowed me to tion The overall objective of my neurology improve knowledge and professional • Use and interpretation of Acknowledgements department visit was capacity-building skills in stroke care in the five selected ICU monitors Special thanks to World and strengthening of basic skills training areas: neuroimaging, thrombolysis, inpa- • Management of seizures in Federation of Neurology in integrated management of essential tient care, transcranial Doppler scanning, stroke and German Neurologi- emergency care in stroke, other neu- and intensive care. • Thrombolysis MARTIN cal Society for funding rological conditions, and procedures at • Stroke diagnosis via trans- KADDUMUKASA, this training fellowship. Ruhr University Hospital for Neurology. Achievements cranial Doppler scan MD In addition to the head This training exposed me to the follow- From the training, I am of the neurology depart- Specific Objectives ing neurology areas to which I hadn’t able to identify the gaps in stroke care ment, Prof. Dr. Med Ralf Gold, head I trained in the use of the “Integrated been exposed before: protocols in Uganda from emergency of stroke and intensive care unit PD Management Package on Stroke Emer- • Multiple sclerosis care and manage- patient assessment with interna- Dr. C. Krogias and all staff of Bochum gency and Essential Stroke Care.” This ment tional assessment scale, timely patient Hospital. • 9 WWW.WFNEUROLOGY.ORG • MARCH/APRIL 2018 SORIANO continued from page 8 IN MEMORIAM

Association and prestigious professors. Thus, when I became a member of the American Neurological Association Eddie Phiroz Bharucha several decades ago, I returned since Pioneer of Neurology in India 1948 every year with the double reward of enjoying a very outstanding scientific (Dec. 27, 1916-Dec. 14, 2017) level and seeing dear old friends. Little by little, we have regarded the ANA as a big ddie Phiroz Bharucha, though From the mid 1950s onward for many family, to which we are united by warm born into privilege, was in many years, the couple ran clinics for neurolog- affection. Sponsoring a lectureship to be E ways a self-made man. His mother, ical and pediatric assessment of children given at the ANA Annual Meeting, we like Bachha came from a prominent business with poliomyelitis and cerebral palsy at to think that in future years the Sorianos family in Karachi. His father, Phiroz C. what was formerly the Children’s Ortho- will be linked to all of you, through a bril- Bharucha (1882-1952), was an eminent pedic Hospital. He also played a pivotal liant lecture delivered by an outstanding physician in Bombay (now Mumbai) role in establishing the Spastics Society of scientist.” who was consulted by M.K. Gandhi and India (now ADAPT, or Able Disabled All The WFN also has two related Mohammed Ali Jinnah. People Together). Eddie Phiroz Bharucha endowed lectures in every world P.C. Bharucha was part of the Positions held domestically included congress of neurology. One is the group of highly qualified Indian physi- co-founder of the Indian Epilepsy Associa- Victor and Clara Soriano lecture and the cians who vigorously pushed their claim tion, membership of the Neurological which ultimately led to the repeal of a law second is the Fulton Symposium/Soriano for academic positions in Grant Medical Society of India (he was president in that deemed people with epilepsy to be lecture. At the most recent World College on par with the British members 1961), the council of National Academy insane. Another was his importing (at his Congress of Neurology in Kyoto in 2017, of the Indian Medical Service. Their of Medical Sciences, inspector of the own expense) of an early EEG machine for these lectures included “Grid Cells and efforts for justice resulted in the forma- Medical Council of India, examiner for the KEM Hospital, part by part. He also the Medial-entorhinal Space Network” by tion of a medical college, which facilitated the DM (Doctor of Medicine) and DNB imported (again at personal expense) medi- Prof. E.I. Moser (Norway), “Defining the academic advancement of Indian doctors (Diplomate of National Board) exams cines for patients that were not available in Future of Neurology - Japan, Asia and as a matter of policy. throughout India, Honorary Lieutenant India at that time, such as d-penicillamine Oceania” by Prof. H. Mizusawa (Japan), After Eddie’s mother died when he was Colonel in the Armed Forces and physi- for a patient with Wilson’s disease. Finally, and “Global Neurology Challenges 2, his bereaved father immersed himself cian to the Reserve Bank of India. He his contributions during the riots of Parti- and Way Forward” by Prof. and WFN in his work and left Eddie to be brought received the Dhanvantari Award in 1991 tion, in 1947, should be mentioned. He President Raad Shakir (United Kingdom). up largely by an English governess, with for his outstanding contributions to was among a group of doctors from the Victor was the author of more than occasional inputs from his mother’s family. medical sciences, in particular in the field KEM Hospital that went to Lahore, where 200 scientific publications in different Eddie completed his MBBS and MD of neurology. they provided medical relief. Using the Sir medical journals, covering different in both Bombay and London. He was Overseas, he was the president of the Gangaram Hospital as a base, they visited aspects of medicine. In neurology, he appointed Honorary Physician in Medi- World Congress of Neurology (1989), various refugee camps, escorted by troops preferred epilepsies, spinal cord compres- cine at the King Edward Memorial and vice president of the World Federation of from the Gurkha regiment. The trip was sion, and peripheral nerve pathology. Seth G S Medical College (KEM) Hospital Neurology (1969-1973), honorary member organized by Lady Edwina Mountbatten He gave lectures in several countries in in 1945. of the Association of British Neurolo- and Dr. Jiwraj Mehta. America, Europe, and Asia. Many neuro- Between 1949 and 1952, he trained in gists, special member of the International He was a man who, by virtue of char- logical societies accepted him as honorary neurology at the Hospital for Nervous Cerebral Palsy Society, and honorary acter and example, came to fulfill many member. Diseases, Queen Square and the Maida member of the American Neurological roles for many people – clinician, teacher, Apart from his chief interest in Vale Hospital for Nervous Diseases Association. mentor, friend, husband, father, and grand- experimental and clinical neurology, he in London. He then proceeded to the His research and publications pertained father. Piloo and he had three sons – Nadir, had many hobbies. Boxing and football United States where he worked for three to stroke, neurological infections (tuber- Manek-Phiroz, and Adil, eight granddaugh- were a part of his youth. He also engaged months each under Dr. Houston Merritt culous meningitis, postconjunctival ters and two great-grandchildren. In 2004, in sports journalism. In the attic of at Columbia University and under Dr. myeloradiculopathy), nutritional disor- his students, friends, and family created his home, he mounted an astronomic Denny Brown at Boston City Hospital. He ders (especially the relationship between the Eddie and Piloo Bharucha Fund at the observatory provided with a powerful returned to India in 1952 and became the vitamin B, malnutrition, and chronic World Neurology Foundation to support a telescope, and he sought relaxation by first neurophysician to establish a depart- alcoholism), toxic disorders (lathyrism perennial named lectureship at the World watching the sky. On occasion, he invited ment of neurology in India, with 12 beds and mass screening of those exposed Congresses of Neurology. schoolteachers and their pupils to watch at the KEM Hospital in January 1953. to toxic gas in Bhopal within a week of His ethos enveloped the departments the moon and the planets. During his By the time he retired, as emeritus the tragedy), congenital abnormalities he worked in, including other profes- last four decades, he devoted much of his professor in 1974, the KEM Hospital had (atlantoaxial dislocation), and epilepsy and sionals, patients, students, and hospital time to medical journalism, publishing all of the core elements of the clinical epidemiology of neurological diseases staff. For the last 20 years of his life, he in the most important newspapers of neurosciences, including large epilepsy in the Parsi community. He was on the was virtually blind. In anticipation of his Uruguay weekly columns on different and neurology outpatient clinics which editorial advisory board of the Handbook loss of vision, he read several journals of subjects: sanitary education, innova- drew and still draws a large number of of Clinical Neurology (eds., P.Vinken & neurology onto a dictaphone, which he tions in medicine, historical aspects of patients from all over the country, as well G.Bruyn, 1973 onward). was to listen to in solitude after he could medical practice, with the intention of as neuropathology, electroencephalog- Dr. Bharucha was a consummate no longer see. Ultimately, his hearing was popularizing and simplifying medical raphy and electromyography. The depart- physician who relied on clinical assessment also severely impaired. Nonetheless, he knowledge. He loved all kinds of music, ment of neurology had now established a rather than imaging studies. Notwith- retained his sense of equanimity, never instrumental and lyrical, but he was reputation nationally and internationally standing his academic achievements complained, and was always happy to see also an admirer of the typical music of for excellence in patient care, teaching, and his work to advance the practice family and visitors. Uruguay and Argentina and its poetry, and academic endeavors. Dr. Bharucha of neurosciences, his primary concern His greatest legacy (both in the profes- being able to sing from beginning to end later joined the Bombay Hospital, a large always remained the best interests of his sion and for his family) will be his personal the most popular tangos. private hospital which also has a strong patients. This, combined with his deep qualities. He did not seek positions of Victor died in May 2005 and Clarita a sense of social responsibility, and which empathy (particularly toward the under- power or prestige, was unconcerned about few years later. In 2012, Soriano’s brother- subsequently became a teaching hospital. privileged) and an ingrained sense of social material remuneration, and perenni- in-law agreed with the National Academy Together with his wife, the late Dr. responsibility, led to his involvement in ally radiated good cheer, kindness, and of Medicine of Uruguay to sponsor the Piloo Bharucha, he promoted and prac- several projects aimed at alleviating the caring. We mourn his passing but know he Victor and Clara Soriano Award for inter- ticed multidisciplinary care in pediatric stigma and distress suffered by those with remains very much alive in the hearts and national research in medicine, endowed neurology long before this became neurological disorders. One example of minds of all those he touched. with (U.S.$)10,000. • entrenched in more developed economies. this was the 12-year campaign that he led – Nadir Bharucha •