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OCTOBER 2009 World Neurology 01_2_3_6_7_14_15wfn9_9.qxp 9/10/2009 1:54 PM Page 1 VOL. 24 • NO. 5 • OCTOBER 2009 World Neurology THE OFFICIAL NEWSLETTER OF THE WORLD FEDERATION OF NEUROLOGY WFN, WHO Take on ICD-10 Revisions INSIDE WCN 2009 Named Orations honor BY DONNA C. BERGEN, M.D. Eddie and Piloo Chair, Public Relations and WHO Liaison Committee, WFN Bharucha, B.S. Singhal, ollaboration between the World Federation of Neurology Melvin D. Yahr, and and the World Health Organization has moved into the im- Richard L. and Mary Cportant area of disease classification. Masland, for their life- Although systems of disease classification were begun as early as long contributions to the the 18th century, since its founding in 1946 the WHO has been re- field of neurology. sponsible for preparing and updating the International Lists of Dis- PAGE 5 ERGEN eases and Causes of Death (ICD). In fact, the ICD is more than 100 B years old, making it older than the WHO. One of the WHO’s ear- liest official actions was to approve the ICD-6. ONNA Krasnoyarsk Krai . D R The capital city of this Since then, the WHO has periodically revised the ICD codes. The D current ICD-10, which is being used in most countries, was ap- remote Siberian region is proved in 1990 by the World Health Assembly, which consisted of a hub of research, clinical OURTESY the health ministers of the WHO member states. The codes are C practice, and training for used as universally recognized diagnostic labels by clinicians, by epi- The WFN’s Dr. Donna Bergen and Dr. Johan Aarli (front, 3rd and neurologists. demiologists charting disease prevalence and incidence, by re- 5th from left) with representatives from international neurological PAGE 8 searchers, and by public health officials and health care planners organizations at a meeting of the WHO’s ICD-11 committee in responsible for resource allocation and training programs. Min- Geneva. Dr. Raad Shakir (front, 3rd from right) was the chair. The istries of health use the code when reporting causes of death and meeting was convened by Dr. Shekhar Saxena (front, 5th from Going Global disease rates to the WHO, and some health systems use the dis- right) and Dr. Tarun Dua (front, 4th from left) of the WHO. The Multiple Sclerosis ease codes in reimbursement for health care. (Some countries, no- International Foundation tably the United States, still use the ICD-9 version.) Brain Research Organization, International Child Neurology As- and the World Stroke In June, the ICD-11 Committee was convened in Geneva by Dr. sociation, World Federation of Neurosurgical Societies, Interna- Organization hone plans Shekhar Saxena and Dr. Tarun Dua of the WHO’s Programme for tional Neuropsychological Society, International League Against for raising worldwide Neurological Diseases and Neuroscience, Department of Mental Epilepsy, International Headache Society, Multiple Sclerosis Inter- awareness of the diseases Health and Substance Abuse, the WHO division that is responsible national Federation, World Stroke Organization, and Movement for disorders of the nervous system. The meeting was chaired by Disorder Society. Dr. Johan Aarli represented the WFN. The revi- and promoting research Dr. Raad Shakir of Imperial College, London. Representatives sion will include three versions: for primary health care workers, and clinical collaboration. from a range of international neurological organizations partici- PAGE 12 pated, including Alzheimer’s Disease International, the International See ICD-10 • page 14 Neurological Complications Seen in 4 Children With H1N1 BY MIRIAM E. TUCKER Disease Control and Preven- the four patients had abnormal County since April 22, including Two of the children—a 17- Elsevier Global Medical News tion (CDC) in a report of four findings on electroencephalog- 44 who were hospitalized. year-old black male and a 10- children with neurological raphy. In all four patients, There were no deaths reported. year-old Hispanic male—had andemic influenza A(H1N1) complications associated with H1N1 influenza viral RNA was Of all the confirmed cases, 83% been previously healthy. The Pvirus should be considered H1N1 influenza virus infection detected in nasopharyngeal were in patients who were older child was admitted with in the differential diagnosis for seen in Dallas County, Texas, specimens but not in cere- younger than 18 years of age. a fever, cough, headache, dizzi- children who present with in- U.S.A., during May 2009. All brospinal fluid, the CDC said Of seven possible cases of neu- ness, and weakness and later fluenzalike illness accompanied four children, who were aged 7- (MMWR 2009;58:773-8). rological complications, three developed disorientation and by unexplained seizures or men- 17 years, were admitted with The four children were were excluded either because confusion. The younger child tal status changes. signs of influenzalike illness among a total of 405 persons they were found to have alter- had had a 3-minute tonic-clonic That recommendation was (ILI) and seizures and/or al- with confirmed pandemic flu native etiologies or because they made by the U.S. Centers for tered mental status. Three of seen at all hospitals in Dallas did not meet the case definition. See H1N1 • page 15 Place your classified advertisement today! WORLD NEUROLOGY now offers job advertisements to an international print readership of over 25,000 neurologists and to a much larger on-line readership through the Publications section of the World Federation of Neurology web site at www.wfneurology.org. For Europe, [email protected] or Fax us on +44 (0)207 4244433 For U.S., contact Robert Zwick at [email protected] or call 973-290-8226 01_2_3_6_7_14_15wfn9_9.qxp 9/10/2009 1:57 PM Page 2 2 • WORLD NEUROLOGY WWW.WFNEUROLOGY.ORG • OCTOBER 2009 EDITOR IN CHIEF’S COLUMN WCN 2009 Neurologists at the Movies First Advocacy Session Is eurologists are people, too, and advocates of the idea that many chron- often go (or should go) to the ic, often vague, neurological symptoms Planned for Bangkok Nmovies for entertainment and fun. may be due to a chronic Lyme infection. Sometimes the movies have medical or No use that the American Academy of he World Federation of Neurology our specialty based on the conditions even neurological themes. In these cir- Neurology and the Infectious Disease So- Twill offer the first session of its kind in their home countries and how to cumstances, we might well have a spe- ciety of America, upon careful and de- on advocacy training on Oct. 29 at the present one’s original project to rep- cial interest. How are the patients that tailed review of all the evidence, have 2009 World Congress in resentatives of media and we see portrayed on the big screen? In concluded that Lyme disease is general- Bangkok. government. addition, of course, our ly not responsible for the Course faculty will in- The course is a Scientif- friends, colleagues, and even symptoms complained clude the president of the ic Session and does not re- our patients may well want about. Physicians are por- World Neurology Founda- quire preregistration or ad- to know what we do think trayed as nonsympathetic tion, Dr. Michael Finkel, ditional charges. about a particular movie. and the scientific method as Dr. Mohammad Wasay, Dr. It will be very useful to Lay groups are often excited misguided. This is an im- Man Mohan Mehndiratta, individuals as well as na- about movies that illustrate portant area to know about. Dr. Wolfgang Grisold, tional societies that wish their disease; the movie Many patients feel very American Academy of to follow the example of makes their problem better strongly that their symp- Neurology staff, and inter- the Indian Academy of known and increases sym- toms are due to chronic national graduates of the DR. MICHAEL FINKEL, M.D. Neurology and establish a pathy for the symptoms Lyme disease, and this AAN’s Palatucci Advocacy section on advocacy. they have. BY MARK movie will strengthen their Leadership Forum. Questions regarding the session can What’s the advantage of a HALLETT, M.D. belief. Proper treatment of They will present a structured pro- be directed to Dr. Finkel at mfinkel@ movie review? The review the patient will require tak- gram that will teach attendees how worldneurology.org or Melissa Larson lets us know about the film, to help us ing this belief into account. Often som- best to advocate for their patients and at [email protected]. ■ make a decision as to whether we want atization is the underlying disorder. to go. If we don’t go, then we are at least The movie on Tourette syndrome, somewhat knowledgeable about the “Phoebe in Wonderland,” is an enjoyable film. In addition, we can get an expert’s story, but the lead character seems to Council of Delegates Meeting: viewpoint on the film. That sort of edu- have mainly obsessive compulsive disor- cation can certainly increase our under- der and impulsive behaviors. In fact, al- Register if You Want to Vote standing of the disorder that is being por- though the diagnosis of Tourette syn- trayed, point out subtleties that we might drome is made, the patient does not he 2009 Council of Delegates will return it to the WFN head office as miss, and increase our enjoyment over- have any tics! Again, the movie maker Tbe held in Bangkok during the soon as possible. If you have not yet re- all. On page 19 of this issue of World has the wrong diagnosis, and the movie- World Congress of Neurology on Oct. ceived such a form, please contact the Neurology, we have two movie reviews goers may well be misled. So for both 25 from 10:00 a.m to noon, followed by head office at [email protected].
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