June, 9-10, 2025
Marwan Hariz
Takaomi Taira
Jean Régis
June, 9-10, 2025
Radiosurgery
HIFU
LITT …
Hands On
ABOUT THE COURSE
In the developed world, Deep Brain Stimulation (DBS) has today become the unchallenged reference functional neurosurgery procedure for several clinical indications and in several brain targets.
This has been at the expenses of stereotactic lesioning procedures that have but almost disappeared both clinically and academically from the teaching and training of young neurosurgeons.
However, for various reasons, -economic, geographic or other-, there is still a need for stereotactic lesional techniques that are well controlled and well performed in order to benefit patients in whom functional neurosurgery is required.
Today, only senior functional neurosurgeons still have the skills necessary to perform proper stereotactic functional lesional procedures, but this whole field is at risk of extinction when these neurosurgeons are no longer.
Contrary to stimulation techniques that are extremely supported by industry, lesional techniques are no longer taught and are not interesting for manufacturers of DBS devices.
As a group of international functional neurosurgeons, we wish to establish a practical course aiming at teaching stereotactic lesional techniques to younger colleagues.
This course will be held in Marseille, France, on 9-10 June 2025.
1
When
June 9-10, 2025
2
Where
Hôpital d’adulte de la Timone
Service de Neurochirurgie Fonctionnelle & Stéréotaxique
264, boulevard Saint-Pierre
13005 Marseille
France
Contact: Manon.bruna@ap-hm.fr
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Public
Neurosurgeons
4
under the auspices of
PROGRAMME
Monday, June 9, 2025
08:00-08:10 Welcome/Opening Remarks
08:10-08:40 History of stereo ablative surgery – P. Blomstedt
08:40-09:00 Pros and Cons of Lesioning vs DBS – M. Hariz
09:00- 09:30 Stereotactic Principles – L. Zrinzo
- Frame application
- Image acquisition/distortion/fusion/shift
09:30- 09:45 Current Atlases: from Spiegel & Wycis to modern – L. Zrinzo
09:45- 10:00 Intraop technique: principle of macrostimulation, impedance monitoring – Hariz
10:00-10:15 Intraop technique: principle of MER – TBC
10:15-10:45 Coffee Break
10:45-12:00 Lesioning Techniques & physical principles (15 min. each)
- Radiofrequency, cooling, procain oil, balloon – Hariz
- Gamma Knife – Régis
- Focused Ultrasound – Elias
- LITT – Lefranc
- Via DBS électrodes – Taira
12:00-13:00 LUNCH
13:00-16:00 The main targets (Anatomy targeting, technic, indications & results)
Thalamus VIM/VOP/VOA; ZI/PSA
- RF – Schuurman
- HIFU – Elias
- LITT – Lefranc
- GKS – Régis
Subthalamotomies RF (cZi, RAPL) etc excluding STN – P. Blomstedt
Forellotomy / Pallidotthalamic tractotomy by RF/FUS – S. Horisawa
Pallidotomy
- RF – Hariz
- HIFU – Levi
16:00-16:30 Coffee break
16:30-18:00 STN
- RF – Schuurman
- HIFU – Del Alamo
- LITT – Lefranc
- GKS – Régis
18:00- 18:30 Panel Discussion
18:30-22:00 Dinner and Get-Together
Tuesday, June 10, 2025
08:00-09:30 Psychiatry (Anatomy targeting, technic results in OCD & Depression)
- CapsulotomyRF – Martinez
- Capsulotomy GK – Régis
- Capsulotomy HIFU – JW Chang
- Cingulotomy & Limbic Leucotomy RF – Cosgrove
- Capsulotomy for Anorexia RF – Sun
- Capsulotomy for Anorexia GKS – Martinez
- Capsulotomy for addiction – JW Chang
09:30-11:00 Coffee Break & Hands On Demonstration of MR targeting and egg albumine lesioning
11:00-12:00 Pain Ablative Techniques (15 min. each)
- Cordotomy and Myelotomy for Pain – Strauss
- Mesencephalotomy RF for Pain – Régis
- Hypophysectomy for pain – Balossier
- Thalamotomies (CM, CL, …) – Franzini
12:00-13:00 LUNCH
13:00-15:00 Live Demonstration Cases (Virtual Cases led by Faculty)
- Pallidum – Hariz
- VOA – Taira
- STN – Cosgrove
- ZI/PSA – Blomstedt
- Cingulotomy, Limbic Leucotomy, Capsulotomy – Cosgrove
15:00-15:30 Coffee Break
15:30-16:30 Advance imaging – H. Akram
- functional anatomy ACCORDING to atlas (what is what on the atlas and what they do)
- Imaging methods: VG, CT, MRI, others?
- tractography and its role in TARGETING for stereo lesions
16:30-17:30 Stereotactic lesioning for Epilepsy (10 min each)
Including indications, anatomy, preop imaging, DETAILED TECHNIQUE and outcome
- RF Thermocoagulation of the EZ – Parpaley
- RF Anterior Nucleus of the thalamus – Sitnikov
- Amygdalotomy RF GK HIFU LITT – Martinez
- LITT for HH & other epilepsies – Curry
- SRS for HH & Other epilepsies – Régis
17:30-18:00 Panel Discussion
- Present & Future of RF – Taira
- Present & Future of GK – Régis
- Future of HIFU – Cosgrove
- Future of LITT – Curry
18:00-18:15 Concluding Remarks
ACCESS
Hôpital d’adulte de la Timone
Service de Neurochirurgie Fonctionnelle & Stéréotaxique
264, boulevard Saint-Pierre
13005 Marseille
France
Contact: Manon.bruna@ap-hm.fr
ACCESS
- METRO : Line 1 (M1), Stop “La Timone“
- BUS : 12, 12B, 12S, 40, 54, 72, 91, 540, Stop “Métro La Timone“
- PARKING : Q-Park “La Timone”
ACCOMMODATION
IBIS MARSEILLE TIMONE
107, bd Sakakini
13005 Marseille
Aparthotel Adagio Marseille Timone
21, chemin de l’Armée d’Afrique
13005 Marseille
Sponsorship & Exhibition Management
MCO Congrès Group
Villa Gaby
285, Corniche Kennedy
13007 Marseille
France
+33 495 093 800
natalie.ruxton@mcocongres.com