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Volume 1, Issue 3 Fall 2005 what’s inside . . . MNI physician speaks at International Stroke Conference . . . . . . . . . . . . . . . . . . . Page 2 Japanese surgeons learn spinal techniques from MNI physician . . . . . . . . . . . . . . . . . . . Page 2 Skull Base Course held in Memphis . . . . . . . . . . . . . . . . . . . Page 3 Tatyana Ignatova, Ph.D. and Valery Kukekov, Ph.D. Brain Tumor Stem Cell Program Established at University of Tennessee Health Science Center Collaboration with Methodist University Hospital Neuroscience Institute and Semmes-Murphey Neurologic and Spine Institute is one of a few centers of its type in the U.S. A brain cancer stem cell program, funded primarily by the Methodist Healthcare Foundation, has recently been established at the University of Tennessee Health Science Center (UTHSC). Only a few other centers of this type exist in the U.S., including programs at Stanford University and the University of Michigan. Valery Kukekov, Ph.D. and Tatyana Ignatova, Ph.D., were recruited from the University of Florida to join the Department of Neurosurgery to lead an effort to combine the fields of tumor cell and stem cell biology. “This is a major achievement for the UT Health Science Center and Methodist and will put us at the forefront of brain cancer research nationally. This research team will unite physicians and scientists of diverse backgrounds and will attempt to answer questions about the role of cancer stem cells in all biological aspects of brain tumors for both children and adults,”said Jon Robertson, M.D., head of the UTHSC Department of Neurosurgery. Dr. Christopher Duntsch, a group leader for brain cancer research and development in the UTHSC neurosurgery department, said,“Drs. Kukekov and Ignatova are considered pioneers in the field of stem cell and tumor stem cell research, and we are very fortunate to recruit them to Memphis to start this program.” “We knew that coming here would give us a unique opportunity to initiate a multi-disciplinary program that will integrate two branches of biomedical science: basic and clinical, to study the origins of brain tumors and brain metastases from different primary tumors,” said Dr. Kukekov. They were also enticed knowing they would have a large volume of brain tumors to use in their studies. Methodist Healthcare has one of the most active neurosurgery programs in the country, performing hundreds of surgeries for brain tumors annually. The concept of stem cell biology has changed the model of how healthy tissues develop and how injured tissues regenerate. Similarly, the concept that cancer is a stem cell disease will yield exciting new potential for understanding how cancers arise, spread, and resist treatment. The ultimate goal of the Department of Neurosurgery tumor stem cell program is to define the true nature of a cancer stem cell, and then use this information to design novel therapies including a cancer vaccine targeting this unique cell population. Drs. Kukekov and Ignatova will join Dr. Duntsch’s existing tumor research group, and together they will combine stem cell and tumor cell biology research into a new research direction, tumor stem cell research.They will combine the study of cancer stem cells derived from human brain tumors treated here in Memphis with animal models to further develop their paradigm for how these stem cells are related to the biology of brain tumors.The unified goal of this effort will be to develop new therapeutic approaches to cure brain cancer. Over the next few years, they will work to establish this research and solicit public funding from the National Institutes of Health. Dr. James Wang Asked to Speak at International Stroke Conference in Beijing In the wake of recent reports that stroke is the number two lethal disease and number one cause for disability in their country, the Chinese are seeking help from experts around the world. James Wang, M.D., Ph.D., director of the Methodist University Hospital Stroke Center, and a neurologist with Wesley Neurology Clinic, made two presentations in July at the Tiantan International Stroke Conference in Beijing, China. Dr. Wang spoke on “Neuroprotective Agents in Acute Stroke, the Past, Present and Future” and “StrokeLike Syndromes From the Central Nervous System, Vasculitis (inflammation of the blood vessels in the brain), MERRF, MELAS to Cerebral Autosomal Dominant Arteriopathy With suCADASIL.” China currently has about 7 million people afflicted by stroke, with around 1.5 million of those killed by the disease each year. James Wang, M.D. “The problems that exist in the world today cannot be solved by the level of thinking that created them.” - Albert Einstein Japanese Surgeons Come to Memphis to Learn Latest Spinal Surgical Techniques Would you prefer to receive brainStorm In August, seven orthopedic surgeons from Japan flew to Memphis to learn some of the latest spinal surgical techniques. They trained at the Medical Education and Research Institute (MERI) and observed Kevin Foley, M.D., a neurosurgeon with Methodist University Hospital and Semmes-Murphey Neurologic and Spine Institute, and professor at the University of Tennessee Health Science Center, perform a minimally invasive back surgery using the CD Horizon Sextant. The CD Horizon Sextant spinal system allows surgeons to fuse spinal vertebrae together by inserting screws and rods through small incisions, which limits trauma to surrounding muscles and tissues.This means less blood loss, faster recovery times, smaller scars, less pain after surgery and shorter hospital stays for patients. Potential candidates for this procedure are patients who have failed to respond to non-operative care and have a degenerative or herniated disc, a misaligned vertebra, or a traumatic fracture. electronically? Drop us a note at [email protected] and ask to be added to our email list. Pictured above: Kevin Foley, M.D. (right) demonstrating CD Horizon Sextant Spinal System to visiting surgeon. 4th Annual Skull Base Course held at Medical Education Research Institute The 4th Annual Skull Base Course for senior neurosurgical residents was held in Memphis at the Medical Education and Research Institute (MERI) July 22-25, 2005. The Skull Base Course included 45 residents chosen in an equal distribution from the four geographical quadrants of the U.S. neurosurgical residency training programs. Residents were selected on a first-come, first-served basis by the faculty for this course. Created and organized by Jon Robertson, M.D., professor and chairman, department of Neurosurgery, University of Tennessee Health Science Center, the annual Skull Base Course draws top neurosurgical and ENT faculty and hand-picked, top neurosurgical residents from across the country. This year's residents came from prestigious neurosurgical residents programs at universities such as Baylor, Rush, Johns Hopkins, University of Michigan, Mount Sinai, and the Barrow Neurological Institute, to name a few. The faculty included physician leaders from the Mayo Clinic, St. Louis University School of Medicine, UT Health Science Center, University of Toronto, and Loyola University Medical Center. Dr. Robertson says there's nothing else like this in the country. Of the 94 neurosurgery programs throughout the U.S., only about six focus on skull base courses. That's why it's important to expose residents to this type of educational opportunity, he said. The successful model created by Dr. Robertson is now beginning to be copied by other groups across the country. Future programs call for courses on interventional procedures for aneurysms and a minimally invasive spine course. The annual Skull Base Course is sponsored by the North American Skull Base Society through an unrestricted educational grant provided by Medtronic Powered Surgical Solutions. Additional funding has been provided by Carl Zeiss, Inc., Karl Storz Endoscopy, and StrykerLeibinger Micro Implants. Reflections: Successful AANN Course held at the MNI Mayo Physician Makes the Rounds at Methodist University Hospital Phillip Low, M.D., professor of neurology at Mayo Clinic College of Medicine in Rochester, Minn., joined neurologists at Methodist University Hospital for the University of Tennessee Health Science Center’s Department of Neurology’s Grand Rounds, Friday, September 16. Dr. Low addressed physicians and discussed the evaluation of the autonomic nervous system. His lecture focused on obtaining a greater understanding of the autonomic nervous system. He reviewed Jeffrey Sorenson, M.D. talks with Cecelia Sawyer, Senior V.P. and Administrator, Methodist University Hospital. the latest tests that are available and how to interpret them, as well as increase awareness of diseases that affect the autonomic nervous system. Dr. Low has been on the faculty at Mayo Clinic College of Medicine since 1978 and is section head of the peripheral nerve section there. His work has been in numerous publications including the Journal of Neurology, Neurosurgery, and Psychiatry and the Movement Disorder Journal. Methodist University Hospital – Neuroscience Institute hosted an American Association of Neuroscience Nurses course on August 16 & 17 in Memphis. Over 32 neuro nurses from across the Mid-South attended the two-day conference focusing on everything from peripheral nerve injuries to tumors and associated treatments. “The class was outstanding. All attending were inspired to learn more and continue their commitment to improve care for the neuroscience patient,”said James Roberts, RN, clinical nurse coordinator at the MNI. A major objective of the course is to prepare nurses for the CNRN exam. Six MNI nurses took the exam this October. Planning for next year’s AANN course at the MNI is underway. would like to hear from you! Please send us any of your news, updates, story suggestions or comments to [email protected]. Notable News from around the Methodist Neuroscience Institute • 90.9 percent of neuro patients surveyed for the month of August at Methodist University Hospital rated their experience as “excellent”. • Watch for us on the sidelines at the next big game! MNI physicians Jon Robertson and Allen K. Sills Jr. provide neuro sports medicine coverage for the University of Memphis and Mississippi State University football teams. • Congratulations to Tulio Bertorini, M.D., neurologist with the MNI and Wesley Neurology, for wrapping up a great year as president of the Tennessee Academy of Neurology. Dr. Bertorini is also a member of the publications committee of the World Federation of Neurology and a member of the editorial board of the Journal of Clinical Neuromuscular Disease. His upcoming speaking engagements include presentations at the Peruvian Congress of Neurology and the Chilean Congress of Neurology, Neurosurgery and Psychiatry. • World-class surgery on the World Wide Web – interested patients and physicians are invited to watch live surgery at: http://neuro.methodisthealth.org Featured surgeries include: Brain Tumor Surgery/GliaSite Radiation Therapy, METRx Herniated Disc Repair and Pediatric Vagus Nerve Stimulation. Methodist University Hospital is the primary teaching hospital for the University of Tennessee Health Science Center and is proud to bring medicine, research and education together under one roof. The Neuroscience Institute brings together the best and brightest in the private and academic world of medicine. 1211 Union Avenue, Suite 900 Memphis, TN 38104 brainStorm Of All The Nerve