Inflammatory Brain Disorders CME Series

Hosted by Neuroimmune Foundation
and accredited in collaboration with
The Wisconsin Medical Society

Enduring Material for Physicians in North Carolina

Date of release: March 21, 2023
Date of expiration: December 31, 2024

Join Us for On-Demand CME

The Inflammatory Brain Disorders Series features nationally and internationally renowned experts skilled in diagnostic and therapeutic approaches who will present a diverse range of emerging clinical and research challenges, insights, and advances in the field of inflammatory brain disorders.

The intended audience is pediatric and adult physicians. Both generalists as well as specialists will find the conference valuable to their practices. The conference is designed for pediatricians, family physicians, psychiatrists, rheumatologists, immunologists, neurologists, and infectious disease physicians. Though the conference is designed for physicians, physician assistants and nurse practitioners will find the series valuable to their practices as well.

Additional follow up support will be provided through monthly Case-Based Q&A webinars for clinicians featuring experts in the field.

If you are a North Carolina physician wishing to access this CME series free of charge, please apply for access. Once your credentials have been verified, you’ll be provided access to the materials. This series is currently only open to physicians in the State of North Carolina thanks to a grant from the North Carolina Legislature.

© Copyright to this series is held by Neuroimmune Foundation.

Doctor listening to a child's heart beat with a stethoscope.
Join us in an ongoing opportunity for physicians to consult face-to-face virtually on challenging cases with leading experts in the field of neuroimmunology. Our Expert Case Consultation Panel meets monthly.

Inflammatory Brain Disorders CME Series Syllabus

Hosted by Neuroimmune Foundation
and accredited in collaboration with
The Wisconsin Medical Society

Contents

The Inflammatory Brain Disorders Series features nationally and internationally renowned experts skilled in diagnostic and therapeutic approaches who will present a diverse range of emerging clinical and research challenges, insights, and advances in the field of inflammatory brain disorders.

Target Audience

The intended audience is pediatric and adult physicians. Both generalists as well as specialists will find the conference valuable to their practices. The conference is designed for pediatricians, family physicians, psychiatrists, rheumatologists, immunologists, neurologists, and infectious disease physicians. Though the conference is designed for physicians, physician assistants and nurse practitioners will find the series valuable to their practices as well.

Though all content is geared towards clinicians, patients and families are welcome to view the recorded lectures. Additional follow up support will be provided through monthly Case-Based Q&A webinars for clinicians featuring experts in the field. 

Statement of Need

Immune-mediated causes of neuropsychiatric deteriorations are frequently misdiagnosed. There is a pressing need for medical knowledge in this area to advance. The need is increasing due to post-COVID-19 sequelae. Failure to utilize immunomodulatory therapies can lead to a dramatic worsening in symptoms and even permanent neurologic impairment as well as dramatically reduced quality of life for patients with these conditions, and physicians are not adequately educated in these areas.

Additional Information

Neuroimmune Foundation subscribes to the articles of Title III of the Americans with Disabilities Act of 1990.  Should you or anyone accompanying you require special assistance, please notify us by contacting cme@neuroimmune.org or 608-381-0367. Requests should be made as early as possible to allow time to arrange the accommodation.

If you are a North Carolina physician wishing to access this CME series free of charge, please fill out the form here. Once your credentials have been verified, you will be provided access to the materials. 

Copyright to this series is held by Neuroimmune Foundation.

Date of release: March 21, 2023
Date of expiration: December 31, 2024

Instructions to Receive Credit

This continuing medical education enduring material is in a video format. References are linked to online resources. In order to receive credit for this activity, the participant must view the video presentations and complete the post-test and evaluation. Upon completing this activity as designed, participants should complete the post-test on the website. After achieving a passing score on the post-test (80%), participants will submit their signed evaluation and registration form on the website below and will receive their CME certificates via email. Multiple attempts of the post-test are allowed.

List of references from the literature for future reading

Activity Director:

Anna Conkey
Executive Director and Founder, Neuroimmune Foundation
Ms. Conkey has no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Planning committee member:

Amy Malik, MD
Dr. Malik has no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Hosts/Moderators:

Anna Conkey
Executive Director and Founder, Neuroimmune Foundation

Lawrence Steinman, MD
Professor of Neurology and Pediatrics, Stanford University School of Medicine

Dr. Lawrence Steinman is Professor of Neurology, Neurological Sciences and Pediatrics at Stanford University. He was Chair of the Stanford Program in Immunology from 2001 to 2011. His research focuses on what provokes relapses and remissions in multiple sclerosis (MS), and on the quest for antigen specific therapy in autoimmune disease.  Steinman was senior author on the 1992 Nature article that led to the drug Tysabri, approved for MS and Crohn’s disease.  He is currently applying insights from Tysabri to develop new therapies for neurodegenerative diseases, aimed at blocking macrophages and microglia from eating neurons and axons “in danger.” Dr. Steinman graduated from Dartmouth College, Magna Cum Laude in Physics. His MD is from Harvard Medical School.  He was a post-doctoral fellow in chemical immunology at the Weizmann Institute of Science. After neurology residency, he remained on the faculty in 1980.  He has received numerous honors, including the John M. Dystel Prize in 2004, the Javits Neuroscience Investigator Award from the NINDS twice, the Charcot Prize in MS research, and the Cerami Prize in Translational Medicine. Dr. Steinman is a member of the National Academy of Sciences, and the National Academy of Medicine.  Dr. Steinman cofounded several biotech companies, including Neurocrine, Atreca, 180 Life Sciences, 5 Integrin LLC, and Pasithea. He was a Director of Centocor from 1988 until its sale to Johnson and Johnson.  He is a Director of BioAtla, an immune-oncology company, co-Executive Chair of 180 Life Sciences, and Executive Chair of Pasithea.

Dr. Steinman is a consultant for BristolMeyersSquibb. All of the relevant financial relationships for this individual have been mitigated.

Samuel Pleasure, MD, PhD
Glenn W. Johnson, Jr. Memorial Endowed Chair Professor, Department of Neurology, University of California, San Francisco (UCSF) Director Neuroscience Graduate Program, UCSF 

Dr. Samuel Pleasure is the Glenn W. Johnson, Jr. Memorial Endowed Chair in Neurology at UCSF. Dr. Pleasure is a neurologist who specializes in caring for patients with multiple sclerosis. He also has expertise in caring for patients with epilepsy as well as years of experience in managing a variety of neurological conditions in both clinic and hospital settings. Dr. Pleasure has two main areas of inquiry for his research. He studies processes that regulate early brain development in both normal and diseased situations. He also studies autoimmune forms of meningoencephalitis, where inflammation in specific brain areas causes severe neurologic dysfunction. He received his medical degree and a doctorate in neuroscience from the University of Pennsylvania. He was chief resident during his neurology residency at UCSF, where he then completed a research fellowship in neuroscience. Dr. Pleasure is a fellow of the American Neurological Association and a member of the American Academy of Neurology, American Epilepsy Society, Society for Neuroscience, Society for Developmental Biology, and Cajal Club. He has won numerous awards for his research and has received research funding from a wide variety of private, state, and federal sources. He has served in leadership roles in national organizations and in the UCSF Department of Neurology.

Dr. Pleasure has no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Eyal Muscal, MD
Section Chief, Pediatric Rheumatology, Baylor College of Medicine

Dr. Eyal Muscal is a pediatric rheumatologist with a MS Degree in Clinical Research whose activities include patient care, fellowship education, quality improvement, and clinical research. His research, quality improvement, and clinical interests include neurologic manifestations of systemic autoimmune disorders (primarily autoimmune encephalitis, NPSLE, APS, and CNS vasculitis), systemic vasculitides, and patient-powered research in rare diseases. Dr. Muscal is the Childhood Arthritis and Rheumatology Research Alliance (CARRA) registry PI and co-director of the CARRA autoimmune encephalitis work group. An increased portion of his clinical effort is spent on standardizing and enhancing care of children with inflammatory brain disorders. As part of this effort, he obtained additional training in advanced QI. During the COVID-19 pandemic Dr. Muscal has been one of his section’s champions on the pathophysiology and treatment of MIS-C. This has included providing educational sessions at his institution and also to international audiences. He has coordinated evidence-based guidelines for MIS-C at his institution and has insured timely, rational, and multi-disciplinary MIS-C care in both general floor and critical care areas. He is also the rheumatology lead for a joint cardiology-rheumatology clinic that follows MIS-C patients after hospital discharge. Dr. Muscal is well suited to support institutional efforts regarding COVID-19 and MIS-C care and specifically the Artificial Intelligence COVID-19 Risk Assessment for Kids (AICORE-kids) program.

Dr. Muscal has no relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Learning and Outcome Objectives

  • Learn how to effectively treat inflammatory brain conditions as well as the circumstances in which each treatment is appropriate. 
  • Learn the clinical work up required to accurately diagnose immune mediated causes of neurologic and psychiatric deteriorations.
  • Recognize that neuropsychiatric sequelae can result from infections, autoimmune, and inflammatory conditions.
  • Accurately diagnose various inflammatory brain conditions.
  • Describe appropriate treatments for patients with inflammatory brain conditions. 
  • Identify the various immune and inflammatory markers that can present in patients with inflammatory brain conditions. 
  • Report the cognitive and psychiatric effects seen in some patients following COVID-19.

Accreditation / Credit Designation Statement

This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Wisconsin Medical Society and Neuroimmune Foundation. The Wisconsin Medical Society is accredited by the ACCME to provide continuing medical education for physicians.

The Wisconsin Medical Society designates this enduring material activity for a maximum of 20 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This activity has been produced with no commercial support. We are very grateful to the State of North Carolina for the educational grant that allowed us to offer this series.

A Walk Through the JCAP Special Issue on Management of PANS

Doctor Jennifer Frankovich
Jennifer Frankovich, MD, MS
Dr. Chris Ikonomidou
Chris Ikonomidou, MD, PhD
Doctor Mark Pasternak.
Mark Pasternack, MD
Doctor Gail Bernstein.
Gail Bernstein, MD
Dr. Cynthia Kapphahn
Cynthia Kapphahn, MD
Doctor Kiki Chang.
Kiki Chang, MD

A Walk Through the JCAP Special Issue on Clinical Management of PANS is a five hour recording featuring a panel presentation of nationally renowned experts skilled in diagnostic and therapeutic approaches who present an in depth training on the PANS Research Consortium Treatment Recommendations 2017: JCAP Volume: 27 Issue 7: September 1, 2017, Clinical Management of Pediatric Acute-Onset Neuropsychiatric Syndrome.

Speakers and Videos

Jennifer Frankovich, MD

Rheumatology & Psychiatry – What We Can Learn From Overlapping Conditions
Dr. Frankovich is an Associate Clinical Professor in the Department of Pediatrics, Division of Allergy, Immunology Rheumatology (AIR) at Stanford University/Lucile… Read More

Hrissanthi (Chris) Ikonomidou, MD, PhD

A Neurologist’s Perspective on PANS: Case Studies
Dr. Hrissanthi (Chris) Ikonomidou is a Child Neurologist and physician researcher with expertise in neurodegenerative and neurodevelopmental disorders… Read More

Chris Pittenger, MD, PhD

Antibodies in Children with PANDAS Bind to and Inhibit Specific Inter­neurons in the Basal Ganglia
Chris Pittenger earned his MD and Ph.D. degrees from Columbia University, where his graduate work was done with Nobel Prize recipient Eric Kandel… Read More

Cynthia Kapphahn, MD, MPH

Disordered Eating in PANS
Dr. Cynthia Kapphahn is a Clinical Professor in the Division of Adolescent Medicine at Stanford University School of Medicine. She is Medical Director, Eating Disorders Program of Lucile… Read More

Elizabeth Mellins, MD

Monocyte Research in PANS
Dr. Elizabeth Mellins is a Pediatric Rheumatologist and a Molecular Immunologist at Stanford University School of Medicine. She has focused her career on laboratory-based research on… Read More

Theresa Willett, MD, PhD

Clues from the Clinical Exam and PANS/PANDAS for the Busy Primary Care Provider
Dr. Theresa Willett is a general pediatrician and current medical director of the Stanford PANS/Immune Behavioral Health Clinic. She pursued her MD-PhD at Tufts University in Boston, where… Read More

Lawrence Steinman, MD

Does Molecular Mimicry Explain Epidemiology Linking EBV & MS? …
Dr. Lawrence Steinman is Professor of Neurology, Neurological Sciences and Pediatrics at Stanford University. He was Chair of the Stanford Program in Immunology from 2001… Read More

Jonas Bergquist, MD, PhD

Chronic Fatigue Syndrome / Myalgic Encephalomyelitis
Dr. Jonas Bergquist is Full Chair Professor in Analytical Chemistry and Neurochemistry at the Biomedical Centre, Department of Chemistry at Uppsala University, Sweden, Adjunct Professor in… Read More

Sean Pittock, MD

GAD65 Neurological Autoimmunity
Dr. Sean Pittock is Professor of Neurology, Director of the Neuroimmunology Laboratory and the Center for MS and Autoimmune Neurology at the Mayo Clinic. His expertise is in the… Read More

Sameer Sheth, MD, PhD

Neuromodulation for Psychiatric Disorders
Dr. Sameer Sheth is currently Associate Professor, Cullen Foundation Endowed Chair, Vice-Chair of Research, and McNair Scholar in the Department of Neurosurgery, Baylor College of Medicine… Read More

Charles Raison, MD

Inflammation in the Development and Treatment of Depression
Dr. Charles Raison is the Mary Sue and Mike Shannon Distinguished Chair for Healthy Minds, Children & Families; Professor, Human Development and Family Studies, School of Human… Read More

Michael Wilson, MD

Autoimmune and Infectious Encephalitis
Dr. Michael Wilson is a Debbie and Andy Rachleff Distinguished Professor of Neurology and an Associate Professor in the UCSF Department of Neurology and Weill Institute of… Read More

Sarkis Mazmanian, PhD

Development of Microbiome-Based Therapeutics for Autism
Dr. Sarkis Mazmanian is the Luis B. and Nelly Soux Professor of Microbiology in the Division of Biology & Biological Engineering at the California Institute of Technology (Caltech). He is a … Read More

Mark Pasternack, MD

Use of Antibiotics in Infection Associated Neuropsychiatric Syndromes Including PANS
Dr. Mark Pasternack is Chief, Pediatric Infectious Disease Unit, at Massachusetts General Hospital. Educated at Harvard Medical School, Dr. Pasternack completed his residency and clinical… Read More

Janet Cunningham, MD

Clinical and Biological Hetero­geneity in an Adult Patient Cohort with Psychiatric Symptoms Enriched for Suspected Immuno­logical Involvement
Dr. Janet Cunningham is an Associate Professor in Experimental Psychiatry at Uppsala University, is also affiliated with the Department of Neurosciences… Read More

Chandra Menendez, PhD

A New Look: Autoantibodies Against the Dopamine Receptors Define PANDAS and Sydenham Chorea
Dr. Chandra Menendez is a Postdoctoral Fellow in the Department of Microbiology and Immunology at the University of Oklahoma Health Sciences Center in Dr. Madeleine Cunningham’s… Read More

Brent T. Harris, MD, PhD, FCAP

The Neuro­pathology of Auto­immune Encephalitis and PANS and Develop­ment of Specialized Brain Banks for these Disorders
Dr. Brent Harris is a tenured faculty member of Georgetown University with dual appoint­ments in Neurology and Pathology. As a neuro­pathologist… Read More

Agnieszka Kalinowski, MD

C4B Gene Copy in Children with PANS
Dr. Agnes Kalinowski is a physician-scientist conducting translational research in schizophrenia as an Advanced Fellow in Mental Health Research at the Palo Alto VA and Department of… Read More

Shannon Delaney, MD

Neuropsychiatric Illness Associated with Lyme and Tick-borne Illness
Dr. Shannon Delaney is a neuropsychiatrist at Columbia University Irving Medical Center who is co-director with Dr. Fallon of the Cohen Center for Health and Recovery from Lyme and Tick borne… Read More

Emily Severance, PhD

Autoimmune Phenotypes in Psychiatric Disorders
Dr. Emily Severance is an Assistant Professor of Pediatrics at the Johns Hopkins University School of Medicine. She is a member of the Stanley Division of Developmental Neurovirology… Read More

Sarosh Irani, FRCP, DPhil, FEAN

The Immunology Underlying Autoantibody Associated CNS Diseases
Dr. Sarosh Irani is a consultant neurologist and clinician-scientist with clinical and laboratory experiences in the field of autoantibody mediated diseases of the nervous system, in… Read More

Wei Zhao, MD, PhD

Plasmapheresis in Treatment of PANS
Dr. Wei Zhao received his medical degree from Wenzhou Medical University in China. He received his PhD in Immunology from West Virginia University. He then completed his pediatric residency at… Read More

Jill Hollenbach, PhD, MPH

Immunogenetic Variation in PANS and Neuroinflammatory Disease
Jill Hollenbach is Associate Professor in the Department of Neurology and Department of Epidemiology and Biostatistics at the University of California, San Francisco. She was… Read More

Kiki Chang, MD

Review of Expert Consensus Treatment Guidelines for Youth with PANS
Dr. Kiki Chang is a child psychiatrist with over 22 years of experience in working with younger children, adolescents, adults and families. Formerly, Dr. Chang was Professor of Psychiatry and Behavioral… Read More

Dritan Agalliu, PhD

The Role of the Adaptive Immunity and Genetic Risk Factors in Vas­cular and Neuronal Dys­function in Post Infectious Autoimmune Encephalitis
Research in Dr. Dritan Agalliu’s laboratory is focused on understanding the cellular and molecular mechanisms that regulate formation of the blood-brain barrier in the central nervous system… Read More

Cheri Standing, MD

PANS Cases: Through the Eyes of a Pediatrician
Dr. Cheri Standing is a pediatrician at Greater Regional Health in Creston, Iowa. She completed a pediatric residency at Strong Memorial Hospital and fellowships in pediatric emergency… Read More

Sam Pleasure, MD, PhD & Claire Johns, MD

Neuropsychiatric Presentation in Pediatric COVID-19 Patients Associated with Anti-neural Autoantibodies
Dr. Sam Pleasure is the Glenn W. Johnson, Jr. Memorial Endowed Chair in Neurology at UCSF. Dr. Pleasure is a neurologist who specializes in caring for patients with multiple sclerosis… Read More

Jennifer Frankovich, MD & Elizabeth Mellins, MD

Evidence for PANS as an Inflammatory Brain Disorder
Dr. Frankovich is an Associate Clinical Professor in the Department of Pediatrics, Division of Allergy, Immunology Rheumatology (AIR) at Stanford University/Lucile Packard … Read More

Shreyas Vasanawala, MD, PhD & Meiqian Ma, MD

Arthritis, Enthesitis, and Develop­ment of Autoimmune / Inflam­ma­tory Disease in Patients with PANS
Dr. Shreyas Vasanawala is the William R. Brody Professor of Pediatric Radiology and Child Health and serves as Radiologist-in-Chief for Stanford Children’s Health and Chief of Pediatric Radiology… Read More