The Action Potential – September 2023

19th Annual Meeting of the WSNS is October 7, 2023
Aloft by Westin in Redmond, Washington. This CME program is free to WSNS members. Register today and join us in the fall.

Meeting Registration

Not a member? Join us today:

Join the WSNS Need to renew your membership?

2023 Membership Dues

Washington State Neurological Society
Supporting the practice of neurology in Washington state


Available CME for Neurology Specialists

September 18, 2023

Monday at 12:00 noon-start time (Pacific Time)
Women in Neurology Virtual Journal Club
See below for details.

October 7, 2023

WSNS Annual Meeting
Aloft -Westin in Redmond, WA
Social Event with the UWMC Women In Neurology (WIN) Group.

Faculty and topics for the meeting:
Jason Aldred, MD | Infusional Therapies for Parkinson’s Disease-A Review and Update
Michael Elliott, MD | ALS Overview and Update
Kate Kennedy, ARNP, BC | Migraines
Pravin Khemani, MD | Movement Disorders
Eric Kraus, MD | Cranial Nerve “Hyperactive” Vascular Compression Syndromes
Pavle Repovic, MD | Autoimmune Neurological Disorders-A Review and Update
Lynne Taylor, MD | The Birth of Neuropalliative Care

UW Medicine: 2023-24 Headache Mini-Fellowship for Primary Care Providers

Appropriate for physicians, residents, physicians assistants, nurse practitioners, and other care providers. Diploma in Headache Management provided with 80% course completion. Click on the button below for more information on this Mini-Fellowship
Headache Mini-Fellowship

The Women in Neurology Virtual Journal Club

The Women in Neurology/Gender Equity Task Force in the Dep of Neurology at UW would like to reach out to members of WSNS who share an interest in this topic and are passionate about initiatives in improving equity within Neurology. We hope to build connections and collaborations across the state and would like to welcome you to 2 events in the fall:

A virtual journal club met on September 18th. The next meeting is October 5, 2023 “Correctly diagnosing headaches using International Society Headache Society Criteria” – we will discuss a recent Neurology publication on disparities in salary in Neurology (paper attached) – there will also be an introduction of our WIN group and brief overview recent initiatives, and we’d love to learn more about you.

Future Virtual Journal Club Dates The Women in Neurology (WIN) will also be hosting a joint reception at the WSNS annual meeting on October 7, 2023. From 4:45 pm- 6:00 pm. Join us at the Element Seattle Redmond at 15220 NE Shen St. Redmond, WA 98052

Journal Article Zoom Link


The CADASIL Consortium is an NIHfunded research project working tounravel the earliest phases ofvascular cognitive impairment anddementia using CADASIL.
Who can join? We are currently enrolling adults from CADASIL families who: are at least 18 years old, are willing to be genetically tested for the CADASIL gene, are willing to commit to three in-person visits and remote visits and are able to undergo a brain scan and blood draw at each visit.

CADASIL Flyer CADASIL Consortium research Click the button above for the brochure on the CADASIL Consortium research study.
Fillable Patient Letter


More information on the UW: Survey on wearable devices in Parkinson’s Disease

To advance the care of individuals with Parkinson’s Disease (PD), the University of Washington is conducting an anonymous online survey of the experiences and perceptions of individuals with Parkinson’s disease and their specialist healthcare providers on the use of wearable devices for the management of Parkinson’s Disease. Through this study, we seek to better understand the current barriers and limitations of wearable technology in the healthcare ecosystem. We hope that this knowledge will support the development of solutions that ultimately enhance the lives of those with PD.

The survey should only take 15 minutes to fill out. Thank you.
Details on Survey Survey Link


Case Quizzes

Case 1

57 year old woman with a history of a left frontal lobe glioblastoma diagnosed and treated nine years previously. She presents with an acute fall and new onset weakness. Moderately severe headache along with her falls and weakness.
On exam she is afebrile with normal, stable vital signs. She has no verbal output (though does follow some simple one-step commands), and a right hemiplegia face = arm = leg.

Question: What is the most likely diagnosis?
Answer: SMART Syndrome (stroke like migraine attacks after radiation therapy)

Case 2

60 year old man has a two year history of slowly progressive low back pain. Superimposed on that chronic history there is a one year history of progressive weakness and sensory changes distal to the T7 level, worse in the left leg and requiring walking with a FWW.

On exam he had a T5 sensory level. Strength and tone are normal but In the lower extremities on the left, patient’s iliopsoas is 2/5, quadriceps 2/5, tibialis anterior 2/5, EHL 0/5, gastrocnemius 2/5. No abnormal plantar responses. Reflexes are normoactive and symmetric.

Systemic work up including PET-CT reveals no evidence of a systemic cancer. CSF flow cytometry and oligoclonal bands are unremarkable. Brain MRI is normal.

Question: This is a very rare disorder that is connected to the bone marrow. What is the most likely diagnosis?
Answer: Rosai Dorfman of the CNS


Name the WSNS Newsletter

Send us your name suggestions for our WSNS newsletter. If your submission wins, you get a prize! Submit newsletter names to:

Case Quiz Answers:

Case quiz answers were posted on our website on September 15, 2023. Approximately 2 weeks after the newsletter went out.

Disclosure Statement: The views, thoughts, and opinions expressed in this WSNS September newsletter belong solely to the author, and not necessarily to the author’s employer, organization, committee or other group or individual.