2nd INTERNATIONAL PORTO CONGRESS OF MULTIPLE SCLEROSIS 25-26 January 2013 Ordem dos Médicos, Porto Organizing Committee: Maria José Sá, MD, PhD (President) Jorge Reis, MD (Vice-president) Joana Guimarães, MD Pedro Abreu, MD Teresa Mendonça, MD Lucinda Sequeira (Secretary) Institutional Departments: MS Clinic, Dept. of Neurology, Centro Hospitalar São João, Porto CSF Lab, Dept. of Neurology, Centro Hospitalar São João, Porto Associação para a Investigação do LCR-HSJ, Porto FRIDAY, 25 JANUARY 2013 ALL SESSIONS | 09h00 – 17h00 | ROOM SALÃO NOBRE 9h00 9h15 – 11h00 WELCOME ADDRESS Maria José Sá, Centro Hospitalar São João, Porto, Health Sciences Faculty, University Fernando Pessoa, Porto SESSION 1 MS and Neuroimmunology Chairpersons: Armando Sena, Hospital dos Capuchos, Lisboa and Maria do Carmo Macário, Centro Hospitalar Universitário de Coimbra The cytokines network in MS relapses and the impact of high dose intravenous methylprednisolone Christian Sindic, Dept. of Neurology, Cliniques Universitaires Saint-Luc, Brussels, Belgium Autoimmunity and MS Thomas Berger, Multiple Sclerosis Clinic, Clinical Dept. of Neurology, Innsbruck Medical University, Austria Update in body fluid markers Gavin Giovannoni, Blizard Institute of Cell and Molecular Science, Barts and The London School of Medicine and Dentistry, Queen Mary University of London, UK 1 11h00 – 11h30 Coffee Break | Exhibition Hall | Poster view 11h30 – 13h30 SESSION 2 MS, a complex disease Chairpersons: Maria José Sá, Centro Hospitalar São João, Porto, Health Sciences Faculty, University Fernando Pessoa, Porto and José Vale, Hospital Beatriz Ângelo, Loures Evidence for Disease Heterogeneity in MS: Update on Controversy Cláudia Lucchinetti, Dept. of Neurology, Mayo Clinic College of Medicine, Rochester, USA Clinical and imaging pitfalls in MS diagnosis Mar Tintoré, Unitat de Neuroimmunologia Clinica (UNIC), Hospital Universitari Vall d'Hebron, Barcelona, Spain 13h30 – 15h00 Lunch 15h00 – 15h30 Conference "Tiles of a city: Streets and monuments of Porto" Chairperson: Salvato Trigo, Rector of the University Fernando Pessoa Sérgio Lira, Human and Social Sciences Faculty, University Fernando Pessoa, Porto 15h30 – 17h00 SESSION 3 Cognition in Multiple Sclerosis Chairpersons: Ana Martins, Centro Hospitalar do Porto and Ana Passos, ISCTE-Instituto Universitário de Lisboa Assessing cognitive abilities in MS patients: Comprehensive evaluation and brief battery approaches Ralph H. B. Benedict, SUNNY Bufallo School of Medicine, USA Cognitive dysfunction in MS: Problems and solutions Maria Pia Amato, Dept. of Neurology University of Florence, Italy 17h00 – 17h30 Coffee Break | Exhibition Hall | Poster view 17h30 – 19h00 Short-courses “MS in daily clinical practice” Organization: Pedro Abreu and Teresa Mendonça, Centro Hospitalar São João, Porto ROOM MEDIOTECA ROOM BRAGA COURSE I “Multiple Sclerosis and autoimmune diseases” Clinical cases presentation - Paulo Alegria, Hospital Beatriz Ângelo, Loures Interactive discussion - Pedro Abreu, Centro Hospitalar São João, Porto Theoretical review - João Cerqueira, Hospital Escala Braga COURSE II “Multiple Sclerosis escalating therapy” Clinical cases presentation - Graça Sousa, Centro Hospitalar de Vila Nova de Gaia/Espinho Interactive discussion - Filipe Palavra, Centro Hospitalar e Universitário de Coimbra Theoretical review - Ernestina Santos, Centro Hospitalar do Porto 2 “SALA DE CONFERÊNCIAS” 20h00 COURSE III “MS Team – focus in MS nurses” Disease-modifying therapeutics in the Multiple Sclerosis Day Hospital - Fátima Lopes, Centro Hospitalar São João, Porto Multiple Sclerosis Disease-modifying therapeutics in the outpatient care Francisco Moreira, Centro Hospitalar Vale do Ave, Guimarães Clinical cases presentation and discussion - Elisabete Meireles, Centro Hospitalar São João, Porto; Odete Rodrigues, Centro Hospitalar Vale do Ave, Guimarães; Teresa Gomes and Margarida Cardoso, Centro Hospitalar do Porto Conference Dinner at Taylor's Port wine Lodge SATURDAY, 26 JANUARY 2013 ALL SESSIONS | 09h00 – 16h30 | ROOM SALÃO NOBRE 9h00 – 10h30 SESSION 4 Patient-centred therapy Chairpersons: José Grilo Gonçalves, Centro Hospitalar Universitário de Coimbra and Rui Pedrosa, Hospital dos Capuchos, Lisboa Treatment “a la carte”: Reality or fiction? Oscar Fernandez, Hospital Regional Universitario Carlos Haya, Malaga, Spain Overview of rehabilitation approaches Jurg Kesselring, Dept. of Neurology and Neurorehabilitation, Rehabilitation Centre, Valens, Switzerland 10h30 – 11h00 Coffee Break | Exhibition Hall | Poster view 11h00 – 12h00 Conference “2012 Hot Topics in MS” Chairperson: Lívia Sousa, Centro Hospitalar Universitário de Coimbra Otto Hommes, France Joint Meeting with Multiple Sclerosis Study Group of Portuguese Society of Neurology Grupo de Estudos de Esclerose Múltipla (GEEM) 12h00 Welcome address Joaquim Pinheiro, Centro Hospitalar Vila Nova Gaia/Espinho 12h15–13h30 SESSION 5 Ten minutes vignettes of approved disease-modifying drugs Chairpersons: Mário Veloso, Hospital Egas Moniz, Lisboa and Jorge Reis, Centro Hospitalar São João, Porto Betaferon® Rebif® Copaxone® Avonex® Tysabri® Gylenia® Eva-Maria Wicklein, Bayer HealthCare, Germany Ali Ben-Amor, Merck Serono, Switzerland Carla Fernandes,Teva Pharma, Portugal Rossella Medori, Biogen Idec, Switzerland Rossella Medori, Biogen Idec, Switzerland Philipp von Rosenstiel, Novartis Pharma AG, Switzerland 3 13h30 – 14h30 Lunch 14h30 – 16h30 Oral presentations Chairpersons: Joaquim Pinheiro, Centro Hospitalar Vila Nova Gaia/Espinho and Joana Guimarães, Centro Hospitalar São João, Porto Different profiles of MMP9 activators in the CSF of MS and CIS patients João Cerqueira, Susana Monteiro, Ana Sousa, João Torres, João Sousa, Fernanda Marques, Joana Palha, Nuno Sousa Results from TEMSO and TOWER: Two randomised, double-blind, placebo-controlled phase III studies of oral teriflunomide in patients with relapsing Multiple Sclerosis Armando Sena, Christian Confavreux, Tomas Olsson, Giancarlo Comi, Mark Freedman, Aaron Miller, Jerry Wolinsky, Ludwig Kappos, Hadj Benzerdjeb, Deborah Dukovic, Philippe Truffinet, Paul O'Connor Speech and swallowing disorders in Multiple Sclerosis Marta Silva, Ricardo Jorge Santos Oligoclonal bands in Multiple Sclerosis disease course Ana Valado, Maria Helena Garrucho, João Sargento-Freitas, Sónia Batista, Lívia Sousa, Catarina Resende Oliveira, Inês Baldeiras A case of antiAquaporine 4 antibody positive Neuromyelitis Optica and a successful pregnancy Andreia Gomes Pereira, Cláudia Araújo, Ana Palha, Artur Costa e Silva, Teresa Moreno, Maria Isabel Leite, Ruth Geraldes Why is that important to validate neuropsychological instruments to the clinical practice? The case of a battery of neuropsychological tests for Multiple Sclerosis patients in Portugal Mariana Rigueiro Neves, Ana Margarida Passos, Aristides Ferreira, Cláudia Sousa, Maria José Sá SIMS (Seasonality in Multiple Sclerosis): Seasonal Variation of MS Relapse Rate Ana Massano, Augusto Ferreira, Carlos Andrade, João Raposo, Miguel Grunho, Sílvia César, Pedro Barros Multiple Sclerosis and Motherhood Choice: An observational study of the Portuguese women (EMINA study) Ana Teresa Carvalho, Andreia Veiga, Joana Morgado, Raquel Tojal, Sofia Rocha, Ângela Timóteo Sexual Dysfunction in women with Multiple Sclerosis Ivânia Alves, Filipe Correia, Paulo Coelho, Rui Loureiro, Sara França, Eva Brandão Pediatric Multiple Sclerosis in Portugal: An overview Ana Sofia Correia, Luís Augusto, Joana Meireles, Joana Pinto, Ana Paula Sousa Neuromyelitis optica in Portugal: A multicentre study Joana Domingos, Luís Isidoro, Rita Figueiredo, Marisa Brum, Carlos Capela, Pedro Barros 4 16h30 – 17h00 Coffee Break | Exhibition Hall | Poster view 17h00 – 18h00 Poster session | EXHIBITION HALL Session I Chairpersons: Eva Antunes, University Fernando Pessoa, Porto and Clarinda Festas, University Fernando Pessoa, Porto 0001 - What scientific evidence suggests about the effectiveness of physical activity / physical exercise in Multiple Sclerosis? Filipa Fonseca, Anabela Martins 0010 - The influence of home-based exercise programme on the functionality and quality of life in patients with Multiple Sclerosis Cláudia Silva, Joana Nunes 0023 - Multiple Sclerosis: The experience of a group therapy in rehabilitation Daniela Pinto, Mónica Bettencourt, Melissa Gorayeb, Daniela Prada 0031 - Gait rehabilitation in Multiple Sclerosis: Rationale for robot assisted treadmill training Luís Boaventura, Graça Sousa, António Jorge 0040 - Effects of disability and depression in the quality of life of patients with Multiple Sclerosis David Costa, Maria José Sá, José Calheiros 0043 - The importance of speech therapy in Multiple Sclerosis Maria de Fátima Xavier Ruivo Session II Chairpersons: Teresa Mendonça, Centro Hospitalar São João, Porto and Ernestina Santos, Centro Hospitalar do Porto 0006 - Clinical, epidemiological, demographical and statistical data of MS patients followed of the departments of Neurology/MS, Hospital de São Marcos, Braga and Hospital Senhora da Oliveira, Guimarães, Portugal on 2009/12/31 José Figueiredo, Ângela Silva, João Cerqueira, Paulo Pereira 0009 - Cadasil: An alert for differential diagnosis with Multiple Sclerosis Isabel Moreira, Ana Martins Silva, Ernestina Santos 0024 - Vesicourethral dysfunction in Multiple Sclerosis Daniela Pinto, Anabela Ferreira, Filipa Faria, Maria da Paz Carvalho 0025 - Multiple Sclerosis and etanercept treatment: A clinical case Silvia César, Sandra Perdigão 0033 - Prevalence, awareness and knowledge of Multiple Sclerosis in the general population in Portugal: The EMCoDe Study Joaquim Pinheiro, Pedro Barros, Leonor Sequeira 5 0039 - A case of hemophagocytic lymphohistiocytosis syndrome in a patient with Multiple Sclerosis on fingolimod therapy Pedro Abreu, Carla Peixoto, Cláudia Carvalho, Helena Gomes, Lurdes Santos, António Sarmento, Maria José Sá 0044 - Acute myelitis: 5 year-retrospective study of a Portuguese population Leonor Almeida, Carlos Andrade, Maria José Sá, Carolina Garrett, Joana Guimarães Session III Chairpersons: João Cerqueira, Hospital de Braga, Braga and Rita Simões, Hospital Fernando Fonseca (Amadora-Sintra), Amadora 0003 - Anti-inflammatory cytokines and the physical activity in Multiple Sclerosis Margarida Florindo 0005 - Possible interaction between oral contraceptive use with apoe polymorphism in disabling progression of Multiple Sclerosis Carlos Capela, Armando Sena, Rémy Courderc, Véronique Ferret-Sena, Rafael Roque, Ana Sousa, Joana Morgado, Rui Pedrosa 0020 - Subpopulations of monocytes and dendritic cells in Multiple Sclerosis Andreia Monteiro, Mafalda Fonseca, Luiza Rosado, Pedro Rosado, António Atalaia, Tiago Carvalheiro, Artur Paiva 0030 - Acute demyelinating syndrome presenting as encephalitis Rita Simões, José Vale, Teresa Nunes, Nuno Ruivo, António Messias, José Pimentel 0036 - Cognitive assessment in Susac’s syndrome: Two case reports Andreia Sá, Cláudia Sousa, Joana Meireles, Pedro Abreu 0041 - Cognitive impairment in radiologically isolated syndrome Joana Meireles, Cláudia Sousa, Pedro Abreu, Maria José Sá 0051 - The cogniplus study: Assessment of cognitive performance plus physical activity in patients with relapsing-remitting Multiple Sclerosis Maria José Sá, Bruno Brochet, Alexander Tallner, Eva-Maria Wicklein, Karola Beckmann, Dawn Langdon Session IV Chairpersons: Jorge Reis, Centro Hospitalar São João, Porto and Maria Manuel Campos, Centro Hospitalar São João, Porto 0008 - Mcardle’s disease and Multiple Sclerosis: A rare association Carolina Figueira, Filipe Palavra, Amélia Guilherme, Manuel Melo Pires, José Grilo Gonçalves 0013 - Baló’s concentric sclerosis: A clinico-radiological paradox and the therapeutic dilemma Daniela Jardim Pereira, Beatriz Santiago, Pureza Dias, Lívia Sousa 0016 - Multiple Sclerosis and Oligodendroglioma: A very rare association Ana Carvalho, Paulo Linhares, Lígia Castro, Maria José Sá 0017 - Lyme Neuroborreliosis and Multiple Sclerosis: a challenging diagnosis... Silvia César, Rosa Lobato, Sandra Perdigão 6 0022 - Complex partial seizures as a presenting form of Multiple Sclerosis Helena Felgueiras, Pedro Barros, Ana Carvalho, Miguel Veloso, Joaquim Pinheiro 0027 - Granulomatous uveitis, sensorial deafness and brain demyelination: Is it Cogan syndrome? Andreia Gomes Pereira, Lia Neto, Ana Casas Novas, Filipa Ramos, Cidalina Ferreira, Ruth Geraldes 0045 - Sensorineural hearing loss: An autoimmune sign Carlos Andrade, Miguel Bernardes, Maria José Sá, Joana Guimarães Session V Chairpersons: Pedro Abreu, Centro Hospitalar São João, Porto and Vasco Salgado, Hospital Fernando Fonseca (Amadora-Sintra), Amadora 0007 - Disability improvement with Alemtuzumab vs. interferon beta-1a in relapsing- remitting Multiple Sclerosis patients who experienced disease activity on prior therapy (care-MS II) Gavin Giovannoni, Douglas Arnold, Jeffrey Cohen, Alasdair Coles, Christian Confavreux, Edward Fox, Hans Hartung, Eva Havrdova, Krzysztof Selmaj, Howard Weiner, Cary Twyman, Tamara Miller, Stephen Lake, David Margolin, Michael Panzara, Alastair Compston 0032 - The star study: 1-year results of an observational study to assess safety and tolerability of, and adherence to, serum-free subcutaneous interferon beta1a in patients with relapsing-remitting Multiple Sclerosis in real-life settings Raymond Hupperts, Ana Martins da Silva, Kurt Marhardt, Nikolaos Vlaikidis, Hanna Kuusisto, Lizette Ghazi-Visser, Michalis Arvanitis 0037 - How and when should we perform an MRI in natalizumab treated patients? Helena Rocha, Maria José Sá, Pedro Abreu 0038 - Progressive multifocal leukoencephalopathy in a low-risk MS patient treated with natalizumab Helena Rocha, Maria José Sá, Pedro Abreu 0042 - Tysabri Observational Program (TOP): The Portuguese baseline characteristics – an update on the efficacy and safety data Pedro Abreu, Maria José Sá, João Sá 0048 - Early effect of fingolimod on clinical and MRI related outcomes in relapsing Multiple Sclerosis Davorka Tomic, Peter Chin, Peter Calabresi, Ying Zhang, Philipp von Rosenstiel, Ludwig Kappos 0049 - Phase III freedoms study extension: Fingolimod (FTY 720) efficacy in patients with RRMS receiving continuous or placebo-fingolimod switched therapy for U PTO 4 years Ernst Wilhelm Radue, Ludwig Kappos, Paul O'Connor, Chris Polman, Reinhard Hohlfeld, Krzysztof Selmaj, Catherine Agoropoulou, Shannon Ritter, Philipp von Rosenstiel, Lixin Zhang-Auberson 0050 - Long-term safety of fingolimod in relapsing Multiple Sclerosis: Update to integrated analyses of phase 2 and 3 studies and extension phases 7 Tracy Reynolds, Jeffrey Cohen, Paul O'Connor, Teofilo Caliolio, Philipp von Rosenstiel, Lixin Zhang-Auberson, Astrid Keil, William Collins, Nikolaus Sfikas, Ludwig Kappos Session VI Chairpersons: Cláudia Sousa, Centro Hospitalar São João, Porto and Élia Baeta, Unidade Local de Saúde do Alto Minho, Viana do Castelo 0011 - Diffusion tensor imaging in Multiple Sclerosis: A proxy of cognitive efficiency? Rosana Magalhães, Luciana Gomes, Liliana Maia, Filipe Palavra, José Grilo Gonçalves, Óscar Gonçalves, Adriana Sampaio 0012 - Training of attention with computerized program in patients with Multiple Sclerosis Ana Maria Canzonieri, Kelen Cristina de Jesus, Juliana Gonçalves, Denise Carvalho, Mara Crisitina Giacomo, Liliana Russo 0014 - Assessment of coping ability, through the color pyramid test pfister (TPC) in patients with Multiple Sclerosis Ana Maria Canzonieri, Kelen Cristina de Jesus, Maria Cristina Giacomo, Liliana Russo 0015 - Transversal cut of a sample of patients with Multiple Sclerosis Ana Maria Canzonieri, Kelen Cristina de Jesus, Maria Cristina Giacomo, Liliana Russo 0019 - Validation of Portuguese version of the modified fatigue impact scale and the fatigue severity scale for individuals with Multiple Sclerosis Luciana Reis Gomes, Filipe Palavra, José Maurício Haas Bueno, Rosana Magalhães, José Grilo Gonçalves, João Cerqueira, Óscar Filipe Gonçalves 0021 - Scale validation MSQOL54 for patients with Multiple Sclerosis Ana Maria Canzonieri, Rute Meneses, José Pais-Ribeiro, Luisa Pedro, Isabel Silva, Kelen Cristina de Jesus, Camyla Azevedo, Juliana Gonçalves, Maria Cristina Giacomo, Liliana Russo 0034 - Multiple Sclerosis functional composite assessment in Portuguese MS patients Andreia Sá, Diana Pereira, Cláudia Sousa, Maria José Sá 20h00 Dinner at the restaurant “Casa da Música” 8