Workshops will be held on Wednesday, July 1, 9AM-2PM.
CE Workshop 1: Adult Neuropsychological Outcomes of Childhood Brain TumorsCeliane Rey-Casserly, PhD
Brain tumors are the most common form of solid tumor in childhood and survival rates have been increasing significantly over the past decades. Survival is associated with late effects that affect long term health, neurocognitive, psychosocial and adaptive outcomes. These late effects compromise quality of life in adulthood in complex and inter-related ways. This course will first review types of brain tumors in children and how developmental trajectories can be altered over time as a consequence of brain tumors and their treatment. The ongoing challenges faced by adult survivors and intervention strategies will be discussed. As a result of participation in this course, participants will
- describe the different types of childhood brain tumors and neuropsychological outcomes;
- explain developmental and neuropathological underpinnings of long term late effects;
- analyze complex interactions of neuropsychological and health late effects and their impact on quality of life in adulthood.
CE Workshop 2: Executive Functioning in Healthy and Diseased BrainSandra Verena Müller, PhD and Yana Suchy, Ph.D., ABPP-CN
This workshop will provide a conceptual and theoretical analysis of the construct of executive functioning, as well as review current methods for assessment and intervention among brain-injured individuals. In the first half of the workshop, Professor Suchy will present a conceptual overview of five clinically meaningful subdomains of executive functioning, including executive cognitive functions, meta-tasking, initiation/maintenance, response selection, and emotion regulation. For each subdomain, elemental neurocognitive processes, neuroanatomic underpinnings, correspondence to clinical syndromes, typical clinical presentations, and relevance for daily life will be detailed. In the second half of the workshop, Prof. Müller will first review typical clinical populations that are associated with executive dysfunction (which can be associated with both cognitive and behavioral abnormalities). Next, she will present methods for identifying executive dysfunction using a wide-ranging repertoire of tests and questionnaires. Lastly, she will review evidence-based therapeutic approaches aimed at addressing the diverse symptoms of executive dysfunction, including modification and manipulation of environment, cognitive therapy, and behavior management.
This workshop is designed to help you
- List a thorough and clinical construct of executive functioning (EF) and identify the subdomains and elemental processes that comprise the EF construct.
- Describe individual neurobehavioral syndromes characterized by discrete patterns of executive dysfunction, as well as the associated etiologies.
- Describe the procedures for diagnosing executive dysfunctions
- Critique evidence-based interventions used for treatment of executive dysfunctions.
CE Workshop 3: From the Brain to the Gut and Back: Ischemic and Inflammatory Injury to the Immature BrainChristine Mrakotsky, PhD
Stroke- long recognized as an adult condition- is an important cause of acquired brain injury in children, occurring most commonly in the neonate and throughout childhood. Ischemic injury due to restriction of blood flow accounts for the majority of infarcts in newborns, and half of childhood strokes. Cause and presentation differs from adult stroke, leading to delay in diagnosis and treatment and consequently to significant physical, cognitive, and emotional long-term morbidities. Among main risk factors, new evidence points to the involvement of inflammatory processes – both protective and destructive- in the pathophysiology of ischemic stroke potentially impacting neuropsychological outcomes. This course will review cause, risk factors and presentation of perinatal vs. childhood stroke, cognitive and behavioral consequences at different ages, and risk factors contributing to cognitive development. Novel translational research will be presented that emphasizes the bi-directional relationship between the brain and the immune system including the gut both in CNS injury such as stroke as well as systemic inflammatory disease in children. In a final part, this course will review clinical implications of stroke outcomes for school, psychosocial and family functioning, neuropsychological assessment models in acute and long-term care, and intervention strategies. Current interventions to facilitate recovery and development will be discussed along with the need for targeted research.
Upon conclusion of this course participants will be able to:
- List the main types, risk factors and cognitive and behavioral outcomes of pediatric stroke
- Describe brain-immune interactions in the developing brain and their impact on neurobehavioral development in children with ischemic and inflammatory injury/disease
- Discuss acute and long-term neuropsychological assessment models3. Discuss acute and long-term neuropsychological assessment models
- Recite current standards of cognitive, behavior, and developmental intervention for pediatric stroke