Fellowship program in Neuroimmunology
The major goal of this fellowship program is to produce specialists with the
knowledge and tools to diagnose, treat and prevent immune-mediated
The fellowship will provide board certified neurologists to train for 6-12 months
in the clinical or basic science research skills and management of patients
with disorders of the nervous system due to dysregulation of the immune
The fellow will have the opportunity to participate in specialty clinics that
include the Multiple Sclerosis clinic, the Neuromuscular clinic and the Neuro-
oncological clinic which deals with paraneoplastic syndromes. Besides, they
will rotate on an inpatient consult service geared towards the care of patients
with the above disorders. They will also have the opportunity to participate
and become familiar with all the laboratory immunological tests used for the
diagnosis and follow up of patients with neuroimmunological diseases,
including CSF tests for oligocolonal (and other) antibodies, serum antibodies
against neural antigens (paraneoplastic antigens), antibodies targeting the
neuromuscular junction, AQP4 antibodies testing, FACS analysis of the
lymphocyte subpopulations, techniques for the detection of cytokines and
chemokines (expression and secretion), HLA and genetic tests.
The research program will include didactic courses in the field of
Neuroimmunology. The fellows will become familiar with the use and
indications and practical issues of the old and novel immunosuppressive and
immunomodulatory treatments for MS and neuroimmunological diseases
(including cytotoxic therapies, interferons, glatiramer acetate,
cyclophosphamide, azathioprine, mitoxanthrone, methotrexate, natalizumab,
fingolinod, alemtuzumab, mabthera, laquinimod, BG12, etc) and will have the
opportunity to participate in ongoing clinical trials, and in the design and
performance of novel preclinical and clinical studies. They will have the ability
to choose from a wide variety of basic science projects in the laboratories of
the faculty within the division. These include state of the art techniques in
proteomics, lipidomics and genomics in addition to core neuroscience and
immunology and usage of experimental animal models of neuroimmunological
Clinical training:
Fellows will receive intensive clinical training in the following areas:
1) Differential diagnosis of multiple sclerosis (MS) and related disorders
2) Neurological presentations and management of systemic autoimmune,
connective tissue diseases and CNS and PNS vasculitis.
3) Diagnosis and management of peripheral nerve and neuromuscular
4) Prophylactic agents for relapsing-remitting MS
5) Treatment of progressive or aggressive MS and demyelinating diseases,
including the use of chemotherapeutic agents and monoclonal antibodies
6) Interpretation of MRI and other imaging techniques of relevance to
MS and other similar diseases affecting the CNS
7) Symptomatic treatments for management of pain, spasticity, fatigue, bowel-
8) Rehabilitation of chronic neuroloimmunological diseases
Program Overview
a. Didactic courses (during the whole period of the fellowship):
Clinical Neuroimmunology Overview of cytotoxic, immunosuppressive and immunomodulatory
Laboratory of Neuroimmunology and neuroimmunological techniques Neuroradiology (in relation to neuroimmunological diseases)
b. Basic clinical activities (during the whole period of the fellowship):
Fellows will attend one of the MS/Neuroimmunology clinics two days each
week and will become familiar with the diagnosis and management of:
Multiple Sclerosis Neuromuscular diseases (myasthenia gravis, AIDP, CIDP and related
Neurological complications of connective tissue diseases and
Lumbar Puncture and Cell Infusion techniques
2-3 months rotation in the Neuroimmunology Laboratory
d. Additional elective rotations (total of 2 months):
Neuro-ophthalmology Neuropathology Neuroradiology Neurovirology Neuro-Urology Neuro-rehabilitation
Suggested syllabus:
by Patricia K. Coyle and Syed Rizvi (Sep 1,
7. CONTINUUM OF THE American academy of Neurology:
8. CONTINUUM OF THE American academy of Neurology: Paraneoplastic
9. CONTINUUM OF THE American academy of Neurology: Peripheral
10. CONTINUUM OF THE American academy of Neurology: Infectious
11. CONTINUUM OF THE American academy of Neurology: Multiple
12. CONTINUUM OF THE American academy of Neurology: Neurologic
Complications of Systemic Disease - February 2011
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