Report from the 2021-2023 WFNS Neurotraumatology Committee
Convention Center Ágora Bogotá
Andrew Reisner, Laura Lippa and Andrés Rubiano
The WFNS Neurotraumatology Committee (NTC; 2021-2023) held its first meeting at the World Federation of Neurosurgical Societies Meeting XVII in Bogotá, Colombia on March 15, 2022.
e had great representation from around the world. A total of 31 participants attended (14 inperson and 17 virtually). It was wonderful to meet and discuss the important issues of TBI once again in an atmosphere of professionalism and friendship.
n-person attendees included: Andrew Reisner (chair; USA), Andrés Rubiano (co-chair; Colombia), Corrado Iaccarino (Italy), Niklas Marklund (Sweden), Marcelo Zenteno (Bolivia), Anthony Figaji (South Africa), Russell Andrews (USA), Kostas Fountas (Greece), Eve Tsai (Canada), Amos Adeleye Ibadan (Nigeria), and Massimiliano Visocchi (Italy). Honorary in-person guests included: Tariq Kahn (Pakistan), David Adelson (USA), and Nicolo Marchesini (Italy).
Virtual attendees included: Laura Lippa (co-chair; Italy), Alfonso Lagares (Spain), Eiichi Suehiro (Japan), Andrés Buki (Hungary), Virendra Deo Sinha (India), Wilco Peul (Netherlands), Bruno Splavski (Croatia), Faiqa Filza Khan (Pakistan), Ahmed El-Fiki (Egypt), Martin Schumann (Germany), Elham Rostami (Sweden), Opara Oluwamayowa (Nigeria), and Hiroshi Karibe (Japan). Honorary virtual guests included: Franco Servadei (Italy), Peter Hutchinson (UK), Maximillian Mehdorn (Germany), and Amit Chakraboty (India).
Welcome and Opening Agenda Items
Andrew Reisner welcomed everyone to the meeting and asked for a moment of silence to remember the colleagues, family, and patients that did not survive COVID-19. He then thanked the 2019-2021 NTC for their hard work, especially during the pandemic and pledged to continue its work through the 2021-2023 period.
The theme for the 2021-2023 NTC tenure is “Recover and Restore.” Andrés Rubiano and Laura Lippa were thanked for their outstanding efforts as 2021-2023 co-chairs.
Minutes of the last WFNS NTC meeting, held in Peshawar, Pakistan on November 13, 2019 were slightly amended (to better reflect attendees) and approved unanimously.
Neurotrauma Fellowship Program
Andrés Rubiano provided an update on the Neurotrauma Fellowship Program, started in 2015 to formalize training for basic and advanced neurotrauma care, particularly outside high-income countries (HICs). Centers participating in the one-year program are in Colombia, Brazil, USA, and UK. David Adelson and Andrés Rubiano handed out the certificates to Santiago Morales (Colombia) and Diana Sanchez (Colombia), who both thanked their mentors.
Peter Hutchinson (Cambridge, UK) gave a virtual update on two ongoing projects that remain open to WFNS members. Interested members may reach out to Peter Hutchinson directly.
The Global Epidemiology and Outcomes after Traumatic Brain Injury
The Global Epidemiology and Outcomes after Traumatic Brain Injury (GEO-TBI) registry is a global collaborative neurotrauma registry. Its main objectives are to enable high-quality data collection, data sharing, and collaborative auditing and research efforts across multiple institutions. Any center treating TBI patients is eligible to join. Please enlist your center through e-mailing email@example.com or through www.geotbi.org
Global Neurotrauma Outcomes Study: Spine
Over seven months of recruitment, the Global Neurotrauma Outcomes Study: Spine enrolled 222 institutions with great diversity between LMICs and HICs across almost all continents. To date, 84 centers obtained local approval and are either collecting data or about to begin. To join, form a team (up to four individuals) and register your institution on http://tinyurl.com/RegisterGNOSSpine with next step being obtaining local approval for the study to be conducted at your institution. For more information, including accessing the study protocol, please visit, or contact the central study team at firstname.lastname@example.org.
Other International Study Updates from Peter Hutchinson
Endorsement of the BOOTstrap Study for spinal trauma
Nico Marchesini presented Spine BOOTstrap (Beyond Only One Treatment option – A Stratified Approach) study. The rationale for the study was that existing guidelines require resources that may be lacking in some regions of the world. The BOOTstrap was done in a modified Delphi process. If the results are positive, efforts will be made to extend the protocols to different scenarios. Please see photo below.
Nicolo Marchesini requested the committee endorse this document. Andrew Reisner agreed and put it to the vote. It passed unanimously.
Research Encouraging Collaboration Between Low-, Middle, and High-Income Countries
Corrado Iaccarino presented several research projects, including:
The NTC applauded these ongoing efforts and are willing participants, if needed.
WFNS Webinars or Grand Rounds
A focus of the 2021-2023 NTC is to develop a Grand Rounds and Guidelines section on the WFNS website. It is proposed that the committee will curate, index, and host webinars, grand rounds, and guidelines that will live as a well-categorized compendium or index of neurotrauma topics. Each will be linked (with permission and acknowledgements, of course) to the many outstanding webinars and lectures that already exist through neurosurgery organizations such as Global Neuro, ThinkFirst, WHO, and others.
It is planned that two committee members are needed to sign off on each topic to maintain the quality. Details of this process, as well as topics and appropriate legal disclaimers will be drafted by Andrew Reisner, Peter Nakaji, and Takao Hiroyuki.
Laura Lippa, co-chair of NTC, has a keen interest in education and agreed to spearhead this project. If you are willing to assist, please email her at email@example.com. She will also send out a poll to get NTC members' input.
Global Courses and Conferences
Two courses in the planning stages:
Timing and location for several international conferences were discussed:
ICRAN (International Congress in Recent Advances in Neurotraumatology).
Discussion included whether there should be one or two meetings a year, possibly on different continents. No decision was made, but future meeting venues were discussed with excellent presentations by:
The proposal to hold ICRAN meeting in Santa Cruz, Bolivia (2023); Jaipur, India (2024); and the Leiden, the Netherlands (2025) was approved with no objections. Details including exact dates still to be determined. Anthony Figaji and David Adelson raised the good question of considering the timing of the 2025 meeting in the Netherlands if the 2025 WFNS meeting is to occur in Europe. To be discussed further once details are known.
Abusive Head Trauma Consensus Statement
Abusive head trauma is an international problem that was exacerbated during the pandemic. No clear-cut guidelines or consensus statements exist that encompass HICs and LMICs. This is something the WFNS can develop. While there was insufficient time in this meeting to discuss the details of the proposed consensus statement, Andrew Reisner made a brief presentation and asked for a yes or no vote as to whether it was worth proceeding. It was unanimously agreed that this should be a goal for the current committee to be completed within two years.
It was proposed that the next WFNS NTC meeting be held at National Neurotrauma Society meeting, Atlanta GA, June 26-29, or the International Neurotrauma Society, Berlin, July 17-22.
Dr Reisner thanked all participants and closed the meeting. Lunch was served.
BOOTstrap Study for spinal trauma