1st Neurological Mission 2009

The team evaluated a total of 475 patients (including 165 cases of epilepsy) and performed 125 EEGs for diagnostic purposes to determine appropriate management. Team members also consulted on several neurological emergencies in the emergency room (meningitis, stroke, post-neurosurgical altered mental status). Local internists and pediatricians attended and assisted in consultations. All patients were provided follow-up appointments with local medical staff, with which Dr. Espinosa and colleagues will continue to consult via email and teleconferencing on patients seen in follow-up as well as new patients with neurological issues. Medications are available continuously free of charge in the local hospital pharmacy, supplied by the Ministry of Health of Ecuador. Educational workshops were provided for the physicians of Hospital José Maria Velasco of Tena regarding epilepsy diagnosis and management (Dr. PatricioSebastian Espinosa) and traumatic brain injury (Dr. Karin Swartz). Dr. Blanca Vazquez (NYU) provided additional educational workshops for local police, firefighters, teachers, educators, psychologists, and nurses on the recognition of and first response to seizures.

Team of Volunteers

  • Patricio Sebastián Espinosa, MD, MPH, North Oaks Neurology , LA
  • Sydney Cash, MD-MGH - Harvard
  • Blanca Vásquez, MD -NYU
  • Dominic Fee, MD- Univ. Kentucky
  • Karin Swartz, MD-Univ. Kentucky 
  • Ann Kao, MD- MGH – Harvard
  • Dr. Ines Fernandez- Hospital Velasco Ibarra Tena Ecuador
  • Christopher Shanahan, MD- Boston University
  • Denise Dvorquez , MD-Ecuador                
  • Kathleen  Principe, EEG Tech -Hydrodot - Rotary Club
  • Bill Principe, EEG Assistant - Hydrodot- Rotary Club
  • Melissa Murphy, EEG Tech- BWH
  • Aaron Lee Berkowitz JHU/Harvard - Mission Coordinator  
  • Students from Universidad Cristiana Latinoamericana – Oscar Pacheco President
  • Nicole Falcone (Pedihabilidad –Hospital Velasco Ibarra Tena Ecuador)
  • Emily Vance 
  • Natalie Delyon
  • Hospital Residents
  • Hospital Nurses-Tena, Ecuador