Dear Friends and Colleagues,

The LINNC has mixed, for the very first time, Interventional Neuroradiology and Neurosurgery live cases. This format has definitely stimulated free and constructive debates but also some astonishment on both sides. Many of the comments we got after the first meeting have pointed out the fact that despite the two disciplines work in close relationships, we still don't know and appreciate completely how fancy, efficient and beneficial for the patients both techniques can be.

The LINNC 2010 is still organized jointly with the Anatolian Course of Interventional Neuroradiology (ACINR) and will propose more cases, induce more debates to finally lead to progresses within Interventional Neuroradiology field.

The LINNC 09 was a success not only because we had 800 participants, but also because the fusion between the Interventional Neuroradiology and Neurosurgery has appeared obvious and mandatory. This was the aim of the first LINNC "double N" and the goal was achieved. The LINNC-ACINR 2010 meeting will continue to make the "fusion" evolve for the best.

With the close collaboration of the Neurosurgery Department of Helsinki University (Pr. Juha Hernesniemi - Pr. Mika Niemela), the Interventional Neuroradiodology department of Hacettepe University Hospitals - Ankara (Pr. Saruhan Cekirge - Pr. Isil Saatci), the Department of Neuroradiology of Istanbul University, Cerrahpasa Medical Faculty (Pr. Naci Kocer - Pr. Civan Islak), The Interventional Neuroradiology department of Baylor College of Medicine - Houston (Pr. Michel Mawad) and the Interventional Neuroradiology department of Foundation Rotchild Hospital, Paris-Diderot University - Paris (Pr. Jacques Moret - Dr. Michel Piotin - Dr. Laurent Spelle - Dr. Raphaël Blanc), we will continue to emphasise the complementarities between the two disciplines and enlarge the faculty to other very famous surgical and endovascular teams from USA and Europe.

The goal is to stimulate as much as possible open debates on updates regarding knowledge of the diseases, and impact of long term follow up regarding:

* "Flow Diverter" stents: where are we? Different architectures, clinical experiences, results.
* Management of neurosurgical procedures in patients with antiplatelets treatment and in emergencies: advices and rules.
* IV versus IA in acute stroke: pros and cons; what about the future?
* Giant aneurysms: what is the role of high flow bypass surgery versus "flow diverter" stenting?
* Self expandable stenting: a true impact on anatomical long term follow up; Should we stent most of the aneurysms?
* Predictive factors after HSA to follow and decide endovascular treatment of evolving vasospasm in sedated patients.
* New imaging modalities in vascular pathology, pre, per and post endovascular treatment.

Neurologists and ICU Doctors will provide support and controversies to "invasive therapy" and debate on medical treatment evolution.

The live cases are the aim of the course and will remain so, just because techniques and skill are indivisible in our daily practice. The selection of the cases is always done in a way that it demonstrates either the "state of the art", or a specific indication for a given technique, or the use of a new technology. Anathema is frequently thrown on live demonstrations of technique and practical training, but one should never forget that a "surgical" act has a manual component which needs years of practice to be ethically proposed to a patient. It is often easy to speak about science; it is frequently much more difficult to apply it.
Interactivity between panellists and attendees is another major goal of the course. Discussions will be promoted as much as possible in order to give equal chance to debate on the topics of the lectures and also during live cases.

Finally "evidence based medicine" will be approached through open debates on studies which are deeply intricated with our daily practice, specially the TEAM study on aneurysms.

The LINNC-ACINR 2010 meeting will seal for the future a new discipline (whose name has to be found), melting Neurosurgery and Interventional Neuroradiology.

Civan Islak on behalf of organising committee

Jacques MORET
Civan ISLAK
Juha HERNESNIEMI
Michel MAWAD
Mika NIEMELA
Michel PIOTIN
Laurent SPELLE
Raphaël BLANC
Isil SAATCI
Naci KOCER
Saruhan CEKIRGE