EXHIBIT & SUPPORT PROSPECTUS

Transcription

1 EXHIBIT & SUPPORT PROSPECTUS 2015 ACNS Annual Meeting & Courses February 3-8, 2015 JW Marriott Houston Houston, Texas

2 TABLE OF CONTENTS About ACNS...3 ACNS Council...3 ACNS Program & Course Committees....4 Houston Visitor Information...5 About the Annual Meeting & Courses....5 Important Dates...5 General Exhibits Information...12 Exhibitor Floor Plan...13 Support Opportunities...14 Exhibit Application & Contract Support Application & Contract...19 Notes...21 INVITATION TO SUPPORT Dear Industry Colleagues, On behalf of the American Clinical Neurophysiology Society (ACNS), I invite you to participate in the 2015 Annual Meeting & Courses, taking place February 3-8, 2015 in Houston, Texas. The American Clinical Neurophysiology Society (ACNS) is a professional association dedicated to fostering excellence in Clinical Neurophysiology and furthering the understanding of central and peripheral nervous system function in health and disease through education, research, and the provision of a forum for discussion and interaction. This year s scientific program will feature the latest scientific advances in Clinical Neurophysiology presented by leading national and international experts in the field. The ACNS Program and Course Committees have invested their efforts in audience interactiv ity, developing creative ways to engage members and delegates with a program promises to be challenging and dynamic. As the Program and Course Committee have done with the scientific program, we seek to help you connect with attendees on a meaningful level as well. With that goal in mind, the ACNS Development Committee has compiled a number of opportunities for supporters to engage ACNS members and meeting delegates, from a vibrant exhibit hall to the Evening Programs, (complete information on page 16). Reserve your exhibit space early the hall was sold out last year, and we expect and even greater turnout in Houston! Daily meal functions in the hall offer you the opportunity to put your company s name and products foremost in the minds of more than 400 delegates. Then extend your reach beyond the traditional exhibit experience by supporting the science that really is driving force behind this meeting. Grant opportunities are available for support of sessions, including the plenary sessions which will draw together the entire delegation. We are also very excited to introduce the Evening Programs, which are, in effect, extensions of your exhibit and offer your company the opportunity to demonstrate your products to a captive audience and to delve more deeply into what your company has to offer. This meeting offers supporters the opportunity to connect with the thought-leaders in the field of Clinical Neurophysiology and those training the future of the field. We urge you to be a part of it. We look forward to seeing you in Atlanta! Sincerely, Aatif M. Husain, MD, FACNS President American Clinical Neurophysiology Society 555 East Wells Street, Suite 1100 Milwaukee, WI Phone: Fax: info@acns.org Contact: Megan M. Kelley, CMP Executive Director mkelley@acns.org Development Committee Chair: Bruce Fisch, MD, FACNS University of New Mexico Solomon Moshe, MD, FACNS Albert Einstein College of Medicine Mark L. Scheuer, MD, FACNS Persyst Donald L. Schomer, MD, FACNS Harvard University Joseph Sirven, MD, FACNS Mayo Clinic Scottsdale Michael R. Sperling, MD, FACNS Thomas Jefferson University ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

3 ABOUT ACNS About the American Clinical Neurophysiology Society (ACNS) ACNS is a professional association dedicated to fostering excellence in clinical neurophysiology and furthering the understanding of central and peripheral nervous system function in health and disease through education, research, and the provision of a forum for discussion and interaction. Founded in 1946 and originally named the American Electroencephalographic Society (AEEGS), ACNS is the major professional organization in the United States devoted to the establishment and maintenance of standards of professional excellence in clinical neurophysiology in the practice of neurology, neurosurgery and psychiatry. ACNS members utilize neurophysiology techniques in the diagnosis and management of patients with disorders of the nervous system and in research examining the function of the nervous system in health and disease. ACNS Educational Mission Statement Content ACNS is committed to providing continuing medical education to its members and others interested in clinical neurophysiology. Educational objectives include 1) Reviewing current knowledge of clinical neurophysiology including: electroencephalography, evoked potentials, electromyography, nerve conduction studies, intraoperative monitoring, polysomnography and other sleep technology, quantitative neurophysiological methods, magnetoencephalography, sleep disorders, epilepsy, neuromuscular disorders, brain stimulation, brain-computer interfacing, and related areas; and 2) Informing course and meeting attendees of recent technological developments and their implications for clinical practice. Target Audience The Society s educational activities are directed to clinical neurophysiologists, neurologists, psychiatrists, physiatrists, neurosurgeons, trainees in these disciplines and other physicians and researchers who utilize clinical neurophysiological techniques and knowledge in the diagnosis and management of patients with disorders of the nervous system. Expected Result Attendees will improve competence in clinical neurophysiology procedures and incorporate new technological advancements into their practice. ACNS Council President Aatif M. Husain, MD, FACNS Duke University Medical Center Durham, NC First Vice-President William O. Tatum IV, DO, FACNS Mayo College of Medicine Jacksonville, FL Second Vice-President Jonathan C. Edwards, MD, FACNS Medical University of South Carolina Charleston, SC Secretary Stephan Schuele, MD, MPH, FACNS Northwestern University-Neurology Chicago, IL Treasurer Tobias Loddenkemper, MD, FACNS Children s Hospital Boston Boston, MA Immediate Past President Frank W. Drislane, MD, FACNS Beth Israel Deaconess Medical Center Boston, MA Past President Susan T. Herman, MD, FACNS Beth Israel Deaconess Medical Center Boston, MA Councilors-at-Large Jeffrey Britton, MD, FACNS Mayo Clinic Rochester, MN Richard C. Burgess, MD, PhD, FACNS Cleveland Clinic Foundation Cleveland, OH Gloria Galloway, MD, FACNS Ohio State University Medical Center New Albany, OH Cecil D. Hahn, MD, FACNS Hospital for Sick Children Toronto, Canada Suzette M. LaRoche, MD, FACNS Emory University School of Medicine Decatur, GA Jaime R. Lopez, MD, FACNS Stanford University Stanford, CA Raj D. Sheth, MD, FACNS Mayo Clinic / Nemours Clinic-Florida Jacksonville, FL AMA Delegate Marc R. Nuwer, MD, PhD, FACNS UCLA Los Angeles, CA Journal Editor-in-Chief Aatif M. Husain, MD, FACNS Duke University Medical Center Durham, NC 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 3

4 ACNS PROGRAM & COURSE COMMITTEES Program Committee Co-Chairs: Jaime Lopez, MD, FACNS Stanford University William O. Tatum, DO, FACNS Mayo Clinic College of Medicine Members: Nicholas S. Abend, MD Children s Hospital of Philadelphia Imran I. Ali, MD, FACNS University of Toledo Salah A. Almubarak, MD, FRCPC, FACNS King Fahad Medical City Anto Bagic, MD, PhD, FACNS University of Pittsburgh Meriem Bensalem-Owen, MD, FACNS University of Kentucky Bernard Allan Cohen, PhD, FACNS Neurological Monitoring Associates, LLC Placido Coyac Cuautle, MD Neurofisiologia Integral de Puebla Rafael de Castro, MD Neurolife Natal Frank W. Drislane, MD, FACNS Beth Israel Deaconess Medical Center Jonathan C. Edwards, MD, FACNS Medical University of South Carolina Ronald Emerson, MD, FACNS Hospital for Special Surgery William B. Gallentine, DO, FACNS Duke University Medical Center Gloria Galloway, MD, FACNS Ohio State University Medical Center Cecil D. Hahn, MD, MPH, FACNS The Hospital for Sick Children Mark Hallett, MD, FACNS NINDS, NIH Danny Hilkman, MD Maastricht University Medical Centre Lawrence J. Hirsch, MD, FACNS Yale University Aatif M. Husain, MD Duke University Medical Center Akio Ikeda, MD, PhD Kyoto University School of Medicine Mohammad MU Kabiraj, Sr., MBBS, PhD Prince Sultan Military Medical City Ekrem Kutluay, MD Medical University of South Carolina Suzette M. LaRoche, MD, FACNS Emory University Jong Woo Lee, MD, PhD, FACNS Brigham & Women s Hospital Alan D. Legatt, MD, PhD, FACNS Montefiore Medical Center Daniela N. Minecan, MD University of Michigan Health System Suraj Muley, MD, FACNS St. Joseph s Hospital & Medical Center Heidi Munger Clary, MD, MPH Wake Forest University Christos Papadelis, PhD Children s Hospital Boston Eva K. Ritzl, MD Johns Hopkins University Mark Ross, MD, FACNS Mayo Clinic Scottsdale Devon Rubin, MD Mayo Clinic Raj D. Sheth, MD, FACNS Mayo Clinic / Nemours Clinic-Florida Saurabh R. Sinha, MD, PhD Duke University Medical Center John Stern, MD UCLA School of Medicine Amit Verma, MBBS The Methodist Hospital Francis O. Walker, MD, FACNS Wake Forest University Mogens Worm, MD University of Southern Denmark Greg Worrell, MD Mayo Clinic Courtney J. Wusthoff, MD Stanford University Ex-Officio Tobias Loddenkemper, MD, FACNS Children s Hospital Boston Stephan U. Schuele, MD, MPH, FACNS Northwestern University Course Committee Chair Tobias Loddenkemper, MD, FACNS Children s Hospital Boston Members Nicholas S. Abend, MD Children s Hospital of Philadelphia Cecil D. Hahn, MD, MPH, FACNS The Hospital for Sick Children Lawrence J. Hirsch, MD, FACNS Yale University Marc R. Nuwer, MD, PhD, FACNS UCLA Juan Ochoa, MD University of South Alabama Saurabh R. Sinha, MD, PhD Duke University Medical Center Ex-Officio Jaime Lopez, MD, FACNS Stanford University Stephan U. Schuele, MD, MPH, FACNS Northwestern University William O. Tatum, DO, FACNS Mayo Clinic College of Medicine ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

5 ABOUT THE ANNUAL MEETING & COURSES About the Annual Meeting & Courses The 2015 Annual Meeting scientific program will feature the latest scientific advances in clinical neurophysiology presented by leading national and international experts in the field. Increased audience interactivity will be a theme throughout all the programs, and session chairs are developing creative ways to engage with the audience. This dynamic program has more choices than ever. The parallel sessions will usually provide simultaneous sessions for interests in EEG, electrodiagnosis and monitoring. There will also be workshops and Special Interest Groups. The Annual Meeting is held February 6-8, 2015, immediately following the Annual Courses. The Annual Courses program will continue to highlight the growth areas in clinical neurophysiology. Each course will be led by two leading experts who will co-chair the sessions, providing a team approach that ensures comprehensive coverage of the topics. The Annual Courses are held February 3-5, 2015, immediately preceding the Annual Meeting. Target Audience Clinical neurophysiologists, neurologists, physiatrists, neurosurgeons, technologists, trainees in these disciplines and other physicians and researchers who specialize in clinical neurophysiology. Learning Objectives At the conclusion of the Annual Meeting & Courses, participants will be able to: 1. Discuss recent advances in electroencephalography, evoked potentials, polysomnography, magnetoencephalography, electromy ography, nerve conduction studies and other clinical neurophysiol ogy techniques. 2. Apply advances in clinical neurophysiology techniques to improve the diagnosis of neurologic disorders. Past Attendance 2010 San Diego, CA New Orleans, MA San Antonio, TX Miami, FL Atlanta, GA 457 Important Dates Exhibit & Support Application Opens September 1, 2014 Exhibitor Staff Registration Opens September 1, 2014 Exhibitor Booth Application Deadline December 1, 2014 Grant Support Application Deadline December 1-15, 2014 Exhibitor & Grant Cancellation Deadline January 2, 2015 Exhibitor Staff Registration Deadline January 12, 2015 Exhibitor Staff Registration Cancellation Deadline January 19, 2015 Houston Visitor Information Houston is the most populous city in Texas and the fourth most populous city in the United States with a population of 2.16 million. Located in the American South, Houston is a diverse city with a large and growing international community, including more than 21% of residents who were born outside the United States. Houston received the official nickname of Space City in 1967 because it is the location of NASA s Lyndon B. Johnson Space Center. Houston s Theater District is a 17-block area in the center of downtown Houston that is home to the Bayou Place entertainment complex, restaurants, movies, plazas, and parks. Space Center Houston is the official visitors center of NASA s Lyndon B. Johnson Space Center. The Space Center has many interactive exhibits including moon rocks, a shuttle simulator, and presentations about the history of NASA s manned space flight program. Other tourist attractions include the Galleria (Texas s largest shopping mall located in the Uptown District), Old Market Square, the Downtown Aquarium, and Sam Houston Race Park. Of worthy mention are Houston s current Chinatown and the Mahatma Gandhi District. Both areas offer a picturesque view of Houston s multicultural makeup. Restaurants, bakeries, traditional-clothing boutiques and specialty shops can be found in both areas. Houston is served by two commercial airports, including George Bush Intercontinental Airport (IAH), the sixthbusiest in the United States for total passengers, and fourteenth-busiest worldwide. Bush Intercontinental currently ranks fourth in the United States for nonstop domestic and international service with 182 destinations. The second-largest commercial airport is William P. Hobby Airport (HOU) which operates primarily small to medium-haul domestic flights Exhibitors ABCN/ABRET ACMEGS Alpha Omega Co. USA ASET Austrian Institute of Technology Cadwell Laboratories, Inc. Compumedics USA, Inc. Consolidated Neuro Supply, Inc. Demos Medical Publishing, LLC DigiTrace EEG Services Electrical Geodesics, Inc. Elekta Ives EEG Solutions Moberg mytamed, Inc. Nihon Kohden America Persyst Development Corporation PMT Corporation Rhythmlink International, LLC Ripple, LLC Rochester Electro-Medical, Inc. RSC Diagnostic Services Signal Gear, LLC UCB Visualase, Inc. Wolters Kluwer Health WR Medical Electronics Co. Meeting Venue JW Marriott Houston 5150 Westheimer Road Houston, TX ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 5

6 PROGRAM OVERVIEW subject to change ANNUAL COURSES Tuesday February 3, :00AM-5:00PM Wednesday, February 4, :00-8:30AM 7:00-8:30AM 9:00AM-5:00PM 9:00AM-5:00PM Neurophysiologic Intraoperative Monitoring (NIOM): Part I Course Co-Chairs: Jamie R. Lopez, MD, FACNS & Michael McGarvey, MD, FACNS EP Reading Session Course Chair: Alan Legatt, MD, FACNS Basics of I&S EEG Course Co-Chairs: Stephan U. Schuele, MD, MPH, FACNS & Nitin Tandon, MD Neurophysiologic Intraoperative Monitoring (NIOM): Part II Course Co-Chairs: Jamie R. Lopez, MD, FACNS & Michael McGarvey, MD, FACNS ECOG/Intracranial EEG Course Co-Chairs: Gregory Worrell, MD & Donald Schomer, MD, FACNS 5:30 7:00PM Sponsored Evening Programs (see page 16 for more information) Thursday, February 5, :00-8:30AM 7:00-8:30AM 7:00-8:30AM 9:00AM-5:00PM 9:00AM-12:00PM 9:00AM-12:00PM 1:00-2:30PM 1:00-5:00PM EMG and EEG Technology Course Chair: Susan T. Herman, MD, FACNS Neonatal EEG Course Co-Chairs: Courtney Wusthoff, MD & Mark Scher, MD Sleep Course Chair: Madeleine Grigg-Damberger, MD, FACNS ICU EEG Course Co-Chairs: Lawrence J. Hirsch, MD, FACNS & Cecil Hahn, MD, MPH, FACNS EMG Course Chair: Francis Walker, MD, FACNS Video - EEG Course Co-Chairs: Tobias Loddenkemper, MD, FACNS & William O. Tatum, DO, FACNS Applied Autonomic Neurophysiology Course Chair: Jong Woo Lee, MD, PhD, FACNS Business in Clinical Neurophysiology Course Co-Chairs: Yafa Minazad, DO, FACNS & Deborah Briggs, MD, FACNS ANNUAL MEETING Friday February 6, :00-8:00AM Breakfast & Poster Viewing 8:00 10:00AM Concurrent Sessions Beyond Seizure Detection in Critical Care EEG Monitoring: Background Matters Chair: Nicolas Gaspard, MD, PhD 8:00AM 8:40AM 9:20AM EEG Reactivity and Variability: Standardization, Quantification and Significance Nicolas Gaspard, MD, PhD Continuous EEG for Monitoring of Pain Control and Sedation M. Brandon Westover, MD, PhD Delirium and Encephalopathy in Critical Patients; Quantitative EEG Correlates and Role of Sleep Disturbances Emily Gilmore, MD SEEG Stimulation Chair: Norman So, MD, FACNS 8:00AM 8:30AM 9:00AM 9:30AM 10:00 10:20AM Coffee Break Stimulation for Auras and Seizures Patrick Chauvel Stimulation Mapping of Non-language Functions Juan Bulacio Stimulation Mapping of Language Agnes Trebuchon Cortico-Cortical Evoked Potentials Dileep Nair, MD Pelvic Floor Neurophysiology Joint ACNS/Mexican Society of Clinical Neurophysiology (SMNFC) Symposium Co-Chairs: Claudia Esther Paz Navarro, MD and Armando Tello- Valdes, MD Agenda: TBD 10:20 11:45AM General Session Presidential Lecture: Neurophysiology in Clinical Trials Aatif M. Husain, MD, FACNS Gloor Award Lecture: Cortical Activities Associated with Voluntary and Involuntary Movements Hiroshi Shibasaki, MD, PhD, FACNS 3:00-5:00PM Case Studies in Peripheral Neurophysiology Course Chair: Elliott Dimberg, MD 11:45AM-1:00PM Lunch, Visit Exhibits & Poster Viewing 5:30 7:00PM Sponsored Evening Programs (see page 16 for more information) ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

7 PROGRAM OVERVIEW subject to change 1:00-3:00PM Concurrent Sessions Advanced Electrodiagnostic Techniques Chair: Ioannis Karakis MD, MSc 1:00PM 1:30PM 2:00PM 2:30PM Quantitative Electromyography Paul Barkhaus, MD Macro Electromyography Joe Jabre, MD Motor Unit Number Estimation Ioannis Karakis, MD, MSc MD, MSc Electrical Imedence Myography Seward Rutkove, MD Four Ways of Looking at Seizure Networks: A Critical Discussion Chair: Charles Epstein, MD, FACNS 1:00PM 1:30PM 2:00PM 2:30PM High Frequency Granger Causality in the Analysis of Preictal Networks Charles Epstein, MD, FACNS Implications of Long-Range Effects of Seizures for Functional Network Theory Catherine Schevon, MD, FACNS Resting State Connectivity and Focal Epilepsy Kathleen Bandt Neural Network Architecture and the Clinical Course of Temporal Lobe Epilepsy Leonardo Bonilha, MD, PhD Myoclonic Status Following Cardiac Arrest Chairs: Stephan Schuele, MD, MPH, FACNS & Jong Woo Lee, MD, PhD, FACNS 1:00PM 1:05PM Introduction Stephan U. Schuele, MD, MPH, FACNS Myoclonic Status After Cardiac Arrest: Definition and Questions Elizabeth Gerard, MD 3:00-4:00PM 4:00-5:30PM 5:30-7:00PM 1:45PM 2:05PM 2:25PM 2:30PM 2:45PM Prognosis after Cardiac Arrest in Era of Therapeutic Hypothermia:In Adult Patients with Postanoxic Myoclonus Michel Van Putten Prognosis after Cardiac Arrest in Era of Therapeutic Hypothermia: In Children with Postanoxic Myoclorus Courtney Wusthoff, MD Myclonic Status After Cardiac Arrest: To Treat or Not to Treat Jay Gawala, MD Adult Case Presentation Debate Tom Bleck, MD, FACNS & Peter Kaplan, MD, FRCP, FACNS Pediatric Presentation Debate Courtney Wusthoff, MD & Cecil Hahn MD, MPH, FACNS Coffee Break & Poster Viewing Special Interest Groups IOM Chair: Jaime R. Lopez, MD, FACNS EMG Chair: Suraj Muley, MD, FACNS Critical Care Co-Chairs: Nicholas Abend, MD, FACNS & Elizabeth Gerard, MD General Session Chair: William Gallentine, DO, FACNS 4:30PM 4:45PM Neurophys Bowl 7:00 8:00PM Welcome Reception Travel Fellowship Award Ceremony Brain on Fire Speakers: Souhel Najjar, MD & Susannah Cahalan 1:25PM Pathophysiology of Anoxic Myoclonus Mark Hallett, MD, FACNS 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 7

8 PROGRAM OVERVIEW subject to change Saturday February 7, :00-8:00AM 8:00-9:30AM Breakfast & Poster Viewing Concurrent Sessions Gizmos and Gadgets Clinical Neurophysiologists Should Know Chairs: Madeleine Grigg-Damberger, MD, FACNS 8:00AM 8:30AM 9:00AM Cutting Edge Technologies and Electronic Devices for Diagnosing and Managing People with Epilepsy Steven Schachter, MD, FACNS Latest Developments in Non-epileptic Brain Stimulation and Quantitative EEG Charles Epstein, MD, FACNS Gizmos, Gadgets and Electronic Clinical Neurophysiology Devices for Diagnosing and/or Treating Patients with Stroke, Dementia, Brain or Spinal Cord Injury and Sleep Disorders Madeleine Grigg-Damberger, MD, FACNS Pedicle Screw Stimulation - A Discussion by Some Experts Chair: David Gloss, MD 8:00AM 8:30AM 8:50AM 9:20AM Evidence Base for Pedicle Screw Testing David Gloss, MD Technical Considerations for Pedicle Screw Testing Alan Legatt, MD, FACNS Pedicle Screw Cases Christine Hung, MD & Cormac O Donovan, MD, FACNS Questions/Panel Electroclinical Features of Autoimmune-Mediated Epilepsies: Case Discussions Chair: William Gallentine, DO, FACNS 10:30 11:15AM General Session Schwab Lecture: Fasciculation Potentials: The Enigma Mamede de Carvalho, MD 11:15AM 12:45PM Concurrent Sessions Peripheral Nerve Injury and Evaluation Chair: Mark Hallett, MD, FACNS 11:00AM Nerve Injuries in Sports Mark Hallett, MD, FACNS 11:30AM Electrodiagnosis of Peripheral Nerve Injury Jun Kimura, MD 12:00PM Use of Ultrasound to Evaluate Peripheral Nerve Injuries Francis Walker, MD, FACNS Probing Cortical Physiology: The Use of TMS-EEG in Epilepsy and Psychiatry Chair: Bernard Chang, MD 11:00AM Brain Stimulation and Cortical Physiology in Patients with Epilepsy Mouhsin Shafi, MD 11:30AM Translational Applications of TMS in Animal Models of Epilepsy and Brain Injury Alexander Rotenberg MD, PhD 12:00PM TMS-EEG Studies in Patients with Schizophrenia and Other Psychiatric Disorders Z. Jeff Daskalakis Video EEG Joint ACNS/ Canadian Society of Clinical Neurophysiology Symposium Chair: Seyed Mirsattari, MD, PhD 11:15AM Case Discussion: Typical TLE Rick McLachlan, MD 8:00AM NMDA Receptor Antibody Encephalitis Sarah Schmitt, MD 11:45AM Case Discussion: Insular Epilepsy Dang Nguyen, MD 8:30AM 9:30AM LGI1 Antibody Related Epilepsy, Faciobrachial Dystonic Seizures Jiyeoun Yoo, MD Anti-GAD Antibody and Other Autoimmune-mediated Epilepsies William Gallentine, DO, FACNS 12:45-2:00PM 12:15PM Case Discussion: Diagnosing FLE Seyed Mirsattari, MD, PhD Lunch, Visit Exhibits & Poster Viewing 9:30 10:15AM General Session: Jasper Award Lecture John Ebersole, MD, FACNS 10:15 10:30AM Coffee Break ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

9 PROGRAM OVERVIEW subject to change 2:00-3:30PM Concurrent Sessions Advancing Artifactology Chair: William O. Tatum, DO, FACNS 2:40PM Stereo EEG and fmri: Mapping Cortico-cortical Evocked Potentials and Epileptogenic Networks Andreas Alexopoulos, MD 2:00PM EEG and the Trouble with Artifact William O. Tatum, DO, FACNS 3:00PM Perspectives for the Clinical Use of EEG-fMRI Fernando Cendes, MD 2:20PM 2:40PM 3:00PM 3:20PM Recognition of Artifacts During Nerve Conduction Studies and Needle EMG Devon Rubin, MD Common and Uncommon Artifacts in Polysomnography Madeleine Grigg-Damberger, MD, FACNS To Alert or Not Artifacts in NIOM Aatif M. Husain, MD, FACNS Questions/Panel Evidence, Ethics, and Epiphany in IOM Chair: Stanley Skinner, MD, FACNS 2:00PM 2:25PM 2:55PM 3:20PM Evaluating Costs and Outcomes for IOM Using Decision Modeling John Ney, MD Somatosensory and Motor Evoked Potential Biomarkers as Surrogate Endpoints During Surgery Robert Holdefer, PhD Controlled (and Ethically Permissible) Outcome Studies in IOM Stanley Skinner, MD Panel Q&A EEG-fMRI in Epilepsy Joint ACNS/ Brazilian Society of Clinical Neurophysiology Symposium Chair: Fernando Cendes, MD 2:00PM Translational EEG-fMRI; Narrowing the Gap Between Animal and Human Studies Seyed M. Mirsattari, MD 3:30-4:30PM 4:30-6:00PM 3:20PM Discussion Coffee Break & Poster Viewing Special Interest Groups MEG Chair: Anto Bagic, MD, PhD, FACNS Intracranial EEG Chair: Greg Worrell, MD Pediatric Co-Chairs: Tobias Loddenkemper, MD, FACNS & Heather Olson Concurrent Sessions Autonomics and Spinal Ataxia Verdugo Joint ACNS/ Latin American Chapter Symposium Chair: Marcondes Franca Jr., MD 4:30PM 4:55PM 5:00PM 5:25PM 5:30PM 5:55PM Neurophysiological Investigation of the Autonomic Nervous System Renata Verdugo, MD Questions Autonomic Dysfunction in Disorders of the Peripheral Nervous System Arturo Leis, MD, FACNS Questions Autonomic Dysfunction in Neurodegenerative Diseases Marcondes Franca Jr, MD Questions 2:20PM Brain Hemodynamic Responses Related to Classical EEG Rhythms Ana Carolina Coan, MD 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 9

10 PROGRAM OVERVIEW subject to change Electrocorticography: Overview and Future Directions Chair:TBD 4:30PM 5:00PM 5:30PM Electrocorticography: Physiology, Methodologies and Anesthetic Considerations Lawrence J. Hirsch, MD, FACNS Electrocorticography and Functional Mapping: Current and Future Josef Parvizi, MD Electrocorticography: How to Improve Signal Acquisition, Signal Analysis and Interpretation Brian Lift, MD Reflex Epilepsy: How to Define and Determine It Chair: Dorothee Kasteleijn-Nolst Trenite, MD, PhD Agenda: TBD 6:00 7:00PM Research Highlights Chair: Dorothee Kasteleijn-Nolst Trenite, MD, PhD 7:00 7:30PM Annual Business Meeting Sunday February 8, :00-8:00AM 8:00-9:30AM Breakfast ACNS Professional Development Mentoring Program Concurrent Sessions Minimally Invasive Epilepsy Surgery: Case Based Discussion on the Role of Laser Ablation Chair: Heidi Munger Clary, MD 8:00AM 8:30AM 9:00AM Laser Ablation Treatment of Refractory Epilepsy: Surgical Technique and the Emory Experience Robert Gross, MD Laser Ablation Treatment of Refractory Epilepsy: Who Might Benefit? Patient Characteristics, Presurgical EEG/MEG Findings, and the Wake Forest Experience Gautam Popli, MD Interactive Case Discussion Intraoperative Communication Strategies: Case Workshop Chair: Viet Nguyen, MD 8:00AM 8:15AM 8:30AM 8:50AM 9:10AM OR Communication Viet Nguyen, MD The Technologist s Perspective: Supervision, Reporting Changes and Documentation Eric Jones, CNIM, CLTM, REEGT Peripheral Nerve Cases Viet Nguyen, MD Communication During Spinal Cases Parastou Shillian, DO The Surgeon s Perspective TBD ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

11 PROGRAM OVERVIEW subject to change Skills Workshop: How to Record and Analyze Wide-Band EEG in Clinical Epilepsy: Slow Shifts and HFO Chair: Akio Ikeda, MD When Surgery is Not an Option, Neurostimulation and Beyond Chair: Dawn Eliashiv, MD, FACNS 8:00AM 8:20AM 8:40AM 9:00AM 9:20AM Epileptic Slow Shifts: Neocortical Epilepsy Akio Ikeda, MD Epileptic Slow Shifts: Limbic Epilepsy Pradeep Modur, MD, FACNS High Frequency Oscillation (HFP) in Childhood Epilepsy Hiroshi Otsubo, MD High Frequency Oscillation (HFO) in Adult Epilepsy Jean Gotman, MD, FACNS Discussion 10:00AM MRI Guided Laser Ablation: What s the Evidence Dawn Eliashiv, MD, FACNS 10:30AM Future Directions in Neurostimulation Chris Digiorgio, MD 11:00AM RNS: An Update Martha Morrell, MD A Practical Approach to Stereo EEG for Different Types of Focal Epilepsies Chari: Stephan U. Schuele, MD, MPH, FACNS 10:00AM Introduction Stephan U. Schuele, MD, FACNS 9:30 10:00AM Coffee Break 10:00-11:30AM Concurrent Sessions Clinical Neurophysiology Trials and Tribulations in the ICU Chairs: Jong Woo Lee, MD, FACNS & Cecil Hahn, MD, MPH, FACNS 10:00AM Introduction Jong Woo Lee, MD, FACNS 10:05AM From Conception to Implementation: Trends Aatif M. Husain, MD, FACNS 10:25AM TELSTAR: Treatment of Electroencephalographic Status Epilepticus After Cardiopulmonary Resuscitation Michel van Putten, MD 10:05AM Temporal and Temporal Lobe Plus Epilepsy Samden Lhatoo, MD 10:30AM Frontal Lobe Epilepsy Juan Bulacio, MD 11:00AM Discussion Andreas Alexopoulos, MD 11:15AM Discussion Jonathan Miller, MD 11:30AM Adjourn 10:45AM Study of Bumetanide in Newborn Seizures Janet Soul, MD 11:05AM Allopregnanolone as Adjunctive Therapy in Superrefractory Status Epilepticus Henrikas Vaitkevicius, MD 11:25AM Conclusion/What s Next in Clinical Neurophysiology Trials Cecil Hahn, MD, MPH, FACNS 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 11

12 GENERAL EXHIBITS INFORMATION Exhibits are an important part of the educational experience for Annual Meeting attendees. Breakfast, lunch and coffee breaks will be served in exhibit hall and a reception will also be hosted for meeting delegates on the opening evening of the Annual Meeting. Important Dates Exhibit & Support Application Opens September 1, 2014 Exhibitor Staff Registration Opens September 1, 2014 Exhibitor Booth Application Deadline December 1, 2014 Grant Support Application Deadline December 1-15, 2014 Exhibitor & Grant Cancellation Deadline January 2, 2015 Exhibitor Staff Registration Deadline January 12, 2015 Exhibitor Staff Registration Cancellation Deadline January 19, 2015 Booth Fees - $1,500 per 8x10 booth Booth fees include: 8x10 pipe-and-drape booth with 8 back and 3 side walls One (1) 6 draped & skirted table; Two (2) side chairs ; One (1) wastebasket; One (1) 7 x 44 identification sign; Complimentary registration for two (2) company personnel; Acknowledgement in the Annual Meeting & Courses Final Program materials and ACNS website. Acknowledgement in the March issue of Clinical Neurophysiology News, the official newsletter of ACNS, distributed electronically to the ACNS members and archived to the Members-Only section of the ACNS website. Exhibit Hours (subject to change) Decorator Move-In Thursday, February 5 7:00am 12:00pm Exhibitor Move-In Thursday, February 5 Exhibits Open Friday, February 6 Saturday, February 7 Exhibitor Strike Saturday, February 7 12:00 4:00pm 7:00am 5:00pm 6:45 8:00pm (Welcome Reception) 7:00am 1:30pm 1:30 4:00pm Exhibit Personnel Registration All exhibitor personnel must be registered. Two (2) complimentary registrations are provided to each exhibitor for the Annual Meeting only (February 6-8). Personnel wishing to attend the Annual Courses February 3-5 must register for those courses separately and pay all applicable registration fees. Exhibitor registrations provide access to the exhibit hall and food and beverage functions. Each exhibiting company is allowed additional exhibitor registrations at $600 per additional individual before January 12, 2015 or $650 per additional individual onsite. Exhibitor personnel may not claim CME credits for attendance at the Annual Meeting. Cancellation Policy Requests for cancellation of exhibit space must be made in writing. Written cancellation requests received before January 2, 2015 will receive a refund, less 25% processing fee. Refunds will not be issued after January 2, Service Contractor Heritage Exposition Services Contact: Pat Porter Phone: (314) patp@heritageexpo.com Insurance Each exhibitor is responsible for maintaining insurance against injury to person or damage to or loss of property in such amounts as the exhibitor shall deem adequate. Insurance protection will not be afforded to the exhibitor by ACNS or the hotel. Liability & Indemnification The exhibitor will be fully responsible for any claims, liabilities, losses, damages, or expenses, including attorney s fees, relating to or arising out of any loss of injury to, or damage to any person or property of the exhibitor or any other property where such injury, loss or damage is incident to, arises out of or is in any way connected with the exhibitor s participation in the exhibition. The exhibitor shall protect, indemnify, hold harmless, and defend ACNS, its officers, directors, agents or servants, and employees from and against any and all such claims, liabilities, losses, damages, and expenses, including attorneys fees, provided that the foregoing shall not apply to injury, loss, or damage caused by or resulting from the negligence or willful misconduct of ACNS, its officers, directors, agents, or employees. Fire & Safety Regulations Exhibitors must comply with all federal, state, and local fire building codes that apply to the facility. Labor Regulations Exhibitors are required to conform to all local labor regulations. Smoking Smoking is prohibited at the ACNS Annual Meeting & Courses. Interpretation & Application of Rules & Regulations Show management reserves the right to: (a) reject for any reason, without explanation, any exhibit application submitted for the ACNS Annual Meeting & Courses; (b) reject, prohibit, restrict, or otherwise require modification of any exhibit for any reason; and (c) evict or bar any exhibitor whose exhibit, materials, or conduct is objectionable to show management for any reason. Violation of any regulations on the part of the exhibitor, its employees or agents shall void the right to occupy space, and such exhibitor will forfeit to ACNS all monies which may have been paid. Upon evidence of violation, management may re-enter and take possession of the space occupied by the exhibitor, and may remove all persons and goods at the exhibitor s risk. The exhibitor shall pay all expenses and damages which management may incur thereby ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

13 GENERAL EXHIBITS INFORMATION Exhibitor Application Information To reserve an exhibit booth, complete the application and contract for exhibit space and return it with full payment to the ACNS Executive Office. Exhibit space is assigned based on the date the application and fees are received. Application Review ACNS will review all exhibit applications to determine whether they satisfy basic criteria such as: whether the product/services described specifically relate to the practice of clinical neurophysiology, and whether the exhibit is of informational value to Annual Meeting delegates. Product/Service Descriptions Product and/or service descriptions are a required part of the application process. The description will appear under the company name in the final program under the exhibit directory. All descriptions should be in sentence format, typed and no longer than 100 words. Descriptions longer than 100 words will be edited for length. Descriptions for the final program will be accepted until December 1, Please attach description to the application or it to mkelley@acns.org. Exhibitor Relocation If it becomes necessary to relocate an exhibitor after a space assignment has been made, ACNS will contact the company involved and every effort will be made to reassign the exhibitor to a similar space. Traffic Generating Activity! Again this year, ACNS will sponsor a traffic-generating activity, designed to encourage meeting delegates to visit the Exhibit Hall and interact with vendors. A bingo card will be provided to delegates with their registration materials, and exhibitors will be provided with official game markers to signify that the delegate visited their booths. Those delegates who return completed bingo cards will be entered into a raffle for prizes, including complimentary ACNS membership and meeting registrations, and various books and other educational materials authored by ACNS members. If your company is interested in donating a prize for the raffle, please contact ACNS Executive Director Megan M. Kelley, CMP at mkelley@acns.org. All prizes must be PhaRMA and AdvaMed-compliant, in good taste and consistent with the mission of ACNS. ACNS may decline any prizes it deems inappropriate. EXHIBITOR FLOOR PLAN 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 13

14 SUPPORT OPPORTUNITIES Gain increased exposure by supporting the 2015 Annual Meeting & Courses. Your contribution helps support ACNS educational programs and attendee services. In addition to valuable networking opportunities, you will receive the following benefits, based on your total support contribution toward the ACNS Annual Meeting & Courses (including exhibit booth fees, advertising, and grants): BENEFITS OF SUPPORT Gold Level Support ($20,000+) Acknowledgement as outlined pertaining to specific activities or programs selected; Largest name & logo acknowledgement in the Annual Meeting & Courses final program materials and ACNS website; One (1) full-page acknowledgement in the next four (4) issues a full year! - of Clinical Neurophysiology News, the official newsletter of ACNS, distributed electronically to the ACNS members and archived to the Members-Only section of the ACNS website. Two (2) complimentary Annual Meeting registrations for company representatives, over and above those included with an exhibit (must be claimed before the advance deadline of January 12, 2015). List of ACNS Annual Meeting & Courses attendees. Silver Level Support ($10,000 - $19,999) Acknowledgement as outlined pertaining to specific activities or programs selected; Name & logo acknowledgement in the Annual Meeting & Courses final program materials and ACNS website; One (1) full-page acknowledgement in the next two (2) issues of Clinical Neurophysiology News, the official newsletter of ACNS, distributed electronically to the ACNS members and archived to the Members-Only section of the ACNS website. One (1) complimentary Annual Meeting registration for a company representative, over and above those included with an exhibit (must be claimed before the advance deadline of January 14, 2015). Bronze Level Support (up to $9,999) Acknowledgement as outlined pertaining to specific grant opportunities chosen; Acknowledgement in the Annual Meeting & Courses final program materials and ACNS website; One (1) full-page acknowledgement in the next issue of Clinical Neurophysiology News, the official newsletter of ACNS, distributed electronically to the ACNS members and archived to the Members-Only section of the ACNS website. Advertising & Meeting Services Final Program Advertising Advertising space is available in the 2015 Annual Meeting & Courses Final Program, which is distributed to all delegates upon check-in and posted to the ACNS website in advance of the meeting. The Final Program will contain information on the scientific program, catered functions, program CME and ACNS membership. *Artwork deadline December 1, Inside front cover $2,000 Your full page ad (designed at supporter s discretion, subject to ACNS approval) will appear just inside the program s cover, opposite the table of contents and is sure to grab delegates attention. Inside back cover $2,000 Your full page ad (designed at supporter s discretion, subject to ACNS approval) will appear at the end of the program, opposite notes pages. Full page $1,000 each page Ad placement is at the discretion of ACNS. Artwork specifications for covers and full pages: Dimensions: 8 ¾ x 11 ¼ (with bleeds) Finish Size: 8 ½ x 11 Color: CMYK File Format: High resolution (at least 300 dpi); PDF, TIF, JPG or EPS. Notes pages $1,000 each page Place your logo and tagline as the header or footer on a series of blank pages at the back of the program, designed for delegates to take notes on presentations, write down contact information while networking, and to serve as a reference following the meeting. Hotel Key Cards $3,000 Customized guest room keys at the JW Marriott Houston, the Annual Meeting & Courses headquarters hotel, will bear the logo and tagline of a single supporter. Design must be preapproved by ACNS. *Reservation deadline for this grant December 1, 2014 Hotel Room Drop $1,500 each Deliver your message directly to delegates guest rooms at the headquarters hotel. Production and shipping of materials is the responsibility of the supporter, and materials must be delivered by the supporter directly to the headquarters hotel. ACNS asks that all deliveries comply with AdvaMed and ACCME guidelines and that all messages be pre-approved by ACNS. Print quantities are approximately 400. (Open to multiple supporters.) *Reservation deadline for this grant December 15, 2014 Message Board $2,500 A central location for delegates to leave and retrieve messages, the (non-electronic) message board will bear a single supporter s name and tagline. Notepaper will also be provided with the supporter s logo. *Reservation deadline for this grant December 15, ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

15 SUPPORT OPPORTUNITIES Wireless Internet $7,500 Help Annual Meeting & Courses delegates stay in touch and informed by providing prepaid wireless Internet access cards. Access to the Internet is available in all public areas of the convention center for those delegates traveling with their laptops. ACNS will distribute to delegates a card containing log-on instructions and passwords. A single supporter may brand the cards with their logo and tagline (subject to ACNS approval) and will also be acknowledged in the Final Program. (Open to multiple supporters.) *Reservation deadline for this grant December 1, 2014 Breakfast $5,000 per day Reach all 400+ delegates first thing each morning as they prepare for a day of education. Continental breakfast will be served Tuesday through Sunday mornings, either near sessions or in the exhibit hall. As a supporter of one of the daily breakfasts, your company will be identified on signage as well as in Final Program materials. If possible, catering stations may be strategically placed in proximity to the supporters booth on Friday and Saturday. (Open to multiple supporters.) *Reservation deadline for this grant December 1, 2014 Beverage Break $2,500 per break As a supporter of one of the breaks, your company will be allowed to include educational materials in the beverage break areas to draw attendees to your booth and will be acknowledged in the Final Program and on signage in the break area. Both morning and afternoon refreshment breaks will be scheduled. (Open to multiple supporters.) *Reservation deadline for this grant December 1, 2014 Boxed Lunch $10,000 per day Lunches will be provided for delegates on Friday and Saturday in the exhibit hall. As a supporter of the boxed lunches, your company will be identified on signage as well as in Final Program materials. If possible, catering stations may be strategically placed in proximity to the supporters booth. (Open to multiple supporters.) *Reservation deadline for this grant December 1, 2014 CME Sessions Plenary Session $2,500 each Unrestricted educational grants will be accepted to offset faculty travel and AV costs of these high-profile and high-attendance of sessions. Supporters will be acknowledged in Final Program materials and on signage outside the session. Content of sessions is controlled entirely by ACNS. *Reservation deadline for this grant December 1, 2014 Annual Meeting Symposium or SIG $1,000 each Unrestricted educational grants will be accepted to offset faculty and AV costs. Supporters will be acknowledged in Final Program materials and on signage outside the session. Content of sessions is controlled entirely by ACNS.*Reservation deadline for this grant December 1, 2014 Annual Course $1,000 for partial day courses, $1,500 for full or multi-day courses Unrestricted educational grants will be accepted to offset faculty and AV costs. Supporters will be acknowledged in Final Program materials and on signage outside the session. Content of sessions is controlled entirely by ACNS. *Reservation deadline for this grant December 1, 2014 Annual Courses Handout Website $1,000 Handouts provided by course faculty are posted to a password-protected website prior to the Annual Courses. Supporters will be acknowledged in Final Program materials, on the site itself, and on handouts and promotions bearing log-in information for the handout site. *Reservation deadline for this grant December 1, 2014 Unrestricted Educational Grant By providing an educational grant in any amount, your company can help off-set Annual Meeting & Courses expenses, and help keep meeting registration fees low. (Open to multiple supporters.) Welcome Reception $5,000 The Annual Meeting officially commences on Friday, February 6. At the end of the day, delegates will gather at the Welcome Reception in the exhibit hall to enjoy food, beverages, and to reconnect with colleagues. The supporter(s) will be acknowledged in the Final Program as well as on signage at the reception. (Open to multiple supporters.) *Reservation deadline for this grant December 1, ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 15

16 SUPPORT OPPORTUNITIES Non-CME Sessions Annual Meeting Poster Sessions $1,000 per day Last year, a record 100+ posters were displayed over the course of the Annual Meeting and dedicated time is set aside each morning for delegates to visit and discuss the work with the authors. Supporters will be acknowledged in the Final Program materials, promotional slides, and on signage in the poster area. *Reservation deadline for this grant December 1, 2014 Evening Programs $5,000 each ACNS is pleased to again offer supporters the opportunity to extend their reach outside the exhibit hall with the inaugural evening programs. On Wednesday February 4 and Thursday, February 5, space will be made available to supporters, including a standard meeting set, standard AV and catering provided by ACNS in common areas outside the sessions. Companies may program session content and are responsible for the costs of speakers and materials. Acknowledgement will be made in a special section of the Final Program and on signage outside the session. Evening program space is limited and will be sold on a first-come, first-served basis determined by date of receipt of program fees. *Reservation deadline for this grant December 1, 2014 Expert Panel $10,000 The ACNS Annual Meeting & Courses will draw more than 400 of the best and brightest in the field of Clinical Neurophysiology. Take advantage of that experience and expertise gathered in one place by convening an Expert Panel! Your company will have the opportunity to select up to seven (7) ACNS members to attend a closed-door brainstorming session, led by your staff addressing the topics of your choice. Have a burning R&D question that only a physician in the field could answer? The ACNS Expert Panel is the perfect venue to ask! ACNS will provide a room to accommodate up to 10 participants, a standard audiovisual set upon request, and lunch. Specific ACNS participants may be requested by the sponsoring company and are subject to availability and agreement by the physician. ACNS cannot guarantee the participation of specific members and may make substitution suggestions upon request. Frequently-Asked Questions Who chooses evening program instructors? The sponsoring company is welcome to invite the instructors of their choice, and any number they wish. Either company personnel or physicians may serve as instructors. Faculty speaking in ACNS-programmed Annual Meeting & Courses sessions may serve as evening program instructors, as long as they do not receive compensation of any kind from evening program supporters. Evening program supporters are responsible for contacting chosen instructors to invite them to participate and then to communicate the names of confirmed instructors to ACNS. ACNS will not contact potential instructors and will assume that names submitted have been confirmed in advance. Who is responsible for funding instructors? The sponsoring company is responsible for all expenses incurred by their instructors, subject to the company s own internal guidelines and agreements with the instructors. ACNS will not pay for instructor expenses, unless the individual is also participating in the Annual Meeting & Courses. Sponsoring companies may not provide compensation of any kind to members of the ACNS-selected program faculty. ACNS will pay an honorarium for participation in the Annual Meeting & Courses and prohibits these faculty from receiving additional funding from sponsors. Evening Program Rules and Regulations Program Entries ACNS will include information on the evening programs both on the Annual Meeting & Courses website ( in advance of the meeting, and as part of the Final Program distributed to delegates onsite. An Evening Program Details Form will be distributed to companies upon confirmation of participation and receipt of the fee. The form includes space for each company to indicate the title and topic of the evening program, the names of the instructors participating, and a brief description of the session. Supporting companies will be responsible for providing specific information on their program no later than December 1, ACNS cannot guarantee that information received after December 1 will be included in Final Program materials. ACNS highly encourages evening program supporters to submit as much information as possible in advance for inclusion on the website and Final Program. Companies submitting thorough descriptions, including the names of instructors, report significantly higher attendance at similar programs. Evening Program Instructor Eligibility The sponsoring company is welcome to invite the instructors of their choice, and any number they wish, including either company personnel or physicians, provided that they do not provide compensation of any kind to members of the ACNS-selected Annual Meeting & Course faculty. Promotion Evening program supporters are welcome to promote their sessions using their own contacts or distribution channels in advance of the Annual Meeting & Courses. However, all promotional materials, including both print and electronic messages, must be approved by ACNS prior to distribution. Please send a draft of the materials to mkelley@acns.org for prompt review. Distribution of materials onsite is restricted - flyers may NOT be placed in session rooms or any other part of the meeting space without written consent from ACNS. Flyers may be distributed from a company s own exhibit booth ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

17 EXHIBIT APPLICATION & CONTRACT Deadline for application: December 1, 2014 Organization /Contact Information Organization: Contact Person: Title: Address: City: State: Zip/Postal Code: Country: Phone: Fax: (all exhibitor information will be sent to the address specified): Exhibit Table Application # of booths x $1,500 = (total due) Booth Preferences (see p. 13 for floorplan) First Choice: Second Choice: Comanies we wish to be near: Comanies we do NOT wish to be near: Complimentary Exhibitor Registration Each company is allowed TWO complimentary registrations, with additional registrations charged at $600 per individual (up to three). 1. Name: 2. Name: 3. Name: ($600) 4. Name: ($600) 5. Name: ($600) Exhibit Directory Information All information will appear in the Final Program exactly as it appears below. Company name will also appear on the booth identification sign, as below. Company: Address: City: State: Zip/Postal Code: Country: Phone: Fax: Website: Product /Service Description Submit, in 100 words or less, a description of the products, equipment, services or facility that will be exhibiting. ACNS reserves the right to edit text to conform to length limit. Description may also be ed to: mkelley@acns.org ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 17

18 EXHIBIT APPLICATION & CONTRACT Deadline for application: December 1, 2014 Method of Payment Applications will not be processed without payment and signature Company Check Make check payable to American Clinical Neurophysiology Society (in US Dollars, drawn on a US bank) Credit Card (check one): VISA MasterCard Card Number: Expiration Date: Card Holder Name: Billing Address: City: State: Zip/Postal Code: Country: Phone: Fax: Card Holder Signature: Date: Signature of Agreement Please retain a copy for your records. You are hereby authorized to reserve space for the company/organization listed above in the exhibition of the 2015 ACNS Annual Meeting & Courses, February 3-8, 2015, at the JW Marriott, Houston. We understand that the assigned space will be rented at the rate quoted in the prospectus. We understand further that all space must be paid in full upon completion of the application. If assigned space is not paid for in full at time application is submitted, it may be reassigned to another exhibitor at the discretion of ACNS. The exhibiting company agrees to abide by all rules and regulations governing exhibits set forth in the prospectus, which is made part of this contract by reference and fully incorporated herein. Print Name: Authorized Signature: Date: Please return this application with required payment to: American Clinical Neurophysiology Society Attn: Megan M. Kelley, CMP 555 E. Wells Street, Suite 1100 Milwaukee, WI Phone: (414) Fax: (414) mkelley@acns.org Refund for Cancellation Requests for cancellation of reserved exhibits and grants must be made in writing. Written cancellation requests received on or before January 2, 2015 will receive a full refund, less a 25% administrative fee. Cancellations received after January 2, 2015 will forfeit the entire cost of the cancelled exhibit or grant ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

19 SUPPORT APPLICATION & CONTRACT The following company wishes to express interest in the support for ACNS events and/or activities as indicated below. It is understood that this form is NOT a guarantee of support, but rather an expression of interest to be followed, as necessary, by a formal grant request from ACNS to the granting company. Upon approval of the grant request, ACNS will be informed in writing and it is understood that grants will be used to support the educational goals of this activity, and that ACNS will adhere to ACCME, FDA, and IRS guidelines regarding disclosures and industry support, including formal Letters of Agreement and acknowledgement of support to participants in the educational activity. Organization /Contact Information Organization: Contact Person: Title: Address: City: State: Zip/Postal Code: Country: Phone: Fax: (all exhibitor information will be sent to the address specified): Advertising & Meeting Services Final Program Advertising Inside front cover $2,000 Inside back cover $2,000 Notes pages $1,000 each page x = $ Hotel Key Cards $3,000 Hotel Room Drop $1,500 each x = $ Message Board $2,500 Wireless Internet $7,500 Breakfast $5,000 per day x = $ Tuesday, Feb. 3 Wednesday, Feb. 4 Thursday, Feb. 5 Friday, Feb. 6 Saturday, Feb. 7 Sunday, Feb. 8 Beverage Break $2,500 per break x = $ Tuesday, Feb. 3 Wednesday, Feb. 4 Thursday, Feb. 5 Friday, Feb. 6 Saturday, Feb. 7 Sunday, Feb. 8 Boxed Lunch $10,000 per day x = $ Friday, Feb. 6 Saturday, Feb. 7 Welcome Reception $5,000 CME SESSIONS Plenary Session $2,500 each x = $ Please indicate which session(s): Annual Meeting Symposium or SIG $1,000 each x = $ Please indicate which session(s): ANNUAL COURSE Partial Day Courses $1,000 each x = $ Please indicate which session(s): Full or Multi-Day Courses $1,000 each x = $ Please indicate which session(s): Annual Courses Handout Website $1,000 Unrestricted Educational Grant $ NON-CME SESSIONS Annual Meeting Poster Sessions $1,000 per day x = $ Friday, Feb. 6 Saturday, Feb. 7 Evening Programs $5,000 each x = $ Expert Panel $10,000 TOTAL DUE $ 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 19

20 SUPPORT APPLICATION & CONTRACT Method of Payment Applications will not be processed without payment in full and signature Company Check Make check payable to American Clinical Neurophysiology Society (in US Dollars, drawn on a US bank) Credit Card (check one): VISA MasterCard Card Number: Expiration Date: Card Holder Name: Billing Address: City: State: Zip/Postal Code: Country: Phone: Fax: Card Holder Signature: Date: Signature of Agreement Please retain a copy for your records. You are hereby authorized to reserve grants or advertising opportunities for the company/organization listed above related to the 2015 ACNS Annual Meeting & Courses, February 3-8, 2015, at the JW Marriott Houston. If grants are not paid in full at time application is submitted, they may be reassigned to another supporter at the discretion of ACNS. The company agrees to abide by all rules and regulations governing grants set forth in the prospectus, which is made part of this contract by reference and fully incorporated herein. Further, the company agrees to adhere to all ACCME, PhRMA, AdvaMed, FDA, and IRS guidelines regarding development of educational activities, interactions with health care professionals, and disclosure of support, including formal Letters of Agreement and acknowledgement of support to participants in the educational activity. Print Name: Authorized Signature: Date: Please return this application with required payment to: American Clinical Neurophysiology Society Attn: Megan M. Kelley, CMP 555 E. Wells Street, Suite 1100 Milwaukee, WI Phone: (414) Fax: (414) mkelley@acns.org Refund for Cancellation Requests for cancellation of reserved exhibits and grants must be made in writing. Written cancellation requests received on or before January 2, 2015 will receive a full refund, less a 25% administrative fee. Cancellations received after January 2, 2015 will forfeit the entire cost of the cancelled exhibit or grant ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

21 NOTES 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 21

22 NOTES ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas

23 NOTES 2015 ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas 23

24 AMERICAN CLINICAL NEUROPHYSIOLOGY SOCIETY 555 East Wells Street, Suite 1100 Milwaukee, WI ACNS ACNS Annual Meeting & Courses February 3-9, 2015 JW Marriott Houston Houston, Texas