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The Peripheral Nerve Podcast

Peripheral Nerve Society (PNS)
Leprosy
Chemotherapy Induced Peripheral Neuropathy
Chemotherapy-Induced Peripheral Neuropathy
Schwann Cells
Leprosy Neuropathy
Oxaliplatin
Biomarkers
Rio De Janeiro, Brazil
Mumbai, India
Brazil
Nerve Involvement
Social Determinants Of Health
Mycobacterium Leprae
Demyelination
Regeneration and Plasticity
Nerve Biopsy
Regeneration
Diagnostic Tools For Leprosy
Relapse and Treatment Failure In Leprosy
Nerve Conduction Studies

The Peripheral Nerve Podcast is the official podcast of the Peripheral Nerve Society (PNS). In each multi-episode series, we fully explore a topic, bringing in expert guests from around the world to share their insights, illuminate the subject and provide practical knowledge for clinicians and basic scientists. As an international organization, we strive to provide insight into topics from a globa... more

PublishesMonthlyEpisodes13Foundeda year ago
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Health & FitnessScienceMedicine

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Latest Episodes

Chemotherapy-induced peripheral neuropathy (CIPN) remains one of the most common and challenging complications of cancer treatment. While significant progress has been made in understanding the condition, measuring treatment success and developing ef... more

Why do some patients develop severe chemotherapy-induced peripheral neuropathy (CIPN) while others receiving the same treatment experience little or no nerve damage?

In this episode, Drs. Paola Alberti and Susanna Park welcome Professor Roser Velas... more

In this episode of the Peripheral Nerve Podcast, hosts Susanna Park and Paola Alberti are joined by Maryam Lustberg to explore the real-world impact of chemotherapy-induced peripheral neuropathy (CIPN). Together, they examine why CIPN remains such a ... more

In this episode of the Peripheral Nerve Podcast, hosts Dr. Paola Alberti (University of Milano-Bicocca, Italy) and Professor Susanna Park (University of Sydney, Australia) are joined by Professor Guido Cavaletti (University of Milano-Bicocca, Italy),... more

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Recent Guests

Jennifer Gewandter
Associate Professor; leading clinical researcher in pain neuropathy and clinical trial methodology
University of Rochester
Episode: Clinical Translation and Symptom Management in Chemotherapy Induced Peripheral Neuropathy
Roser Velasco
Neurologist and principal investigator at the Neuro-Oncology Group of the Catalan Institute of Oncology
Catalan Institute of Oncology, Bellevue University Hospital, Barcelona; Adjunct Professor at Universitat Autònoma de Barcelona
Episode: Precision Medicine: Biomarkers and Risk Prediction in Chemotherapy Induced Peripheral Neuropathy
Maryam Lustberg
Professor of Breast Medical Oncology and Director of the Center for Breast Cancer at Smilow Cancer Hospital
Yale Cancer Center
Episode: Neurotoxicity and Chemotherapy - An Oncology Perspective
Guido Cavaletti
Professor and global CIPN leader, contributor to mechanistic CIPN research
University of Milan
Episode: Cellular and Molecular Mechanisms of Chemotherapy Induced Peripheral Neuropathy Pathophysiology
David Scholar
Professor, retired director of National Health and Disease Program, USA
National Health and Disease Program, USA
Episode: Treatment, Prognosis, Prevention
Wim Bambracheal
Dr. Wim Bambracheal, former medical director in NRI, secretary of International Leopard Association
International Leopard Association
Episode: Treatment, Prognosis, Prevention
Marcelo Nogueira-Barbosa
Professor of Radiology and expert in high-resolution nerve ultrasound
Universidade de São Paulo, Ribeirão Preto
Episode: Pathology and imaging methods in leprosy neuropathy
Diogo Fernandes
Professor of Neurology, Neurologist and Clinical Neurophysiologist
Universidade Federal de Uberlândia; National Reference Center for Sanitary Dermatology and Hansenology
Episode: Pathology and imaging methods in leprosy neuropathy
Pedro Tomaselli
Professor of Neurology
University of São Paulo, Ribeirão Preto
Episode: Electrophysiology, Schwann Cell Biology, and the Neurophysiological Mechanisms of Leprosy Neuropathy

Hosts

Camila Pupe
Host of The Peripheral Nerve Podcast
Wilson Marques Jr.
Co-host introducing episode and guiding discussion/Co-host of The Peripheral Nerve Podcast

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Clinical Translation and Symptom Management in Chemotherapy Induced Peripheral Neuropathy
Q: What opportunities do you think are there for clinical translation of these research findings in the short term to improve management of CIPN?
In the short term, improving patient education about available treatments like duloxetine and ensuring clinicians offer them, along with better symptom tracking and nurse-led follow-up to trigger timely interventions, can enhance management. Biomarkers may aid earlier-stage decisions, but the primary clinical outcomes should remain patient-reported for symptomatic trials.
Clinical Translation and Symptom Management in Chemotherapy Induced Peripheral Neuropathy
Q: I was wondering if you could provide us with a brief overview of outcome measure which quantifies CIPN and discuss how we define a clinically meaningful change in CIPN severity and if there are any methodological pitfalls you would like to highlight for us.
There are multiple types of outcome measures, including patient-reported symptoms and clinician-rated signs; measures like CIPN20, FACT-Taxane, and EORTC-CIPN20 tend to be more reproducible, while CTCIE has both patient and clinician versions but may be less specific. Clinically meaningful change is often understood in terms of grade shifts (e.g., reduction in grade 3 neuropathy), and continuous measures require careful interpretation; alignment of the measure with the expected intervention is crucial.
A Spectrum of Challenges: Understanding Classification and Immunology in Leprosy
Q: What should young clinicians focus on to make an impact in leprosy care today?
Develop a strong skill set in neurological assessment, including palpation of nerves, thermal and pain sensitivity tests, dysautonomia assessments, and ultrasound when available; pursue training that blends clinical acumen with awareness of social determinants and field-based surveillance to improve early diagnosis and patient outcomes.
A Spectrum of Challenges: Understanding Classification and Immunology in Leprosy
Q: What are the main limitations of the current operational classifications, and how could they be improved?
The WHO classification is simplistic and skin-lesion-centric, often neglecting nerves; this leads to misclassification, especially in cases with neural symptoms. Digital tools and high-frequency ultrasound show nerve involvement in determinate forms, suggesting a more nuanced system is needed that includes neural criteria and social factors.
A Spectrum of Challenges: Understanding Classification and Immunology in Leprosy
Q: Do hypersensitivity tests or markers currently help differentiate reactions from relapses, and how are these managed clinically?
Differentiation remains primarily clinical; most patients are managed based on observed activity and response to steroids, with improvements in neural signs after MDT suggesting better outcomes than earlier epidemiological indicators. Relapses may be indicated by rising anti-PGL-1 titers at multibacillary sites, but overall immunologic tests are not decisive for diagnosis.

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Frequently Asked Questions About The Peripheral Nerve Podcast

What is The Peripheral Nerve Podcast about and what kind of topics does it cover?

The show centers on neurological diseases affecting peripheral nerves, with a strong emphasis on leprosy neuropathy and chemotherapy-induced peripheral neuropathy (CIPN). Episodes commonly feature international researchers and clinicians discussing mechanisms, diagnostics, and patient-centered management, often weaving together imaging, electrophysiology, pathology, and public health perspectives. A recurring strength is bringing together basic science and clinical practice from regions with high leprosy burden, alongside translational insights for cancer-related neuropathies, rehabilitation, and patient-reported outcomes. The format tends to highlight multidisciplinary collaboration, practical workflows, and emerging biomarkers or imaging ... more

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1. American Association of Neuromuscular & Electrodiagnostic Medicine (AANEM)

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The Peripheral Nerve Podcast launched a year ago and published 13 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on The Peripheral Nerve Podcast?

Recent guests on The Peripheral Nerve Podcast include:

1. Jennifer Gewandter
2. Roser Velasco
3. Maryam Lustberg
4. Guido Cavaletti
5. David Scholar
6. Wim Bambracheal
7. Marcelo Nogueira-Barbosa
8. Diogo Fernandes

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