.
Neurology and Neurosurgery
Study Course Description
Course Description Statuss:Approved
Course Description Version:11.00
Study Course Accepted:03.07.2023 10:05:18
| Study Course Information | |||||||||
| Course Code: | NUNK_014 | LQF level: | Level 6 | ||||||
| Credit Points: | 2.00 | ECTS: | 3.00 | ||||||
| Branch of Science: | Clinical Medicine; Neurology | Target Audience: | Rehabilitation | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Elīna Pūcīte | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Neurology and Neurosurgery | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 37; 2 Hipokrata Street, Unit No. 7, Room No. 901, neuro rsu[pnkts]lv, +371 67069653; +371 67536540 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 8 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 16 | ||||
| Classes (count) | 8 | Class Length (academic hours) | 2 | Total Contact Hours of Classes | 16 | ||||
| Total Contact Hours | 32 | ||||||||
| Part-Time - Semester No.1 | |||||||||
| Lectures (count) | 7 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 14 | ||||
| Classes (count) | 6 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 18 | ||||
| Total Contact Hours | 32 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | For the neurology part: prior knowledge of anatomy and physiology of the nervous system; For the neurosurgery part: prior knowledge in the anatomy and physiology of the nervous system and acquired practical skills in the neurological examination of patients. | ||||||||
| Objective: | To ensure the acquisition of knowledge about the pathogenesis of the main diseases of the nervous system, clinical manifestations therefore the basic principles of treatment and the goals of rehabilitation; to ensure the acquisition of knowledge about pathologies that can be treated with neurosurgery methods. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Structure and clinical anatomy of the nervous system. Additional examinations in neurology. Symptoms of brain hemisphere damage | Lectures | 1.00 | auditorium | |||||
| 2 | Cerebral blood circulation disorders, types, risk factors, clinical manifestations, treatment options and prevention thereof. | Lectures | 1.00 | auditorium | |||||
| 3 | Peripheral nervous system diseases, types and manifestations thereof. | Lectures | 1.00 | auditorium | |||||
| 4 | Causes and prevention of back pain, neurological aspects of spinal diseases. Tactics and methods for the treatment of back pain. | Lectures | 1.00 | auditorium | |||||
| 5 | Demyelinating diseases of the nervous system – multiple sclerosis, course and manifestations thereof. Reasons, types and clinical signs of neural infections. | Lectures | 1.00 | auditorium | |||||
| 6 | Paroxysmal conditions: epileptic and non-epileptic seizures. Cognitive deficit and dementias. | Lectures | 1.00 | auditorium | |||||
| 7 | Head injuries, types and diagnosis thereof, treatment. | Lectures | 1.00 | auditorium | |||||
| 8 | Neuro-oncology – classification of tumours, diagnostic options, therapeutic options. | Lectures | 1.00 | auditorium | |||||
| 9 | Motor system: upper and lower motor neuron, signs of damage thereto. Neurological examination of the motor system. Examination of cranial nerves, signs of damage thereto. Bulbar and pseudobulbar syndrome. | Classes | 1.00 | clinical base | |||||
| 10 | Sensory system: types of sensation, types of sensory disorders. Examination of the sensory system. Spinal cord damage syndromes. | Classes | 1.00 | clinical base | |||||
| 11 | Symptoms of cerebellar injury and clinical examination thereof. Syndromes of damage to the extrapyramidal system: parkinsonism and hyperkinesis, investigation thereof. | Classes | 1.00 | clinical base | |||||
| 13 | Vestibular syndrome. Types of ataxia. Gait disorders. | Classes | 1.00 | clinical base | |||||
| 14 | Cerebral blood circulation disorders: ischemic and haemorrhagic strokes. | Classes | 1.00 | clinical base | |||||
| 15 | Functional disorders of the peripheral nervous system. Muscle diseases. Myasthenia gravis. | Classes | 1.00 | clinical base | |||||
| 16 | Hydrocephalus. Spontaneous and traumatic intracranial haemorrhages, aneurysms, arteriovenous malformations – clinical picture, diagnostic options, surgical treatment options. | Classes | 1.00 | clinical base | |||||
| 17 | Traumatic damage to the spinal cord, causes, symptoms, diagnosis, treatment options. Degenerative diseases of the spine – indications and possibilities of surgical treatment. | Classes | 1.00 | clinical base | |||||
| Topic Layout (Part-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Structure and clinical anatomy of the nervous system. Additional examinations in neurology. Symptoms of brain hemisphere damage | Lectures | 1.00 | auditorium | |||||
| 2 | Cerebral blood circulation disorders, types, risk factors, clinical manifestations, treatment options and prevention thereof. | Lectures | 1.00 | auditorium | |||||
| 3 | Peripheral nervous system diseases, types and manifestations thereof. | Lectures | 1.00 | auditorium | |||||
| 4 | Causes and prevention of back pain, neurological aspects of spinal diseases. Tactics and methods for the treatment of back pain. | Lectures | 1.00 | auditorium | |||||
| 5 | Demyelinating diseases of the nervous system – multiple sclerosis, course and manifestations thereof. Reasons, types and clinical signs of neural infections. | Lectures | 1.00 | auditorium | |||||
| 6 | Paroxysmal conditions: epileptic and non-epileptic seizures. Cognitive deficit and dementias. | Lectures | 1.00 | auditorium | |||||
| 7 | Head injuries, types and diagnosis thereof, treatment. | Lectures | 1.00 | auditorium | |||||
| 9 | Motor system: upper and lower motor neuron, signs of damage thereto. Neurological examination of the motor system. Examination of cranial nerves, signs of damage thereto. Bulbar and pseudobulbar syndrome. | Classes | 1.00 | clinical base | |||||
| 10 | Sensory system: types of sensation, types of sensory disorders. Examination of the sensory system. Spinal cord damage syndromes. | Classes | 1.00 | clinical base | |||||
| 12 | Symptoms of cerebellar injury and clinical examination thereof. Syndromes of damage to the extrapyramidal system: parkinsonism and hyperkinesis, investigation thereof. Vestibular syndrome. Types of ataxia. Gait disorders. | Classes | 1.00 | clinical base | |||||
| 14 | Cerebral blood circulation disorders: ischemic and haemorrhagic strokes. | Classes | 1.00 | clinical base | |||||
| 15 | Functional disorders of the peripheral nervous system. Muscle diseases. Myasthenia gravis. | Classes | 1.00 | clinical base | |||||
| 18 | Spontaneous and traumatic intracranial haemorrhages, aneurysm, arteriovenous malformation – clinical picture, diagnostic options, surgical treatment options. Hydrocephalus. Traumatic damage to the spinal cord, causes, symptoms, diagnosis, treatment options. Degenerative diseases of the spine – indications and possibilities of surgical treatment. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | Neurology: • To prepare for practical classes, working independently with literature; • To assess and interpret the neurological patient’s condition in each practical class; • To individually prepare one medical case report of one of the patients seen in the classes. Neurosurgery: The student’s independent learning includes the preparation of clinical cases with tasks. The clinical case with tasks includes: • analysis of a clinical case of a patient with a certain pathology using a problem-oriented medical history scheme. In order to evaluate the quality of the study course as a whole, the student must fill out the study course evaluation questionnaire on the Student Portal. | ||||||||
| Assessment Criteria: | • Active participation in classes, quality of oral answers – 10%; • Ability to perform a neurological examination, to interpret symptoms – 15%; • Quality of test works during the cycle on the discussed topics – 15%; • Students’ knowledge of the aetiology, pathogenesis, clinic, diagnosis, principles of treatment and prevention of neurosurgical diseases is tested – 10%. Final examination – an exam – 50%. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | Exam | ||||||||
| Learning Outcomes | |||||||||
| Knowledge: | Neurology: as a result of completing the study course, the student is able to do the following: • list and describe the aetiology, pathogenesis, clinical picture, basic principles of treatment, prevention options of the most common neurological diseases; • tell how a neurological patient is assessed; • describe and justify rehabilitation tasks, goals, choice of methods. As a result of completing the neurosurgery course, the student is able to do the following: • list and describe the basic diagnostic principles of pathologies that can be treated with neurosurgery methods; • define types of brain and spinal cord injuries, classify them; • tell how to assess the patient’s condition according to the Glasgow Coma Scale, according to the Hunt & Hess scale; • evaluate general and specific clinical symptoms in cases of CNS tumours; • know the most frequent pathologies that can be treated with neurosurgery methods (degenerative diseases of the spine, hydrocephalus, peripheral nerve compression). | ||||||||
| Skills: | As a result of completing the study course, the student will be able to do the following: • perform a neurological examination of the patient; • recognise the symptoms of neurological damage and classify them under one of the neurological syndromes; • identify rehabilitation tasks. After successfully meeting the requirements of the neurosurgery course, the student will have acquired the skills and abilities that will allow to: • recognise and interpret the clinical and radiological manifestations of pathologies that can be treated with neurosurgery methods; • prescribe the necessary examinations for the diagnosis of possible pathologies that can be treated with neurosurgery methods; • explain the indications and basic principles of neurosurgical manipulations. | ||||||||
| Competencies: | As a result of successfully completing the neurology study course, the student is able: • to determine the location of the damage after the performed neurological examination and according to the recognised symptoms and to recognise possible diseases that could cause these symptoms; • to justify differential diagnoses based on clinical symptoms; • to develop the basic principles of the additional examination plan; • to develop basic rehabilitation goals and basic tasks suitable for a specific neurological clinical situation. As a result of completing the neurosurgery study course, students will be able to: • substantiate, logically justify and formulate a detailed neurosurgical clinical diagnosis; • develop action tactics for a specific neurosurgical clinical situation; • formulate indications for conservative and operative treatment. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Sagatavots mācību materiāls katrai nodarbībai E-studijās | ||||||||
| 2 | Mattle H., Mumenthaler M. Fundamentals of Neurology - an illustrated guide. 2nd edit. 2017. Thieme. Stuttgart. | ||||||||
| 3 | Weiner W.J., Goltz C.G. Neurology for the non-neurologist. 2010, J.B.Lippincott Co, Phyl. (akceptējams izdevums) | ||||||||
| 4 | Fuller G. – Neurological Examination Made Easy. Ch. Livingstone, Elsevier, Edinburg, London, N-Y, 2020. | ||||||||
| 5 | Gārša I. – Ievads neiroķirurģijā. Nac. medicīnas apgāds, 2008. (akceptējams izdevums) | ||||||||
| 6 | I.Logina, E.Smeltere. Neiroloģija shēmās. Avots, 2009. (akceptējams izdevums) | ||||||||
| Additional Reading | |||||||||
| 1 | Metodiskās rekomendācijas studentiem // RSU | ||||||||
| 2 | Gehlen W., Delank H-W. Neurologie. 1988. Thieme. Stuttgart. | ||||||||
| 3 | Ellison D., Love S., Chimelli L., et.al. Neuropathology. Mosby, 2013. | ||||||||
| 4 | Greenberg M.S. Handbook of Neurosurgery. – G. Thieme Verlag. Stuttgart. New York, 2010. | ||||||||
| Other Information Sources | |||||||||
| 1 | Ķīse L., Logina I., Kamša I., Krieviņa I., Millers A. Vestibulārā reiboņa cēloņi un associētās slimības. 2013. Rīga | ||||||||
| 2 | Kamša I., Logina I., Raumane D. ,Krieviņa I., Millers A. Reiboņa aprūpes taktika: izmeklēšana un diagnostika. 2012. Rīga | ||||||||
| 3 | Gintere S., Logina I., Kozlovska L., Bērziņa G., Pūcīte E. Klīniskās vadlīnijas - Muguras lejas daļas sāpes primārajā veselības aprūpē. 2016. Rīga. | ||||||||
| 4 | The International Classification of Headache disorders 3rd Edition. | ||||||||
| 5 | Gudreniece A, Karelis G., Minibajeva O., Gulbe G. , Kalniņa Z. Alcheimera slimības, vaskulaŗas demences, Levī ķermenīšu demences un frontotemporālas demences klīniskās vadlīnijas. 2017. Rīga | ||||||||
| 6 | Minibajeva O., Karelis G., Gudreniece A., Gūtmane E., Žīgure I., Korogodovs S. Parkinsona slimības un parkinsona plus-sindromu klīniskās vadlīnijas. 2018. Rīga | ||||||||
| 7 | http://www.merckmanuals.com/professional/ | ||||||||
| 8 | The American Association of Neurological Surgeons | ||||||||
