.
Neurology
Study Course Description
Course Description Statuss:Approved
Course Description Version:5.00
Study Course Accepted:07.11.2022 16:45:01
| Study Course Information | |||||||||
| Course Code: | NUNK_017 | LQF level: | All Levels | ||||||
| Credit Points: | 4.00 | ECTS: | 6.00 | ||||||
| Branch of Science: | Clinical Medicine; Neurology | Target Audience: | Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Daina Pastare | ||||||||
| 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) | 11 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 22 | ||||
| Classes (count) | 14 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 42 | ||||
| Total Contact Hours | 64 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Theoretical knowledge of the nervous system, anatomy and physiology. | ||||||||
| Objective: | The aim of the course is to acquire knowledge of the main syndromes and diseases of the nervous system, pathogenesis, diagnostics, and principles of treatment. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | Introduction. Paraclinical tests in neurology. Autonomic disorders. Somatoform and dissociative disorders in neurology. | Lectures | 1.00 | E-Studies platform | |||||
| 2 | Cerebrovascular disease. Transient ischemic attack. Ischemic stroke. Risk factors, etiology and pathogenesis of cerebrovascular disease. Treatment of cerebrovascular disorders. | Lectures | 1.00 | E-Studies platform | |||||
| 3 | Hemorrhagic stroke. Subarachnoid hemorrhage. Intracerebral hemorrhage. Pathogenesis, risk factors and treatment. | Lectures | 1.00 | E-Studies platform | |||||
| 4 | Neuroinfections. Bacterial meningitis. Aseptic (viral) meningitis. Neuroborreliosis. Tick-borne encephalitis. Herpes simplex encephalitis. | Lectures | 1.00 | E-Studies platform | |||||
| 5 | Peripheral nervous system disorders. Polyneuropathies. Guillaine – Barré syndrome. | Lectures | 1.00 | E-Studies platform | |||||
| 6 | Epilepsy. Status epilepticus. Glasgow coma scale. Differential diagnosis of coma. | Lectures | 1.00 | E-Studies platform | |||||
| 7 | Cognitive deficit and dementia. Transient global amnesia. | Lectures | 1.00 | E-Studies platform | |||||
| 8 | Myasthenia gravis. Myasthenic syndroms. Muscle diseases. | Lectures | 1.00 | E-Studies platform | |||||
| 9 | Back pain. Nonspecific, specific back pain. Radiculopathies. Myelopathy. | Lectures | 1.00 | E-Studies platform | |||||
| 10 | Autoimmune and paraneoplastic neurological syndromes. | Lectures | 1.00 | E-Studies platform | |||||
| 11 | Vestibular disorders. Pathogenesis, clinical presentation and differential diagnosis. | Lectures | 1.00 | E-Studies platform | |||||
| 12 | Clinical neurological examination. Basic assessment of cognitive function. Neurological terminology. Motor system. Upper motor neuron. Lower motor neuron. Central paresis. Peripheral paresis. Central facial palsy. Peripheral facial palsy. Reflex arc. Motor system examination. | Classes | 1.00 | clinical base | |||||
| 13 | Sensory system. Primary sensory modalities. Cortical modalities. Types of sensory disturbances. Spinal cord disorders. Spinal cord transverse and partial lesion. Cauda equina syndrome. | Classes | 1.00 | clinical base | |||||
| 14 | Cranial nerves. Cranial nerve and brain stem damage symptoms. Examination of cranial nerves. Bulbar and pseudobulbar syndrome. Conjugate gaze palsies. Vertigo. | Classes | 1.00 | clinical base | |||||
| 15 | Aphasia. Wernicke's aphasia. Broca's aphasia. Conduction, transcortical and amnestic aphasia. Clinical and Boston classification. Agnosia, apraxia, neglect. Symptoms of the frontal lobe damage. Symptoms of the parietal lobe damage. Symptoms of the temporal lobe damage. Symptoms of the occipital lobe damage. | Classes | 1.00 | clinical base | |||||
| 16 | Movement disorders. Extrapyramidal system and signs of its damage. Hyperkinetic disorders. Parkinson’s disease and parkinsonism. | Classes | 1.00 | clinical base | |||||
| 17 | Clinical symptoms of cerebellar damage and assessment of cerebellar function. Gait disturbances. Types of ataxia. Differential diagnosis of vertigo and dizziness. Evaluation of knowledge in topical diagnosis. | Classes | 1.00 | clinical base | |||||
| 18 | Spinal nerve. Nerve plexus. Cervical plexus. Brachial plexus. N.medianus. N.ulnaris. N.radialis. Lumbosacral plexus. N.cutaneus femoris lateralis. N.femoralis. N.peroneus. N.tibialis. N.ischiadicus. Peripheral nerve damage, causes, symptoms, diagnostics and treatment. | Classes | 1.00 | clinical base | |||||
| 19 | Instrumental and other diagnostic methods in neurology. | Classes | 1.00 | clinical base | |||||
| 20 | Cerebrovascular disease. Types of stroke. Transient ischemic attack. Ischemic Stroke. NIHSS and Modified Rankin Scale. TOAST classification. Etiology of ischemic stroke. Risk factors of ischemic stroke. Clinical features by affected vessel. Diagnostics. Treatment of ischemic stroke. | Classes | 1.00 | clinical base | |||||
| 21 | Hemorrhagic stroke. Intracerebral haemorrhage. Spontaneous subarachnoid haemorrhage. Spinal stroke. Risk factors, etiology, pathogenesis and treatment. | Classes | 1.00 | clinical base | |||||
| 22 | Headache. The International Classification of Headache Disorders (ICHD-3). Primary headache. Migraine. Tension type headache. Trigeminal autonomic cephalalgias: cluster headache, paroxysmal hemicrania. Other primary headaches. Secondary headache. Cranial nerve neuralgias and facial pain. | Classes | 1.00 | clinical base | |||||
| 23 | Epilepsy. Paroxysmal events/ disorders – differential diagnosis. Syncope. | Classes | 1.00 | clinical base | |||||
| 24 | Acute disseminated encephalomyelitis. Neuromyelitis optica spectrum disorders. Multiple sclerosis. McDonald diagnostic criteria. Motoneuron diseases. Evaluation of knowledge in neurological diseases. | Classes | 1.00 | clinical base | |||||
| 25 | Clinical case discussion. Neurological investigation and interpretation of symptoms. Evaluation of knowledge in practical neurology. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | To assess and interpret the neurological patient's state. Theoretically prepare for practical classes. Independently work with literature in neurology. | ||||||||
| Assessment Criteria: | The course grade is cumulative: 1. Attendance and activity – active participation in practical classes, quality of the oral responses, participation in discussions - 5%. 2. Test about topical diagnosis - 10%. 3. Test about neurological diseases - 10%. 4. Clinical case analysis (practical neurology) - 10%. 5. Final test: written and oral exam about neurological damage syndromes, etiology, pathogenesis, clinical signs, diagnosis, prophylaxis and treatment of neurological diseases - 65%. | ||||||||
| Final Examination (Full-Time): | Exam | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | On completion of the course the students will be able to: • describe and define the basic principles of neurological examination; • characterise aetiology, pathophysiology, clinical aspects and treatment principles of neurological diseases; • evaluate general and specific clinical symptoms of neurological diseases. | ||||||||
| Skills: | Upon completion of the course the students will be able to: • discover and interpret clinical and radiological features of neurological diseases; • prescribe the necessary examinations to make the correct diagnosis; • formulate the neurological diagnosis; • explain the choice of appropriate treatment and its effectiveness; • prognose the possible treatment results and outcome of various neurologic disorders. | ||||||||
| Competencies: | Upon successful completion of study course the students will be able to: • identify the most common neurological disease symptoms, to argue and to rationalise the neurological diagnosis; • develop tactics applicable for a particular neurological clinical situation, to optimally diagnose and treat the neurological disease. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| Required Reading | |||||||||
| 1 | Adams A.C. Mayo Clinic Essential Neurology (Mayo Clinic Scientific Press) 2nd Edition, 2018. | ||||||||
| 2 | M J Aminoff, D Greenberg, R P Simon. Clinical Neurology. 9th edition, Mc Graw-Hill Education Lange, 2015 | ||||||||
| 3 | Adams R.D., Victor M. Principles of Neurology. Mc Graw – Hill, N-Y, St Luis e.c. 2014. | ||||||||
| 4 | H.Royden Jones. Netter's Neurology. Saunders Elsevier, 2005, 2012. | ||||||||
| 5 | Fuller G. Neurological Examination Made Easy. Ch. Livingstone. Elsevier, Edinburg, London, N-Y, 2004, 2008, 2013 | ||||||||
| Additional Reading | |||||||||
| 1 | Current Diagnosis and treatment Neurology. McGrawHill, 2012. | ||||||||
| 2 | Daroff RB, Jankovic J, Maziotta JC, Pomeroi SI. Bradley's Neurology in Clinical Practice. Elsevier, 2008, 2012. | ||||||||
| Other Information Sources | |||||||||
| 1 | http://emedicine.medscape.com | ||||||||
