Veidlapa Nr. M-3 (8)
Study Course Description
Neurology
Course Code
NUNK_017
Branch of Science
Clinical medicine; Neurology
ECTS
6.00
Target Audience
Medicine
LQF
All Levels
Study Type And Form
Full-Time
Study Course Implementer
Course Supervisor
Daina Pastare
Structure Unit Manager
Guntis Karelis
Structural Unit
Department of Neurology and Neurosurgery
Contacts
Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No. 37; 2 Hipokrata Street, Unit No. 7, Room No. 901, neuro@rsu.lv, +371 67069653; +371 67536540
About Study Course
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.
Preliminary Knowledge
Theoretical knowledge of the nervous system, anatomy and physiology.
Learning Outcomes
Knowledge
1.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
1.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.
Competences
1.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.
Assessment
Individual work
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Title
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% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
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-
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To assess and interpret the neurological patient's state. Theoretically prepare for practical classes. Independently work with literature in neurology.
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
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%.
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Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
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Modality
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Location
|
Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
|
Topics
|
Introduction. Paraclinical tests in neurology. Autonomic disorders. Somatoform and dissociative disorders in neurology.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Cerebrovascular disease.
Transient ischemic attack. Ischemic stroke. Risk factors, etiology and pathogenesis of cerebrovascular disease. Treatment of cerebrovascular disorders.
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-
Lecture
|
Modality
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Location
|
Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
|
Topics
|
Hemorrhagic stroke. Subarachnoid hemorrhage. Intracerebral hemorrhage. Pathogenesis, risk factors and treatment.
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-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Neuroinfections. Bacterial meningitis. Aseptic (viral) meningitis. Neuroborreliosis. Tick-borne encephalitis. Herpes simplex encephalitis.
|
-
Lecture
|
Modality
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Location
|
Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
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Topics
|
Peripheral nervous system disorders. Polyneuropathies.
Guillaine – Barré syndrome.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
|
Topics
|
Epilepsy. Status epilepticus. Glasgow coma scale. Differential diagnosis of coma.
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-
Lecture
|
Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
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Topics
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Cognitive deficit and dementia. Transient global amnesia.
|
-
Lecture
|
Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
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Topics
|
Myasthenia gravis. Myasthenic syndroms. Muscle diseases.
|
-
Lecture
|
Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
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Topics
|
Back pain. Nonspecific, specific back pain. Radiculopathies. Myelopathy.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
Off site
|
E-Studies platform
|
2
|
Topics
|
Autoimmune and paraneoplastic neurological syndromes.
|
-
Lecture
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Modality
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Location
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Contact hours
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|---|---|---|
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Off site
|
E-Studies platform
|
2
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Topics
|
Vestibular disorders. Pathogenesis, clinical presentation and differential diagnosis.
|
-
Class/Seminar
|
Modality
|
Location
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Contact hours
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|---|---|---|
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On site
|
Specialized room
|
3
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Topics
|
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.
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-
Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Specialized room
|
3
|
Topics
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Sensory system. Primary sensory modalities. Cortical modalities. Types of sensory disturbances. Spinal cord disorders. Spinal cord transverse and partial lesion. Cauda equina syndrome.
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-
Class/Seminar
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Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Specialized room
|
3
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Topics
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Cranial nerves. Cranial nerve and brain stem damage symptoms. Examination of cranial nerves. Bulbar and pseudobulbar syndrome. Conjugate gaze palsies. Vertigo.
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-
Class/Seminar
|
Modality
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Location
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Contact hours
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|---|---|---|
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On site
|
Specialized room
|
3
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Topics
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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.
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-
Class/Seminar
|
Modality
|
Location
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Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Movement disorders. Extrapyramidal system and signs of its damage. Hyperkinetic disorders. Parkinson’s disease and parkinsonism.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
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.
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-
Class/Seminar
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Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
3
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Topics
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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.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
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|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Instrumental and other diagnostic methods in neurology.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Hemorrhagic stroke. Intracerebral haemorrhage. Spontaneous subarachnoid haemorrhage. Spinal stroke. Risk factors, etiology, pathogenesis and treatment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
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.
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-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Epilepsy. Paroxysmal events/ disorders – differential diagnosis. Syncope.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Acute disseminated encephalomyelitis. Neuromyelitis optica spectrum disorders. Multiple sclerosis. McDonald diagnostic criteria. Motoneuron diseases. Evaluation of knowledge in neurological diseases.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Clinical case discussion. Neurological investigation and interpretation of symptoms. Evaluation of knowledge in practical neurology.
|
Total ECTS (Creditpoints):
6.00
Contact hours:
64 Academic Hours
Final Examination:
Exam
Bibliography
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.