Veidlapa Nr. M-3 (8)
Study Course Description
Neurology and Neurosurgery
Course Code
NUNK_014
Branch of Science
Clinical medicine; Neurology
ECTS
3.00
Target Audience
Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time; Part-Time
Study Course Implementer
Course Supervisor
Elīna Pūcīte
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
To obtain knowledge about the pathogenesis, clinical manifestations and basic principles of treatment of the most common diseases of the nervous system.
To obtain skills and competences in examination of neurological patients.
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.
Learning Outcomes
Knowledge
1.Describe the most common etiology of neurological diseases, basic principles of pathogenesis, clinical picture
Individual work and tests
Individual work • Case studies • Discussion during class
2.Describes the basic principles of treatment of the most common neurological diseases
Individual work and tests
Discussion during class • Case studies • Individual work
3.List the most common risk factors for neurological diseases and their prevention in the context of public health
Individual work and tests
Individual work • Case studies • Discussion during class
4.Describe the clinical presentation and basic diagnostic principles of the most common neurosurgical pathologies
Individual work and tests
Discussion during class • Individual work • Case studies
5.Name the types of head and spinal cord injuries and classify them
Individual work and tests
Case studies • Individual work • Discussion during class
6.Assess the patient's condition according to the Glasgow Coma Scale, Hunt-Hess Scale
Individual work and tests
Discussion during class • Individual work • Case studies
Skills
1.Review the history of neurological and neurosurgical diseases, the patient's chief complaints
Individual work and tests
Discussion during class • Case studies
2.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.
Individual work and tests
Case studies • Discussion during class
3.Recognize symptoms of neurological injury and classify them as a neurological syndrome or disease
Individual work and tests
Case studies • Discussion during class
4.Describe the principles of diagnosis and treatment of the disease clinically diagnosed
Individual work and tests
Discussion during class • Case studies
Competences
1.Based on the history and neurological examination, recognise the symptoms and identify the location of the lesion and the possible diseases that could cause these symptoms.
Individual work and tests
Discussion during class
2.Based on the history, neurological examination and clinical symptoms, be able to name the chief differential diagnoses.
Individual work and tests
Discussion during class
3.Formulate the main indications for conservative and operative treatment, if applicable (depending on the disease)
Individual work and tests
Discussion during class
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual work |
-
|
-
|
|
Prepare for practical classes by studying the materials posted in e-studies, working independently with the literature. Mandatory attendance at classes. |
||
|
2.
Case studies |
-
|
Test
|
|
Case analysis in the classroom or work with patients in the ward, collecting history, neurological examination, development of diagnostic and therapeutic principles, with subsequent discussion in the classroom. |
||
|
3.
Discussion during class |
-
|
Test
|
|
Active and argumentative participation in discussions during the classes, discussing the theoretical and practical part, as well as analyzing clinical cases. During the discussions, the student demonstrates knowledge of the topic of the class. |
||
Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Test |
20.00% from total grade
|
10 points
|
|
Intermediate examination of the training material acquired in classes 1, 2 and 3. |
||
|
2.
intermediate test 2 |
20.00% from total grade
|
10 points
|
|
Intermediate examination of the training material learnt in classes 4, 5 and 6. |
||
|
3.
Visit |
15.00% from total grade
|
Test
|
|
Active participation in the classes, including discussions and analysis of clinical cases on the subject of the class (oral or written). Attendance is taken into account as a coefficient. |
||
|
4.
Final exam |
45.00% from total grade
|
10 points
|
|
A written and oral examination examining a student’s knowledge of more common diseases in neurology, their neurological examination, prevention and basic principles of treatment. |
||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Anatomy of the nervous system and basic principles of investigation.
Description
Motor system, signs of damage and investigation. Signs of cranial nerve damage, investigating them. Sensory system: signs of its damage and examination. symptoms of brain hemisphere damage. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Cerebrovascular disorders
Description
Ischemic and haemorrhagic strokes, venous stroke - risk factors, clinical manifestations, therapeutic options and prevention. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Coordination disorders
Description
Clinical manifestations of cerebellar lesions and their clinical assessment. Vestibular Syndrome. Classification of Ataxia. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Movement disorders
Description
Extrapyramidal system lesion syndromes: parkinsonism and hyperkinesis, their examination. Gait disturbances. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Various nervous system diseases
Description
Multiple sclerosis. Headaches. Paroxysmal conditions – epilepsy and syncope. Cognitive deficiency, dementia. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Peripheral nervous system diseases
Description
Plexopathy, mononeuropathy, polyneuropathy. Cauda equina syndrome. spinal cord lesion syndrome. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Neuromuscular diseases. Back pain.
Description
Myasthenia gravis. Myopathy. Amyotrophic lateral sclerosis. Common causes of back pain, lower back pain with nervous system involvement (radiculopathy). Basic principles for the treatment of lower back pain. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Head trauma, diagnostics and treatment
Description
Head trauma, types and diagnosis, basic principles of treatment |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Basic principles of the nervous system investigation.
Terminology
Description
Examination of the motor, sensory, cranial, cerebellar and extrapyramidal systems. Common terms for neurological syndromes. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Cerebrovascular disorders.
Description
Etiology, clinical symptoms, diagnostic and treatment principles of cerebrovascular diseases. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Coordination disorders. Movement disorders.
Description
Symptoms of cerebellar damage, their clinical evaluation. Vestibular syndrome. Types of ataxia. Extra-pyramidal system damage syndromes: Parkinsonism and hyperkinesis, their examination. Gait disorders. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Various nervous system diseases
Description
Multiple sclerosis. Headaches. Paroxysmal conditions – epilepsy and syncope. Cognitive deficiency, dementia. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Peripheral nervous system diseases.
Spinal cord lesion syndromes
Description
Etiology, most common clinical signs, basic principles of diagnosis and treatment of the most common diseases of the peripheral nervous system. Chief clinical symptoms and most common etiology of spinal cord injury syndromes |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Neuromuscular diseases. Back pain
Description
Myasthenia gravis. Myopathies. Amyotrophic lateral sclerosis - clinical symptoms, diagnostic and treatment principles. The most common causes of back pain, low back pain with involvement of the nervous system (radiculopathy). Basic principles of back pain treatment. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Spontaneous and traumatic intracranial haemorrhages, aneurysms, arteriovenous malformations – basic principles of clinical picture, diagnosis and surgical treatment.
Hydrocephalus. Neurooncology.
Description
Spontaneous and traumatic intracranial hemorrhages, aneurysms, arteriovenous malformations - clinical picture, basic principles of diagnosis and surgical treatment. Hydrocephalus - clinical picture, basic principles of diagnosis and surgical treatment. Neuro-oncology - clinical picture, basic principles of diagnosis and surgical treatment. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Traumatic damage to the spinal cord, causes, symptoms, diagnosis, treatment options.
Degenerative spinal diseases – indications and options for surgical treatment.
Description
Traumatic spinal cord injury, causes, symptoms, diagnosis, treatment options. Degenerative spinal diseases – indications and possibilities of surgical treatment. |
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
PART-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Anatomy of the nervous system and basic principles of investigation.
Description
Motor system, signs of damage and investigation. Signs of cranial nerve damage, investigating them. Sensory system: signs of its damage and examination. symptoms of brain hemisphere damage. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Cerebrovascular disorders
Description
Ischemic and haemorrhagic strokes, venous stroke - risk factors, clinical manifestations, therapeutic options and prevention. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Coordination disorders
Description
Clinical manifestations of cerebellar lesions and their clinical assessment. Vestibular Syndrome. Classification of Ataxia. |
|
Movement disorders
Description
Extrapyramidal system lesion syndromes: parkinsonism and hyperkinesis, their examination. Gait disturbances. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Various nervous system diseases
Description
Multiple sclerosis. Headaches. Paroxysmal conditions – epilepsy and syncope. Cognitive deficiency, dementia. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Peripheral nervous system diseases
Description
Plexopathy, mononeuropathy, polyneuropathy. Cauda equina syndrome. spinal cord lesion syndrome. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Neuromuscular diseases. Back pain.
Description
Myasthenia gravis. Myopathy. Amyotrophic lateral sclerosis. Common causes of back pain, lower back pain with nervous system involvement (radiculopathy). Basic principles for the treatment of lower back pain. |
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
Off site
|
Auditorium
|
2
|
Topics
|
Head trauma, diagnostics and treatment
Description
Head trauma, types and diagnosis, basic principles of treatment |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Basic principles of the nervous system investigation.
Terminology
Description
Examination of the motor, sensory, cranial, cerebellar and extrapyramidal systems. Common terms for neurological syndromes. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Cerebrovascular disorders.
Description
Etiology, clinical symptoms, diagnostic and treatment principles of cerebrovascular diseases. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Coordination disorders. Movement disorders.
Description
Symptoms of cerebellar damage, their clinical evaluation. Vestibular syndrome. Types of ataxia. Extra-pyramidal system damage syndromes: Parkinsonism and hyperkinesis, their examination. Gait disorders. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Peripheral nervous system diseases.
Spinal cord lesion syndromes
Description
Etiology, most common clinical signs, basic principles of diagnosis and treatment of the most common diseases of the peripheral nervous system. Chief clinical symptoms and most common etiology of spinal cord injury syndromes |
|
Neuromuscular diseases. Back pain
Description
Myasthenia gravis. Myopathies. Amyotrophic lateral sclerosis - clinical symptoms, diagnostic and treatment principles. The most common causes of back pain, low back pain with involvement of the nervous system (radiculopathy). Basic principles of back pain treatment. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Various nervous system diseases
Description
Multiple sclerosis. Headaches. Paroxysmal conditions – epilepsy and syncope. Cognitive deficiency, dementia. |
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Spontaneous and traumatic intracranial haemorrhages, aneurysms, arteriovenous malformations – basic principles of clinical picture, diagnosis and surgical treatment.
Hydrocephalus. Neurooncology.
Description
Spontaneous and traumatic intracranial hemorrhages, aneurysms, arteriovenous malformations - clinical picture, basic principles of diagnosis and surgical treatment. Hydrocephalus - clinical picture, basic principles of diagnosis and surgical treatment. Neuro-oncology - clinical picture, basic principles of diagnosis and surgical treatment. |
|
Traumatic damage to the spinal cord, causes, symptoms, diagnosis, treatment options.
Degenerative spinal diseases – indications and options for surgical treatment.
Description
Traumatic spinal cord injury, causes, symptoms, diagnosis, treatment options. Degenerative spinal diseases – indications and possibilities of surgical treatment. |
Total ECTS (Creditpoints):
3.00
Contact hours:
32 Academic Hours
Final Examination:
Exam
Bibliography
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.
Gārša I. Ievads neiroķirurģijā. Nac. medicīnas apgāds, 2008. (akceptējams izdevums)
5.
I.Logina, E.Smeltere. Neiroloģija shēmās. Avots, 2009. (akceptējams izdevums)
Additional Reading
1.
Metodiskās rekomendācijas studentiem. RSU
2.
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