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 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.
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.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
1.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.
Competences
1.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.
Assessment
Individual work
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Individual 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.
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Examination
|
Title
|
% from total grade
|
Grade
|
|---|---|---|
|
1.
Examination |
-
|
-
|
|
• 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%.
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||
Study Course Theme Plan
FULL-TIME
Part 1
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Structure and clinical anatomy of the nervous system. Additional examinations in neurology. Symptoms of brain hemisphere damage
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cerebral blood circulation disorders, types, risk factors, clinical manifestations, treatment options and prevention thereof.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Peripheral nervous system diseases, types and manifestations thereof.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Causes and prevention of back pain, neurological aspects of spinal diseases. Tactics and methods for the treatment of back pain.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Demyelinating diseases of the nervous system – multiple sclerosis, course and manifestations thereof. Reasons, types and clinical signs of neural infections.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Paroxysmal conditions: epileptic and non-epileptic seizures. Cognitive deficit and dementias.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Head injuries, types and diagnosis thereof, treatment.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Neuro-oncology – classification of tumours, diagnostic options, therapeutic options.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Sensory system: types of sensation, types of sensory disorders. Examination of the sensory system. Spinal cord damage syndromes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Symptoms of cerebellar injury and clinical examination thereof. Syndromes of damage to the extrapyramidal system: parkinsonism and hyperkinesis, investigation thereof.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Vestibular syndrome. Types of ataxia. Gait disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Cerebral blood circulation disorders: ischemic and haemorrhagic strokes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Functional disorders of the peripheral nervous system. Muscle diseases. Myasthenia gravis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Hydrocephalus. Spontaneous and traumatic intracranial haemorrhages, aneurysms, arteriovenous malformations – clinical picture, diagnostic options, surgical treatment options.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Traumatic damage to the spinal cord, causes, symptoms, diagnosis, treatment options. Degenerative diseases of the spine – 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
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Structure and clinical anatomy of the nervous system. Additional examinations in neurology. Symptoms of brain hemisphere damage
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Cerebral blood circulation disorders, types, risk factors, clinical manifestations, treatment options and prevention thereof.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Peripheral nervous system diseases, types and manifestations thereof.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Causes and prevention of back pain, neurological aspects of spinal diseases. Tactics and methods for the treatment of back pain.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Demyelinating diseases of the nervous system – multiple sclerosis, course and manifestations thereof. Reasons, types and clinical signs of neural infections.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Paroxysmal conditions: epileptic and non-epileptic seizures. Cognitive deficit and dementias.
|
-
Lecture
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Auditorium
|
2
|
Topics
|
Head injuries, types and diagnosis thereof, treatment.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Sensory system: types of sensation, types of sensory disorders. Examination of the sensory system. Spinal cord damage syndromes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
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.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Cerebral blood circulation disorders: ischemic and haemorrhagic strokes.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Functional disorders of the peripheral nervous system. Muscle diseases. Myasthenia gravis.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
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.
|
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.
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
8.
The American Association of Neurological Surgeons