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 completion of the study course, the student is able to: • list and describe the aetiology, pathogenesis, clinical picture, basic treatment principles, prevention options of the most common neurological diseases; • describe how the neurological patient is evaluated; As a result of completing the neurosurgery course, the student shall be able to: • list and describe basic principles for the diagnosis of neurosurgically correctable pathologies; • define types of head and spinal cord injury, classify them; • describe how to assess the condition of the patient on the Glasgow coma scale, on the Hunt-Hess scale; • assess general and specific clinical symptoms in CNS tumours;
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 |
-
|
-
|
|
Prepare for practical classes by working independently with literature; assess and interpret the condition of the neurological patient in each practice session. |
||
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
|
|
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
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Basic principles of the nervous system investigation.
Terminology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Cerebrovascular disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Coordination disorders. Movement 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
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
2
|
Topics
|
Neuromuscular diseases. Back pain
|
-
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.
|
-
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.
|
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
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Basic principles of the nervous system investigation.
Terminology
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Cerebrovascular disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Coordination disorders. Movement disorders.
|
-
Class/Seminar
|
Modality
|
Location
|
Contact hours
|
|---|---|---|
|
On site
|
Specialized room
|
3
|
Topics
|
Peripheral nervous system diseases.
Spinal cord lesion syndromes
|
|
Neuromuscular diseases. Back pain
|
-
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.
|
|
Traumatic damage to the spinal cord, causes, symptoms, diagnosis, treatment options.
Degenerative spinal diseases – indications and options for 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)
6.
Fuller G. Neurological Examination Made Easy. Ch. Livingstone, Elsevier, Edinburg, London, N-Y, 2020.
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
7.
Merck manuals