Veidlapa Nr. M-3 (8)
Study Course Description

Neurology

Main Study Course Information

Course Code
NUNK_020
Branch of Science
Clinical medicine; Neurology
ECTS
5.00
Target Audience
Medicine; Rehabilitation
LQF
Level 6
Study Type And Form
Full-Time

Study Course Implementer

Course Supervisor
Structure Unit Manager
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 facilitate the acquisition of knowledge about the pathogenesis of the main diseases of the nervous system, clinical manifestations thereof, the principles of treatment and the objectives of rehabilitation in the care thereof.

Preliminary Knowledge

Preliminary theoretical knowledge in anatomy and physiology of the nervous system.

Learning Outcomes

Knowledge

1.As a result of completing the study course, the student is able to do the following: ● describe and assess a patient with a neurological condition based on anamnesis and symptoms, with emphasis on language, speech, swallowing and communication disorders and other accompanying neurological symptoms; ● describe the aetiology, pathogenesis and clinical picture of the most common neurological disorders that result in the development of audiology and speech disorders; ● describe the different types of language and speech disorders in patients with neurological conditions; ● set and substantiate rehabilitation objectives for neurological patients with communication, speech, language and swallowing disorders.

Skills

1.As a result of completing the study course, the student will be able: ● to assess the patient’s neurological condition; ● to recognise the main syndromes of neurological damage; ● to assess language and speech disorders; ● to determine the degree of swallowing disorders using tests that can be used in practice; ● to develop the objectives and key tasks for audiology and speech therapy rehabilitation.

Competences

1.As a result of successfully completing the study course, the student is able: ● to recognise and differentiate between audiology and speech symptoms of the most common neurological diseases – speech, language, swallowing and communication disorders, as well as other accompanying neurological symptoms; logically explain the neurological diagnosis; ● to develop and substantiate audiology and speech therapy solutions to achieve rehabilitation objectives, adapted to the specific neurological clinical situation.

Assessment

Individual work

Title
% from total grade
Grade
1.

Individual work

-
-
● To assess and interpret the patient’s neurological symptoms, communication and swallowing disorders; ● To work independently with literature on neurology. 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.

Examination

Title
% from total grade
Grade
1.

Examination

-
-
● Active participation in classes, in discussions, quality of oral answers; ● Quality of tests, test works during the cycle on covered topics; ● Ability to perform a neurological examination, to interpret symptoms; ● Test results during the cycle on covered topics.

Study Course Theme Plan

FULL-TIME
Part 1
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Introduction to neuroscience. Tasks of the neurology discipline. Development, structure and clinical anatomy of the nervous system: neurons, synapses, neurotransmitters, glial cells. Basics of embryonic development of the nervous system. Additional examinations in neurology.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Cerebral circulation disorders: types, pathogenesis, risk factors, main clinical manifestations. Basic principles of treatment of cerebrovascular diseases. Rehabilitation tasks and audiology and speech therapy solutions at different stages of stroke care.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Functional disorders of the peripheral nervous system. Syndromes of damage to the neck and brachial plexus and branches thereof, mononeuropathies of the elbow and hand, clinical manifestations thereof and the most common aetiology. Polyneuropatia. Guillain-Barré syndrome, clinical manifestations. Audiology and speech therapy solutions for patients with peripheral nervous system damage.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Cognitive deficit and dementia. Alzheimer’s disease and other types of dementia. Clinical manifestations, diagnostic principles. Scales and tests to assess cognitive function.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Paroxysmal conditions: epileptic and non-epileptic seizures. Basic principles of care and treatment, emergency assistance during a seizure. Causes, types and clinical signs of neural infections. Sequelae of neural infections, tasks of care and prevention. The role of audio speech therapist in patient care.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

History of neurological disease. Basic principles of examination of neurological condition. Neural regulation of the locomotor act and movement disorder syndromes – paresis and paralysis, signs thereof. Central and peripheral motor neurons. Care and rehabilitation tasks for patients with active movement and mobility impairments.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Functional anatomy of the sensory system. Symptoms of sensory system impairment, neurological examination thereof. Principles of care and rehabilitation in case of sensory impairment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Anatomy of the cerebellum and vestibular system. Balance and coordination disorders: types of ataxias and vertigo. Audiology and speech therapy solutions in the care and rehabilitation of patients with coordination and balance disorders.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Anatomy of the extrapyramidal system. Extrapyramidal movement disorder syndromes: Parkinson’s disease and hyperkinesis. Care and rehabilitation tasks in case of Parkinsonism and hyperkinesia patients.
  1. Lecture

Modality
Location
Contact hours
Off site
E-Studies platform
2

Topics

Neurodegenerative diseases
Total ECTS (Creditpoints):
2.00
Contact hours:
22 Academic Hours
Final Examination:
Test (Semester)
Part 2
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Demyelinating diseases of the nervous system, course and manifestations thereof, aspects of rehabilitation. Diseases of motor neurons. Amyotrophic lateral sclerosis – clinical manifestations, basic principles of care and treatment. The role of audio speech therapist in patient care.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Head injury. Glasgow coma scale. Care and rehabilitation tasks for patients with traumatic brain injury. Hydrocephalus.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Classification of headaches (ICHD-3). Warning symptoms of headaches. Risk factors, treatment principles and prevention of the most common primary headaches. Neuro-oncology – classification of tumours. Principles of diagnosis, treatment, care and rehabilitation.
  1. Lecture

Modality
Location
Contact hours
On site
Specialized room
2

Topics

Neuromuscular diseases. Myasthenia gravis, muscular dystrophies, myopathies – aetiology, pathogenesis, clinic, examination, treatment options and audiology and speech therapy principles.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Cranial nerves (I). Neurological syndromes of olfactory, visual impairment. Mechanism of eye movement regulation. Eye movement disorders. Nystagmus.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Cranial nerves (II). Paresis of mimetic muscles (central and peripheral). Syndromes of different levels of N.facialis damage. Principles of audiology and speech therapy in patients with paresis of the mimetic muscles. Facial sensibility disorders, types thereof. N.trigeminus damage syndromes.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Cranial nerves (III). Neurological syndromes of damage to the vestibular and auditory systems. Cranial nerve IX, X, XI damage syndromes: bulbar and pseudobulbar palsy. N.accessorius and its damage syndromes. Dysarthria, classification, clinical manifestations thereof. Dysphagia. Swallow test.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Anatomy of the cerebral hemispheres. Symptoms of damage to the cerebral hemispheres (frontal lobe, parietal lobe, temporal lobe and occipital lobe). Types of aphasia. Classification, evaluation of aphasia. Agnosia. Apraxia. Neglect syndrome.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Cerebrovascular diseases. Transient ischaemic attack. Ischaemic stroke. NIHSS. Modified Rankin Scale. Exclusion syndromes of different cerebral arteries (ACI, ACM, ACA, ACP, AB, AV, cerebellar arteries). Principles of reperfusion therapy and secondary prevention. Haemorrhagic stroke, clinical picture, principles of treatment.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Peculiarities of neurological examination of children. Children's cerebral palsy - etiology, pathogenesis, clinical forms. Audiologopedic therapy solutions for children with BCT.
  1. Class/Seminar

Modality
Location
Contact hours
On site
Specialized room
3

Topics

Neurological examination of children
Total ECTS (Creditpoints):
3.00
Contact hours:
31 Academic Hours
Final Examination:
Exam (Oral)

Bibliography

Required Reading

1.

Logina I., Smeltere E. Neiroloģija shēmās. Avots: 2009. (izdevums akceptējams)

2.

Fuller G. Neurological Examination Made Easy. Ch.Livingstone, Elsivier, Edinburg, London, N-Y, 2020.

3.

Webb W. Neurology for the Speech-Language Pathologist. 6th Edition. Elsevier, 2017

4.

Adams and Victor`s Principles of Neurology. 10th Edition. McGrawHill, 2019.

5.

Mattle H. Mumenthaler M.Fundamentals of Neurology – an illustrated guide. 2nd Edition. Thieme. Stuttgart, 2017.

6.

Gārša I. Ievads neiroķirurģijā. Nac.medicīnas apgāds, 2000., 2008. (izdevums akceptējams)

Additional Reading

1.

Metodiskās rekomendācijas studentiem//RSU

2.

Current Diagnosis and Treatment Neurology. McGrawHill, 2019.

3.

H. Royden Jones Jr., Jayashri Srinivasan, Gregory J. Allam and Richard A. Bake. Netter's Neurology. 2020. ISBN-10: 1437702732

4.

Oxford Handbook Of Neurology. Oxford University Press, 2014.

5.

Supe I. Rokasgrāmata neiroloģijā. Nac.medicīnas apgāds, 2004.

Other Information Sources