Veidlapa Nr. M-3 (8)
Study Course Description
Congenital CNS Diseases. Principles of Diagnosis and Treatment. Pediatric Neurosurgery, Neuromuscular Deformities
Course Code
RMK_018
Branch of Science
Clinical medicine
ECTS
6.00
Target Audience
Medicine
LQF
Level 8
Study Course Implementer
Course Supervisor
Jānis Osītis
Residency Speciality
Speciality
Vertebral surgeon
Supervisor of Medical Speciality
Jānis Osītis
Contacts
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About Study Course
Objective
To provide the spine surgeon with the minimum necessary knowledge in spinal cord and spinal cord developmental anomalies with an emphasis on neurosurgical diseases that cause further spinal deformities and movement disorders. Within the framework of the training course, the spinal cord monitoring system is introduced both theoretically and practically. From a practical point of view, during this course, the student becomes familiar with the technique of opening and closing the dura mater of the spinal cord, surgical technique when operating brain and nerve structures, hemostasis during neurosurgical operations, postoperative care and drug therapy.
Learning Outcomes
Knowledge
1.Acquired knowledge to advise a pediatric spinal deformity patient with spinal disease caused by neurosurgical pathology. To draw up a treatment plan and, if necessary, prepare the patient for surgery by filling in all the necessary pre- and post-operative medical documentation, ordering the necessary examinations and medical treatment, informing the patient and nursing staff.
Skills
1.• Patient positioning and marking, equipment preparation for surgery, including special pediatric head fixation devices and neuromonitoring installation. • Able to create an approach to neurosurgical spinal surgery. • Able to close the dura mater of the spinal cord with an airtight suture.
Competences
1.• Examination of a pediatric patient with primary neurosurgical spinal disease, interpretation of radiological findings. • Making decisions about the need for conservative or operative treatment of spinal deformity, the need to consult a neurosurgeon about combined neuro-orthopedic surgery. • Competence in the differential diagnosis of congenital spinal cord and neuromuscular diseases.
Assessment
Individual work
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Individual work |
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-
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One PPT presentation on the course topics covered.
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Examination
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Title
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% from total grade
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Grade
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|---|---|---|
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1.
Examination |
-
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-
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Assessment of practical skills in a 10-point system at the end of the course, conducted by the lecturer from whom the resident received practical training.
Assessment of theoretical knowledge in a 10-point system for the written review presented within the seminar.
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Study Course Theme Plan
FULL-TIME
Part 1
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Seminar
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Modality
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Location
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-
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Topics
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Basic theoretical knowledge of congenital spine and spinal cord defects, operations in early childhood, including emergency ones. Open dysraphism-myelomeningocele. Closed dysraphism-lipomyelomeningocele. Dermal sinus. Diastematomyelia. Chiari malformations and syringomyelia. Recognition of neuromuscular spinal deformities, fixed spinal cord, filum terminale treatment options.
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Seminar
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Modality
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Location
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-
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-
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Topics
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Features of patients with hydrocephalus and hydromyelia, indications for shunting and drainage, basic principles of further monitoring of patients.
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Seminar
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Modality
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Location
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-
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Topics
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Microsurgical technique in optical magnification when operating on spinal formations. Closure of the dura mater of the spinal cord, plasticity of defects of the dura mater of the spinal cord and replacement with biological and artificial material. Installation of CSF spinal drainage systems during surgery, adjustment in the postoperative period.
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Total ECTS (Creditpoints):
6.00
Number of Residency Seminars:
3
Length (weeks):
4
Final Examination:
Residency exam (Theory and practice)
Bibliography
Required Reading
1.
Daniel H. Kim, Randal R. Betz, Stephen L Huhn , Peter O. Newton, editors. Surgery of the Pediatric Spine. Germany: Thieme Medical Publishers; 2008. (137.-352.Lpp., 334.-361.)
2.
Handbook of Pediatric Neurosurgery. George Yallo, 2018. (Ch7. Developmental and Congenital Spinal Disorders)
Additional Reading
1.
Diagnostic Imaging: Spine, 3RD Edition. Jeffrey S. Ross, Kevin R. Moore, 2015. (50-62. lpp.; 72.-104.lpp. 148.-180.lpp.)
2.
Intraoperative Neurophysiologic Monitoring: Basic Principles and Recent Update. Sung-Min Kim, 2013.
3.
Pediatric Neurosurgery journal. Indexed in PubMed/Medline