.
Neurology
Study Course Description
Course Description Statuss:Approved
Course Description Version:3.00
Study Course Accepted:25.01.2024 14:42:26
| Study Course Information | |||||||||
| Course Code: | NUNK_010 | LQF level: | Level 6 | ||||||
| Credit Points: | 3.00 | ECTS: | 4.50 | ||||||
| Branch of Science: | Clinical Medicine; Neurology | Target Audience: | Rehabilitation; Medicine | ||||||
| Study Course Supervisor | |||||||||
| Course Supervisor: | Ilga Ķikule | ||||||||
| Study Course Implementer | |||||||||
| Structural Unit: | Department of Neurology and Neurosurgery | ||||||||
| The Head of Structural Unit: | |||||||||
| Contacts: | Riga, 13 Pilsonu Street, VSIA P.Stradiņa KUS, Block No 37; 2 Hipokrata Street, Unit No 7, Room No 901, neuro rsu[pnkts]lv, +371 67069653; +371 67536540 | ||||||||
| Study Course Planning | |||||||||
| Full-Time - Semester No.1 | |||||||||
| Lectures (count) | 4 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 8 | ||||
| Classes (count) | 4 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 12 | ||||
| Total Contact Hours | 20 | ||||||||
| Full-Time - Semester No.2 | |||||||||
| Lectures (count) | 5 | Lecture Length (academic hours) | 2 | Total Contact Hours of Lectures | 10 | ||||
| Classes (count) | 6 | Class Length (academic hours) | 3 | Total Contact Hours of Classes | 18 | ||||
| Total Contact Hours | 28 | ||||||||
| Study course description | |||||||||
| Preliminary Knowledge: | Preliminary theoretical knowledge in anatomy and physiology of the nervous system. | ||||||||
| 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. | ||||||||
| Topic Layout (Full-Time) | |||||||||
| No. | Topic | Type of Implementation | Number | Venue | |||||
| 1 | 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. | Lectures | 1.00 | clinical base | |||||
| 2 | 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. | Lectures | 1.00 | clinical base | |||||
| 3 | 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. | Lectures | 1.00 | clinical base | |||||
| 4 | Cognitive deficit and dementia. Alzheimer’s disease and other types of dementia. Clinical manifestations, diagnostic principles. Scales and tests to assess cognitive function. | Lectures | 1.00 | clinical base | |||||
| 5 | 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. | Lectures | 1.00 | clinical base | |||||
| 6 | 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. | Lectures | 1.00 | clinical base | |||||
| 7 | Head injury. Glasgow coma scale. Care and rehabilitation tasks for patients with traumatic brain injury. Hydrocephalus. | Lectures | 1.00 | clinical base | |||||
| 8 | 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. | Lectures | 1.00 | clinical base | |||||
| 9 | Neuromuscular diseases. Myasthenia gravis, muscular dystrophies, myopathies – aetiology, pathogenesis, clinic, examination, treatment options and audiology and speech therapy principles. | Lectures | 1.00 | clinical base | |||||
| 10 | 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. | Classes | 1.00 | clinical base | |||||
| 11 | Functional anatomy of the sensory system. Symptoms of sensory system impairment, neurological examination thereof. Principles of care and rehabilitation in case of sensory impairment. | Classes | 1.00 | clinical base | |||||
| 12 | 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. | Classes | 1.00 | clinical base | |||||
| 13 | 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. | Classes | 1.00 | clinical base | |||||
| 14 | Cranial nerves (I). Neurological syndromes of olfactory, visual impairment. Mechanism of eye movement regulation. Eye movement disorders. Nystagmus. | Classes | 1.00 | clinical base | |||||
| 15 | 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. | Classes | 1.00 | clinical base | |||||
| 16 | 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. | Classes | 1.00 | clinical base | |||||
| 17 | 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. | Classes | 1.00 | clinical base | |||||
| 18 | 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. | Classes | 1.00 | clinical base | |||||
| 19 | Specifics of neurological examination in childhood. Cerebral palsy in children – aetiology, pathogenesis, clinical forms. Audiology and speech therapy solutions for children with cerebral palsy. | Classes | 1.00 | clinical base | |||||
| Assessment | |||||||||
| Unaided Work: | ● To assess and interpret the patient’s neurological symptoms, communication and swallowing disorders; ● To work independently with literature on neurology. | ||||||||
| Assessment Criteria: | ● 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. | ||||||||
| Final Examination (Full-Time): | Exam (Oral) | ||||||||
| Final Examination (Part-Time): | |||||||||
| Learning Outcomes | |||||||||
| Knowledge: | 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: | 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. | ||||||||
| Competencies: | 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. | ||||||||
| Bibliography | |||||||||
| No. | Reference | ||||||||
| 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 ed., McGrawHill, 2019. | ||||||||
| 5 | Mattle H., Mumenthaler M.Fundamentals of Neurology – an illustrated guide. 2nd ed. 2017. Thieme. Stuttgart. | ||||||||
| 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 | |||||||||
| 1 | http://emedicine.medscape.com | ||||||||
| 2 | https://www.uptodate.com | ||||||||
