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Supervisor
Evija Miglāne

Study Course Description

Course Description Statuss:Approved
Course Description Version:2.00
Study Course Accepted:13.09.2019
Study Course Information
Course Code:NUNK_017LQF level:All Levels
Credit Points:4.00ECTS:6.00
Branch of Science:Medicine; NeurologyTarget Audience:Medicine
Study Course Supervisor
Course Supervisor:Evija Miglāne
Study Course Implementer
Structural Unit:Department of Neurology and Neurosurgery
The Head of Structural Unit:Andrejs Millers
Contacts:
Study Course Planning
Full-Time - 1. Semester No.
Lectures (number)10Lecture Length (academic hours)2Total Contact Hours of Lectures20
Classes (number)15Class Length (academic hours)4Total Contact Hours of Classes60
Total Contact Hours80
Study course description
Preliminary Knowledge:
Theoretical knowledge of the nervous system, anatomy and physiology.
Objective:
The aim of the course is to acquire knowledge of the main syndromes and diseases of the nervous system, pathogenesis, diagnostics, and principles of treatment.
Topic Layout (Full-Time)
No.TopicType of ImplementationNumberVenue
1Introduction. Paraclinical tests in neurology. Autonomic disorders. Somatoform and dissociative disorders in neurology.Lectures1.00E-Studies platform
2Cerebrovascular disease. Transient ischemic attack. Ischemic stroke. Subarachnoid hemorrhage. Intracerebral hemorrhage. Risk factors, etiology and pathogenesis of cerebrovascular disease. Treatment of cerebrovascular disorders.Lectures1.00E-Studies platform
3Neuroinfections. Bacterial meningitis. Aseptic (viral) meningitis. Neuroborreliosis. Tick-borne encephalitis. Herpes simplex encephalitis.Lectures1.00E-Studies platform
4Epilepsy. Status epilepticus. Glasgow coma scale. Differential diagnosis of coma.Lectures1.00E-Studies platform
5Peripheral nervous system disorders. Polyneuropathies. Guillaine – Barré syndrome.Lectures1.00E-Studies platform
6Cognitive deficit and dementia. Transient global amnesia.Lectures1.00E-Studies platform
7Myasthenia gravis. Myasthenic syndroms. Muscle diseases.Lectures1.00E-Studies platform
8Back pain. Nonspecific, specific back pain. Radiculopathies. Myelopathy.Lectures1.00E-Studies platform
9Autoimmune and paraneoplastic neurological syndromes.Lectures1.00E-Studies platform
10Vestibular disorders. Pathogenesis, clinical presentation and differential diagnosis.Lectures1.00E-Studies platform
11Clinical neurological examination. Basic assessment of cognitive function. Neurological terminology.Classes1.00clinical base
12Motor system. Upper motor neuron. Lower motor neuron. Central paresis. Peripheral paresis. Central facial palsy. Peripheral facial palsy. Reflex arc. Motor system examination.Classes1.00clinical base
13Sensory system. Primary sensory modalities. Cortical modalities. Types of sensory disturbances. Spinal cord disorders. Spinal cord transverse and partial lesion. Cauda equina syndrome.Classes1.00clinical base
14Cranial nerves. Cranial nerve and brain stem damage symptoms. Examination of cranial nerves. Bulbar and pseudobulbar syndrome. Conjugate gaze palsies. Vertigo.Classes1.00clinical base
15Aphasia. Wernicke's aphasia. Broca's aphasia. Conduction, transcortical and amnestic aphasia. Clinical and Boston classification. Agnosia, apraxia, neglect. Symptoms of the frontal lobe damage. Symptoms of the parietal lobe damage. Symptoms of the temporal lobe damage. Symptoms of the occipital lobe damage.Classes1.00clinical base
16Movement disorders. Extrapyramidal system and signs of its damage. Hyperkinetic disorders. Parkinson’s disease and parkinsonism.Classes1.00clinical base
17Clinical symptoms of cerebellar damage and assessment of cerebellar function. Gait disturbances. Types of ataxia. Differential diagnosis of vertigo and dizziness. Evaluation of knowledge in topical diagnosis.Classes1.00clinical base
18Spinal nerve. Nerve plexus. Cervical plexus. Brachial plexus. N.medianus. N.ulnaris. N.radialis. Lumbosacral plexus. N.cutaneus femoris lateralis. N.femoralis. N.peroneus. N.tibialis. N.ischiadicus. Peripheral nerve damage, causes, symptoms, diagnostics and treatment.Classes1.00clinical base
19Instrumental and other diagnostic methods in neurology.Classes1.00clinical base
20Cerebrovascular disease. Types of stroke. Transient ischemic attack. Ischemic Stroke. NIHSS and Modified Rankin Scale. TOAST classification. Etiology of ischemic stroke. Risk factors of ischemic stroke. Clinical features by affected vessel. Diagnostics. Treatment of ischemic stroke.Classes1.00clinical base
21Hemorrhagic stroke. Intracerebral haemorrhage. Spontaneous subarachnoid haemorrhage. Spinal stroke. Risk factors, etiology, pathogenesis and treatment.Classes1.00clinical base
22Headache. The International Classification of Headache Disorders (ICHD-3). Primary headache. Migraine. Tension type headache. Trigeminal autonomic cephalalgias: cluster headache, paroxysmal hemicrania. Other primary headaches. Secondary headache. Cranial nerve neuralgias and facial pain.Classes1.00clinical base
23Epilepsy. Paroxysmal events/ disorders – differential diagnosis. Syncope.Classes1.00clinical base
24Acute disseminated encephalomyelitis. Neuromyelitis optica spectrum disorders. Multiple sclerosis. McDonald diagnostic criteria. Motoneuron diseases. Evaluation of knowledge in neurological diseases.Classes1.00clinical base
25Clinical case discussion. Neurological investigation and interpretation of symptoms. Evaluation of knowledge in practical neurology.Classes1.00clinical base
Assessment
Unaided Work:
To assess and interpret the neurological patient's state. Theoretically prepare for practical classes. Independently work with literature in neurology.
Assessment Criteria:
1. Motivation and activity: – active participation in classes, quality of the oral responses. 2. Practical skills: – ability to perform neurological examination, interpret symptoms. 3. Theoretical knowledge: – quality of tests in the practical classes.
Final Examination (Full-Time):Exam
Final Examination (Part-Time):
Learning Outcomes
Knowledge:On completion of the course the students will be able to: • describe and define the basic principles of neurological examination; • characterise aetiology, pathophysiology, clinical aspects and treatment principles of neurological diseases; • evaluate general and specific clinical symptoms of neurological diseases.
Skills:Upon completion of the course the students will be able to: • discover and interpret clinical and radiological features of neurological diseases; • prescribe the necessary examinations to make the correct diagnosis; • formulate the neurological diagnosis; • explain the choice of appropriate treatment and its effectiveness; • prognose the possible treatment results and outcome of various neurologic disorders.
Competencies:Upon successful completion of study course the students will be able to: • identify the most common neurological disease symptoms, to argue and to rationalise the neurological diagnosis; • develop tactics applicable for a particular neurological clinical situation, to optimally diagnose and treat the neurological disease.
Bibliography
No.Reference
1Fuller G. Neurological Examination Made Easy, Ch. Livingstone, Elsevier, Edinburg, London, N-Y, 2004, 2008, 2013
2Adams R.D., Victor M. Principles of Neurology, Mc Graw – Hill, N-Y, St Luis e.c. 2014; ISBN-13: 978-0071794794
3H.Royden Jones. Netter's Neurology. Saunders Elsevier, 2005, 2012. ISBN: 978-1-4377-0273-6
4M J Aminoff, D Greenberg, R P Simon, Clinical Neurology, 9th edition, Mc Graw-Hill Education Lange, 2015, ISBN-13: 978-0071841429
1J.Bērziņš, I.Logina, M.Pilmane, E.Vītols. Neiromuskulārās slimības. Nacionālais apgāds, 2007.ISBN-978-9984-26-340-3
2Current Diagnosis and treatment Neurology, McGrawHill, 2012. ISBN-978-007-132695-7
3Daroff RB, Jankovic J, Maziotta JC, Pomeroi SI. Bradley's Neurology in Clinical Practice, Elsevier, 2008, 2012, ISBN: 978-0-323-28783-8
1http://emedicine.medscape.com