Combined Bachelor's + Master's degree in Medicine and Surgery

Neurology (2019/2020)

Course code
4S01156
Credits
7
Coordinator
Salvatore Monaco

Teaching is organised as follows:
Unit Credits Academic sector Period Academic staff
NEUROCHIRURGIA 1 MED/27-NEUROSURGERY 2° semestre 1°- 5° anno Francesco Sala
MEDICINA FISICA E RIABILITATIVA 1 MED/34-PHYSICAL AND REHABILITATION MEDICINE 2° semestre 1°- 5° anno Nicola Smania
NEUROLOGIA CLINICA 5 MED/26-NEUROLOGY See the unit page See the unit page

Learning outcomes

Learning objectives

The goal of the course is to train medical students in acquiring the skills for the recognition of neurological disorder presentations, the formulation of a differential diagnosis, the treatment of common neurological diseases.

Students should be able to elicit a pertinent general and neurological history, recognize symptoms and signs of acute and chronic neurological disorders, perform an appropriate neurological examination, and use the related terminology.
Student should be able to select the appropriate investigations for neurological diagnostics, and be familiar with pharmacological and neurosurgical management, in addition to neurorehabilitation strategies.

Syllabus

a)

DIAGNOSIS OF NEUROLOGICAL DISEASES

The clinical method and the approach to the patient with neurological disease
Disorders of conscioussness and confusional states
Neurological examination and diagnostic investigations

DISEASES OF THE CENTRAL NERVOUS SYSTEM

 Cerebrovascular diseases
 Dementia
 Primary and secondary headaches
 Craniofacial pain
 Epilepsy
 Motor neuron disease
 Movement disorders
 Ataxic syndromes
 Demyelinating diseases
 Infections, paraneoplastic and disimmune disorders
 Prion diseases
 Myelopathies
 Disorders of the autonomic nervous system
 Sleep disorders
 Nutritional disorders

DISEASES OF THE PERIPHERAL NERVOUS SYSTEM

 Genetic and acquired neuropathies
 Radiculopathies, plexopathies and mononeuropathies
 Autonomic neuropathies
 Guillain-Barrè syndrome and other immune-mediated neuropathies

DISEASES OF THE NEUROMUSCULAR JUNCTION (NMJ) AND OF THE MUSCLE

 Myasthenia gravis and other NMJ disorders
 Muscular dystrophies
 Inflammatory myopathies

NEURORIABILITAZIONE

 Lesioni cerebrali e riorganizzazione nervosa post-lesionale
 Riabilitazione cognitiva
 Deambulazione fisiologica e pattern patologici della deambulazione nelle malattie neurologiche
 Neuroriabilitazione nelle paralisi cerebrali infantili

NEUROCHIRURGIA

 Degenerative disorders of the spine
 Cerebral and spinal neoplasms
 Craniocerebral trauma
 Neuromodulation

b) Clinical practice

 Neurological examination
 Clinical case discussions
 Electroencephalography recording techniques
 Interpretation of relevant biochemical tests and laboratory findings

Assessment methods and criteria

- The assessments purposes aim to determine the student's knowledge about the topics included in the syllabus, the analytical and practical skills, the language accuracy;
- The assessments contents concern the acquisition of the practical teaching topics and aim to verify the knowledge of the main illnesses and neurological syndromes specified during the lectures;
- The assessment method is oral;
- The evaluation of the final score will be assigned on a total of thirty points, based on the weighted average of the marks given in the oral assessments concerning neurology topics (max 24/30), neurosurgery and neuro rehabilitation (max 6/30). As regards the practical teaching examination, the student will receive a positive or a negative mark. The negative mark doesn't preclude the possibility to continue the examination, however it will affect negatively the evaluation.

TEXTBOOKS

1. Kasper Gl, et al. Harrison's Principles of Internal Medicine, 19th Edition, Mc Graw Hill, 2015
2. Aminoff MJ, Greenberd DA, Simon RP, Clinical Neurology, Mc Graw Hill, 2015
3. Angelini C, Battistin L, Neurologia Clinica, Società Editrice Esculapio, 2014
4. Federico A, Neurologia Pratica, Edises, 2014

Reference books
Author Title Publisher Year ISBN Note
Lumenta, Di Rocco, Haase, Mooij Neurosurgery (Edizione 1) Springer Verlag; 1 edizione (30 aprile 2009) 2009 ISBN 978-3-540-79565-0
Sandrini Giorgio, Dattola Roberto Compendio di Neuroriabilitazione (Edizione 1) VERDUCI EDITORE S.R.L 2012 88-7620-861-5




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