Enrollment year
2020/2021
Academic discipline
MED/26 (NEUROLOGY)
Department
DEPARTMENT OF INTERNAL MEDICINE AND THERAPEUTICS
Course
MEDICINE AND SURGERY
Curriculum
PERCORSO COMUNE
Period
1st semester (30/09/2024 - 15/01/2025)
Lesson hours
40 lesson hours
Prerequisites
Having passed the exams of physiology, radiology, general pathology and semeiotics
Learning outcomes
Educational objectives and learning output:
Upon completion of this course the student will know:
1) The onthogeny and the structural organization of the nervous system
2) How the nervous system functions in normal and pathological conditions
3) The main etiopathogenetic mechanisms and clinical features of the neurological diseases listed in the paragraph ‘Program and contents’
The student will then be able to:
4) Apply the diagnostic process and the principles of treatment of the neurological diseases listed in the paragraph ‘Program and contents’
5) Understand the contribution of instrumental and laboratory tests
6) Understand the mechanisms underlying the recovery from disability and of neurorehabilitation
Course contents
Notes of Nervous System Anatomy
Pathophysiology and Clinics of Motility and Sensation
Radicular, plexus and peripheral nerve syndromes
Cortical, subcortical and cerebellar syndromes
Brainstem syndromes
Cranial nerves syndromes
Spinal cord syndromes
Pathophysiology and Clinics of the Autonomic Nervous System (ANS)
Pathophysiology of consciousness; state of coma and its assessment
Instrumental diagnostic process: Lumbar puncture, CSF physiology and its alterations; Neurophysiology (EEG, evoked potentials, EMG); computed tomography (CT) scan; Magnetic Resonance Imaging (MRI), cerebral angiography, spinal angiography; myelography; ultrasound techniques; (approach to neurological illnesses through neuroradiology);
Primary headaches; facial neuralgias
Pathophysiology of sleep and sleep disorders (insomnias, hypersomnias, parasomnias)
Epilepsy and other seizure disorders
Primary and secondary dementia syndromes
Movement disorders: Parkinson's Disease and parkinsonisms; choreas; tremors; dystonias; tics; Wilson's disease; basal ganglia calcification and Fahr's disease; drug-induced movement disorders
Amyotrophic lateral sclerosis and motor neuron diseases
Multiple sclerosis and other CNS myelin-related diseases. Demyelinating diseases
Hereditary ataxias
Intracranial and spinal tumors
Peripheral nerves entrapment syndromes
Central Nervous System Infections: meningitis, encephalitis, cerebral abscess, slow-virus encephalitis, spirochete encephalitis (neurosyphilis), cerebral infections in patients with immunodeficiency, spongiform encephalopathies (prion diseases), bacterial toxins diseases
Non infectious encephalites
Syringomyelia and syringomyelic syndromes
Peripheral neuropathies (polyneuropathies): demyelinating inflammatory polyneuropathies; neuropathies due to infectious agents; metabolic neuropathies; toxic and nutritional neuropathies; paraneoplastic neuropathies; hereditary neuropathies
Idiopathic facial paralysis (Bell's palsy)
Myasthenia gravis and myasthenic syndromes; periodic paralysis (kaliemic paralysis)
Myopathies: progressive muscular dystrophy (PMD), congenital myopathy and malignant hyperthermia; muscular diseases caused by alterations in membrane ion channels; metabolic myopathies; acquired myopathies
Mitochondrial diseases
Paraneoplastic neurological syndromes
Emergency Neurology: Cerebrovascular diseases: ischemic and hemorrhagic stroke, subarachnoid hemorrhage; Coma; encephalitis, meningitis; myasthenic crises; acute polyradiculoneuritis
Other neurological diseases: Neuro AIDS, Neurological complication of alcoholism. Wernicke encephalopathy. Korsakoff syndrome
Neurorehabilitation: neurophysiological fundaments and area of intervention e campi di intervent
Teaching methods
Frontale lectures supported by slides and videos
Reccomended or required readings
- NEUROLOGIA, Fazio – Loeb Società Editrice Universo, 2019
- IL BERGAMINI DI NEUROLOGIA, L. Lopiano, A. Mauro, A. Chiò, R. Mutani. Cortina ed. 2020
Assessment methods
Oral exam in two parts: neurology and neurosurgery.
The final vote will be obtained as a ponderated mean of the two votes: vote of neurology multiplied x5 + vote of neurosurgery/6
30 cum laude will be calculated as 31
Further information
PRACTICAL ACTIVITY
Mandatory
Two-week scheduled internship, with a minimum frequency of 4 days a week, to be carried out at the Clinical Units of the Departments of Neurology and Neurorehabilitation, Emergency Neurology and Neurodiagnostics and the Diagnostic Services of the Mondino Foundation, National Neurological Institute of a Scientific Character/IRCCS, main location in via Mondino 2 or at the level II Stroke Unit located in the Policlinico San Matteo.
On the first day of the internship, the student refer to the didactic secretariat of the C. Mondino Foundation, II tower - floor 0A, at 8.30 am, to collect the required forms (Mrs. Alberti).
Optional
Individual attendance in the ward*
Individual attendance in clinics*
Individual participation in neurological on-call activity*
Neurology lessons/seminars for residents
Tuesday at 4 pm, free access
Workshops, Congresses, Conferences, seminars throughout the year.
*to be agreed with the Secretariat (Mrs. Alberti).
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