Neurosurgical Treatment of Neurogenic Pain and Movement Disorders

Data

Official data in SubjectManager for the following academic year: 2020-2021

Course director

Dr. István BALÁS (balas.istvan@pte.hu), associate professor

Department of Neurosurgery

Subject data

Code of subject: OXE-MKF-h-T  |  1 credit  |  General Medicine |  Elective module  |  spring

Prerequisites: ODA-NEA-T completed , ODK-NE2-T parallel

Number of hours/semester

12 lectures + 0 practices + 0 seminars = total of 12 hours

Course headcount limitations

min. 5 – max. 20 person

Available as Campus course for . Campus-faculties: ÁOK

Topic

Department of Functional Neurosurgery University of Pécs, Hungary is dedicated to the surgical alleviation of movement disorders such as Parkinson?s disease, dystonia, tremor and neuropathic pain syndromes (phantom limb pain, trauma related, failed back surgery syndrome, metabolic, post stroke pain etc.). The service offers deep brain stimulation, spinal cord stimulation, motor cortex-, and peripheral nerve stimulations, or lesional procedures as appropriate.
The aim of course to foreshow participants about anatomical, pathological, eletrophysiological basis of extrapyramidal movement disorders (Parkinson?s disease, tremors etc.) and also chronic neurogenic pain.
Patient selection, criteria of surgery (indications-contraindications), perioperative investigations, different targeting methods, and surgical procedure, programing of neuropacemakers will be discussed. VIDEO demonstration and analysis of different movement disorders available. According to demand students can participate in surgery.

Lectures

• 1. Most common movement disorders, and surgical treatment options. - Dr. Balás István
• 2. Types of chronic neurogenic pain and surgical options. - Dr. Balás István
• 3. Intraoperative electrophysiology in movement disorders. - Dr. Balás István
• 4. Surgical indications and contraindications of Parkinsons disease. - Dr. Kovács Norbert
• 5. Surgical targets, and intraoperative electrophysiology. - Dr. Balás István
• 6. Multimodal targeting in movement disorders. - Dr. Balás István
• 7. Definition, types, indications and contraindications of neuromodulation. - Dr. Balás István
• 8. Definition, types, surgical indications and contraindications of neuropathic pain - Dr. Balás István
• 9. Surgical treatment of tremors: indications, contraindications, targets, and intraoperative electrophysiology. - Dr. Balás István
• 10. Surgical treatment of dystonias: indications, contraindications, targets, and intraoperative electrophysiology. - Dr. Balás István
• 11. Deep brain stimulations: on-, and off-label indications - Dr. Balás István
• 12. Spinal cord and peripheral nerve stimulation for chronic pain - Dr. Balás István

Practices

Seminars

Reading material

Obligatory literature

Not available.

Literature developed by the Department

Uploaded ppt.s on Neptun

Notes

Not available.

Recommended literature

none

Conditions for acceptance of the semester

Maximum of 15 % absence allowed

Mid-term exams

none

Making up for missed classes

No possibility to make up for the missed classes.

Exam topics/questions

Most common movement disorders, and surgical treatment options.
Types of chronic neurogenic pain and surgical options.
Intraoperative electrophysiology in movement disorders.
Surgical indications and contraindications of Parkinsons disease. Surgical targets, and intraoperative electrophysiology.
Multimodal targeting in movement disorders.
Definition, types, indications and contraindications of neuromodulation.
Definition, types, surgical indications and contraindications of neuropathic pain
Surgical treatment of tremors: indications, contraindications, targets, and intraoperative electrophysiology.
Surgical treatment of dystonias: indications, contraindications, targets, and intraoperative electrophysiology.
Deep brain stimulations: "on-, and off-label" indications

Examiners

Instructor / tutor of practices and seminars

• Dr. Balás István
• Dr. Kovács Norbert