Neurology 1

Data

Official data in SubjectManager for the following academic year: 2024-2025

Topic

Investigation of patients with different neurological diseases: history taking, neurological physical examination, discovery of common neurological disorders and neurological emergencies. Basic knowledge of the most common neurological d1seases.

Lectures

• 1.

  Introduction to neurology

  - Komoly Sámuel
• 2.

  Physical examination I.

  - Kovács Norbert
• 3.

  Physical examination II

  - Kovács Norbert
• 4.

  Transient loss of consciousness

  - Janszky József Vladimir
• 5.

  Disturbances of vigilance: types, etiology. Coma

  - Faludi Béla
• 6.

  Differential diagnosis of Vertigo

  - Mike Andrea
• 7.

  Stroke I.

  - Szapáry László (Neurológia)
• 8.

  Dysimmune peripheral neuropathies, Guillain-Barre syndrome

  - Komoly Sámuel
• 9.

  Parkinson's disease

  - Kovács Norbert
• 10.

  Epilepsy I.

  - Janszky József Vladimir
• 11.

  Polyneuropathies

  - Pál Endre
• 12.

  Extrapyramidal disorders, gait disturbances

  - Kovács Norbert
• 13.

  Multiple Sclerosis

  - Illés Zsolt
• 14.

  Neuroimaging

  - Pál Endre

Practices

• 1. Reflexes
• 2. Testing of cranial nerves
• 3. Testing of cranial nerves
• 4. Tests of motor functions
• 5. Tests of motor functions
• 6. Testing of sensory functions
• 7. Testing of sensory functions
• 8. Testing of cerebellar and vestibular functions
• 9. Testing of cerebellar and vestibular functions
• 10. Testing of gait and stance
• 11. Testing of gait and stance
• 12. Testing of higher cortical functions
• ...

  13. Testing of higher cortical functions
• 14. Testing of higher cortical functions
• 15. Reflexes
• 16. Reflexes
• 17. Testing of cranial nerves
• 18. Testing of cranial nerves
• 19. Tests of motor functions
• 20. Tests of motor functions
• 21. Testing of sensory functions
• 22. Testing of sensory functions
• 23. Testing of cerebellar and vestibular functions
• 24. Testing of cerebellar and vestibular functions
• 25. Testing of gait and stance
• 26. Testing of gait and stance
• 27. Testing of higher cortical functions
• 28. Testing of higher cortical functions

Seminars

Reading material

Obligatory literature

Literature developed by the Department

Materials of the lectures are available in POTEPEDIA

Prof. Dr. Samuel Komoly: Patient examination video (PotePedia, Neptun Meet Street)

Notes

Physical-examination

Dr. Norbert Kovács: Neurological physical examination https://kovacsnorbert.eu/download/1335/

Recommended literature

Fowler's Clinical Neurology (https://www.amazon.co.uk/Clinical-Neurology-4th-T-J-Fowler/dp/0340990708)

Hankey's Clinical Neurology 2014

Neurology : A Queen Square Textbook 2009

Oxford Handbook of Neurology 2014

Conditions for acceptance of the semester

-

Mid-term exams

According to study and examination regulations

Making up for missed classes

Extra scheduled practices

Exam topics/questions

"A" Neurological physical examination

1. Examination of the skull, spine and meningeal signs

2. Examination of first and second cranial nerves (smell sensation, vision)

3. Examination of ocular movements (cranial nerves III, IV and VI)

4. Examination of the trigeminal nerve

5. Examination of the facial nerve. Types of facial palsy.

6. Examinations in case of vertigo (n. VIII, central vs. peripheral vestibular lesions)

7. Dix-Hallpike and Halmágyi-maneuver, alternation cover test and Epley – reposition maneuver

8. Examination of nerves IX, X, XI and XI

9. Examination of deep tendon reflexes

10. Examination of the pyramidal signs

11. Examination of the muscle tone and strength. Signs of central vs. peripheral lesion

12. Examination of Parkinsonism (muscle tone, hypo- and bradykinesia, alternating movements, gait, postural instability)

13. Examination of the cerebellar symptoms

14. Examination of the sensation

15. Examination of the limb- and trunk ataxia

16. Examination of the speech and the main types of disturbances

17. Examination of the unconscious patient

18. Examination of the patient after a transient loss of consciousness

19. Examination of the confused patient

20. Examination of a patients with acute dizziness and acute headache

B" Theoretical background of physical examination

21. Typical symptoms of peripheral and central type weakness

22. Symptoms of anterior circulation stroke

23. Symptoms of posterior circulation stroke

24. Symptoms of brainstem alternating syndromes (Weber’s and Wallenberg’s syndrome)

25. Symptoms of dissociative sensory loss

26. Types of visual field defects

27. Types of gaze palsies: nuclear and supranuclear gaze palsy, internuclear ophthalmoplegia

28. Symptoms of peripheral and central facial palsy

29. Characteristic appearance of harmonic and disharmonic vestibular syndromes

30. Pyramidal signs and assessment

31. Alterations of muscle tone, types and clinical appearance

32. Pathological tremors, types and examinations

33. Types of gate disturbances

34. Types of aphasia

35. Neglect syndromes

36. Characteristic signs of Parkinsonism

37. Signs of cerebellar lesions

38. Horner’s syndrome

39. Types of spinal cord lesions (complete cross section, dorsal column lesion, anterior spinal artery syndrome)

40. Conus and cauda syndrome

41. Clinical signs of plexus lesions

42. Signs of cervicobrachial radicular lesions

43. Signs of lumbosacral radicular lesions

44. Signs of ulnar nerve lesion

45. Signs of medial nerve lesion, typical tunnel syndrome

46. Signs of radial nerve lesion

47. Signs of peroneal nerve lesion, typical tunnel syndrome

48. Common signs of polyneuropathy

49. Examination of alertness. Types of unconsciousness

50. Signs of raised intracranial pressure, types of intracranial herniations

51. The Glasgow coma scale (GCS) and assessment

"C" Theoretical questions from lectures

52. Symptoms of acute stroke

53. Diagnostic steps in acute stroke

54. Management of acute stroke

55. Diagnostic test in case of TIA, clinical significance

56. Primer and Secondary prevention of stroke

57. Differential diagnostics of unconsciousness

58. Convulsive syncope

59. Grand mal seizure

60. Status epilepticus, definition and management

61. Differential diagnostics of vertigo

62. The common features of peripheral vertigo

63. The common features of central vertigo

64. Diagnostics and differential diagnostics of Parkinson’s disease

65. Multiple sclerosis, diagnostic steps and differential diagnostics

66. Investigations in case of polyneuropathy

67. Guillain-Barre syndrome

Examiners

• Ács Péter
• Bosnyák Edit
• Faludi Béla
• Horváth Réka
• Janszky József Vladimir
• Komoly Sámuel
• Kovács Norbert
• Pál Endre
• Pfund Zoltán
• Sebők Ágnes
• Tóth Márton Tamás

Instructor / tutor of practices and seminars

• Ács Péter
• Bosnyák Edit
• Faludi Béla
• Horváth Réka
• Juhász Annamária
• Kovács Norbert
• Pál Endre
• Pfund Zoltán
• Sebők Ágnes
• Tóth Márton Tamás