Data

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

Course director

Dr. Zoltán PFUND (pfund.zoltan@pte.hu), associate professor

Department of Neurology

Subject data

Code of subject: OAS-NEU-T  |  4 credit  |  General Medicine |  Final/Rotational (year) module  |  both semesters

Prerequisites: completed Basic, Preclinical and Clinical modules completed

Number of hours/semester

0 lectures + 100 practices + 20 seminars = total of 120 hours

Course headcount limitations

min. 5 – max. 130 person

Topic

The aim of the period is to synthetize the previously obtained knowledge. Students have to perform the neurological physical examinations individually and they have to evaluate the neurological findings. Based on the history taking and physical signs, they need to plan further studies examinations to stand up the diagnoses. Finally, students need to indicate therapy for the examined patients.

Lectures

Practices

  • 1. Physical examination, ENG and EMG examination, case presentation,
  • 2. Physical examination, EEG examination, case presentation,
  • 3. Physical examination, doppler examination of carodid arteries, case presentation,
  • 4. Physical examination, doppler examination of carodid arteries, case presentation
  • 5. Physical examination, CT and MRI examination, case presentation
  • 6. Physical examination, ENG and EMG examination, case presentation,
  • 7. Physical examination, EEG examination, case presentation,
  • 8. Physical examination, doppler examination of carodid arteries, case presentation
  • 9. Physical examination, doppler examination of carodid arteries, case presentation
  • 10. Physical examination, ENG and EMG examination, case presentation,
  • 11. Physical examination, EEG examination, case presentation,
  • 12. Physical examination, doppler examination of carodid arteries, case presentation
  • 13. Physical examination, doppler examination of carodid arteries, case presentation
  • 14. Physical examination, CT and MRI examination, case presentation
  • 15. Physical examination, ENG and EMG examination, case presentation,
  • 16. Physical examination, EEG examination, case presentation,
  • 17. Physical examination, doppler examination of carodid arteries, case presentation
  • 18. Physical examination, doppler examination of carodid arteries, case presentation
  • 19. Physical examination, ENG and EMG examination, case presentation,
  • 20. Physical examination, EEG examination, case presentation,
  • 21. Physical examination, doppler examination of carodid arteries, case presentation
  • 22. Physical examination, doppler examination of carodid arteries, case presentation
  • 23. Physical examination, CT and MRI examination, case presentation
  • 24. Physical examination, ENG and EMG examination, case presentation,
  • 25. Physical examination, EEG examination, case presentation,
  • 26. Physical examination, doppler examination of carodid arteries, case presentation
  • 27. Physical examination, doppler examination of carodid arteries, case presentation
  • 28. Physical examination, ENG and EMG examination, case presentation,
  • 29. Physical examination, EEG examination, case presentation,
  • 30. Physical examination, doppler examination of carodid arteries, case presentation
  • 31. Physical examination, doppler examination of carodid arteries, case presentation
  • 32. Physical examination, CT and MRI examination, case presentation
  • 33. Physical examination, ENG and EMG examination, case presentation,
  • 34. Physical examination, EEG examination, case presentation,
  • 35. Physical examination, doppler examination of carodid arteries, case presentation
  • 36. Physical examination, doppler examination of carodid arteries, case presentation
  • 37. Physical examination, ENG and EMG examination, case presentation,
  • 38. Physical examination, EEG examination, case presentation,
  • 39. Physical examination, doppler examination of carodid arteries, case presentation
  • 40. Physical examination, doppler examination of carodid arteries, case presentation
  • 41. Physical examination, CT and MRI examination, case presentation
  • 42. Physical examination, ENG and EMG examination, case presentation,
  • 43. Physical examination, EEG examination, case presentation,
  • 44. Physical examination, doppler examination of carodid arteries, case presentation
  • 45. Physical examination, doppler examination of carodid arteries, case presentation
  • 46. Physical examination, ENG and EMG examination, case presentation,
  • 47. Physical examination, EEG examination, case presentation,
  • 48. Physical examination, doppler examination of carodid arteries, case presentation
  • 49. Physical examination, doppler examination of carodid arteries, case presentation
  • 50. Physical examination, CT and MRI examination, case presentation
  • 51. Physical examination, ENG and EMG examination, case presentation,
  • 52. Physical examination, EEG examination, case presentation,
  • 53. Physical examination, doppler examination of carodid arteries, case presentation
  • 54. Physical examination, CT and MRI examination, case presentation
  • 55. Physical examination, ENG and EMG examination, case presentation,
  • 56. Physical examination, EEG examination, case presentation,
  • 57. Physical examination, doppler examination of carodid arteries, case presentation
  • 58. Physical examination, doppler examination of carodid arteries, case presentation
  • 59. Physical examination, CT and MRI examination, case presentation
  • 60. Physical examination, ENG and EMG examination, case presentation,
  • 61. Physical examination, EEG examination, case presentation,
  • 62. Physical examination, doppler examination of carodid arteries, case presentation
  • 63. Physical examination, doppler examination of carodid arteries, case presentation
  • 64. Physical examination, ENG and EMG examination, case presentation,
  • 65. Physical examination, EEG examination, case presentation,
  • 66. Physical examination, doppler examination of carodid arteries, case presentation
  • 67. Physical examination, doppler examination of carodid arteries, case presentation
  • 68. Physical examination, CT and MRI examination, case presentation
  • 69. Physical examination, ENG and EMG examination, case presentation,
  • 70. Physical examination, EEG examination, case presentation,
  • 71. Physical examination, doppler examination of carodid arteries, case presentation
  • 72. Physical examination, doppler examination of carodid arteries, case presentation
  • 73. Physical examination, ENG and EMG examination, case presentation,
  • 74. Physical examination, EEG examination, case presentation,
  • 75. Physical examination, doppler examination of carodid arteries, case presentation
  • 76. Physical examination, doppler examination of carodid arteries, case presentation
  • 77. Physical examination, CT and MRI examination, case presentation
  • 78. Physical examination, ENG and EMG examination, case presentation,
  • 79. Physical examination, EEG examination, case presentation,
  • 80. Physical examination, doppler examination of carodid arteries, case presentation
  • 81. Physical examination, doppler examination of carodid arteries, case presentation
  • 82. Physical examination, ENG and EMG examination, case presentation,
  • 83. Physical examination, EEG examination, case presentation,
  • 84. Physical examination, doppler examination of carodid arteries, case presentation
  • 85. Physical examination, doppler examination of carodid arteries, case presentation
  • 86. Physical examination, CT and MRI examination, case presentation
  • 87. Physical examination, ENG and EMG examination, case presentation,
  • 88. Physical examination, EEG examination, case presentation,
  • 89. Physical examination, doppler examination of carodid arteries, case presentation
  • 90. Physical examination, CT and MRI examination, case presentation
  • 91. Physical examination, ENG and EMG examination, case presentation,
  • 92. Physical examination, EEG examination, case presentation,
  • 93. Physical examination, doppler examination of carodid arteries, case presentation
  • 94. Physical examination, doppler examination of carodid arteries, case presentation
  • 95. Physical examination, CT and MRI examination, case presentation
  • 96. Physical examination, ENG and EMG examination, case presentation,
  • 97. Physical examination, EEG examination, case presentation,
  • 98. Physical examination, doppler examination of carodid arteries, case presentation
  • 99. Physical examination, CT and MRI examination, case presentation
  • 100. Physical examination, ENG and EMG examination, case presentation,

Seminars

  • 1. Diagnostics of CSF I.
  • 2. Diagnostics of CSF II.
  • 3. EP studies in different neurological diseases I.
  • 4. EP studies in different neurological diseases II.
  • 5. EMG studies in different neurological diseases I.
  • 6. EMG studies in different neurological diseases II.
  • 7. ENG studies in different neurological diseases I.
  • 8. ENG studies in different neurological diseases II.
  • 9. The role of EEG in epilepsy diagnostics I.
  • 10. The role of EEG in epilepsy diagnostics II.
  • 11. Management of headaches in daily clinical practise I.
  • 12. Management of headaches in daily clinical practise II.
  • 13. Extrapyramidal disorders I.
  • 14. Extrapyramidal disorders II.
  • 15. Neuroimmunological diseases I.
  • 16. Neuroimmunological diseases II.
  • 17. Sleep disorders I.
  • 18. Sleep disorders II.
  • 19. Muscle disorders I.
  • 20. Muscle disorders II.

Reading material

Obligatory literature

Literature developed by the Department

https://www.amazon.co.uk/Clinical-Neurology-4th-T-J-Fowler/dp/0340990708

Notes

Physical examination
http://neurology.hu/physicalexamination.pdf

Recommended literature

Books
Hankey's Clinical Neurology 2014
Neurology : A Queen Square Textbook 2009
Oxford Handbook of Neurology 2014

Conditions for acceptance of the semester

Maximum of 15 % absence allowed

Mid-term exams

According to Study and examination regulations

Making up for missed classes

Extra scheduled practices.

Exam topics/questions

The final exam consists of two parts:

1. Practical (bedside) exam: taking history, evaluation of the neurological physical exam
2. Theoretical (oral) exam: questions A+B+C

Oral exam questions:
A: An important neurological diagnostic procedure (basics, indications, evaluation, risks).
B: Interpretation of an important/common neurological disorder (Proper definition, the knowledge of epidemiology, pathomechanism, neuropathology, clinical symptoms are required.)
C: Treatment of an important neurological disorder.

"A"questions
Main points of the neurological history
Cerebrospinal fluid tests
Ultrasonography in neurology (extra- and intracranial blood vessels)
CT
MRI
EEG
EMG and ENG
Polysomnography
Muscle biopsy

"B" questions
Clinical importance of transient ischemic attack
Acute hypertensive encephalopathy, reversible posterior leukoencephalopathy syndrome
Acute ischemic stroke
Symptoms of stroke
Hemorrhagic stroke
Subarachnoidal hemorrhage. Vascular malformations
Thrombosis of intracranial sinuses
Types of epileptic seizures
Convulsive syncope
Grand mal and postictal symptoms
Causes of acute epileptic seizures
Idiopathic (genetic) epilepsies
Temporal lobe epilepsy
Definition of epilepsy and epileptic seizure
Status epilepticus
Traumatic brain injuries
Differential diagnostics of loss of consciousness
Causes of vertigo
Specific and non-specific back pain, failed back syndrome
Ischias syndrome, cervicobrachialgia (symptoms, warning signs)
Carpal tunnel syndrome
Primary headaches
Secondary, symptomatic headaches
Examination of patients suffering from headache
Neuralgias
Neuropathic pain
Bell's palsy
Multiple sclerosis
Myasthenia gravis
Guillain-Barre syndrome and CIDP
Polyneuropathies
Parkinson's disease
Parkinson-plus syndromes
Drug-induced movement disorders
Wilson's disease
Dystonias
Alzheimer's disease and other types of dementias
Potentially reversible dementias
Herpes simplex encephalitis
Encephalitis
Meningitis, cerebral abscess
Lyme disease
Neurosyphilis
Herpes zoster
Neurological complications of HIV infection
Prion diseases
Migraine
Tension headache
Raised intracranial pressure
Amyotrophic lateralsclerosis (ALS)
Dermatomyositis, polymyositis
Huntington disease
Paraneoplastic syndromes
Autoimmune encephalitis
Obstructive sleep apnoe syndrome (OSAS), restless legs syndrome, narcolepsy
Neurological consequences of alcoholism
Drugs and nervous system
Schwartz-Bartter-syndrome ("Syndrome of inappropriate antidiuretic hormone section" - SIADH)
Essential tremor
Primary brain tumors
Brain metastases
Differential diagnosis of vertigo
Autoimmune inflammatory myopathies and metabolic myopathies
Characteristic symptoms of myopathies, the most common types of hereditary muscle diseases
Functional neuroanatomy of urination, neurogenic causes of bladder dysfunction
Neuromyelitis optica
Minor neurocognitive deficiency
Neurocutaneous diseases (phacomatoses): sclerosis tuberosa, neurofibromatosis
Raised intracranial pressure and herniations
Motor neuron disorders (ALS, SMA, SPG)
Benign paroxysmal positional vertigo (BPPV)
Phobic vertigo
Acute and chronic disturbances of memory

"C" questions
Treatment of multiple sclerosis
Drug and surgical treatment of epilepsy
Treatment of epileptic status
Treatment of myasthenia gravis
Treatment of myasthenic crisis
Treatment of sleep apnoe syndrome
Treatment of restless legs syndrome
Treatment of primary headaches
Treatment of polyneuropathies
Treatment of ischemic stroke
Treatment of hemorrhagic stroke
Anticoagulation
Thrombolysis
Thrombectomy
Primary and secondary prevention of stroke
Treatment of subarachnoidal hemorrhage
Risk factors of stroke and their treatment
Management strategy in case of acute unconsciousness
Therapy of brain edema
Drug treatment of Parkinson’s disease
Surgical treatment of Parkinson’s disease
Treatment of traumatic brain injuries
Treatment of herpes infections
Therapy of meningitis
Treatment of Guillain-Barre syndrome
Therapy of dystonias
Therapy of nociceptive and neuropathic pain
Treatment of lumboischialgia and cervicobrachialgia
Drug treatment of urinary incontinency
Therapy of acute bacterial meningitis
Treatment of hyponatremia
Treatment of patients suffering from vertigo
Therapy of Wernicke's encephalopathy
Deep brain stimulation

Examiners

  • Dr. Faludi Béla
  • Dr. Janszky József Vladimir
  • Dr. Komoly Sámuel
  • Dr. Kovács Norbert
  • Dr. Pál Endre
  • Dr. Pfund Zoltán

Instructor / tutor of practices and seminars

  • Dr. Bosnyák Edit
  • Dr. Faludi Béla
  • Dr. Juhász Annamária
  • Dr. Kovács Norbert
  • Dr. Pál Endre
  • Dr. Pfund Zoltán