Data

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

Course director

Dr. Endre PÁL (pal.endre@pte.hu), associate professor

Department of Neurology

Subject data

Code of subject: OAK-NA1-T  |  3 credit  |  General Medicine |  Clinical module  |  autumn

Prerequisites: OAA-NEA-T completed , OAP-PA2-T completed , OAK-GT3-T completed

Exam course: no

Number of hours/semester

14 lectures + 28 practices + 0 seminars = total of 42 hours

Course headcount limitations

min. 5 – max. 100 person

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. Neurodiagnostic procedures I - Dr. Pfund Zoltán
  • 2. Neurodiagnostic procedures II - Dr. Pfund Zoltán
  • 3. CSF taking, analysis, disease specific indications of sample taking - Dr. Pfund Zoltán
  • 4. Diagnostic tools in sleep disorders - Dr. Faludi Béla
  • 5. Myopathies - Dr. Pál Endre
  • 6. Peripheral neuropathies - Dr. Pfund Zoltán
  • 7. Neurogenetics - Dr. Sebők Ágnes
  • 8. Dysimmune peripheral neuropathies - Dr. Pfund Zoltán
  • 9. Phenomenology of movement and gait disorders - Dr. Kovács Norbert
  • 10. Vertigo and dizziness - Dr. Mike Andrea
  • 11. Neuromuscular junction disorders - Dr. Komoly Sámuel
  • 12. Parkinson's disease and Parkinson's plus syndromes - Dr. Kovács Norbert
  • 13. Motoros neuron disordes - Dr. Pfund Zoltán
  • 14. Imaging-based patient selection - Dr. Fehér Gergely

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

Notes

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

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

"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 short-time loss of consciousness
19. Examination of the patient with dementia
20. Examination of the confused patient

"B" Theoretical background of physical examination
21. Typical symptoms of peripheral and central lesions
22. Symptoms of nuclear and supranuclear lesions
23. Symptoms of anterior-territory stroke
24. Symptoms of posterior-territory stroke
25. Symptoms of brainstem alternating syndromes (Weber’s and Wallenberg’s syndrome)
26. Symptoms of dissociative sensory loss
27. Types of visual field defects
28. Types of gaze palsies: nuclear and supranuclear gaze palsy, internuclear ophthalmoplegia
29. Symptoms of peripheral and central facial palsy
30. Characteristic appearance of harmonic and disharmonic vestibular syndromes
31. Pyramidal signs and assessment
32. Alterations of muscle tone, types and clinical appearance
33. Pathological tremors, types and examinations
34. Types of gate disturbances
35. Types of apraxia
36. Types of aphasia
37. Types of agnosia
38. Neglect syndromes
39. Characteristic signs of Parkinsonism
40. Signs of cerebellar lesions
41. Horner’s syndrome
42. Types of spinal cord lesions (complete cross section, dorsal column lesion, anterior spinal artery syndrome)
43. Conus and cauda syndrome
44. Clinical signs of plexus lesions
45. Signs of cervicobrachial radicular lesions
46. Signs of lumbosacral radicular lesions
47. Signs of ulnar nerve lesion, typical tunnel syndrome
48. Signs of medial nerve lesion, typical tunnel syndrome
49. Signs of ulnar nerve lesion, typical tunnel syndrome
50. Signs of radial nerve lesion, typical tunnel syndrome
51. Signs of peroneal nerve lesion, typical tunnel syndrome
52. Common signs of polyneuropathy
53. Signs of temporal lobe lesion
54. Signs of frontal lobe lesion
55. Signs of parietal lobe lesion
56. Signs of occipital lobe lesion
57. Examination of alertness. Types of unconsciousness
58. Signs of raised intracranial pressure, types of intracranial herniations
59. The Glasgow coma scale (GCS) and assessment

"C" Theoretical questions from lectures
60. Symptoms of acute stroke
61. Diagnostic steps in acute stroke
62. Management of acute stroke
63. Diagnostic test in case of TIA, clinical significance
64. Secondary prevention of stroke
65. Differential diagnostics of unconsciousness
66. Convulsive syncope
67. Grand mal seizure
68. Status epilepticus, definition and management
69. Differential diagnostics of vertigo
70. The common features of peripheral vertigo
71. The common features of central vertigo
72. Diagnostics and differential diagnostics of Parkinson’s disease
73. Treatment of Parkinson’s disease
74. The main types of dystonia and treatment
75. Multiple sclerosis, diagnostic steps and differential diagnostics
76. Investigations in case of polyneuropathy
77. Specific types of polyneuropathies and their treatment

Examiners

  • Dr. Ács Péter
  • Dr. Bosnyák Edit
  • Dr. Faludi Béla
  • Dr. Juhász Annamária
  • Dr. Pál Endre
  • Dr. Pfund Zoltán
  • Dr. Pusch Gabriella
  • Dr. Tóth Márton Tamás

Instructor / tutor of practices and seminars

  • Dr. Ács Péter
  • Dr. Bosnyák Edit
  • Dr. Faludi Béla
  • Dr. Juhász Annamária
  • Dr. Kovács Norbert
  • Dr. Pál Endre
  • Dr. Pusch Gabriella
  • Dr. Tóth Márton Tamás