Neurology 1

Data

Official data in SubjectManager for the following academic year: 2023-2024

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

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

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 permanently 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
21. Examination of a patients with dizziness
22. Examination of a patients with headache

B" Theoretical background of physical examination

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

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

Examiners

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

Instructor / tutor of practices and seminars

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