Neurology 2

Data

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

Course director

Number of hours/semester

lectures: 14 hours

practices: 28 hours

seminars: 0 hours

total of: 42 hours

Subject data

  • Code of subject: OAK-NE2-T
  • 3 kredit
  • General Medicine
  • Clinical modul
  • spring
Prerequisites:

OAK-NA1-T completed

Exam course:

no

Course headcount limitations

min. 5 – max. 100

Topic

Investigation of patients with different neurological diseases: history taking, neurological physical examination, discovery of common neurological disorders and neurological emergencies
Management of common neurological disorders, drug treatments, indication of neurosurgical intervention.

Lectures

  • 1. Brain and spinal cord tumors - Dr. Büki András
  • 2. Traumatic brain injuries - Dr. Büki András
  • 3. Epilepsy I. - Dr. Janszky József Vladimir
  • 4. Multiple Sclerosis - Dr. Illés Zsolt
  • 5. Sleep disorders - Dr. Faludi Béla
  • 6. Headaches - Dr. Pfund Zoltán
  • 7. Meningitis, Encephalitis - Dr. Komoly Sámuel
  • 8. Paraneoplastic neurological deisease - Dr. Komoly Sámuel
  • 9. Stroke I. - Dr. Szapáry László
  • 10. Stroke II. - Dr. Szapáry László
  • 11. Epilepsy II. - Dr. Janszky József Vladimir
  • 12. Neropathic pain - Dr. Komoly Sámuel
  • 13. Subarachnoideal hemorrhage - Dr. Büki András
  • 14. Nociceptive and neuropathic pain - Dr. Komoly Sámuel

Practices

  • 1. Examination of stroke patients
  • 2. Examination of stroke patients
  • 3. Examination of patients with multiple sclerosis
  • 4. Examination of patients suffering from neuropathy
  • 5. EMG, ENG, EEG examinations
  • 6. EMG, ENG, EEG examinations
  • 7. Observe lumbar puncture and visit the CSF laboratory
  • 8. How to do basic CSF examinations?
  • 9. Visit to the CT MRI facility
  • 10. Visit to the CT MRI facility
  • 11. Examination of patients suffering from muscle disorders
  • 12. Consultation of patients with neurogenetics problem
  • 13. Coma and related disorders of consciousness I
  • 14. Coma and related disorders of consciousness II
  • 15. Examination of stroke patients
  • 16. Examination of stroke patients
  • 17. Examination of patients with multiple sclerosis
  • 18. Examination of patients suffering from neuropathy
  • 19. EMG, ENG, EEG examinations
  • 20. EMG ENG EEG examinations
  • 21. Observe lumbar puncture and visit the CSF laboratory
  • 22. How to do basic CSF examinations?
  • 23. Visit to the CT MRI facility
  • 24. Visit to the CT MRI facility
  • 25. Examination of patients suffering from muscle disorders
  • 26. Consultation of patients with neurogenetics problem
  • 27. Coma and related disorders of consciousness I
  • 28. Coma and related disorders of consciousness II

Seminars

Reading material

Obligatory literature

Literature developed by the Department

https://www.amazon.co.uk/Clinical-Neurology-4th-T-J-Fowler/dp/0340990708
Materials of the lectures are available in POTEPEDIA.

Notes

Recommended literature

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

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

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

"B"
1. The most common types of myopathies and myositis
Accidental (provoked) seizures
2. Benign positional paroxysmal vertigo
Transient ischemic attack
3. Differential diagnosis of tremors
Treatment of the acute stroke
4. Myasthenia gravis
Convulsive syncope
5. Polyneuropathies
Subarachnoid hemorrhage
6. Neuroimaging
Guillain-Barre syndrome
7. Carpal tunnel-syndrome
Secondary headaches
8. Gliomas
Parkinson's disease
9. Peripheral facial palsy (Bell-paresis)
Thrombosis of the intracranial sinuses
10. Acute meningitis
Intracerebral hemorrhage
11. Types of epilepsy
Potentially reversible dementias
12. Encephalitis
Primary prevention of stroke
13. Ischias syndrome and cervicobrachialgia (symptoms, warning signs)
Clinical features of multiple sclerosis
14. Motor neuron diseases
Diagnosis of multiple sclerosis
15. Trigeminal neuralgia
Neuromyelitis optica (Devic-disease)
16. Clinical symptoms of insufficient blood supply in territory of carotid and vertebral artery
Differential diagnosis of short-term loss of consciousness
17. Types and etiology of unconsciousness. Coma
Status epilepticus
18. Migraine and other primary headaches
Types of disturbances of urinary bladder innervation
19. Traumatic brain injuries
Herpes infection, postherpetic neuralgia
20. Traumatic spinal cord injuries
Alzheimer disease
21. Meningiomas
Neurological disorders related to alcoholism
22. Hydrocephalus
Secondary prevention of stroke
23. Lumboischialgia and chronic back pain
Nervous system metastases
24 Paraneoplastic nervous system diseases
Symptoms of raised intracranial pressure
25. Focal dystonias
Creutzfeldt-Jakob disease
26. Symptoms of insufficient blood circulation in veretebrobasilar territory
Subacute combined degeneration of the spinal cord (funicular myelosis)
27. Ischemic stroke
Wilson's disease
28. Obstructive sleep apnoe syndrome
Choreas, Huntington disease
29. Restless-legs syndrome
Conversion disorders

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. Juhász Annamária
  • Dr. Kovács Norbert
  • Dr. Pál Endre
  • Dr. Pfund Zoltán
  • Dr. Sebők Ágnes
  • Dr. Tóth Márton Tamás