Learning outcomes of the course unit
1) Acquire skills in the identification and treatment of traumas of the nervous system.
2) Acquire skills in the clinical and rehabilitative management of traumas and of their most common complications.
3) Pursue the educational goal of the rehabilitative approach to concussion and medullary and peripheral traumas.
Course contents summary
The course is focused on providing, in the context of the neurological disciplines, cognitive elements on the physiopathology, clinical manifestations and rehabilitation of traumas of the nervous system. The following are therefore covered: concussion, spinal and peripheral nervous system traumas with regard to clinical classification, management, and treatment of the acute and chronic phase. Particular emphasis is laid on: (a) the illustration of short, medium and long term complications of traumas of the nervous system, (b) the organisation of modern services dedicated to specialist trauma treatment, (c) preliminary knowledge of the rehabilitative approach to traumas.
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2. Gennarelli TA. Animate models of human head injury. Neurotrauma 1994; 11: 357-368.
3. Mattson MP, Scheff SW. Endogenous neuroprotection factors and traumatic brain injury: mechanisms of actions and implications for therapy. J Neurotrauma 1994; 11: 3-33.
4. Asikainen I, Kaste M, Sarna S. Patients with traumatic brain injury referred to a rehabilitation and re-employment programme: social and profe ssional outcome for 508 Finnish patients 5 or more years after injury. Brain inj 1996; 10: 883-899.
5. Goldstein F, Levin H, Presley R et al. Neurobehavioural consequences of closed head injury in older adults. J Neurol Neurosurg Psichiatry 1994; 57: 961-966.
6. Jennet B. Epidemiology of head injury. J Neurol Neurosurg Psichiatry 1996; 60: 362-369.
7. Delamarter RB, sherman J, Carr JB. Pathophysiology of spinal cord injury: recovery after immediate or delayed decompression. J Bone Joint Surg Am 1995; 77 (A): 1042-1049.
8.Tator CH, Duncan EG, Edmonds VE., et al. Complications and costs of management of acute spinal cord injury. Paraplegia, 1993a; 31: 700-714.
9. Kline D, Hudson AR. Nerve Injuries. Philadelphia: Saunders, 1995.
10. Tator CH and Skaf GS. Spinal cord Injury. In: Bradley WG, Daroff RB: Neurology in Clinical Practice 3rd Edition, Butterworth-Heineman, 2000.
The course takes place with classroom lectures and with the help of audiovisual and computer aids.
The final assessment is based on the administration of 30 multiple-choice questions, possibly supplemented by an oral exam.