|NEUROSURGERY (0 credits)||NEUROLOGY (3 credits)|
|NURSING SCIENCES AND NEUROPSYCHIATRIC AND REHABILITATIVE TECHNIQUES (0 credits)||PHYSICAL MEDICINE AND REHABILITATION (0 credits)|
|NEURORADIOLOGY (1 credits)|
Learning outcomes of the course unit
Neurology: Students will acquire knowledge that will enable them to perform a complete neurological objective testing and to correctly interpret neurological signs and symptoms as either anatomically and functionally normal or pathological. They will also learn notions that will enable them to define syndromes related to pathological modifications of specific structures of the central, peripheral and autonomic nervous systems (e.g., pyramidal syndrome, extrapyramidal syndrome, etc.).
Neurosurgery:The course is aimed at a basic understanding of the major diseases of neurosurgical interest: CNS tumours, with special focus on their epidemiology, symptoms and treatment principles; head and spinal injuries, with respect to pathophysiology, emergency and clinical management of post-traumatic focal and diffuse lesions; cerebral haemorrhaging, with a definition of primary and secondary causes and with strict reference to differential diagnosis; spondyloarthrosis, epidemiology and clinical management of lumbar/cervical herniated disk, hydrocephalus and syringomyelia; adult normal-pressure hydrocephalus and differential diagnosis with dementia.
Nursing sciences and neuropsychiatric and rehabilitation techniques: 1. Identifying rehabilitation principles for integrated nursing and rehabilitative care; 2. Describing rehabilitative interventions aimed at overall health recovery and at quality of life improvement in patients with chronic disease and disability and their relatives; 3. Identifying both independent and joint areas of action for nurses and rehabilitators.
Neuroimaging:Students will learn the various imaging procedures and indications. They will also learn how to establish a diagnosis for the different CNS and PNS disorders and how to evaluate risks, costs and benefits of diagnostic imaging techniques.
Physical medicine and rehabilitation:The course is aimed at providing students with basic notions about physiatric evaluation and rehabilitation programmes for neurological disorders.
In order to take the exam for the integrated course of neurology, students must have passed the exams of biochemistry, anatomy, physiology, general pathology, medical semeiotics, and pharmacology.
Course contents summary
Neurology Semeiology of motor functions. Semeiology of sensory functions. Semeiology of cranial nerves. Semeiology of autonomic functions. Sleep and wake cycles. Cognitive functions. Neuropathophysiology. CSF testing and other diagnostic techniques in nervous disorders. Epilepsy. Headache and facial pain. Peripheral nerve disorders. Spinal compression – Syringomyelia – Vascular myelopathies. Demyelination disorders. Motoneurone disorders. Extrapyramidal disorders. Degenerative and inherited CNS disorders. Cerebrovascular disorders. Brain tumours. Head injuries. Infectious and/or transmissible disorders. Dementias. Neurological manifestations of systemic diseases. Muscular and neuromuscular-joint disorders. Use and usefulness of neuroradiological examinations in major neurological disorders
Neuroimaging A basic review of neuroimaging interpretation of CT (brain and spine) and MRI (brain and spine) scans. Functional MRI. Angiography. CNS and PNS diagnostic procedures.
Neurosurgery: Intracranial hypertension syndrome, Supratentorial brain tumours, Subtentorial brain tumours, Spinal tumours, Head injuries, Spinal injuries, Hydrocephalus, Brain vessel malformations, Brain aneurysms, Spinal degenerative disease, Subarachnoid haemorrhage, Cerebral haemorrhage
Physical medicine and rehabilitation
Motor re-education techniques, Neuromuscular propioceptive facilitation techniques, Ergotherapy, Hypokinetic syndrome management, Rehabilitation team: physicians, nurses, physical therapists, occupational therapists, speech therapist, social worker, psychologist, orthopaedic engineer, etc.). Rehabilitation programme: evaluation, planning, treatment, measurement, short- and long-term objectives. Activities of Daily Living (ADL) rating scales, Barthel Index and Functional Independence Measure (FIM) scale, Handicap rating scales, Rehabilitation approaches in post-stroke patients, Principles of rehabilitation in brain-injured patients, Gait analysis in rehabilitation medicine
Nursing sciences and neuropsychiatry and rehabilitation techniques: Development of rehabilitation concept and methods, Impact of chronic disease and disability on physical, emotional and mental health, Psychosocial rehabilitation methods and quality of life improvement, Rehabilitation strategies: ability and skill recovery; intermediary relationship management; family, group and community relationship management
1) Bergamini titolo “Neurologia Clinica” 3^ ediz. anno 2001 -Casa Editrice Libreria CortinaTorino
2) Monaco Francesco titolo “Manuale di Apprendimento in Neurologia” anno 2004 - Casa Editrice Centro Scientifico
3) Pinelli Paolo; Poloni Marco titolo “Neurologia. Principi di Diagnostica e Terapia” 3 ^ ediz. anno 2003 - Casa Editrice CEA
4) Maurice Victor, Allan H. Ropper titolo “Adams & Victor Principi di Neurologia” 7^ ediz. anno 2002 testo tradotto in italiano Casa Editrice MC Graw-Hill
5) Loeb Carlo e Favale Emilio titolo “ Neurologia” 4^ ediz. anno 2003 - 2 volumi - Casa Editrice SEU
6) Jean Cambier , Maurice Masson, Henri Dehen titolo “Neurologia “10^ ediz. anno 2005 - Casa Editrice Masson
Neuroradiology 1) Scotti G., Pieralli S., Righi C., Triulzi F. Neuroradiologia, Elsevier – Masson, 1996
For neurosurgery-related subjects, see dedicated chapters in the recommended neurology textbooks.
Physical medicine and rehabilitation: G.Megna. Manuale di riabilitazione. Editeam s.a.s
Other textbooks may be recommended at the start of the course.
Teaching activities: Up-front classes, small-group activities
Type of examination: Oral examination
SSD MED/26: Prof. Gian Camillo Manzoni (Coordinator)
Prof. Paolo Caffarra; Prof. Stefano Calzetti; ; Prof. Girolamo Crisi (Attività Didattica Integrativa); Prof. Franco Gemignani; Dott. Franco Granella; Dott. Liborio Parrino; Prof. Giovanni Pavesi; Dott. Vladimiro Pietrini; Dott. Enrico Sasso; Prof. Mario Giovanni Terzano; Prof. Paola Torelli
SSD MED/27: Prof.Gian Camillo Manzoni
SSD MED/37: Prof. Carlo Contini
SSD MED/34: Dott. Cosimo Costantino
SSD MED/48: Prof.Gian Camillo Manzoni, Prof.Carlo Marchesi