MEDICINE III – NEUROLOGY(CUTM1988) – Courseware

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Course Name: MEDICINE - III (NEUROLOGY)

Code(Credit): CUTM1988 (3-1-2)

Course Objectives:

To understand the Aetiology, Pathophysiology, signs & Symptoms & Management of the various Neurological conditions.
Acquire skill of history taking and clinical examination of Neurological conditions as a part of clinical teaching
Acquire knowledge of various drugs used for each medical condition to understand its effects and its use during therapy.
Development of clinical problem-solving skills.
Development of strategies for health promotion and prevention of neurological damage.

Course Outcome:

COS OUTCOME MAPPING COS WITH POS

(High-3; Medium-2; Low-1)

CO1 Understand how to recognize and interpret abnormal findings PO1(3), PO2(2),

on the neurological exam, be able to distinguish between PO5(2), PO10(2)

upper and lower motor neuron findings, nerve root/plexus, peripheral nerve,

neuromuscular junction, and muscle

CO2 Know the aetiology, Classification, Pathology, PO1(3), PO7(1)

Clinical Features, Relevant Investigations,

Complications, Surgical & Non Surgical Management

of various Neurological Conditions.

CO3 Acquire knowledge of various drugs used for PO1(2), PO2 (2)

each medical condition to understand its effects

and its use during therapy.

Course Syllabus:

Module I

Neuroanatomy: Review the basic anatomy of the brain and spinal cord including: Blood supply of the brain and spinal cord, anatomy of the visual pathway, connections of the cerebellum and extrapyramidal system, relationship of the spinal nerves to the spinal cord segments, long tracts of the spinal cords, the brachial and lambar plexus and cranial nerves.
Neurophysiology: Review in brief the Neurophysiological basis of tone and disorders of the tone and posture, bladder control, muscle contraction movement and pain
Assessment and evaluative procedures for the neurological patient
Review of the principles of the management of a neurological patient

Module II

Briefly outline the etiogenesis , clinical features and management of the following Neurological disorders:-Congenital and childhood disorders- Cerebral palsy, Hydrocephalus and Spine Bifida.
Cerebovascular accidents – General , classification, thrombotic, embolic, hemorrhagic & inflammatory, strokes, gross localization and sequelae.
Trauma- localization, first and aid and management of sequelae of head injury and spinal cord injury.
Diseases of the spinal cord- Craniovertebral junction anomalies, Syringomyelia, Cervical and lumbar disc lesions.
Tumors and spinal Arachnoiditis.
Demyelinating diseases (central and peripheral)- Guillain- Bane Syndrome. Acute disseminated encephalomyelitis. Transverse myelitis and Multiple sclerosis.

Module III

Briefly outline the etiogenesis, clinical features and management of the following Neurological disorders: Degenerative disorders- Parkinson’s disease and dementia. Infections- Pyogenic Meningitis sequelae, Tuberculous infection of central nervous system and Poliomyelitis.
Diseases of the muscle – Classification, signs, symptoms, progression and management. Peripheral nerve disorders – Peripheral nerve injuries, Equipment neuropathies and Peripheral neuorpathies.

Module IV

Epilepsy : Definition, Classification and management
Myasthenia Gravis : Definition, course and management
Intra cranial Tumors – Borad classifications, signs and symptoms
Motor neuron disease – Definition, classification and management
Cranial Nerves - Types of disorders, clinical manifestation & management

Module V

Introduction to neuropsychology
General assessment procedures and basic principles of management

Session Plan:

Session 1: Neuroanatomy: Review the basic anatomy of the brain and spinal cord including: Blood supply of the brain and spinal cord, anatomy of the visual pathway.

NEUROANATOMY - I (slideshare.net)

https://youtu.be/auogbJFitmI

Session 2: connections of the cerebellum and extrapyramidal system, relationship of the spinal nerves to the spinal cord segments, long tracts of the spinal cords, the brachial and lambar plexus and cranial nerves.

NEUROANATOMY - I (slideshare.net)

https://youtu.be/auogbJFitmI

Sesson 3: Neurophysiology: Review in brief the Neurophysiological basis of tone and disorders of the tone and posture, bladder control, muscle contraction movement and pain

Neurophysiology (slideshare.net)

https://youtu.be/auogbJFitmI

Session 4: Assessment and evaluative procedures for the neurological patient

Introduction to the Neurologic Examination - Neurologic Disorders - MSD Manual Professional Edition (msdmanuals.com)

Session 5: Congenital and childhood disorders- Cerebral palsy, Hydrocephalus and Spine Bifida

Cerebral palsy (slideshare.net)

https://youtu.be/6QimWHyEl8Y

Hydrocephalus (slideshare.net)

https://youtu.be/bHD8zYImKqA

Spinal bifida (slideshare.net)

https://youtu.be/C_ZdffVOOhc?list=PLNdnrJ0WHYVZAhcr-ViJoaDFw5ERpBK3E

Session 6: Cerebovascular accidents – General , classification, thrombotic, embolic, hemorrhagic & inflammatory, strokes, gross localization and sequelae.

Stroke (cerebrovascular accident) (slideshare.net)

https://youtu.be/8H7Xs0q3Pb0

https://youtu.be/t9lqascwMZ0

https://youtu.be/UiX8pgBIDjk

Session 7: Trauma- localization, first and aid and management of sequelae of head injury and spinal cord injury.

Traumatic brain injury (slideshare.net)

https://youtu.be/o7cbIy7umzA

https://youtu.be/9Wl4-nNOGJ0

Session 8:Diseases of the spinal cord- Craniovertebral junction anomalies, Syringomyelia, Cervical and lumbar disc lesions.

Craniovertebral JUNCTION ANOMALIES (slideshare.net)

https://youtu.be/F9g3aad2qHI

https://youtu.be/CNSCBfNPw7E