NEUROLOGY

Course Number: 18122090

Prerequisites: Neuroanatomy, Neurophysiology and Other Basic Medical Courses

Credits (hours per week, Lecture/Practical): 2 (1.5-1)

Year: fifth year 2^nd semester

 

COURSE DESCRIPTION:

This is an exciting time to be a part of neurology. Neurology is a discipline to mainly study the disorders of central nervous system, peripheral nervous system and muscular system. All medical students should acquire and maintain some basic knowledge, theories and skills in neurology, and master the diagnosis and management of common neurological disorders.

During this clerkship you will be taught the elements of a good neurological history and examination. You will learn to interpret your findings and to develop a differential diagnosis based on those findings. You will learn the appropriate use of diagnostic testing to verify or clarify a diagnosis and you will learn the basics of neurological therapeutics. This will be accomplished by direct patient contact in clinics and hospital services, by informal teaching rounds.

 

OBJECTIVES

Knowledge

At the end of the courses the student will be able to:

1. master the principle of localized diagnosis and the differential diagnosis of neurological diseases.

2. familiar with the common diagnostic skills which help in the confirmation of diagnosis.

3.describe the typical clinical features of diseases such as parkinson’s disease, essential tremor and transient ishemic attack.

4. understand the principles of therapy and how to prevention.

5.deal with some emergencies related to neurological diseases, for example myasthenic crisis, stroke.

Skill 

At the end of the clerkship the student will be able to:

1. perform an independent medical history and neurological exam and present findings in either a written or oral presentation.

2.distinguish between upper motor neuron (UMN) and lower motor neuron (LMN)

3.evaluate basic sensory function in several modalities. Develop a general concept of 

dermatomes.

4. develop a compassionate or warm attitude towards the patients and their attendants.

5. compare and contrast different neurological disease with the same complaint.

 

COURSE CONTENT:

The lecture content is selected and summarized from the textbook as follows:

Lectures

General Introduction                                   3hr

      Cranial nerves

      Transduction pathway of sense 

      Transduction pathway of motor

      Deep, superficial and pathologic reflexes

      Status of consciousness

Cerebral vascular Diseases(CVD)                          3hr

Ischemic stroke(include Transient ischemic attack)

Hemorrhagic Stroke

A. Intracerebral hemorrhage

B. Subarachonic hemorrhage

Seizure and Epilepsy                                    3hr

Movement Disorders                                    2hr

    Parkinson’s disease

Essential Tremeor

Dementia                                              1hr

Alzheimer’s disease

Multiple sclerosis                                       1hr

Acute and chronic meningitis                             2hr

HSV encephalitis

Fungal infection

Syphillis

Myasthenia gravis and Diseases of muscle                   3hr

Myasthenia gravis

Polymyositis and dermatomyositis

Duchenne and Becker-type muscular dystrophy

The diseases of the spinal cord                            3hr

Introduction ( Localized diagnosis)

Acute myelitis

Spinal compression

Peripheral neuropathy                                   2hr

Trigeminal nerve disease

idiopathic facial palsy

Gullain-Barre’ syndrome

Migrane                                               1hr

Practicals

The clinical clerkship content is designed to complement the lectures.

Content	Hours
1.      Medical history taking and neurological examination. 2.      The major categories of stroke and leading risk factors 3.      Typical clinical manifesations of stroke 4.      Discuss the diagnositic work-up of a patient with stroke 5.      Discuss stroke treatment: Prevention and acute management	4
1.      Medical history taking and neurological examination. 2.      Describe signs and symptoms in two forms of primary generalized epilepsy and partial epilepsy. 3.      Special supplementary examination of epilepsy and common use of anticonvulsants. 4.      Typical clinical pictures of parkinson’s disease and essential tremor, differential diagnosis. 5.      Medical or surgical treatment of Parkinson's disease.	4
1.  Medical history taking and neurological examination 2.  Main complaint of patient with dementia, differential diagnosis between alzheimers’ and vascular dementia. 3.  Discuss the prevention and home care of patient with dementia. 4.  Typical symptoms in meningitis, discuss the significance of lumbar puncture and the content of CSF in these patients. 5.  Clinical manifestations and localized diagnosis in myogenic diseases: distinguished from neurogenic diseases.	4
1.      Medical history taking and neurologica examination. 2.      Horizontal and vertical diagnosis in the diseases of spinal cord. 3.      Presenting the main clinical pictures of acute myelitis and spinal compression 4.      Describe the difference between low motor neuron(LMN) and upper motor neuron (UMN)   5.      Describe the signs and symptoms in GBS.	4

 

STRUCTURE:

The course comprises 24 hr of lectures and 16 hr of practicals.

One lecture session of 4 hr, will be held each 2 weeks.

One 4 hr practical session will be held every 2 weeks.

The final examination (2 hr) will contain multiple-choice and case analysis.

 

ORGANIZATION:

Each session will be offered to the entire class.

An assistant will act as liaison between students and teachers, and will be responsible for taking attendance, collecting exam papers, and related matters.

 

EVALUATION:

Students’ performance will be evaluated on the basis of attendance at lectures and participation in practicals (20%), practical reports (20%) and scores on the final examination (60%).

 

RECOMMENDED TEXTBOOK:

Christopher G. Goetz (2007),Textbook of Clinical Neurology, 3rd Edition. Saunders.

 

SUPPLEMENTARY READING:

Allan Ropper, Martin Samuels (2009), Adams and Victor's Principles of Neurology, 9th Edition. McGraw-Hill Professional.

 

 

TEACHING TEAM:

Faculty:

Prof: Zhang, Baorong

Tell：13958167260

E-mail: brzhang@zju.edu.cn

 

Prof: Liu, Jianren

Tell：13958193926

E-mail: liujianren0571@hotmail.com

 

Dr: Luo, Wei

Tell：13757120109

E-mail: luoweirock@yahoo.com.cn

 

Dr: Wu, Jiming

Tell：13588089812

E-mail: jmwu@zju.edu.cn

 

Dr: Lou, Ming

Tell：13958007213

E-mail: loumingxc@vip.sina.com

 

Dr: Zhao, Guohua

Tell：13777812308

E-mail: zhaoguohuazq@hotmail.com

 

Dr: Xu, Yongfeng

Tell：15958180405

E-mail: xuyongfeng925@163.com

 

Assistant:

Dr. Hu，Haitao

Tell : 13867157459

E-mail: huhaitao96@hotmail.com