Teachings

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Professor
ELEONORA COCCO (Tit.)
ALBERTO MALECI
Period
First Semester 
Teaching style
Convenzionale 
Lingua Insegnamento
 



Informazioni aggiuntive

Course Curriculum CFU Length(h)
[40/39]  MEDICINE AND SURGERY [39/00 - Ord. 2015]  PERCORSO COMUNE 5 115

Objectives

Knowledge and understanding
Knowing and understanding the basic notions and interventions of neurology, neurosurgery needed for projects drafting and the interventions evaluations (identification, diagnosis, prognosis and therapeutic approach). In particular, know and understand the role of the physician in the management team of the person with neurological and neurosurgical diseases. Identifying the specific assessment instruments of the physician (about structures and functions, activities and participation), validated and reliable, and clinical observation. Formulating diagnosis; identify the prognosis and define the therapy also about the gradient of modifiability of the problems.
Applying knowledge and understanding
Participate with own specific expertise in the design of a program of care of the person with neurological disease in collaboration with other health professionals. Formulate, through reasoning, clinical goals to be achieved. Define the contingency plan about objectives. Identify aids and orthotics useful to the achievement of personal autonomy. Identify the specific characteristics of the physician in the neurological diseases management team.
Making judgments
Critically analyze prospects, needs, and resources of the investigated contexts. Critically examine the aims and methods of assessing the results obtained
Communication skills
Analyze the main channels and communication techniques to define the most appropriate methodology in the context analyzed. Planning, implementing and evaluating the results of the communication strategy used. In particular, acquire the ability to communicate information, problems, and solutions with the team members, patients, and families
Learning skills
Critically analyze the specific clinical problems and find possible solutions to them.

Prerequisites

Prior knowledge of neuroanatomy and neurophysiology of the central and peripheral nervous system is suggested to reach a fruitful course attendance.

Contents

Organization of the motor system, sensitive system, cranial nerves, pain and headache, movement disorders, neuromuscular disorders, motoneuron diseases, neuropathy, neurodegenerative diseases. Cerebrovascular disease. Inflammatory disease of SNC. Demielinisations disease. Epileptic sindromes.
Morphofunctional organization of the cerebral cortex. Primary sensory and association areas. Sensory motor integration. Basic principles of electroencephalography (EEG). Analysis of the main rhythms of electroencephalogram.
Behavioral states. The wake-sleep cycle. Physiological regulations during sleep. Role of the hypothalamic suprachiasmatic nucleus in the organization of the behavioral circadian rhythms.
Neurosurgery and Neuroradiology:
Anatomy of the central and periferal nervous system. Pathofisiology of the liquoral system, intracranial hypertension, syndrome Hydrocephalus Monitoring of endocranial pressure. SNC Malformations. Themanagement of head and spine injuries. Endocranial and spinaL neoformation: classification, istogenesis and topographic clasification. The management of spinal tumors. The management of cranial tumors. The management of vascular malformation. The degenerative disease of the Spine. Cerebrovascular arterial and venous system. Subarachnoid hemorrhage (causes and management). Midollar compression.
CT and MRI indications. General features of SNC surgical disease at CT and MRI.

Teaching Methods

LTheory classes and clinical cases discussions (32 hours of neurology; 8 hours neurosurgery)
Practical classes (20 hours); ward frequency (neurologic exam, lumbar puncture, muscle biopsy, interpretation of neurophysiological exams and neuroradiologic exams).
Video (showed during lessons)

Verification of learning

The final examination ( oral) evaluates the degree of understanding of the main learning targets of the course:
-knowledge of the clinical and diagnostic path of the main neurological disorders
-knowledge of the main treatment of neurological disorders in the light of the specific physiopathology
- knowledge of the principles of the neurophysiological lab.
The final vote of the Course is obtained by averaging the result of 3 questions on the main topics of the Course

Texts

ADAMS-VICTOR-ROPPER – Edizione Italiana- Frattola-Nappi Tonali “Principi di Neurologia” VI Edizione
McGraw-Hill
MARTIN A.-SAMUELS-STEVEN FESKE Churchill Livingtosne “Neurologia Clinica-Office Practice of
Neurology”
BERGAMASCO-MUTANI " La Neurologia di Bergamini" casa Editrice Cortina di Torino
PAGNI CARLO A. "Lezioni di Neurochirurgia",casa Editrice Cortina di Torino
H. RICHARD WINN "Youmans Neurological Surgery" casa Editrice Elsevier

More Information

Office hours
ecocco@unica.it Centro Sclerosi Multipla, Ospedale Binaghi via Is Guadazzonis 2 Cagliari tel 070-6093027
Email ecocco@unica.it


Eleonora Cocco: Arrange appointment at hosp Binaghi (Centro Sclerosi Multpila) by email

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