Neurological Disorders

Code:

MI423

Acronym:

DN

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2020/2021 - 2S

Active?	Yes
Responsible unit:	Clinical Neurosciences and Mental Health Department
Course/CS Responsible:	Integrated Master in Medicine

Cycles of Study/Courses

Acronym	No. of Students	Study Plan	Curricular Years	Credits UCN	Credits ECTS	Contact hours	Total Time
MIMED	141	Mestrado Integrado em Medicina- Plano oficial 2013 (Reforma Curricular)	4	-	6	60	162

Teaching language

Suitable for English-speaking students

Objectives

- Learning the evaluation and interpertation  of Disorders of Nervous System and muscle in order to set the Neurological Syndrome, and with data from medical history to propose a clinical diagnosis and choose apropriate subsidiary exams to set a clinical diagnosis based in the knowledges of  the most frequent disorders of nervous system and muscle.
 - Imaging exams in the diagnosis of Nervous System and paper of Neuropathological Exam, namely in Neuromuscular and Neurodegenerative Disorders .

- Pharmacological treatment of Nervous System Disorders, namely in Epilepsy, Headaches, Dementia and Parkinson Disease:

• Neurological examination
• Neurological syndromes
• Complementary means of diagnosis - Neuroradiology
• Epilepsy
• Dementia
• Stroke
• Headaches
• Spine disorders
• Trauma
• Movement Disorders
• Inflamatory and Demyelinating Disorders
• Neuromuscular Disorders
• CNS Tumors
• Paediatrics Neurosurgery
• Emergencies
• Vertigo, syncope and coma
• Functional Neurological Disorders

Learning outcomes and competences

- Be able to evaluate a patient with a neurological disorder, namely to perform and interpret the neurological examination. 

- To be able, based in clinical evaluation, to set the Neurological Syndrome and its aetiology.

- Be able to choose appropriate subsidiary exams necessary to confirm the proposal, namely Image and Neuropathological exams.

- Knowledge on the clinical characteristics of most frequent disorders and pharmacological treatment.

Working method

Presencial

Pre-requirements (prior knowledge) and co-requirements (common knowledge)

Knowledges on neuroanatomy, neurophisiology and genetics.

Program

- Clinical evaluation of neurological patients at bedside at ward, ambulatory and emergency room and clinical application of medical Imaging in Neurosciences (with RIM).

- Dementia - clinical and pathological characterization and pharmacological treatment (with TGPC and with RIM).

- Stroke – clinical aspects and orientation.

- Neuromuscular Disorders – clinical and pathological diagnosis (with APE).

- Epilepsy- clinical aspects and pharmacological treatment (with TGFC).

- Headaches- clinical aspects and pharmacological treatment (with TGFC). 

- Demyelinative and Inflammatory Disorders - clinical aspects and treatment.

- Movement Disorders with special mention of Essential Tremor and Parkinson Disease – clinical characterization and pharmacological treatment.

- Disorders of the Rachis - diagnosis and treatment options.

- Intracranial tumors – diagnosis and treatment options and prognosis.

- Craniocerebral trauma – rules of clinical diagnosis and treatment.

- Neurosurgery in Pediatric

Mandatory literature

Michael Aminoff (Author), David Greenberg (Author), Roger Simon (Author); Lange Clinical Neurology 10th edition, Lange, 2018. ISBN: ISBN-13: 978-1259861727 ISBN-10: 1259861724
Andrew H. Kaye; Essential Neurosurgery 4th edition, Blackwell Publishing, 2016. ISBN: ISBN-13: 978-1405118675 ISBN-10: 1405118679
Rui Vaz; Traumatismo crânio-encefálico - questões essenciais vs Prática Clínica, Edições Universidde do Porto, 2018. ISBN: ISBN: 978-989-746-191-0

Complementary Bibliography

Elan D. Louis MD MS (Author), Stephan A. Mayer MD (Author), Lewis P. Rowland MD (Author); Merritt's Neurology, Wolters Kluwer , 2016. ISBN: ISBN-13: 978-1451193367 ISBN-10: 9781451193367

Teaching methods and learning activities

Lectures, for all the students,  lasting 50 minutos intended to provide the most relevant aspects in clinical evaluation and clinical characteristics of each group of neurological diseases.

Seminar for almost 30 students, lasting almost 90 minutes with interactive discution with APE, TGFC and RIM of real clinical cases.


Practical sessions.lasting between 90 to 120 minutes in the ward, ambulatory and emergency room with clinical evaluation of patients by about 3 students, with discussion of the clinical case with the teacher.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Exame	20,00
Teste	60,00
Trabalho prático ou de projeto	20,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	104,00
Frequência das aulas	58,00
Total:	162,00

Eligibility for exams

- According the institucional rules (at least 75% of presences).

Calculation formula of final grade

–Distributed evaluation:

• Continuous evaluation  20%

          – Attendance / punctuality.
         
          – Attitude, interest and motivation.  
         
          – Knowledge level and integration.
         
          – Involvement in other activities

• Practical examination-20%

          - Gesture sheet

• Final theoretical exam- 60%

Examinations or Special Assignments

Practical exam at bedside

Theoretical exam- multiple choice test

Internship work/project

Optional

Special assessment (TE, DA, ...)

According Instititional rules

Classification improvement

According Instititional rules

Observations

Knowledge in Neuroanatomy, Physiology, Pharmacology and Genetics