Neurology and Neurosurgery

Code:

MI433

Acronym:

NN

Keywords
Classification	Keyword
OFICIAL	Medicine

Instance: 2023/2024 - 1S

Active?	Yes
Web Page:	https://sigarra.up.pt/fmup/pt/ucurr_adm.ficha_uc_edit?pv_ocorrencia_id=494656#tab2
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	138	Plano Oficial 2021	4	-	6	57	162

Teaching language

Portuguese

Objectives

- Learning to evaluate and interpret the functions of the nervous system (NS) in order to, with data from the history and clinical examination, determine the neurological syndrome, propose diagnostic hypotheses, determine which complementary exams are appropriate for clarification, based on knowledge of the most frequent NS and muscle diseases in the general population.

- Theoretical knowledge and assessment at the patient's bedside, whenever possible, of the following topics:

• Neurological examination;
• Neurological syndromes;
• Epilepsy;
• Dementias;
• Cerebrovascular diseases;
• Headaches;
• Movement diseases;
• Vertigo, syncope and coma
• Neuromuscular diseases;
• Inflammatory and demyelinating diseases of the nervous system;
• Functional neurological disorder
• Diseases of the spine and its contents;
• Traumatic brain injuries;
• Central nervous system tumors;
• Emergencies in Neurology and Neurosurgery;
• Ancillary exams for diagnosis;

Learning outcomes and competences

Learning outcomes and skills

- Skills in the clinical evaluation of patients with Neurological Diseases, namely in the performance and interpretation of the Neurological Examination.

- Ability to, based on clinical assessment, determine the Neurological Syndrome and propose an etiology.

- Choose which ancillary exams are capable of confirming the proposal, particularly imaging and neuropathology.

- Knowledge about the clinical characteristics of the most frequent diseases and their treatment.

Working method

Presencial

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

Neuroanatomy, Physiology, Medical Propedeutics
Pharmacology and Therapeutics
Neuroimaging

Program

Program

- Neuroanatomical and physiology review of the nervous system

- Clinical evaluation in the Ward, Outpatient Clinic and Emergency Department.

- Learning the clinical history and technique of the Neurological Examination; contact with some of the complementary diagnostic techniques in neurological pathology, as well as with some therapeutic techniques.

- Learning of neurological syndromes

- Epilepsies - Clinic and treatment

- Dementia - clinical, neuropathological characterization and treatment

- Cerebrovascular Diseases - clinic and standards of action

- Headache - main clinical conditions and treatment

- Movement Disorders - clinical features and treatment.

- Vertigo, Syncope and Coma - clinical features and treatment

- Neuromuscular diseases - clinical and neuropathological diagnosis, and treatment

- Demyelinating and Inflammatory Diseases of the CNS - clinical features and treatment

- Functional Neurological Disorder - clinical features and treatment

- Diseases of the spine and their contente - diagnosis and treatment.

- Traumatic brain injuries – standards of action

- Brain tumors - diagnosis, therapeutic possibilities and prognosis.

- Emergencies in Neurology and Neurosurgery;

- Complementary diagnostic tests, namely the integration of imaging studies with the clinical aspects of clinical neurosciences.

Mandatory literature

Michael Aminoff, David; Greenberg, Roger Simon; Clinical Neurology, Lange, 2018. ISBN: ISBN: 9781259861734.

Complementary Bibliography

Elan Louis, Stephan A. Mayer, Lewis P. Rowland; Merritt's Neurology, Lippincott Williams & Wilkins, 2016. ISBN: ISBN: 9780781791861
Andrew H. Kaye; Essential Neurosurgery, Blackwell Publishing, 2005. ISBN: ISBN: 978-1405116411
Rui Vaz; Traumatismos crânio-encefálicos - Questões essenciais na prática Clínica , Edições Universidade do Porto. ISBN: ISBN: 978-989-746-191-0

Teaching methods and learning activities

Teaching methods and learning activities

- Asynchronous theoretical classes, on the Moodle platform, for all students, lasting about 60 minutes, in which the most important aspects of clinical assessment and the clinical characteristics of each group of diseases will be provided.

- Seminars for approximately 30-35 students, lasting 90 minutes, based on real clinical cases, with interactive discussion.

- Practical sessions of 90 to 120 minutes each, with the observation of patients in Inpatient, Outpatient, Emergency, or other clinical/technical activities, by groups of approximately 4 students, with discussion with the respective Professor.

- Simulation classes about traumatic brain injury and the stroke code, in small groups, with training of students in the approach and orientation of these urgent situations

 

Each student will have a notebook where their teaching activity will be recorded.

Evaluation Type

Distributed evaluation with final exam

Assessment Components

Designation	Weight (%)
Participação presencial	22,50
Exame	17,50
Teste	60,00
Total:	100,00

Amount of time allocated to each course unit

Designation	Time (hours)
Estudo autónomo	101,50
Frequência das aulas	60,50
Total:	162,00

Eligibility for exams

Obtaining attendance According to the Institution's rules (minimum number of attendance of 75%, either in the seminars or in the practical sessions)

Calculation formula of final grade

Final ranking calculation formula

- Distributed evaluation:

• Continuous assessment - 22.5

- Attendance/punctuality, attitudes, interest, motivation

- Level and integration of knowledge

• Practical exam - 17.5

- Gesture sheet - execution and discussion

• Final theoretical exam - 60

Approval in the Curricular Unit implies a classification above 50% in each of the three assessment components

Special assessment (TE, DA, ...)

For students with special status who have difficulty attending practical classes and seminars, we will seek to promote flexibility to supplement this attendance in other classes throughout the semester, or by seeking to accompany teachers in clinical tasks at additional times.
If there is no frequency that allows a grade >=50% in the continuous assessment, an examination with the patient may be carried out at the end of the semester, to collect a history and neurological examination, description of the identified pathology and clinical guidance, with the teacher being able to supplement with theoretical- practices.
The practical exam (Gesture sheet – execution and discussion) and the written theoretical test will continue.

Classification improvement

Rating improvement:

test repetition