Consciousness and its evaluation. Raised intracranial pressure, brain edema, craniocerebral injuries. Spinal and spinal cord injuries,. Neurooncology.Brain vascular diseases. Hydrocephalus.Degenerative diseas of the spine.Surgery of peripheral nerves. Pain surgery. Intracranial inflammatory diseases.Epilepsy surgery. Gamma knife.Stereotaxy.
Cíl předmětu - angličtina
Poslední úprava: Jana Kolářová (02.03.2021)
Information about current limits of neurosurgery, most frequent diagnoses with special accent to urgent situations. Surgery indications in chronic states. Diagnostics. Specific technologies in neurosurgical OR.
Sylabus - angličtina
Poslední úprava: Jana Kolářová (02.03.2021)
Organisation of rotation in Department of Neurosurgery.
Rotation lasts for 2 weeks, daily from 8.15 to 12,30 . The beginning is always in the door No 1.204, building CH 1, 2nd floor, lifts A, Central Military Hospital, Prague 6.
DAILY PROGRAMME: 2 hours lecture (see schedule below). After that are students divided to: OR (6 students), outpatient clinic (2-3), admissions (2-3), ward (3). The rest is divided to 2-3 groups, each group will examine one patient, evcaluate MRIs, CTs etc. All these cases are later discussed under supervision of teacher who is daily signed in the "operation programme" of the department. Students change their positions in this system during rotation "to see everythink".
The 1st WEEK
MONDAY
Introduction. Prof.Beneš
Consciousness and its evaluation. Raised intracranial pressure. Doc.Plas Case discussion. Teacher according to daily programme.
TUESDAY
Craniocerebral injuries. Doc.Plas. Case discussion. Teacher iaccording to daily programme.
WEDNESDAY Degeneration of lumbar spine. Surgical approcahes. Congenital anomalies of CNS and spine. Dr.Hackel, Dr.Vaněk
Discussion of selected cases. Doc.Beneš ( jun.)
THURSDAY Surgical approaches to the intracranial space. Hydrocephalus. Dr.Mohapl/ Dr.Masopust Case discussion. Teacher according to daily programme.
FRIDAY Stereotaxy. Gamma knife. Dr.Chytka Case discussion. Teacher according to daily programme.
The 2nd WEEK
MONDAY
Tumors of CNS. Doc.Plas/ prof.Netuka Case discussion.
TUESDAY
Vascular deseases of CNS. Dr.Kramář, Doc.Plas/ prof.Netuka Case discussion.
WEDNESDAY
Degeneration of cervical spine. Injuries of spine and spinal cord. prof.Suchomel Case discussion.
THURSDAY
Surgery of epilepsy.Dr.Nežádal.Peripheral nerves injury. Dr.Kaiser/doc.Plas Case discussion.
FRIDAY
Interventional neuroradiology. Doc.Charvát
End of rotation. Credits, first term exam. Doc.Plas et al
Poslední úprava: doc. MUDr. Ing. Jaroslav Plas (28.05.2019)
1. Symon L., Bone I.: NEUROLOGY AND NEUROSURGERY ILLUSTRATED. 5th edition, CHURCHILL LIVINGSTONE 2010,
Paperback ISBN: 9780443069574
eBook ISBN: 9780702049170
eBook ISBN: 9780702056208
Paperback ISBN: 9780443069789
2. Kaye, Andrew H.: Essential neurosurgery. 3rd ed. ISBN 1-4051-1641-2. Blackwell Publishing Ltd, 2005
3. Greenberg Marc S.: Handbook of neurosurgery, 8th edn,Thieme, New York, 2016
Požadavky ke zkoušce - angličtina
Poslední úprava: doc. MUDr. Ing. Jaroslav Plas (28.05.2019)
NEUROSURGERY. CREDIT and EXAMINATION.
To obtain credit requires : A. Minimally 80% of presence during rotation in neurosurgery B. Min. 70% of correct answers in credit test (30 questions, multiple choice).
The credit test is filled immediatelly before the exam.
EXAMINATION is oral. Pre-prepared couples of questions, draw lots
Examination questions 1. Intracranial metastase. Indications. 2. Intracranial meningiomas. 3. Brain ischemia. Cause, therapy modalities. 4. Spontaneous intracerebral hemorrhage in adults. 5. Intracranial aneurysm: treatment modalities. 6. Subarachnoid hemorrhagie: aneurysm and AVM. Clinical signs and management. 7. Inflammatory intracranial deseases (bacterial meningitis, brain abscess). 8. Cranial fractures. CSF leakage. Carotido-cavernous fistula. 9. Spinal cord traumatic syndromes. 10. Principles of stereotactic surgery, indications (extrapyramidal deseases). 11. Peripheral nerves injury: classification, nerve regeneration, timing. 12. Surgery of pain. 13. Gamma knife. Principle, indications. 14. Spinal injuries: ndications for urgent spinal cord decompression. 15. Peripheral nerves entrapment syndromes. Peripheral nerves tumors. 16. Cervical spine degeneration, its consequencies for neural structures. Indications. 17. Trigeminal neuralgia. Clinical signs, therapy. 18. Gliomas (classification, symptoms, diagnosis, therapy). 19. Surgical approaches to the brain and spinal cord. 20. Brain edema: types, therapy. 21. Extradural (epidural) hematoma. 22. Difuse brain injury: concussion and diffuse axonal injury. 23. Acute and chronic subdural hematoma. 24. Brain herniation syndromes. 25. Injury of lower extremity nerves: clinical signs 26. Tumors of the 4th ventricle and cerebellum in adults (glioma, ependymoma, hemangioblastoma). 27. Congenital anomalies (Chiari malformation, craniosynosthosis, meningocele, encephalo/myelo-meningocele). 28. Injury of upper extremity peripheral nerves: clinical signs. 29. Degeneration of lumbar spine. Signs, indications. 30. Infratentorial tumors in childhoodl 31. Cauda equina tumors. Clinical signs, diagnostics. 32. Brain contusion and traumatic intracerebral hemorrhage 33. Spinal tumores. Classification, clinical signs, indications 34. Injury of spine and spinal cordl 35. Principles of epilepsy surgery. 36. Acoustic neuroma. 37. Classification of closed brain injuries 38. Hydrocephalus. Classification, symptoms, diagnostics, therapy. 39. Sellar region tumors. 40. Consciousness, evaluation. 41. Lumbar radicular syndromes. Neurogenic claudications. Cauda equina syndrome 42. Cervical radicular syndromes. Cervical myelopathy.
