Introduction to contemporary neurosurgery and its limits. Most frequent diagnoses with a special accent to urgent
states. Surgical indications in chronic diseases. Diagnostics. Specifics of neurosurgical procedures.
Poslední úprava: Kolářová Jana (02.03.2021)
Metody výuky - angličtina
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
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 questiones
Examination questiones
Clinical anatomy of the skull and brain, surgical approaches to the intracranial space.
Disturbance of consciousness (causes, classification, diffuse axonal injury).
Subarachnoid hemorrhage from an aneurysm (clinical symptoms, diagnosis, treatment, and complications of bleeding).
Epidural hematoma (pathophysiology, symptoms, diagnosis, and treatment options).
Acute subdural hematoma (pathophysiology, symptoms, diagnosis, and treatment options).
Chronic subdural hematoma (pathophysiology, symptoms, diagnosis, and treatment options).
Skull fractures and their complications (CSF leakage, meningitis).
Intracranial hypertension syndrome, brain edema, and brain herniations (symptoms, diagnosis, and treatment. Therapeutic approaches for acute decompensation).
Ischemic stroke due to carotid stenosis (sources of embolism, stenoses of large arteries, surgical and conservative treatment options).
Spontaneous intracerebral hemorrhage in hypertensive patients (symptoms, diagnosis and treatment options).
Vascular diseases of the brain (aneurysm, cavernoma, AVM).
Gliomas (symptoms, genetics, diagnosis, and treatment).