Neurosurgery - B80118 (Všeobecné lékařství - AP)

• Anglický název: Neurosurgery
• Zajišťuje: Neurochirurgická a neuroonkologická klinika 1. LF UK a ÚVN (11-00860)
• Fakulta: 1. lékařská fakulta
• Platnost: od 2023
• Semestr: zimní
• Body: 3
• E-Kredity: 3
• Způsob provedení zkoušky: zimní s.:
• Rozsah, examinace: zimní s.:0/50, Z+Zk [HS]
• Rozsah za akademický rok: 50 [hodiny]
• Počet míst: neomezen
• Minimální obsazenost: neomezen
• 4EU+: ne
• Virtuální mobilita / počet míst pro virtuální mobilitu: ne
• Stav předmětu: vyučován
• Jazyk výuky: angličtina
• Způsob výuky: prezenční
• Vysvětlení: Doc.MUDr.Ing.Jaroslav Plas
• Další informace: http://www.neurosurg.cz
• Staré označení: 118
• Garant: prof. MUDr. Vladimír Beneš, DrSc.
• Atributy: Lékařství; Klinický předmět
• Prerekvizity : B80632, B83161, B83162

Anotace

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

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

Case teachers:

Dr.Vaněk, Dr.Masopust, Dr.Mohapl, Dr.Netuka, Dr.Ostrý,Doc.Bradáč, Dr.Kaiser

White coat is mandatory during stay in the ward.

Poslední úprava: Kolářová Jana (02.03.2021)

Požadavky ke zkoušce

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 questiones

Examination questiones

1. Clinical anatomy of the skull and brain,  surgical approaches to the intracranial space.
2. Disturbance of consciousness (causes, classification, diffuse axonal injury).
3. Subarachnoid hemorrhage from an aneurysm (clinical symptoms, diagnosis, treatment, and complications of bleeding).
4. Epidural hematoma (pathophysiology, symptoms, diagnosis, and treatment options).
5. Acute subdural hematoma (pathophysiology, symptoms, diagnosis, and treatment options).
6. Chronic subdural hematoma (pathophysiology, symptoms, diagnosis, and treatment options).
7. Skull fractures and their complications (CSF leakage, meningitis).
8. Intracranial hypertension syndrome, brain edema, and brain herniations (symptoms, diagnosis, and treatment. Therapeutic approaches for acute decompensation).
9. Ischemic stroke due to carotid stenosis (sources of embolism, stenoses of large arteries, surgical and conservative treatment options).
10. Spontaneous intracerebral hemorrhage in hypertensive patients (symptoms, diagnosis and treatment options).
11. Vascular diseases of the brain (aneurysm, cavernoma, AVM).
12. Gliomas (symptoms, genetics, diagnosis, and treatment).
13. Meningiomas (symptoms, diagnosis, and treatment).
14. Intracranial metastases (etiology, symptoms, treatment options).
15. Posterior cranial fossa tumors (etiology, symptoms, treatment).
16. Pituitary adenomas – non-functioning, pituitary apoplexy (symptoms, diagnosis, and treatment).
17. Pituitary adenomas – functioning (syndromes, diagnosis, and treatment).
18. Intracranial inflammatory diseases (meningitis, brain abscess).
19. Pediatric neurosurgery (brain tumors in childhood, hydrocephalus in childhood)
20. Diffuse brain injuries (concussion, diffuse axonal injury)
21. Focal brain injuries (contussion, cortex laceraion, indications fo surgery)
22. Clinical anatomy of the spine and spinal cord, surgical approaches to the spine.
23. Traumatic spinal cord injuries (spinal syndromes, diagnosis, and treatment).
24. Degenerative cervical spine disease – radiculopathy (symptoms, diagnosis, and treatment options).
25. Degenerative cervical spine disease – myelopathy (symptoms, diagnosis, and treatment options).
26. Acute lumbar discopathy with neurological deficit (symptoms, diagnosis, and treatment options, time factor).
27. Cauda equina syndrome (symptoms, diagnosis, and treatment options, time factor).
28. Degenerative lumbar spine disease – disc herniation (symptoms, diagnosis,  treatment options).
29. Degenerative lumbar spine disease – spinal canal stenosis (symptoms, diagnosis, and treatment options).
30. Degenerative lumbar spine disease – spondylolisthesis (symptoms, diagnosis, and treatment options).
31. Failed back surgery syndrome (definition, symptoms, treatment).
32. Tumors of the spine and spinal cord (vertebral tumors, intradural tumors).
33. Inflammatory diseases of the spine (spondylodiscitis, empyema).
34. Stereotaxy (functional and non-functional procedures, porinciples, indications)
35. Normal pressure hydrocephalus (symptoms, diagnosis, and treatment options).
36. Hydrocephalus (etiology, symptoms, diagnosis, and treatment options).
37. Surgical treatment options for epilepsy (stimulation methods, resection methods).
38. Acute peripheral nerve lesions (symptoms, treatment options).
39. Nerve entrapemnt syndromes (Carpal tunnel syndrome, ulnar nerve sulcus sy - diagnosis, and treatment options).
40. Surgical treatment of pain (trigeminal neuralgia, neuromodulation).
41. Classification of brain injuries (closed/open, primary-secondary, diffuse/focal)
42. Stereo - Radiosurgery (principles of  gama knife, cyber knife -  indications).
43. Blood supply of the brain (anatomy of brain vessels)
44. Brain edema (classification, therapy)

 

 

Poslední úprava: Plas Jaroslav, doc. MUDr. Ing. (16.12.2024)

Sylabus

Consciousness and evaluation of its disturbances

Raised intracranial pressure syndrome.

Craniocerebral injuries.

Spine and spinal cord injuries.

Neurooncology.

Vascular diseases of the brain.

Hydrocephalus.

Spine degeneration.

Surgery of pain

Peripheral nerves surgery.

Intracranial inflammatory diseases.

Surgery od epilepsy.

Gamma knife.

Poslední úprava: Kolářová Jana (02.03.2021)