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
• Způsob výuky: prezenční
• Vysvětlení: Doc.MUDr.Ing.Jaroslav Plas
• Další informace: http://www.neurosurg.cz
• Staré označení: 118
• Garant: prof. MUDr. Vladimír Beneš, DrSc.
• Patří mezi: Compulsory for GM 5.y._23/24
• Atributy: Lékařství; Klinický předmět
• Prerekvizity : B80632, B83161, B83162

Anotace

Poslední úprava: Jana Kolářová (02.03.2021)

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.

Sylabus

Poslední úprava: Jana Kolářová (02.03.2021)

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.

Literatura

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

Metody výuky

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

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.

Požadavky ke zkoušce

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.