Requirements to knowledge and practical skills
Criteria of estimation of knowledge on course of neurology and neurosurgery
As a result of studying the discipline the student should:
know:
- Sensitive function. Syndromes of sensitive disorders.
- Reflex-motor function of nervous system pathology. Types of paralyses. Syndromes of a lesion of a motor tract at different levels.
- Extrapyramidal system and characteristics of its lesion. A cerebellum, characteristics of a cerebellum lesion.
- Anatomy, examination and clinical signs of I-XII cranial nerves affection.
- Localization of functions in the brain cortex, syndromes of lesions, disturbance of the higher cortical functions
- Demyelination diseases of nervous system.
- Epilepsy and nonepileptic paroxysmal states.
- Hemorrhagic and ischemic cerebral strokes.
- Infectious diseases of central nervous system.
- Diseases of peripheral nervous system. Vertebrogenic lesions of nervous system.
- Hereditary and degenerative diseases of nervous system.
- Neurosurgical treatment of circulatory and vertebrogenic disorders of nervous system.
- Traumatic injuries of central nervous system.
- Brain and spinal cord tumors.
be able:
to examine nervous system sensitive function:
— pain, temperature sensation, tactile sensitivity
— deep proprioceptive sensitivity and vibration sensation
— stereognosis and two-dimension space feeling
to examine tension symptoms (Lasseg, Neri, Wasserman, Degerine)
to examine nervous system reflective-motor function:
— passive and active limb movement
— muscle tone and strength
— superficial congenital reflexes (abdominal, feet, corneal, pharyngeal)
— deep congenital reflexes
— pathological reflexes (oral automatism, Babinski’s, Oppenheim, Gordon, Sheffer, Rossolimo, Zhukovsky’s, Bechterew)
to examine functions of balance and movement coordination
to examine:
— olfactory and visual analyzer
— oculomotor nerve
— taste, trigeminal and facial nerves
— auditory and vestibular nerves, Rinne and Weber tuning tests
— glossopharyngeal and vagus nerves
— accessory, sublingual nerves
to examine speech, writing, reading, counting
to define apraxia, agnosia
to examine vegetative nervous system functioning
to define meningeal signs