Diseases of the nervous system

A.Y. 2020/2021
7
Max ECTS
84
Overall hours
SSD
MED/26 MED/27 MED/34
Language
Italian
Learning objectives
The course aims to provide students with:
i) references to the anatomy, physiology and pathophysiology of the nervous system;
ii) knowledge of the semeiotic aspects of the main neurological syndromes and diseases of the nervous system also in medical, surgical and rehabilitative therapeutic foundations.
Expected learning outcomes
The student knows:
i) the clinical neuroanatomy and physiopathology of the nervous system; ii) neurological examination and its interpretation, instrumental diagnostic methods of neurological interest;
iii) the diseases of the nervous system in their epidemiological, genetic, neuropathological, pathophysiological, clinical and therapeutic aspects.
Course syllabus and organization

Single session

Responsible
In the first semester the lectures will take place as concurrent classroms:
·in the classroom with a limited number of students, who have previously booked using the "lezioniUnimi" app with the unimi e-mail account username and password; (https://www.unimi.it/it/studiare/frequentare-un-corso-di-laurea/seguire…) and at the same time through the "Teams platform" for online students ;
· The student must wear a surgical mask for the entire duration of his/her stay in the classroom and to sit using every other free seat
· the lectures will be recorded and made available on the teacher's Ariel website for students with proven difficulties to connect during classes
· the lectures will take place at the San Paolo Hospital on the 3rd floor of Blocco C. Students must access classrooms via Blocco C and exit via the side blocks (students leaving Pauling and Fleming rooms towards Blocco B and students leaving Curie, Golgi and Pasteur rooms towards Blocco A).
Students must enter from the main hall (R floor) of the San Paolo hospital and undergo body temperature measurement by the infrared cameras. It is strongly recommended to use the stairs for classrooms entering and/or leaving.
NB for any further information check the unimi.it website: (Home Studiare Frequentare un corso di laurea Seguire il percorso di studi Orari delle lezioni)
Prerequisites for admission
STUDENTS MUST HAVE PASSED THE EXAMINATIONS OF: ANATOMY, PHYSIOLOGY, HISTOLOGY, PATHOLOGY AND BIOCHEMISTRY
Assessment methods and Criteria
ORAL EXAMINATION: DISCUSSION WITH THE EVALUATORS OF THREE TOPICS
Neurology
Course syllabus
Part I: Elements of Pathophysiology and Semeiology for carrying out the neurological examination.
Collection of the neurological history
Motor functions
Sensitive functions
Upper nervous functions (Language, Apraxia, Agnosia, Disorders of space exploration and body scheme, Intellectual functions, Psychorganic syndromes)
Functions of the cranial and spinal nerves
Anatomy and functions of the vegetative nervous system
Complementary diagnostic tests (clinical neurophysiology, neuroradiology, CSF examination, neurosonology, neuropsychological evaluation, genetic tests, fundamentals of neuropathology)

Part II: Pathophysiological and clinical bases for diagnosis of a lesion site
Spinal cord syndromes
Midbrain, pons and medulla: anatomy and Syndromes
Cerebellar syndrome
Thalamic syndromes
Hypothalamic syndromes
Syndromes from impaired intracranial pressure
Disorders of consciousness (DOC) and coma
Neurovegetative syndromes

Part III: Knowledge of the main neurological diseases
Inflammatory diseases (meningitis and encephalitis)
Trauma of the brain and spinal cord
Vascular diseases
Cerebrovascular diseases
Vascular diseases of the Spinal Cord
Brain, spine and medullary tumors
Dementias
Diseases of the extrapyramidal system
Demyelinating diseases
Epilepsies and occasional epileptic seizures
Syncope
Headache and neuralgia of the head and face
Primary motor neuron diseases
Hereditary spastic ataxias and paraparesis
Toxic and physical diseases
Shortage diseases (Diseases caused by nutritional deficiencies)
Peripheral nerve diseases
Muscle diseases
Myasthenia gravis and myasthenic syndromes
Congenital diseases
Childhood encephalopathies
Inherited metabolic diseases
Diseases of the vegetative nervous system or dysautonomias
Sleep and its alterations
Neurological complications of internal diseases

Part IV: Principles of Neuro-rehabilitation, principles of neurosurgery, socio-health and organizational aspects.
Teaching methods
LESSONS, PRACTICAL LESSONS, SEMINARS
Teaching Resources
Seitun A. (2019) Neurologia di Fazio Loeb. SEU, Pisa.
Ropper, A., Samuels, M. e Klein, J. (2019). Adams and Victor's Principles of Neurology 11th Edition. McGraw-Hill Education, New York.
Neurosurgery
Course syllabus
- Intracranial hypertension and general traumatology concepts
- vascular pathologies of neurosurgical interest
- neuro-oncology
- hydrocephalus and spinal pathology
Teaching methods
LESSONS, PRACTICAL LESSONS, SEMINARS
Teaching Resources
ADAMS & VICTOR. PRINCIPLES OF NEUROLOGY. MC GRAW 2019
NEUROLOGIA DI FAZIONE, SEU 2019
NEUROLOGIA DELLA SAPIENZA, 2019
Physical and rehabilitation medicine
Course syllabus
Introduction to Neurological Rehabilitation.
The individual neurological rehabilitation project.
The nociceptive and neuropathic pain.
The physiological basis of neurological rehabilitation: neuroplasticity and the mirror-neuron system.
The neuromotor and neurocognitive rehabilitation.
The rehabilitation of cerebro-vascular pathologies.
The rehabilitation of the main neurological disorders.
Teaching methods
The teaching metods consist of frontal lessons, usually with the help of slides, and of practical teaching by attending the activities of the ward and the out-patient service under the guide of the teachers and of the tutors.
Teaching Resources
The following textbook could be used to prepare the final exam:
Otto Schimpf, Riabilitazione neurologica, Edi-Ermes
Neurology
MED/26 - NEUROLOGY - University credits: 5
Lessons: 60 hours
Neurosurgery
MED/27 - NEUROSURGERY - University credits: 1
Lessons: 12 hours
Professor: Bello Lorenzo
Physical and rehabilitation medicine
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 1
Lessons: 12 hours
Educational website(s)
Professor(s)
Reception:
Monday 1 - 2 pm (e-mail )
San Paolo Hospital, Via A di Rudinì 8, 20142 - Milano