Otorhinolaryngological, Neurological and Rehabilitative Sciences

A.Y. 2022/2023
Overall hours
MED/26 MED/27 MED/31 MED/34 MED/36
Learning objectives
The main learning objectives of the course are:
- to know the main systems of neurological semiotics;
- to know the main diseases of the central and peripheral nervous system in adult and childhood;
- to know the main investigation systems and the main otorhinolaryngological diseases;
- to know the main phonosurgical and cervical oncology interventions;
- to know the principles of neurosurgery;
- to know the principles of rehabilitation and their applications to the main pathological conditions;
- to know the main imaging systems and with particular attention to the neuroimagin (CT, NMR, fMRI, PET, SPECT).
Expected learning outcomes
At the end of the course the student will be able to know the clinical pictures related to the main diseases of the nervous system and of the head and neck cancer. The student will also know the main diagnostic techniques and the principles of rehabilitation.
Course syllabus and organization

Single session

Prerequisites for admission
With reference to the Didactic Regulations (art.20), To access the second year, it is essential to have achieved at least four exams of which:
- biological, physiological and morphological sciences
- linguistic, philosophical and socio-pedagogical sciences
- applied speech therapy sciences: propaedeutic
The student must also have passed the first year traineeship exam.
Assessment methods and Criteria
Learning assessment will take place through a written test with multiple choice questions. The duration of the planned test is approximately 100 minutes.
The evaluation criteria will be the acquisizion of the essential knowledge relating to the discipline.
The assessment of learning will be expressed in thirtieths., calculated on the basis of the weighted average of the results obtained in each module based on the ECTS. The results of the tests will be communicated to the students through the publication on VWEB, the prospectus of the marks acquired in the individual modules will also be sent to the secretary.
Course syllabus
· acute cerebrovascular disease (ischemic stroke, TIA, cerebral hemorrhage)
· epilepsy (definition of epileptic seizure and epileptic disease, status epilepticus)
· basal ganglia disorders: Parkinson's disease, parkinsonian syndromes, Huntington's disease and other choreic syndromes, dystonias
·multiple sclerosis
· dementia: definition, clinical features, degenerative dementia (Alzheimer's disease, frontotemporal dementia, Lewy body dementia), vascular dementia, "reversible" dementia
· central nervous system infections: bacterial meningitis, aseptic (clear CSF) meningitis, encephalitis, prion disease
· diseases of the peripheral nervous system: definition of mono-, multi-, polyneuropathies; clinical and instrumental semeiological elements in motor, sensory and autonomic neuropathies; Guillain-Barré syndrome; chronic neuropathies; notes on the main heredodegenerative neuropathies; compression and entrapment neuropathies
· muscle diseases (inflammatory myopathies; muscular dystrophies; metabolic myopathies)
· motion neuron diseases: amyotrophic lateral sclerosis, clinical variants
· neuromuscular junction diseases: myasthenia gravis, myastheniform syndromes
· toxic, metabolic encephalopathies
Teaching methods
Teaching Resources
Pierluigi Bertora - neurologia per le lauree delle professioni sanitarie - Piccin, Padova, 2015
Course syllabus
· I lesson (2.h): Introduction to the course, Principles of Anatomy and Physiology of the Central Nervous System applied to Neurosurgery, Head Trauma
· II lesson (2 h): supratentorial intracranial tumors (gliomas, metastases, meningiomas)
· III lesson (2 h): Subtentorial intracranial tumors (intrinsic, extrinsic lesions)
· IV lesson (4h): Aneurysms and subarachnoid hemorrhage, arteriovenous malformations, cavernous angiomas. Discussion of neurosurgical clinical cases
Teaching methods
Teaching Resources
Angelo Lavano- Neurochirurgia per infermieri, tecnici, riabilitatori- Società Editrice Esculapio- 2015
Francesco Acerbi- Materiale didattico utilizzato nelle lezioni del modulo di neurochirurgia
Cervical-cephalic oncology
Course syllabus
Tumors of the cervico-cephalic district: etiology, evolution, clinical picture, diagnostic and therapeutic principles
· Tumors of the larynx
· Cancers of the oral cavity and pharynx
· Nose tumors
· Cancers of the salivary glands and neck
Teaching methods
Teaching Resources
Trattato di Otorinolaringoiatria e Audiologia, Pignataro, Cesarani, Felisati, Schindler ed. EdiSes 2012
Physical and rehabilitation medicine
Course syllabus
· A - Physical and Rehabilitation Medicine
· who the physiatrist is, what is meant by "rehabilitation team" and how the team's activity is articulated
· the rehabilitation record as intended by the Lombardy region
· Individual Rehabilitation Project and Program
· B - Cerebrovascular pathology
· clinical pictures: hemiplegia vs ataxic syndrome, different clinical severity
· how functional recovery occurs after a stroke: method, time and type of recovery
· intrinsic recovery and adaptive recovery
· the rehabilitative prognosis
· educational videos
· C - Rehabilitation exercise in stroke
· learning pedagogy: "top down vs bottom up"
· neuronal plasticity
· therapeutic exercise based on the functional aspect of the patient
· educational videos
· D - Main cognitive deficits in brain stroke
· apraxia
· eminattenzione
Teaching methods
Teaching Resources
Spread 2017 Stroke Prevention and Educational Awareness Diffusion. Linee guida italiane http://www.iso-spread.it/index.php
Secondo rapporto sull'ictus. Istituto Auxologico Italiano, Masson editrice
Vallar-Papagno. Manuale di neuropsicologia. Il Mulino Manuali
Diagnostic imaging and radiotherapy
Course syllabus
Physical principles of radiation.
Radiology: traditional diagnostics and main methods and CT. Advantages and disadvantages.
Physical and biological basis of nuclear medicine. Notes on the main diagnostic investigations of nuclear medicine.
Contrast media in radiology: indications and adverse reactions
Physical principles and diagnostic use of ultrasound. Advantages and disadvantages.
Physical principles and diagnostic use of Magnetic Resonance. Advantages and disadvantages.
General principles of radiotherapy: main methods and their therapeutic use.
Teaching methods
Teaching Resources
Dispense fornite durante le lezioni.
Cervical-cephalic oncology
MED/31 - OTORHINOLARYNGOLOGY - University credits: 1
Lessons: 10 hours
Diagnostic imaging and radiotherapy
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Lessons: 10 hours
Professor: Minorati Davide
Sezione: Sacco
Professor: Minorati Davide
MED/26 - NEUROLOGY - University credits: 3
Lessons: 30 hours
Professor: Bertora Pierluigi
MED/27 - NEUROSURGERY - University credits: 1
Lessons: 10 hours
Professor: Acerbi Francesco
Physical and rehabilitation medicine
Lessons: 10 hours
Professor: Perucca Laura