Neurology Goals & Objectives

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Neurology Goals & Objectives


Upon completion of the neurology rotation the neurosurgical resident will:

1.                  Understand the anatomy, physiology and pathology of the nervous system

2.                  Describe the etiology and pathogenesis of cerebrovascular disease

3.                  Integrate the neurological examination with laboratory, physiologic and radiographic studies to precisely locate lesions within the nervous system

4.                  Form specific treatment plans and accurate prognoses based on localization, pathophysiology and naturalization of a neurological disorder occurring in any specific patient



1.                  Understand and recognize the major causes of stroke

2.                  Compare the differences between hemorrhage infraction and primary hemorrhage

3.                  Identify the appropriate diagnostic studies to support the clinical impression of stroke

4.                  Select the appropriate therapeutic maneuvers for effecting treatment of stroke in individual patients and categories of patients

5.                  Educate patients and families about the risks of recurrences of stroke and appropriate prophylactic measures

6.                  Localize affected area based on clinical presentation of stroke

7.                  Describe the etiology, pathogenesis, clinical presentation, radiologic evaluation, clinical evaluation, and management of the following: Transient ischemic attacks, Cerebral infarction, Cerebral and Cerebellar hemorrhage, Subarachnoid hemorrhage, Venous infarction,

8.                  Identify the primary causes of stroke in the pediatric population

9.                  Recognize bacterial and viral meningitis

10.              Order appropriate laboratory and diagnostic studies in patients with meningitis

11.              Appropriately use antibiotics in meningitis

12.              Describe the clinical manifestations of viral encephalitis

13.              Define the major viral causes of encephalitis

14.              Describe the major magnetic resonance imaging (MRI) and computerized tomography (CT) findings in encephalitis

15.              Define the electro encephalogram (EEG) findings peculiar to herpes encephalitic and Jacob–Creutzfeld disease

16.              Describe the clinical presentation of polioencephalomyelitis

17.              Describe the diagnosis and management of pseudotumor cerebri

18.              Describe the diagnosis and management of normal pressure hydrocephalus

19.              Define the routes of infection cerebral & epidural abscess including direct extensions, post traumatic, and hematogenous

20.              Explain the expectations of organisms including bacterial, fungal, and parasitic

21.              Use the indications for surgical intervention

22.              Prescribe appropriate antibiotics

23.              Explain paradoxic embolization in the context of cerebral abscess and hematogenous dissemination

24.              Define neurosarcoidosis and its systemic accompaniments

25.              Explain the expected clinical presentation, diagnostic adjuncts and prognosis of neurosarcoidosis

26.              Compare acute injury clinical presentations including spinal shock, Brown-Sequard Syndrome, central cord syndrome, and cauda equina syndrome

27.              Identify the spinal level of injury based on physical examination

28.              Distinguish between acute polyneuropathyies and myelopathy

29.              Define the cerebrocutaneous syndrome and their neoplastic accompaniments: Neurofibromatosis I and II, Tuberous sclerosis, Von Hippel-Lindau Syndrome, Sturge-Weber Syndrome

30.              Identify and describe the clinical manifestations and laboratory investigations of the remote effects of: Eaton-Lambert Syndrome, Cerebellar degeneration, Polyneuropathies, Limbic encephalitis, Marantic endocarditis

31.              Identify the clinical indicators for nerve biopsy

32.              Categorize, define, and explain the clinical presentation and the pathophysiology of the major degenerative disorders

33.              Define the clinical presentations, relevant diagnostic studies, the therapeutic measures, and prognostic indicators in the major autoimmune disorders of the nervous system

34.              Understand the various movement disorders and their associated clinical manifestations

35.              Recognize the major peripheral neuropathies in clinical practice

36.              Analyze the role of alcohol in disease of the nervous system: Wernicke’s Encephalophy, Korsakoff’s, sychosis, Central Pontine Myelinolysis, Alcoholic Peripheral Neuropathy, Delirium Tremens

37.              Understand the pathophysiology, clinical presentation, diagnosis, treatment, and prognosis various muscular disorders

38.              Distinguish the major cerebral degenerative disorders of childhood

39.              Describe the neurological manifestations of each of the major storage disorders

40.              Define the major categories of headache, their presentation, relevant diagnostic studies and treatment: Tension, Cluster, Migraine, Analgesic Rebound, Post-cerebral Hemorrhage, Cerebral Neoplasm

41.              Define the major categories of epilepsy, their presentation and treatment as well as relevant diagnostic studies

42.              Define status epilepticus, its causes, pathophysiology, clinical presentation, diagnostic studies and treatment

43.              Define delirium and dementia. List the differential diagnoses for each

44.              Describe coma and altered states of consciousness and measure patient status using the Glasgow Coma Scale

45.              Evaluate a patient with syncope



Understand the indications, pathologic changes, how test is performed, diagnostic use, perform, and analyze the following:

1.                  electroencephalography (EEG)

2.                  sensory evoked potential testing (SEP)

3.                  visual evoked potential testing (VEP)

4.                  motor evoked potential testing (MEP)

5.                  electromyographic testing (EMG)

6.                  nerve conduction velocity testing (NCV)

7.                  transcranial Doppler (TCD)