Neurology Goals & Objectives
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Neurology Goals & Objectives
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Neurology Goals & ObjectivesGoalsUpon 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
Objectives1. 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
TechnicalUnderstand 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)
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