Neurosurgery
Objectives
Learning the content of the Course in Neurosurgery requires basic knowledge in Neurology, namely knowledge of the anatomy and semiology of the Nervous System and the ability to perform a neurological examination.
The main objective of the Neurosurgery curricular unit is to acquire the basic and essential knowledge of semiology and pathophysiology inherent to neurosurgical pathology, in order to provide the future physician with the capacity for its application and interpretation.
General characterization
Code
11239
Credits
3
Responsible teacher
Prof. Doutor Manuel Cunha e Sá
Hours
Weekly - Available soon
Total - Available soon
Teaching language
Portuguese
Prerequisites
Bibliography
. Clinical Neurology. Roger P. Simon, Michael J. Aminoff, David A. Greenberg. 10th Edition 2018. McGraw Hill - Lange Medical Publications;
. Neurological Examination Made Easy. Geraint Fuller. 6th Edition 2015. Elsevier
. Anatomia Humana da Relação. J. A. Esperança Pina - 4ª edição Lidel, Edições Técnicas.
. Snells Clinical Neuroanatomy, Ryan Splittgerber Ph.D. - 8th edition - Wolters Kluwer
. Handbook of Neurosurgery. Mark S. Greenberg - 9th edition - Thieme
. The developing human. Keith L. Moore, T.V.N. Persaud - 11tth edition - Elsevier
Teaching method
In order to achieve the learning objectives of the Curricular Unit defined above, the teaching methodology will comprise:
. Theoretical-practical teaching: Theoretical discussion in the classroom with particular concern for the use of concrete examples from clinical practice. Fundamental elements will be the use of various imaging technologies, namely 3D for teaching general neuroanatomy and the various areas of nervous system pathology. The frequent use of microsurgery videos may be an important complement to live observation of surgical interventions. The Moodle platform will contain the content of all classes taught.
. Practical Teaching: Organized in small groups (up to 3), in a schedule to be arranged, students will be able to shadow designated tutors in consultation, exams, inpatient and operating theater at Hospital CUF Tejo. Students will be encouraged to take advantage of the facilities of the Knowledge Center, Simulation Laboratory, and the Library where training activities will be carried out, complementary to the program described above.
Evaluation method
Attendance will be considered with the obligation of at least 2/3 of the theoretical-practical classes.
The evaluation will be quantitative (0-20 points), based on a 90-minute duration written evaluation consisting of 40 multiple choice questions using an evaluation platform to be defined. To students with special statutes will apply the assessment methodologies and attendance rules in accordance with the regulations of the NMS/UNL.
Subject matter
Embriology; normal, topographic and surgical anatomies. Brain regulation; neurointensive care and surgical options. Tumour types; Roles of surgery, radiosurgery, radiotherapy and chemotherapy - present and future perspectives. Clinical cases. Brain and spinal vascular anatomy; Haemorrhagic and ischemic strokes - etiology and treatment; Brain aneurysm, arteriovenous malformations - classification and their multidisciplinary approach. Clinical cases. Approach to TBI; medical and surgical treatments; neurointensive care; rehabilitation; prognosis. Spinal anatomy and biomechanics. Degenerative spine; Primary and secondary spinal tumours; Infectious spinal disease; Traumatic spinal injury. Spinal emergency care. Congenital and acquired Neurosurgical diseases in paediatrics. Routine Neurosurgical emergency cases - integration of lectured concepts. Reflection on the social, legal, political and ethical repercussions in relation to the evolution of Neurosciences