Diseases of the Nervous System

A.Y. 2024/2025
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.
Single course

This course cannot be attended as a single course. Please check our list of single courses to find the ones available for enrolment.

Course syllabus and organization

Single session

Responsible
Prerequisites for admission
Student must have passed the exam of General Pathology and Physiopathology.
Student must have acquired knowledge in Chemistry and biochemistry, Istology and embriology, Human anatomy
Assessment methods and Criteria
Oral exam on program 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
Each credit includes hours of frontal and innovative teaching. The innovative teaching activities consist in the deepening of specific topics of the course syllabus, that will be selected by the students and the teacher. Such activity will be carried out in active collaboration between students and teacher.
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
Each credit includes hours of frontal and innovative teaching. The innovative teaching activities consist in the deepening of specific topics of the course syllabus, that will be selected by the students and the teacher. Such activity will be carried out in active collaboration between students and teacher.
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
Each credit includes hours of frontal and innovative teaching. The innovative teaching activities consist in the deepening of specific topics of the course syllabus, that will be selected by the students and the teacher. Such activity will be carried out in active collaboration between students and teacher.
The teaching metods consist of frontal lessons, usually with the help of slides.
Teaching Resources
The slides projected during the lesson will be provide directly in the classroom.
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: 40 hours
: 20 hours
Neurosurgery
MED/27 - NEUROSURGERY - University credits: 1
Lessons: 8 hours
: 4 hours
Professor: Bello Lorenzo
Shifts:
Turno
Professor: Bello Lorenzo
Physical and rehabilitation medicine
MED/34 - PHYSICAL AND REHABILITATION MEDICINE - University credits: 1
Lessons: 8 hours
: 4 hours
Shifts:
Turno
Professor: Previtera Antonino Michele
Professor(s)
Reception:
Monday 1 - 2 pm (e-mail )
San Paolo Hospital, Via A di Rudinì 8, 20142 - Milano
Reception:
Giovedi 14.00-16.00
Policlinico San Donato