Clinical Neurophysiology

The course is intended that students will be able to:

a -. know the basis of clinical processes in which can be used techniques of Clinical Neurophysiology.
b -. Knowing the potential of electrophysiological techniques for the diagnosis and monitoring of clinical conditions related to the nervous system.
c -. be familiar with the use of the techniques of Clinical Neurophysiology.
d -. develop skill in the management literature.

TOPICS
1 -. Electroencephalography. General principles and clinical applications
2 - Sleep Disorders. Polysomnography
3 -. Electromyography. Nerve conduction studies
4 - Disorders of the neuromuscular junction. H reflex, F response and blink reflex
5 -. Somatosensory evoked potentials, auditory evoked potentials in the brain stem, visual evoked potentials, electroretinography, long latency potentials
6 -. Motor evoked potentials
7 -. Intraoperative monitoring

SEMINARS
1 -. Neurophysiological evaluation of the autonomic nervous system.
2 -. Neurophysiological assessment of movement disorders.
3 - Deep brain stimulation: principles and clinical applications.
4 - Clinical case: CIP
5 - Case: temporal lobe epilepsy
6 - Case: REM sleep disorder
7 - Case: gravis
8 - Case report: multiple sclerosis
9 - Case: brainstem expansive lesion (MIO)
10 - Case: surgical treatment of tremor

TEACHING PRACTICE
Making practical activity in the Clinical Neurophysiology CHUS

Conceptos básicos sobre EEG. Rowan and Tolunsky, 2004. ELSEVIER ISBN 84-8174829-3

Electrodiagnosis iin Clinical Neurology. Aminoff 5th edition, 2005 Elsevier Churchill Livingstone. ISBN 0-443-06647-7

General skills
Establishing the diagnosis, prognosis and treatment, applying the principles based on the best possible information and clinical safety conditions.

Specific skills
Assess the risk / benefit ratio of diagnostic and therapeutic procedures.
Knowing the main indications of electrophysiological techniques (ECG, EEG, EMG, and others).
Learn how to perform and interpret an EEG.

Lectures (10 hours): theoretical presentation of the most relevant topics of clinical neurophysiology
Seminars (10 hours): presentation and analysis and discussion of representative clinical cases.
Clinical practice (8 hours): assistance to the clinical activity of the Service of Clinical Neurophysiology, EMG, evoked potentials, polysomnography, intraoperative monitoring, deep brain stimulation. The virtual classroom will be used to carry out non-contact activities using the available institutional tools.

Theoretical exam 25% of final grade
Active participation in seminars 25%
Active participation in Clinical Practice 25%
Presentation of report on a scan performed during clinical practice 25%

The course has 3 ECTS of which are 47 hours of personal work to be employed to prepare the topics taught in lectures, as well as seminars and preparing the report.

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