Vascular Neurology and Neurointervention

Objectives of the course and its place in the medical curriculum:

The purpose of the course is to introduce the dynamically developing methods for diagnosis and treatment of neurovascular disease, illustrated by case demonstrations. Minimally invasive treatment of both ischemic and hemorrhagic stroke is becoming more and more significant by the day and is expected to growth further in the coming years. This evolution generated an increased need for proper understanding of these conditions by the general medical community to secure timely diagnosis and proper patient orientation

Department of Neurosurgery, SE- Department of Neurosurgery and Neurointervention, 1145 Laky Adolf Street 44-46. Emil Pásztor Lecture Hall.

Competencies acquired through the completion of the course:

By the end of the course, students will be able to determine the optimal diagnostic strategy, choose the most appropriate therapeutic method and understand the expected outcome of invasive and conservative therapeutic approach

Prerequisites for course registration and completion:

Macroscopic Anatomy and Embryology II.
Translational Medicine – Pathophysiology II.
Medical Imaging
Emergency Medicine and Oxyology
Permission to take parallel application in the case of Emergency Medicine and Oxyology subject

Detailed course description:

Theoretic foundations – 2025.10.02., 14:00-18.00

• Aneurysmal Subarachnoid Hemorrhage – Dr. Aldea Cristina
  – epidemiology, pathophysiology, and natural course
  -diagnostics, primary and secondary prevention
  – principles of establishing therapeutic indications
• Surgical Treatment of Cerebral Aneurysms Dr. Gábor Nagy,
  – surgical indications, interdisciplinary decision-making
  – surgical methods, outcomes
• Endovascular Treatment of Cerebral Aneurysms Dr. Sándor Nardai
  -surgical indications, interdisciplinary decision-making
  -surgical methods, outcomes
• Aneurysms – Case Presentations and Simulator-Based Seminar Training Dr. Sándor Nardai,

Aneurysms -2025.11.06., 14:00-18.00

• Functional and radiological neurovascular anatomy – Sándor Nardai MD, PhD, med.habil 
  – Cerebral arterial system
  – Cerebral venous system and cerebral sinuses, spinal arterial system
• Pathophysiology of the cerebrovascular diseases – Prof. emeritus Zoltán Nagy
  – Ischemic core and penumbra, basic concepts of cerebral reperfusion therapy
  – Reperfusion injury of the blood-brain barrier  
  –The effect of venous drainage on cerebral function
• Cross-sectional imaging methods in neurovascular disease – Péter Várallyay, MD, PhD. 
  – CT, CTA
  – MR, MRA
  –Perfusion studies
• Case-based discussion, case demonstration
  –CT and MRI stroke protocol – Péter Várallyay, MD PhD
  –Catheter angiography – Péter Pál Böjti, MD, PhD

 Ischemic stroke -2025.11.27., 14:00-18.00

• Acute ischemic stroke Dr. Mate Czencz
  – Etiology – Symptoms,
  – NIHSS scale:
  – systemic thrombolysis: indicaitions, contraindications
  – Rehabalitation and secondary prevention
• Endovascular treatment of acute ischemic stroke Dr. Mate Kondor
  – Imaging studies and interpretation
  – Endovascular revascularization techniques
  – Results of endovascular revascularization
• Treatment of vascular diseases of the neck Dr. Zsolt Berentei
  – The role of vascular surgery and endovascular interventions
• NIHSS scale, subITO, Dr. Mate Czencz/Dr. Mate Kondor/Dr. Adam Medvigy

 Vascular malformations and venous disease – 2025.12.04., 14:00-18.00

• Intracranial vascular malformations : Dr. István Szikora PhD.
  – classification, pathology, diagnostics, treatment options
  – Micro-neurosurgical treatment
  – Radiosurgical treatment.
  – Endovascular treatment
• Dural arteriovenous fistulae: etiology, pathogenesis, imaging, treatment. Dr. Sándor Nardai
• Endovascular treatment of the diseases of cerebral veins and sinuses Dr. Akos Kornfeld
  – Treatment of pseudotumor cerebri by sinus stenting
  – Hemodynamic and therapeutic effects of sinus thrombectomy
• Practical exam

List of course books, textbooks, study aids and literature facilitating the acquisition of knowledge

to complete the course and included in the assessment, precisely indicating which requirement
each item is related to (e.g., topic by topic) as well as a list of important technical and other applicable study aids:

•  online notes 
• S. Goldberg: Clinical Neuroanatomy Made Ridiculously Simple
•  M. Forsting: Intracranial Vascular Malformations and Aneurysms
•  J. Byrne: Tutorials in Endovascular Neurosurgery and Interventional Neuroradiology