Vascular Neurology and Neurointervention
Credit value: 3
Semester: 7-10 (as defined in the curriculum)
Total number of classes / week: 3
Type of subject: elective
Course coordinator: Sándor Nardai MD. PhD
Place of work: SE- Department of Neurosurgery and Neurointervention, Division of Neurointervention
Position: Head of the Division of 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:
– cerebral arterial system
– cerebral venous system and cerebral sinuses, spinal arterial system
– Reperfusion injury of the blood-brain-barrier
– The effect of venous drainage on cerebral function
– CT, CTA, MR, MRA 3. Catheter angiography
– epidemiology and natural history, haemodinamic concepts of aneurysm formation
– neurological diagnosis
– indications for treatment
– Primary and secondary prevention os SAH
– indication, multidisciplinary decision making – surgical techniques
– indication, multidisciplinary decision making – endovascular techniques
– Etiology
– Symptoms, NIHSS scale:
– systemic thrombolysis: indicaitions, contraindications – Rehabalitation and secondary prevention
– Imaging studies and interpretation
– Endovascular revascularization techniques
– Results of endovascular revascularization
– The role of vascular surgery and endovascular interventions
– classification, pathology, diagnostics, treatment options – Micro-neurosurgical treatment
– Radiosurgical treatment.
– Endovascular treatment
12. Dural arteriovenous fistulae: etiology, pathogenesis, imaging, treatment. Dr. Péter Orosz PhD.
13. Endovascular treatment of the diseases of cerebral veins and sinuses Dr. Sándor Nardai
– Treatment of pseudotumor cerebri by sinus stenting
– Hemodynamic and therapeutic effects of sinus thrombectomy
14. Student’s cases demonstrations
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