Medical specialty of the Nervous System.
Shares body system with psychiatry, neurosurgery and potentially ophthamlogy!
In the UK training is via internal medical training- requiring MRCP, hence neurologist have a good foundation of general medicine.
Anatomy
Central Nervous System
Brain
Spinal cord
Peripheral nervous system anatomy
Cranial nerves
Cervical, Brachial plexus and thoracic nerves
Lumar plexus, sacral and cocyx nerves
The Synapse
Central Nervous System
Brain
Vascular:
Migraine , Tension Headache , Cluster Headache , Medication Overuse Headache, Paroxysmal hemicrania
Concussion, CTE (Chronic Traumatic Encephalopathy), Haematomas
Dementia
Alzheimer's Disease , Frontal Temporal Disease , Vascular Dementia
Parkinson's Disease , Lewy Body Dementia
Parkinson's plus syndromes: Multi System Atrophy , PSP (Progressive Supranuclear Palsy )
Infection
Cerebral abscess
Brain cancers
Genetic: Huntington's Disease
Spinal Cord
Discitis, Osteomyelitis, Spinal abscess
Syringomyelia , Brown Sequard Syndrome
Spinal infarction
Peripheral Nervous System
Peripheral Neuropathy:
Charcot Marie Tooth (CMT)
B12 Deficiency, Diabetes
Mononeuropathy
Mononeuritis
Polyneuropathies
Autonomic neuropathy: T2DM (Type 2 Diabetes Mellitus)
Cranial Nerves
Abducens Cranial Nerve VI Palsy
Trigeminal cranial nerve V- Trigeminal Neuralgia
Bell's Palsy- facial cranial nerve VII
Presentations
Loss of consciousness
Focal neurology
Motor
Sensory
Function: speech, sight, balance
Examination
Nervous system: UL, LL, cerebellar
Speech, vision, balance examinations
Investigations
CT-Head
MRI spine and Head
Lumbar Puncture
Nerve conduction studies, EMG
9 years:
FY1-2
IMT 1-3
ST 4-7
Written in 2024.