Fellowship In Neuro Emergencies

Certified by The indian college of emergency medicine (TICEM)

Course Director:

Dr. N. Balamurugan

MD., D.M (Neuro) NIMHANS, FICP., FRCP.,FACP.,
Sr. Consultant, Neurologist & Director,
SIMS Chellum Hospital, Salem

Course Faculty:

Dr. S. Meenakshi Sundaram

MD., DM (Neuro)
Sr. Consultant Neurologist,
Apollo Specialty Hospitals, Madurai

Dr. S. Senthilkumaran

Senior Consultant & Head,
Emergency and Critical Care,
Manian Medical Centre, Erode

Dr. Yash Javeri

CII Medical Task Force Member
Convener – Indian Sepsis Forum
VP Society of Neurocritical Care – India
Head – Critical Care,Anesthesia & Emergency
Regency Super Speciality Hospital – Lucknow

Dr. Narendra Nath Jena

Director & Head – Institute of Emergency Medicine,
Meenakshi Mission Hospital & Research Centre,
Madurai

Dr. B. Kannan

MD.,DM.(Neuro),
Consultant Neurologist,
Sundaram Arulraj Hospital, Tuticorin.

Dr. Gaurav Kakkar

MBBS (AFMC) FCA RCSI CCT (UK)
Associate Director, Neuroanaesthesia & Neurocritical Care,
Medanta Medicity, Gurgaon
Visiting Consultant: The Walton Centre, Liverpool, UK

Dr. Rasmiranjan Padhi

MBBS, MD, PDCC, EDiINR
Chief Consultant Neurointerventional Unit
GKNM Hospital, Coimbatore.

Dr. Srinivas

Director & Head,
Department of Critical Care,
Virinchi Hospital, Hyderabad.

Learning Objectives:

1. Acute severe headache
2. Acute onset Vertigo
3. Coma, stupor and acute confusional states
4. Seizures at ER
5. Acute onset abnormal movements – Movement disorder emergencies- the new area to be explored
6. Acute onset focal neurological deficits
7. Acute flaccid weakness
8. Acute visual loss or double vision – Neuro ophthalmic emergencies
9. Postpartum neurological emergencies – postpartum eclampsia, CVT and post spinal ache
10. Acute onset Neck pain and Low back pain
11. Neuro trauma
12. Neuro infection versus systemic infection

Curriculum:
Week 1

Module Release Date: To be announced

Anatomy

Gross orientation

Key points of semicircular canals

Hair cell morphology, topology and morphological polarisation

Nerve supply and blood supply

Brain stem anatomy

VOR Pathway

Extraocular muscles

Module Release Date: To be announced

Physiology

The angular VOR

The tilt VOR

The translational VOR

Core laws and principles

Concept of velocity storage

The neural integrator

Semicircular canal-otolith interactions

Cervical and vestibular interactions

Why should the eyes move?

Action potential and factors influencing nerve excitability

Module Release Date: To be announced

History

Vestibular Symptom

Non vestibular symptoms for the vestibular clinician

Diagnostic criteria of Barany Society for various disorders

SOSTONED approach for reaching a diagnosis

Module Release Date: To be announced

Clinical Examination

The physical examination techniques and interpretation for vestibular clinician

Pathophysiology of clinical vestibular syndromes

Nystagmus direction in peripheral vestibular disease

Nystagmus direction in central vestibular disorders

Module Release Date: To be announced

Positional Vertigo

Neuroanatomy of angular VOR pathways for all semicircular canals

Observed nystagmus patterns for each semicircular canal involvement

Positional tests and interpretation

Positional maneuvers

Module Release Date: To be announced

Videonystagmography

Technology and conventions

Tests and methods of performance

Nystagmus: How to describe

Ocular motors tests: Detailed performance and analysis

VOR suppression test

The clinical chair rotation test

Module Release Date: To be announced

Index cases

Cases contributed by leading vestibular practitioners in Neurotology from across the country.

History, Examination, Findings and Treatment protocols of key diagnoses

Pharmacotherapy

Module Release Date: To be announced

Rehabilitation

Pathophysiological basis

Assessment protocols

Physical rehabilitation

Instrumental rehabilitation

Module Release Date: To be announced

Rehabilitation

vHIT

Rotational Vestibular Assessment

VEMP

ECochG

Posturography

Caloric test

Module Release Date: To be announced

Eye movement neurology

Detailed considerations of saccades, pursuit, optokinetic, vergence and vestibular eye movements.

Hands On Module:

Date & Venue to be announced

Videonystagmography

vHIT

ECochG

VEMP

Dynamic Visual Acuity

Computerised Static Posturography

Craniocorpography

Positional tests

Radiology

Rehabilitation

The syndromic approach

Acute vertigo evaluation

Predominant complaint of difficulty in walking

Eligibility:

Doctors who wish to gain expertise in the field of vestibular medicine.

I. MBBS
II. Postgraduate residents in ENT, General medicine, Geriatric medicine and Neurology
III. DLO
IV. MS/DNB (ENT)
V. OM (Neurology)
VI. MD (General medicine)
VII. MD (Geriatric medicine)

Enroll in Fellowship In Neuro Emergencies