VETERINARY NEUROPATHOLOGY MIP 765
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1 CVMBS VETERINARY NEUROPATHOLOGY MIP 765 Graduate level neuropathology Colorado State University Fort Collins, Colorado Course coordinators: Tawfik Aboellail, DMC 316: Chad Frank, DMC 321: Spring 2016
2 NEUROPATHOLOGY SYLLABUS Contents Page - Preface 3 - Objectives 3 - Schedule 5 - Definitions 7 - Neuroanatomy and anatomic considerations 11 - Cellular Neuropathology 15 - Cerebral edema, Intracranial shifts and HHerniations 20 - Trauma 25 - Cerebrovascular Diseases 32 - Degenerative Diseases 38 - Metabolic Diseases 45 - Infectious Diseases 52 - Developmental Disorders 58 - Neoplasia 65 - Diseases of Myelin 72 - Neuromuscular Diseases 76 - Image and Slide Guideline 83 - Clinical Exercises 101
3 1. Preface The position of diagnostic neuropathology as a specialty is distinguished by the fact that it recruits from postgraduate trainees and possibly from other specialties. In general, veterinarians do not get exposed to in-depth diagnostic neuropathology during core training or general surgical training. They discover diagnostic neuropathology as a career option when they delve into histopathology training or start training in neurology/neurosurgery. Trainees in neurology and neurosurgery encounter neuropathologists in practice within the context of a multidisciplinary clinical neuroscience service. Training in diagnostic neuropathology should be regarded as higher specialty training. Whatever the provenance of those who register for this course may be, the registered students will needs two sets of knowledge/skills to enjoy and excel in this course: either basic histopathology or basic clinical neuroscience. 2. Objectives We welcome you to the graduate level Veterinary Neuropathology course that is designed to equip you with terminology, basic concepts of pathologic processes in both of the central and peripheral nervous system and enable you to be familiar with morphology of neurologic diseases at the gross, histologic and ultrastructural levels. Specific goals: - Understand the basic pathologic processes (general pathology). - Understand the pathologic processes particular to diseases of the nervous system such as Wallerian degeneration and regeneration, trans-synaptic degeneration, de-myelination, infections of the nervous system and neoplasia. - Learn to recognize and interpret evidence of gross and microscopic disease of the nervous system. - Acquire an understanding of the causes and mechanisms of these pathologic alterations. - Correlate clinical manifestations, imaging findings and pathological lesions related to the nervous diseases. - Pass the pathology part of your Neuro Board certifying examination We, in collaboration with the neurologists and neurology trainees, shall try to emphasize entities of interest in veterinary literature during lectures, small groups and image review
4 sessions, but prototypes of rare diseases will also be presented to provide an overview and perspective should you encounter such rare entities in your practice. The main purpose of the lectures is to present conceptual, nosological and pathogenectic aspects of neural diseases. Additionally, we will try to illustrate the application of neuropathologic principles in problem solving and analysis of clinical settings, which should help both neurology and pathology residents. We have included a lecture of neuroimaging since this area is currently expanding at a fast pace and a basic appreciation of techniques and value and/or limitations of those techniques will assist pathologists and neurologists equally. The course syllabus will be used in lieu of textbooks, but at the end of each chapter a list of literature will be provided for those of you who wish to cover material in more detail. Images for the small group sessions will be available online at the following website: A large number of additional websites covering mainly veterinary neuropathology and human neuropathology as well are available to enhance your learning. npatlas Examinations: Classical gross lesions, histopathology alterations and clinical cases (with established diagnoses) will be used for short quizzes during the course and final examination. Ancillary tests including immunohistochemistry or molecular testing will be emphasized when appropriate Final grades will be based on examinations.
5 2106 schedule Neuropathology Jan May 04 Time/Place: Lecture Monday 4:00-6:00 PM/ DMC 101 Laboratory- Wednesday 4-5 PM /DMC 101 or necropsy viewing area (balcony) DMC NEUROPATHOLOGY SCHEDULE, spring 2016 Wednesday 01/ /20 DMC 101 Neuroanatomy - TA Monday 01/25 Necropsy Neuroanatomy wet lab. TA Wednesday 01/27 DMC 101 Histopathology lab- CF Monday 02/01 DMC 101 Cellular neuropathology- CF Wednesday 02/ Student review of normal histology Monday 02/ Cerebral edema, intracranial shifts and herniations TA Wednesday 02/10 Necropsy Brain edema wet lab TA Monday 02/ Vascular diseases-ta Wednesday 02/17 Necropsy Vascular disease lab TA Monday 02/ Neuroimaging - SM Wednesday 02/24 Necropsy Neuroimaging lab- SM, TA, CF Monday 02/ CNS infections- CF Wednesday 03/02 Necropsy CNS infection lab -CF Monday 03/ Degenerative diseases TA Spring break Wednesday 03/21 Necropsy Degenerative diseases lab -TA Monday 03/ Select metabolic diseases - CF
6 Wednesday 03/30 Necropsy Metabolic diseases lab- CF Monday 04/ Developmental disorders- TA Wednesday 04/06 Necropsy Developmental disorders lab TA Monday 04/ Neoplasia CF Wednesday 04/13 Necropsy Neoplasia lab - CF Monday 04/ Trauma to CNS - CF Wednesday 04/20 Necropsy Trauma wet lab CF Monday 04/ Neuromuscular diseases- TA Wednesday 04/ Neuromuscular diseases lab- TA Monday 05/ Clinical exercises- TA, CF Wednesday 05/ Clinical exercises- TA, CF May Final examination Finally, Constructive criticism and feedback are welcome and should be directed to the course coordinators listed at the cover page. We hope that this course will give you a pleasurable and challenging introduction to neuropathology and overall this will be a good learning experience.
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