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Course Title: Cerebrovascular disease – vessel anatomy, irrigation areas & related agnosias, apraxic and aphasic syndromes.
Course Instructor: Joseph S. Ferezy, DC
CE: Five (5) Classroom Hours
Class Description: All doctors of chiropractic should be familiar with the topic of cerebral vascular accidents (stroke). This class focuses on the cerebral anatomy and vascular anatomy and hemodynamics of the brain and brain stem and with the associated stroke syndromes. The class begins with a detailed discussion of the surface topography of the cortex (Dr. J. Donald Dishman), and the arteries that irrigate the cortex, as well as the venous drainage of the brain and spinal cord. This discussion is clinically oriented and details anatomical areas associated with stroke syndromes. The class then includes a review of the signs and symptoms of cortical disease associated with cerebrovascular syndromes, as well as a thorough discussion of the various cerebral vascular syndromes.
Class Objectives:
Outline topography and discuss internal anatomy of the cortex.
Illustrate and list functions of the various lobes of the brain.
Identify and describe anterior and posterior intracranial circulatory patterns.
Relate cortical anatomy with electrode placement when eliciting somatosensory evoked potentials.
Identify irrigation distribution of all major intracranial arteries.
Diagram irrigation to the levels of the spinal cord.
Describe intracranial venous drainage of the skull and differentiate between dural sinuses, bony sinuses and cerebral veins.
List areas of the cortex responsible for vision, hearing and touch and explain their interaction with the association cortex.
Give examples traits and characteristics associated with hemisphere dominance.
Define and differentiate the agnosias, such as apraxia, aphagia, etc.
Define constructional apraxia, and discuss the clinical significance.
Quantify the incidence of various types of neurovascular disease.
Contrast and compare strokes from a vascular anatomical and etiology viewpoint.
List and discuss choices for various forms of imaging based upon suspected stroke etiology.
Identify treatable, untreatable and possible risks for cerebrovascular accident.
Identify medical and conservative options for treatment of cerebrovascular accident risk factors.
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