Carrick Institute – Clinical Gems Demand 2026
Course Description
This Clinical Gems session, led by Prof. Dr. Frederick Carrick, explores foundational and advanced clinical neurology concepts with a focus on cerebellar function and the complex experience of pain. Merging modern neuroscience with historical perspectives, scholars will revisit the neurological exam through the lens of early pioneers and examine how cerebellar structures contribute to not just coordination, but also cognition, emotion, and perception. Key case-based gems and hands-on tests emphasize the art of neurological diagnosis and its clinical application.
Educational Syllabus
- The Language of Pain
- Philosophical and psychological definitions
- Cultural evolution of pain perception
- Clinical errors from underestimating pain
- Historical Development of Neurological Examination
- Thomas Willis, Marie-Jean-Pierre Flourens, Babinski, Holmes, Gowers, and others
- Experimental cerebellar lesion studies
- Rebound phenomenon and dysdiadochokinesia
- Cerebellar Function
- Voluntary movement coordination
- Higher cognitive roles: verbal fluency, planning, grammar
- Gait and postural control (anterior vs posterior vermis lesions)
- Testing Techniques and Clinical Pearls
- End gaze nystagmus and head rotation strategy
- Supination/pronation speed testing
- Use of optokinetic stimulation, spin therapies, and biomechanical cues
- Clinical Case Scenarios
- Identifying ipsilateral vs contralateral lesions
- Treating patients with perceived motion disorders
- Ataxia vs sensory dysfunctions
- Modern Cerebellar Divisions and Functions
- Vestibulocerebellum
- Spinocerebellum
- Pontocerebellum
Delivery Method
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