DrNB Neurology: Admissions, Medical Colleges, Fees, Eligibility criteria details

Published On 2023-01-10 13:23 GMT   |   Update On 2023-12-16 10:08 GMT

DrNB Neurology or Doctorate of National Board in Neurology also known as DrNB in Neurology is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course. The duration of this super specialty course is 3 years, and it focuses on the diagnosis and treatment of the central and peripheral nervous systems including their blood vessels, nerves, and muscles.

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The course is a full-time course pursued at various accredited institutes/hospitals across the country. Some of the top accredited institutes/hospitals offering this course include Amala Institute of Medical Sciences, Kerala, Apollo BGS Hospital, Mysore, Karnataka, Apollo Hospital, Bangalore, Karnataka, and more.

Admission to this course is done through the NEET-SS Entrance exam conducted by the National Board of Examinations, followed by counseling based on the scores of the exam that is conducted by DGHS/MCC/State Authorities.

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The fee for pursuing DrNB (Neurology) varies from accredited institutes/hospital to hospital and may range from Rs.1,05,000 to Rs.1,25,000 per annum.

After completion of their respective course, doctors can either join the job market or can pursue certificate courses and Fellowship programs recognized by NMC and NBE. Candidates can take reputed jobs at positions as Senior residents, Consultants, etc. with an approximate salary range of Rs.6,00,000 to Rs.60,00,000 per annum.

DNB is equivalent to MD/MS/DM/MCH degrees awarded respectively in medical and surgical super specialties. The list of recognized qualifications awarded by the Board in various broad and super specialties as approved by the Government of India are included in the first schedule of the Indian Medical Council Act, 1956.

The Diplomate of National Board in broad-specialty qualifications and super specialty qualifications when granted in a medical institution with the attached hospital or a hospital with the strength of five hundred or more beds, by the National Board of Examinations, shall be equivalent in all respects to the corresponding postgraduate qualification and the super-specialty qualification granted under the Act, but in all other cases, senior residency in a medical college for an additional period of one year shall be required for such qualification to be equivalent for teaching also.

What is DrNB in Neurology?

Doctorate of National Board in Neurology, also known as DrNB (Neurology) or DrNB in (Neurology) is a three-year super specialty program that candidates can pursue after completing a postgraduate degree.

Neurology is the branch of medical science dealing with the diagnosis and treatment of the central and peripheral nervous systems including their blood vessels, nerves, and muscles.

The National Board of Examinations (NBE) has released a curriculum for DrNB in Neurology.

The curriculum governs the education and training of DrNB in Neurology.

The postgraduate students must gain ample knowledge and experience in the diagnosis, and treatment of patients with acute, serious, and life-threatening medical and surgical diseases.

PG education intends to create specialists who can contribute to high-quality health care and advances in science through research and training.

The required training done by a postgraduate specialist in the field of Neurology would help the specialist to recognize the health needs of the community. The student should be competent to handle medical problems effectively and should be aware of the recent advances in their specialty.

The candidate is also expected to know the principles of research methodology and modes of the consulting library. The candidate should regularly attend conferences, workshops, and CMEs to upgrade her/ his knowledge.

Course Highlights

Here are some of the course highlights of DrNB in Neurology

Name of Course

DrNB in Neurology

Level

Doctorate

Duration of Course

Three years

Course Mode

Full Time

Minimum Academic Requirement

Candidates must have a postgraduate medical Degree in MD/DNB (General Medicine) or  MD/DNB (Paediatrics), this feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.

Admission Process / Entrance Process / Entrance Modalities

Entrance Exam (NEET-SS)

INI CET for various AIIMS, PGIMER Chandigarh, JIPMER Puducherry, NIMHANS Bengaluru

Counseling by DGHS/MCC/State Authorities

Course Fees

Rs.1,05,000 to Rs.1,25,000 per annum

Average Salary

Rs.6,00,000 to Rs.60,00,000 per annum

Eligibility Criteria

The eligibility criteria for DrNB in Neurology are defined as the set of rules or minimum prerequisites that aspirants must meet to be eligible for admission, which includes: 

Name of the super specialty course

Course Type

Prior Eligibility Requirement

Neurology

DrNB

MD/DNB (General Medicine)

MD/DNB (Paediatrics)

Note:

· The feeder qualification for DrNB (Neurology) is defined by the NBE and is subject to changes by the NBE.

· The feeder qualification mentioned here is as of 2022.

· For any changes, please refer to the NBE website.

  • The prior entry qualifications shall be strictly by Post Graduate Medical Education Regulations, 2000, and its amendments notified by the NMC and any clarification issued from NMC in this regard.
  • The candidate must have obtained permanent registration with any State Medical Council to be eligible for admission.
  • The medical college's recognition cut-off dates for the Postgraduate Degree courses shall be as prescribed by the Medical Council of India (now NMC).

Admission Process

The admission process contains a few steps to be followed in order by the candidates for admission to DrNB in Neurology. Candidates can view the complete admission process for DrNB in Neurology mentioned below:

  • The NEET-SS or National Eligibility Entrance Test for Super specialty courses is a national-level master's level examination conducted by the NBE for admission to DM/MCh/DrNB Courses.
  • Qualifying Criteria-Candidates placed at the 50th percentile or above shall be declared as qualified in the NEET-SS in their respective specialty.
  • The following medical institutions are not covered under centralized admissions for DM/MCh courses through NEET-SS:

1. AIIMS, New Delhi, and other AIIMS

2. PGIMER, Chandigarh

3. JIPMER, Puducherry

4. NIMHANS, Bengaluru

  • Candidates from all eligible feeder specialty subjects shall be required to appear in the question paper of the respective group if they are willing to opt for a super specialty course in any of the super specialty courses covered in that group.
  • A candidate can opt for appearing in the question papers of as many groups for which his/her Postgraduate specialty qualification is an eligible feeder qualification.
  • By appearing in the question paper of a group and on qualifying for the examination, a candidate shall be eligible to exercise his/her choices in the counseling only for those super specialty subjects covered in the said group for which his/ her broad specialty is an eligible feeder qualification.

Fees Structure

The fee structure for DrNB in Neurology varies from accredited institute/hospital to hospital. The fee is generally less for Government Institutes and more for private institutes. The average fee structure for DrNB in Neurology ranges from Rs.1,05,000 to Rs.1,25,000 per annum.

Colleges offering DrNB in Neurology

Various accredited institutes/hospitals across India offer courses for pursuing DrNB in Neurology.

As per the National Board of Examinations website, the following accredited institutes/hospitals are offering DrNB (Neurology) courses for the academic year 2022-23.

Hospital/Institute

Specialty

No. of Accredited Seat(s) (Broad/Super/Fellowship)

Amala Institute of Medical Sciences Amala Nagar, THRISSUR Kerala-680553

Neurology

2

Apollo BGS Hospital Adichunchanagiri Road, Kuvempunagar, Mysore Karnataka-570023

Neurology

1

Apollo Hospital 154/11, Opp. I.I.M., Bannerghatta Road, Bangalore Karnataka-560076

Neurology

2

Apollo Hospital 21, Greams lane, Off Greams Rd, Thousand Lights, Chennai. Tamil Nadu-600006

Neurology

2

Apollo Hospital A Unit of Apollo Hospital Enterprises Limited New No. 1, Old No. 28, Platform Road, Near Mantri Mall, Sheshadripuram, Bengaluru Karnataka-560020

Neurology

2

Apollo Hospital Plot No. 251 Sainik School Road Unit-15, Bhubaneshwar Orissa-751005

Neurology

2

Apollo Hospital Room No. 306, Office of the Director of Medical Education Jubilee Hills, Hyderabad Telangana-500033

Neurology

2

Apollo Hospital International Plot No. 1A, GIDC Estate Bhat, District - Gandhi Nagar Gujarat-382428

Neurology

1

Apollo Multispecialty Hospitals Limited 58, Canal Circular Road, Kolkata West Bengal-700054

Neurology

2

Army Hospital (R and R) Delhi Cantt, New Delhi Delhi-110010

Neurology

2

Artemis Health Institute Sector 51, Gurgaon Haryana-122001

Neurology

1

Aster Medcity Kuttisahib Road, Near Kothad Bridge, South Chittoor P. O., Cheranalloor, Kochi Kerala-682027

Neurology

1

Baby Memorial Hospital Indira Gandhi Road, Kozhikode Kerala-673004

Neurology

2

Batra Hospital and Medical Research Centre 1, Tuglakabad Institutional Area, M.B. Road, Delhi-110062

Neurology

1

Believers Church Medical College Hospital St. Thomas Nagar, Kuttapuzha P O, Thiruvalla Kerala-689103

Neurology

3

Bombay Hospital IDA Scheme no 94/95, Ring Road, Indore Madhya Pradesh-452010

Neurology

2

Care Hospital Exhibition Road, Nampally, Hyderabad Telangana-500001

Neurology

2

Care Hospital Road No. 1, Banjara Hills, Hyderabad Telangana-500034

Neurology

4

Caritas Hospital Thellakom P. O Kottayam Kerala-686630

Neurology

2

CHL Hospital A.B Road, LIG Square, Indore Madhya Pradesh-452008

Neurology

1

Choithram Hospital and Research Centre Manik Bagh Road, INDORE Madhya Pradesh-452014

Neurology

1

Cosmopolitan Hospital Murinjapalam, Pattom P O, TRIVANDRUM Kerala-695004

Neurology

1

Deenanath Mangeshkar Hospital and Research Centre. 8+13/2, Erandwane, Near Mhatre Bridge, Pune Maharashtra-411004

Neurology

1

Dr. B L Kapur Memorial Hospital Pusa Road, New Delhi Delhi-110005

Neurology

2

Dr. Rajendra Prasad Govt. Medical College Dist. Kangra At Tanda, Himachal Pradesh-176002

Neurology

2

Dr. Ramesh Cardiac and Multispeciality Hospital (Formerly Citi Cardiac Research Centre Ltd.) Ring Road, Near ITI College, Vijayawada Andhra Pradesh-52008

Neurology

3

First Neuro, Brain and Spine Super Speciality Hospital D.No.3-89/8, Kannur Village, Padil, Mangalore, Karnataka-575007

Neurology

2

Fortis Escorts Hospital Jawahar Lal Nehru Marg, Malviya Nagar, Jaipur Rajasthan-302017

Neurology

2

Fortis Hospital B-22, Sector-62, Noida Uttar Pradesh-201301

Neurology

2

Fortis Hospital Mulund Goregaon Link Road, Mumbai Maharashtra-400078

Neurology

1

Fortis Hospital Sector-62, Phase-VIII, Mohali Punjab-160062

Neurology

2

Fortis Memorial Research Institute Sector-44, Opposite HUDA CITY center Metro Station, Gurgaon, Haryana-122002

Neurology

1

G Kuppuswamy Naidu Memorial Hospital Post Box No. 6327, Nethaji Road, Pappanaickenpalayam, Coimbatore Tamil Nadu-641037

Neurology

1

Global Hospital and Health City (A unit of Ravindernath GE Medical Associate Pvt Ltd) No-439, Cheran Nagar, Perumbakkam, Chennai Tamil Nadu-600100

Neurology

1

Government Medical College Karan- Nagar, Srinagar Jammu and Kashmir-190010

Neurology

2

Govt. Medical College B-5, Medical Enclave, Jammu Jammu and Kashmir-180001

Neurology

2

Indira Gandhi Govt. General Hospital and PG Institute No. 1, Rue Victor Simonal Street, PONDICHERRY Pondicherry-605001

Neurology

2

Indo-American Hospital Brain and Spine Centre, Chemmanakary, Near Vaikom Kerala-686143

Neurology

1

Indraprastha Apollo Hospital Delhi-Mathura Road, Sarita Vihar, New Delhi Delhi-110076

Neurology

2

Institute of Neurosciences 185/1, A J C Bose Road, Kolkata West Bengal-700017

Neurology

3

Institute of Neurosciences Nr. Valentino Business Hub, Opp.Khatodra BRTS Bus Stand, Surat Gujarat-395001

Neurology

2

Jaslok Hospital and Research Centre 15, Dr. Gopalrao Deshmukh Marg, Mumbai Maharashtra-400026

Neurology

2

Kalinga Hospital Bhubaneswar Orissa-751023

Neurology

2

Kasturba Medical College Hospital (KMC Hospital) Dr. B R Ambedkar Circle, Jyothi Balmatta Road, Mangalore Karnataka-575001

Neurology

3

Kerala Institute of Medical Sciences P B No.1, Anayara P O, Trivandrum Kerala-695029

Neurology

3

Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute Achyutrao Patwardhan Marg, 4 Bungalows, Andheri (W), Mumbai Maharashtra-400053

Neurology

2

Kovai Medical Centre Post Box No. 3209, Avinashi Road, Civil Arodrom Post, COIMBATORE Tamil Nadu-641014

Neurology

1

Krishna Institute of Medical Sciences 1-8-31/1, Minister Road, Secunderabad Telangana-500003

Neurology

3

Kunhitharuvai Memorial Charitable Trust (KMCT) Medical College Hospital Manassery P O, Mukkam Calicut Kerala-673602

Neurology

2

Lalitha Super Specialty Hospital Kothapet, Guntur Andhra Pradesh-522001

Neurology

2

Latha Super Specialty Hospital # 29-14-58, PRAKASAM ROAD, SURYARAOPET, VIJAYAWADA Andhra Pradesh-520002

Neurology

2

Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai Maharashtra Maharashtra-400022

Neurology

2

Malabar Institute of Medical Sciences Mini Bye Pass, Govindapuram, Calicut Kerala-673016

Neurology

2

Manipal Hospital No. 98, Rustum Bagh, Old Airport Road, Bangalore Karnataka-560017

Neurology

4

Max Super Specialty Hospital (A unit of Balaji Medical and Diagnostic Research Centre) 108A, Opp Sanchar Apartments, IP Extension, Patparganj, New Delhi Delhi-110092

Neurology

2

Max Super Specialty Hospital 1,2, Press Enclave Road, Saket, Delhi-110017

Neurology

3

Medanta The Medicity Sector-38, Gurgaon Haryana-122001

Neurology

4

Meitra Hospital KARAPARAMBA-KUNDUPARAMBA MINI BYPASS ROAD, EDAKKAD POST, CALICUT Kerala-673005

Neurology

2

MIMHANS NEUROSCIENCES HOSPITAL 281,283 SECTOR-1, MANGAL PANDEY NAGAR MEERUT Uttar Pradesh-250004

Neurology

2

MMI Narayana Multispecialty Hospital (Unit of Narayana Hrudayalaya Ltd.) Dhamtari Road, Lalpur Chhattisgarh-492001

Neurology

2

Narayana Hrudayalaya Hospital (NH-Narayana Health City, Bangalore) #258/A, Bommasandra Industrial Area, Anekal Taluk, Bangalore Karnataka-560099

Neurology

4

National Neuro Sciences Centre Peerless Hospital Campus, 2nd Flr, 360 Panchasayar, Kolkata West Bengal-94

Neurology

1

NEO Hospital D-170A, Sector-50, NOIDA Uttar Pradesh-201301

Neurology

2

P.D. Hinduja National Hospital and Medical Research Centre Veer Savarkar Marg, Mahim, Mumbai Maharashtra-400016

Neurology

2

Pacific Medical College and Hospital Bhillo Ka Bedla, Amberi NH 76, Udaipur Rajasthan-313001

Neurology

2

Paras HMRI Hospital NH - 30, Raja Bazar, Bailey Road, Patna Bihar-800014

Neurology

1

Paras Hospital C-1, Shushant Lok Phase-I, Gurgaon Haryana-122002

Neurology

1

Poona Hospital and Research Centre 27 Sadashivpeth, Pune Maharashtra-411030

Neurology

1

Pt. B D Sharma, PGIMS, Rohtak Haryana-124001

Neurology

2

Rabindranath Tagore International Institute of Cardiac Sciences Premises No.1489, 124, Mukundapur, E M Bypass, Near Santhoshpur Connector, KOLKATA West Bengal-700099

Neurology

2

Ramkrishna Care Hospital Aurobindo Enclave, Pachpedhi Naka, Dhamtari Road, N. H. 43, Raipur Chhattisgarh-492001

Neurology

2

Ruby Hall Clinic 40 Sassoon Road Pune Maharashtra-411001

Neurology

1

Sahyadri Super Specialty Hospital Plot No. 30C, Erandawane, Karve Road, Pune. Maharashtra-411004

Neurology

1

Santokbha Durlabhji Memorial Hospital Cum Medical Research Institute Bhawani Singh Marg, JAIPUR Rajasthan-302015

Neurology

3

Sarvodaya Hospital and Research Centre YMCA Road, Sector-08, Faridabad Haryana-121006

Neurology

2

Satguru Partap Singh Hospital Sherpur Chowk, G T Road, Ludhiana Punjab-141003

Neurology

1

Seven Hills Hospital D.No-11-4-4/A, Rockdale Layout, Visakhapatnam Andhra Pradesh-530002

Neurology

1

Shree Krishna Hospital associated with Paramukhswami Medical College Gokal Nagar, Karamsad, Anand Gujarat-388325

Neurology

2

Shri Balaji Action Medical Institute FC-34, A-4, Paschim Vihar, New Delhi Delhi-110063

Neurology

1

Sir Ganga Ram Hospital Rajinder Nagar, New Delhi Delhi-110060

Neurology

4

Sir Hurkisondas Nurrotumdas Hospital and Research Centre Raja Ram Mohan Roy Road, Gordhan Bapa Chowk, Prathana Samaj, Mumbai Maharashtra-40004

Neurology

2

Sree Gokulam Medical College Research Foundation Venjaramoodu P.O., Thiruvananthapuram Kerala-695607

Neurology

1

SRM Institutes for Medical Sciences No. 1, Jawaharlal Nehru Salai, 100 ft Road, Vadapalani, Chennai Tamil Nadu-600026

Neurology

2

St. Stephen`s Hospital Tees Hazari, New Delhi Delhi-110054

Neurology

1

Star Hospital 8-2-596/5, RD. NO-10, Banjara Hills, Hyderabad Telangana-500034

Neurology

1

Tamil Nadu Government Multi Superspeciality Hospital Anna Salai, Chennai Tamil Nadu-600007

Neurology

2

Uppal Neuro Hospital and Super Speciality Centre 4, Rani Ka Bagh, Amritsar Punjab-143001

Neurology

2

Venkateshwar Hospital Sector 18a, Dwarka, Delhi-110075

Neurology

2

Yashoda Hospital Behind Hari Hara Kala Bhawan, S.P. Road, Secunderabad Telangana-500003

Neurology

2

Yashoda Super Speciality Hospital Nalgonda X Road, Malakpet, Hyderabad Telangana-500036

Neurology

2

Yashoda Super Speciality Hospital Raj Bhavan Road, Somajiguda, Hyderabad Telangana-500082

Neurology

2

Yenepoya Medical College Hospital University Road, Deralakatte, Mangalore Karnataka-575018

Neurology

2

Zydus Hospital Near Sola Bridge, S G Highway, Ahmedabad Gujarat-380054

Neurology

2

Syllabus

A DrNB in Neurology is a three years specialization course that provides training in the stream of Neurology.

The course content for DrNB in Neurology is given in the NBE Curriculum released by the National Board of Examinations, which can be assessed through the link mentioned below: 

1. The Clinical Method of Neurology

2. Cardinal Manifestations of Neurologic Disease

3. Growth and Development of the Nervous System

4. The Neurology of Aging

a. BASIC SCIENCES RELATED TO NEUROLOGY

i. NEUROANATOMY

The Neuroanatomy with special emphasis on the development of Neuraxis (brain, spinal cord and neurons, and glia), autonomic nervous system and their maturation process in the post-natal, childhood, and adolescent states; the location and significance of stem cells, CSF pathways, Blood supply and sinovenous drainage of the brain and spinal cord, the meninges, skull and vertebral column, the cranial nerves, spinal roots, plexuses, and their relation to neighboring structures; anatomy of peripheral nerves, neuromuscular junction and muscles; histology of cerebrum, cerebellum, pituitary gland, brain stem, and spinal cord, nerves and neuromuscular junction and muscle. Functional anatomy of lobes of the cerebrum and white matter tracts of the brain and spinal cord, craniovertebral junction, CONUS, and epic bonus and cauda equina, brachial and lumbosacral plexuses, cavernous and other venous sinuses; New developments in the understanding of ultrastructural anatomy of neurons, axonal transport, neural networks and synapses and nerve cell function at the molecular level.

ii. NEUROPHYSIOLOGY

Neurophysiology will cover all the physiological changes in the nervous system during its normal function with special reference to nerve impulse transmission along myelinated fibers, neuromuscular junction, and synaptic transmission, muscle contraction; visual, auditory, and somatosensory and cognitive evoked potentials; regulation of secretions by glands, neural control of viscera such as heart, respiration, GI tract, bladder, and sexual function; sleep-wake cycles; maintenance of consciousness, special senses, control of pituitary functions, control of autonomic functions, cerebellar functions, extrapyramidal functions, reflexes, upper and lower motor neuron concepts, and sensory system.

iii. MOLECULAR BIOLOGY

The brain is the one structure where maximum genes are expressed in the human body. Principles of molecular biology including Gene Structure, Expression, and regulation; Recombinant DNA Technology; PCR Techniques, Molecular basis for neuronal and glial function, Molecular and cellular biology of the membranes and ion-channels, mitochondrial genome, the role of RNA in normal neuronal growth and functional expression, receptors of neurotransmitters, molecular and cellular biology of muscles and neuromuscular junction, etc, The Human Genome and its future implications for Neurology including developmental and neurogenetic disorders, bioethical implications and genetic counseling, Nerve growth and other trophic factors and neuroprotectors, Neural Tissue modification by genetic approaches including Gene Transfer, stem cell therapy, etc, Molecular Development of neural tissue in peripheral nerve repair are exciting areas where stunned to have basic exposure.

iv. NEUROCHEMISTRY

All aspects of normal and abnormal patterns of neurochemistry including neurotransmitters associated with different anatomical and functional areas of the brain and spinal cord, especially concerning dopaminergic, serotoninergic, adrenergic, and cholinergic systems, opioids, excitatory and inhibitory amino acids; their role in the pathogenesis of parkinsonism, depression, migraine, dementia, 8 epilepsy; neuromuscular junction and muscle contractions; carbohydrate, amino acid, and lipid metabolism and the neural expression of disorders of their metabolism, electrolytes and their effect on encephalopathies and muscle membrane function, storage disorders, porphyrias

v. NEUROPHARMACOLOGY

The application of neuropharmacology is the mainstay of all medical therapy for epilepsy, Parkinsonism, movement disorders, neuropsychiatric syndromes, spasticity, pain syndromes, and disorders of sleep and dysautonomic syndromes. Their drug interactions with commonly used other drugs, usage during disorders of renal, and hepatic function and in the demented, their adverse reactions, etc.

vi. NEUROPATHOLOGY

All pathological changes in various neurological diseases with special reference vascular, immune-mediated, de/dysmyelinating, metabolic and nutritional, genetic and developmental, infectious and iatrogenic, and neoplastic aetiologies to clinical correlation included. Special emphasis on pathological changes in nerve and muscle in neuropathies and myopathies. Ultrastructural pathologies such as apoptosis, ubiquitinopathies, mitochondrion, channelopathies, peroxisomal disorders, inclusion bodies, prion diseases, disorders mediated by antibodies against various cell and nuclear components, paraneoplastic disorders, etc.

vii. NEUROMICROBIOLOGY

The various microbiological aspects of infectious neurologic diseases including encephalitis, meningitis, brain abscess, granulomas, myelitis, cold abscess, cerebral malaria, parasitic cysts of the nervous system, rhinocerebral mycoses, leprous neuritis, neuroleptospirosis, Primary and secondary Neuro HIV infections, congenital TORCH infections of the brain, slow virus infections such as JCD and SSPE, neurological complications of viral infections such as Polio, EBV, Chickenpox, Rabies, Herpes, Japanese encephalitis, and other epidemic viral infections

viii. NEUROTOXICOLOGY

Organophosphorus poisoning, hydrocarbon poisoning, lead, arsenic, botulinum toxin, and tetanus toxicity, snake, scorpion, spider, wasp, and bee stings are important tropical neurotoxic syndromes whose prompt diagnosis and effective therapy are crucial in life-saving

ix. NEUROGENETICS AND PROTEOMICS:

Autosomal dominant and recessive and X-linked inheritance patterns, disorders of chromosomal anomalies, Gene mutations, trinucleotide repeats, dysregulation of gene expressions, enzyme deficiency syndromes, storage disorders, disorders of polygenic inheritance, and proteomics in health and disease

x. NEUROEPIDEMIOLOGY:

Basic methodologies in community and hospital-based neuroepidemiological studies such as systematic data collection, analysis, derivation of logical conclusions, concepts of case-control and cohort studies, correlations, regressions, and survival analysis; basic principles of clinical trials. 9 snake envenomation

b. CLINICAL NEUROLOGY INCLUDING PEDIATRIC NEUROLOGY AND NEURO PSYCHIATRY.

i. GENERAL EVALUATION OF THE PATIENT

The science and art of history taking, Physical Examination including elements of accurate history taking, symptoms associated with neurological disease, The physical examination of adults, children, infants, and neonates, syndromes associated with congenital and acquired neurological disease, cutaneous markers, examination of unconscious patients, examination of higher mental functions, cranial nerves, the ocular fundus, examination of tone, power of muscles, proper elicitation of superficial and deep reflexes including the alternate techniques and neonatal and released reflexes, neurodevelopmental assessment of children, sensory system, peripheral nerves, signs of Meningeal irritation, skull and spine examination including measurement of head circumference, shortness of neck and carotid pulsations .and vertebral bruits.

o COMA

Pathophysiology and diagnosis of COMA, Diagnosis, and management of coma, delirium and acute confusional states, reversible and irreversible causes, persistent vegetative states and brain death, neurophysiological evaluation and confirmation of these states and mechanical ventilation and other supportive measures of comatose patient and prevention of complications of prolonged coma. The significance of timely brain death in organ donation and ICU resource utilization

o SEIZURES AND EPILEPSY and SYNCOPES

Diagnosis of seizures, epilepsy, and epileptic syndromes, Recognition, clinical assessment, and management of seizures especially their electrodiagnosis, video monitoring with emphasis on phenomenology and their correlation with EEG and structural and functional brain imaging such as CT and MRI, and fMRI, and SPECT scan, Special situations such as epilepsy in pregnant and nursing mothers, driving, risky occupations, its social stigmas differentiation from pseudoseizures, use of conventional and newer antiepileptic drugs, their drug interactions and adverse effects, etc., modern lines of management of intractable epilepsies, such as ketogenic diet, vagal nerve stimulation, epilepsy surgery and about the presurgical evaluation of patients. Management of status epilepticus and refractory status epilepticus; Differentiation of seizures from syncopes, drop attacks, cataplexy, startles, etc.

o HEADACHES AND OTHER CRANIAL NEURALGIAS

Acquisition of skills in the analysis of headaches of various causes such as those from raised intracranial pressures, migraines, cranial neuralgias, vascular malformations, Meningeal irritation, psychogenic, etc., and their proper pharmacologic management.

ii. CEREBROVASCULAR DISEASES

Vascular anatomy of the brain and spinal cord, various causes and types of cerebrovascular syndromes, ischemic and hemorrhagic types, arterial and venous types, anterior and posterior circulation strokes, OCSP and TOAST classifications, investigations of strokes including neuroimaging using dopplers, CT and MR imaging and angiography, acute stroke therapy including thrombolytic therapy, interventional therapy of cerebrovascular diseases, principles of management of subarachnoid hemorrhage, etc. Special situations Pathophysiology and diagnosis of COMA, Diagnosis, and management of coma, delirium and acute confusional states, reversible and irreversible causes, persistent vegetative states and brain death, neurophysiological evaluation and confirmation of these states and mechanical ventilation and other supportive measures of comatose patient and prevention of complications of prolonged coma. The significance of timely brain death in organ donation and ICU resource utilization

o SEI ZURES AND EPILEPSY and SYNCOPES

Diagnosis of seizures, epilepsy, and epileptic syndromes, Recognition, clinical assessment, and management of seizures especially their electrodiagnosis, video monitoring with emphasis on phenomenology and their correlation with EEG and structural and functional brain imaging such as CT and MRI, and fMRI, and SPECT scan, Special situations such as epilepsy in pregnant and nursing mothers, driving, risky occupations, its social stigmas differentiation from pseudoseizures, use of conventional and newer antiepileptic drugs, their drug interactions and adverse effects, etc., modern lines of management of intractable epilepsies, such as ketogenic diet, vagal nerve stimulation, epilepsy surgery and about the presurgical evaluation of patients. Management of status epilepticus and refractory status epilepticus; Differentiation of seizures from syncopes, drop attacks, cataplexy, startles, etc.

o HEADACHES AND OTHER CRANIAL NEURALGIAS

Acquisition of skills in the analysis of headaches of various causes such as those from raised intracranial pressures, migraines, cranial neuralgias, vascular malformations, Meningeal irritation, psychogenic, etc., and their proper pharmacologic management.

ii. CEREBROVASCULAR DISEASES

Vascular anatomy of the brain and spinal cord, various causes and types of cerebrovascular syndromes, ischemic and hemorrhagic types, arterial and venous types, anterior and posterior circulation strokes, OCSP and TOAST classifications, investigations of strokes including neuroimaging using dopplers, CT and MR imaging and angiography, acute stroke therapy including thrombolytic therapy, interventional therapy of cerebrovascular diseases, principles of management of subarachnoid hemorrhage, etc. Special situations like strokes in the young, Strategies for primary and secondary prevention of stroke

iii. DEMENTIAS

Concept of minimal cognitive impairment, Reversible and irreversible dementias, causes such as Alzheimer's and other neurodegenerative diseases and vascular and nutritional and infectious dementias, their impact on individual, family and in society, Genetic and familial syndromes. Pharmacotherapy of dementias, Potential roles of cognitive rehabilitation and special care of the disabled

iv. PARKINSONISM AND MOVEMENT DISORDERS

Disorders of the extrapyramidal system such as parkinsonism, chorea, dystonias, athetosis, tics, their diagnosis and management, pharmacotherapy of parkinsonism and its complications, management of complications of parkinsonism therapy, including principles of deep brain stimulation and lesionalsurgeries. Use of EMG-guided botulinum toxin therapy, management of spasticity using intrathecal baclofen and TENS.

v. ATAXIC SYNDROMES:

Para infectious demyelinations, cerebellar tumors, hereditary ataxias, vestibular disorders; Diagnosis and management of brainstem disorders, axial and extra-axial differentiation. `

vi. CRANIAL NEUROPATHIES:

Disorders of smell, vision, visual pathways, pupllarypatheays and reflexes, internuclear and supranuclear ophthalmoplegia; other oculomotor disorders, trigeminal nerve testing, Bell's palsy, differentiation from UMN facial lesions, brainstem reflexes, Investigations of vertigo and dizziness, differentiation between central and peripheral vertigo, Differential diagnosis of nystagmus, investigations of deafness, bulbar and pseudobulbar syndromes,

vii. CNS INFECTIONS:

Diagnosis and management of viral encephalitis, meningitis: bacterial, tuberculous, fungal, parasitic infections such as cysticercosis, cerebral malaria, SSPE, Neuro HIV primary and secondary infections with exposure to gram stain and cultures, bac tec, QBC, ELISA, and PCR technologies

viii. NEUROIMMUNOLOGIC DISEASES

Diagnosis and management of CNS conditions such as Multiple sclerosis, PNS conditions such as GBS, CIDP, Myasthenia gravis, polymyositis

ix. NEUROGENETIC DISORDERS

Various chromosomal diseases, single gene mutations such as enzyme deficiencies, autosomal dominant and recessive conditions, X-linked disorders, trinucleotide repeats, and disorders of DNA repair. Genetics of Huntington's disease, familial dementias, other storage disorders, hereditary ataxias, hereditary spastic paraplegias, HMSN, muscular dystrophies, mitochondrial inheritance disorders

x. DEVELOPMENTAL DISORDERS OF NERVOUS SYSTEM

Neuronal migration disorders, craniovertebral junction diseases, spinal dysraphisms, phacomatoses, and other neurocutaneous syndromes- their recognition and management.

xi. MYELOPATHIES

Clinical diagnosis of distinction between compressive and non-compressive myelopathies, spinal syndromes such as anterior cord, subacute combined degeneration, central cord syndrome, Brown-secured syndrome, tabetic syndrome, Ellsberg phenomenon. Diagnosis of the spinal cord and root compression syndromes, CV junction lesions, syringomyelia, conuscauda lesions, spinal AVMs, tropical and hereditary spastic paraplegias, and Fluorosis.

xii. PERIPHERAL NEUROPATHIES

Immune-mediated, hereditary, toxic, nutritional, and infectious type peripheral neuropathies; their clinical and electrophysiological diagnosis

xiii. MYOPATHIES AND NEUROMUSCULAR JUNCTION DISORDERS

Clinical evaluation of patients with known or suspected muscle diseases aided by EMG, muscle pathology, histochemistry, immunopathology, and genetic studies. Dystrophies, polymyositis, channelopathies, congenital and mitochondrial myopathies. Neuromuscular junction disorders such as myasthenia, botulism, Eaton-lambert syndrome, and snake eandorgganphosphorus poisoning, their electrophysiological diagnosis, and management. Myotonia, stiff person syndrome.

xiv. PEDIATRIC NEUROLOGY:

Normal development of motor and mental milestones in a child, Cerebral palsy, Attention deficit disorder, Autism, developmental dyslexias, Intrauterine TORCH infections, Storage disorders, Inborn errors of metabolism affecting the nervous system, developmental malformations, Child hood seizures and epilepsies, neurodegenerative diseases.

xv. COGNITIVE NEUROLOGY AND NEUROPSYCHIATRY:

Detailed techniques of higher mental functions evaluation, basics of primary and secondary neuropsychiatric conditions such as anxiety, depression, schizophrenia, acute psychosis, acute confusional reactions (delirium), organic brain syndrome, primary and secondary dementias, differentiation from pseudodementia, Anxiety disorders, Hysteria and personality disorders, depression and Bipolar disease, Schizophrenia Delusional, and paranoid state

xvi. TROPICAL NEUROLOGY

Conditions that are specifically found in the tropics like neuro cysticercosis, cerebral malaria, tropical spastic paraplegia, Snake/scorpion/ Chandipura encephalitis, Madras Motor Neuron disease, etc. will be dealt with in special detail in the curriculum

c. DIAGNOSTIC AND INTERVENTIONAL NEUROLOGY INCLUDING NEUROLOGICAL INSTRUMENTATION

i. DIAGNOSTIC NEUROLOG

Performing and interpreting Digital Electroneurogram, Electromyogram, Evoked potentials, Electroencephalography, Interpretation of skull and spine X-rays, computerized tomography of brain and spine, Magnetic resonance images of the brain including correct identification of various sequences, angiograms, MR spectroscopy, basics of functional MRI, Interpretation of digital subtraction imaging, SPECT scans of the brain, subdural EEG recording, transsphenoidal electrode EEG Techniques for temporal lobe seizures, video EEG interpretation of phenomenology and EEG-phenomenology correlations, EEG telemetry, Transcranial Doppler diagnosis and monitoring of acute ischemic stroke, subarachnoid hemorrhage, detection of right-to-left shunts, etc; Colour duplex scanning in Carotid and vertebral extracranial segment screening

ii. NEUROINSTRUMENTATIONS

To acquire skills in Procedures like a)intrathecal administration of antispasticity drugs, beta interferons in demyelination, opiates in intractable pain, etc., b) EMG-guided Botox therapy for dystonias, c) subcutaneous administration of antimigraine and antiparkinsonian drugs d) Intraarterial thrombolysis in extended windows of thrombolysis in ischemic strokes, e) Transcranial Ultrasound clot-bust intervention in a registry in acute stroke care unit e) Planing in deep brain stimulation therapy in uncontrolled dyskinesias and onoff phenomena in long-standing parkinsonism f) Planning in vagal nerve stimulation in intractable epilepsy

d. RECENT ADVANCES IN NEUROLOGY: ADVANCES IN NEUROIMAGING TECHNIQUES, BIONICS IN NEURAL PROSTHESIS AND REHABILITATION, NEUROPROTEOMICS AND NEUROGENETICS, STEM CELL AND GENE Y, GENE THERAPY

i. ADVANCES IN NEUROIMAGING TECHNIQUES:

Integration of CT, MR, and SPECT images with each other and with EEG, EVOKED potentials based brain maps in structural and functional localization in neurological phenomena and diseases, Fluorescent ye tagged study of neurons in diseases in animal models in vivo and tissue cultures in-vitro.

ii. BIONICS IN NEURAL PROSTHESIS AND REHABILITATION:

Advanced techniques in neurorehabilitation such as TENS, principles of man-machine interphase devices in the cord, nerve and plexus injuries, cochlear implants, and artificial vision.

iii. NEUROPROTEOMICS AND NEUROGENETICS:

Brain functions are regulated by proteomics and genomics linked to various proteins and genes relevant to the brain, the body's maximum number of proteins and genes are expressed in the brain as neurotransmitters or channel proteins and predisposing the brain to several disorders of abnormal functioning of these proteins.

iv. STEM CELL AND GENE THERAPY:

Principles of ongoing experiments on stem cell therapy for nervous system disorders such as fetal brain tissue transplants in parkinsonism; intrathecal marrow transplants in MND, MS, and Spinal trauma; myoblasts infusion therapy in dystrophies

Career Options

After completing a DrNB in Neurology, candidates will get employment opportunities in Government and the Private sector.

In the Government sector, candidates have various options to choose from which include Registrar, Senior Resident, Demonstrator, Tutor, etc.

While in the Private sector, the options include Resident Doctor, Consultant, Visiting Consultant (Neurology), Junior Consultant, Senior Consultant (Neurology), etc.

Courses After DrNB in Neurology Course

DrNB in Neurology is a specialization course that can be pursued after finishing a Postgraduate medical course. After pursuing a specialization in DrNB in Neurology, a candidate could also pursue certificate courses and Fellowship programs recognized by NMC and NBE, where DrNB in Neurology is a feeder qualification.

These include:

  • Fellowship in Neurology
  • Ph.D. (Neurophysiology)
  • Ph.D. (Clinical Neuroscience)

Frequently Asked Questions (FAQs) – DrNB in Neurology Course

Question: What is the complete form of DrNB?

Answer: The full form of DrNB is a Doctorate of National Board.

Question: What is a DrNB in Neurology?

Answer: DrNB Neurology or Doctorate of National Board in Neurology also known as DrNB in Neurology is a super specialty level course for doctors in India that is done by them after completion of their postgraduate medical degree course.

Question: What is the duration of a DrNB in Neurology?

Answer: DrNB in Neurology is a super specialty program of three years.

Question: What is the eligibility of a DrNB in Neurology?

Answer: Candidates must have a postgraduate medical Degree in MD/DNB (General Medicine) or MD/DNB (Paediatrics), this feeder qualification mentioned here is as of 2022. For any further changes to the prerequisite requirement please refer to the NBE website.

Question: What is the scope of a DrNB in Neurology?

Answer: DrNB in Neurology offers candidates various employment opportunities and career prospects.

Question: What is the average salary for a DrNB in Neurology candidate?

Answer: The DrNB in Neurology candidate's average salary is Rs.6,00,000 – Rs.60,00,000 per annum depending on the experience.

Question: Can you teach after completing DrNB Course?

Answer: Yes, the candidate can teach in a medical college/hospital after completing the DrNB course.

Question: What is the difference between DrNB and DNB?

Answer: As of today, DrNB is a super-specialist qualification imparted by the NBE (SS level). Whereas DNB is a specialist qualification (PG level). Earlier DrNB used to be called DNB SS but now it is called DrNB.

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