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19 Cards in this Set

  • Front
  • Back
Tangles protein & cause of problems
Tau (a MAP protein = microtubule associated protein)
abnormal phosphorylation -> sticking together -> tangle
Tangles
size
found in
shape
Small
Intracellular
Pyramid shaped (fills pyramidal neurons)
Plaques
location
protein
size
Extracellular (outside cell)
Beta-amyloid (sheets of beta-amyloid precursor protein from abnormal cleavage)
BIG size
Pick disease targets what in brain? Responsible for what?
Frontal Lobes
Personality & social interaction
Lewy body is in which disease
Parkinson's disease
ALS signs/symptoms
cause
Progressive weakness/paralysis & muscle atrophy
Near total loss of alpha-motor neurons in anterior horn
(note: looks similar to Polio - polio may not be entire spinal cord but ALS will)
Chromosome & gene associated w/ Huntington's
Chromosome 4 & Huntingtin
Symptoms of Guillain-Barre
Ascending weakness working distal to proximal
inflammation and subsequent demyelination of peripheral nerves & nerve roots
Symptoms of Myasthenia Gravis
Increasing fatigue w/ activity & improves after rest
1st symptom is eye muscle weakness
may have Ab to Ach receptors
Manifestation of traumatic neuroma
Tangled mass of axon mixed w/ collagen
c/o lack of guidance for regrowth of axon
True localizing sign
Hemisphere pushes against midbrain and damages ipsilateral side above decussation -> contralateral paralysis
False localizing sign
Hemisphere pushes midbrain into contralateral tentorium (damages contralateral crus cerebri) above the decussation -> ipsilateral paralysis/deficits
Tonsilar herniation problems
Compress adjacent medulla leading to
compression of respiratory centers & consciousness centers
Kernohan's notch
One side (say right) herniates pressing midbrain into opposite tentorium (false localizing sign)
indentation of contralateral midbrain by contralateral tenorium is Kernohan's Notch
Clinical manifestations of Oculomotor nerve damage
Down & out eye (c/o only lateral rectus (abducens VI) & superior oblique (trochlear IV)intact)
& Ptosis (facial VII)
Duret hemorrhages
Intraparenchymal hemorrhages pulled & twisted c/o herniation
Diffuse axonal injury: what part of brain takes brunt
what do you see in diffuse axonal injury
corpus callosum
retact and swell creating axonal retraction balls
Epidural, Subdural, & Subarachnoid Hemorrhages
What do you see?
What is the etiology?
Epidural: arterial (often middle meningeal), lens-shaped, fx of temporal bone
Subdural: Venous (bridging veins), will not cross midline (falx cerebri blocks)
sub-arachnoid: c/o cortical veins, fills sulci (gyrus stick out from hemorrhage), ruptured berry aneurysms NOT trauma
Fat emboli formation
mechanism
location
Vinegar in oil -> 2 days later coalesce -> tiny infarctions
usually at junction btwn gray & white matter