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33 Cards in this Set

  • Front
  • Back
What is a tumor?
mass of cells that grow independently of the body
(neoplasm)
Statistics about Tumors
20% of meningiomas are encased in meninges

-usually benign, and are surgically removable, but can cause damage through pressure

-most are infiltrating (grow diffusely into surrounding tissue) and malignant – difficult to destroy/remove

-about 10% of brain tumors are metastic (originate elsewhere in the body; usually lungs)
Cerebrovascular Disorder
Stroke
sudden onset cerebrovascular event that causes brain damage;

2 types:
1) cerebral hemorrhage – bleeding in the brain
2) cerebral ischemia – disruption of blood supply
Symptoms of Stroke
paralysis, cognitive impairment, aphasia (most common symptom)--> (inability to speak), amnesia (retrograde)
Cerebrovascular Disorder
Aneurysm
weakened point in blood vessel making stroke more likely; could be congenital, poison, infection, or trauma

peak incidence is at 40-50 years
-sudden severe headache/unconsciousness
-would diagnose with a contrast X-ray
infarct

penumbra
tissue is dead, where stroke actually happened

where the stroke has spread, but there is still hope for recovery of that tissue
Types of Cerebral Ischemia (insufficient blood flow to the brain)
Thrombosis: plug forms in brain

Embolism: plug forms elsewhere, moves to brain

Arteriosclerosis: blood vessels thicken from fat deposits
Closed-Head Injuries:
Contrecoup Injuries (definition & types)
opposite side that you hit gets damaged

-contusion: damaged circulatory system, hematoma forms (bruising)
- concussions: no structural damage, but disturbance of consciousness
- punch drunk syndrome: repeated concussions may result in dementia and intellectual decline
Infections of Brain
1. Encephalitis: inflammation of the brain due to invasion of microorganisms (viral)

2. bacterial; abscesses, pockets of puss, may inflame meninges, meningitis, syphilis, general paresis, treat with antibiotics.

3. Viral infections; rabies, measles, mumps, influenza, some can lie dormant for years
Encephalitis
inflammation of the brain due to invasion of microorganisms (viral)
Neurotoxins
-“poisons” – can enter from lungs or G.I. tract
-some are endogenous (produced by body/autoimmune disorders)
Neurotoxin "Diseases"
1. Toxic Psychosis: chronic insanity produced by a neurotoxin

2. “The Mad Hatter”: often had elevated levels of mercury exposure from making hats

3. “Crack Pot”- lead lined tea pot, drinking the tea from a broken pot would give lead poisoning
Neuropsychological Diseases
1. Epilepsy
2. Parkinson's Disease
3. Huntington's Disease
4. Multiple Sclerosis
5. Alzheimer's Disease
Epilepsy - types
1. Partial : not whole brain → divided into “simple” [sensory or motor] and “complex” [temporal lobes, patient engages in compulsive and repetitive simple behaviours, automatisms]

2. Generalized : whole brain → divided into “Grand Mal” [loss of consciousness + equilibrium, tonic-clonic convulsions, rigidity and tremors, hypoxia (not enough air to brain)] and “Petit Mal” [ not associated with convulsions, disruption of unconsciousness, lose train of thought]
Epilepsy - symptoms
primary symptom: seizures (although not all who have seizures are epileptic)

-seizures are generated by own brain dysfunction

-some people see aura that signals oncoming seizure
Epilepsy - statistics and causes
affects up to 1% of the population

- tested with an electroencephalogram (EEG)
-no cure

-causes: brain damage (viruses, neurotoxins, tumors, injuries), genetics (over 70 could be responsible), inhibitory synapses alter GABA
Kindling Model of Epilepsy
-convulsion response becomes progressively stronger with repeated administration; neural changes are permanent

-if kindled, can leave untouched for months, but next stimulation will produce convulsions, they have to be distributed over time, once every day not every 5 minutes

-comparable to head injury epilepsy
Parkinson's Disease - symptoms
tremor at rest (most common)
-difficult time initiating movement
-muscular rigidity
Parkinson's Disease- statistics and causes
-dementia is not typical
lower incidence in coffee drinkers and smokers


-no single cause – neurotoxins, brain injuries, genetics, pesticides

-associated with degeneration of the substantia nigra; release dopamine to striatum of the basal ganglia – L. Dopa would help
MPTP Model of Parkinson's Disease
case of frozen addicts – synthetic heroin produce the same symptoms

-contained MPTP; causes cell loss in substantia nigra
- “deprenyl” – can slow progression of Parkinson’s Disease
Huntington's Disease- symptoms
fidgety movements: jerky, random, uncontrollable movements, more fluid
-CHOREA→ severe motor and intellectual, starts in striatum (basal ganglia)
Huntington's Disease- statistics and causes
degenerative motor/cognitive disorder
-death within 15 years
-symptoms at about 45 years
-transmission by single dominant gene, 50% chance to pass it on
-gene code for protein is Huntingtin neurotoxin
Multiple Sclerosis- symptoms
-visual disturbances, weakness, numbness, tremor, more common in females than in males
Multiple Sclerosis- statistics and causes
autoimmune disease → attacks CNS myelin, leaving areas of scar tissue
-periods of remission is common
- higher rate in cooler climates…may have something to do with vitamin D
-some genetic component
-smokers are higher risk
-no cure, but drugs to slow progression
Alzheimer's Disease- symptoms
selective decline in memory, confusion, mood swings, language breakdown, long term memory los, loss of bodily functions
Alzheimer's Disease- statistics and causes
-1/10 over 65, 35% over 85
amyloid plaques [clumps of scar tissue] and neurofibrillary tangles [threadlike protein in neural cytoplasm]- slowly destroy the hippocampus

*hippocampus and amygdala both have important roles in memory; complex cognitive functions…prefrontal cortex, temporal cortex and parietal cortex
Transgenic Model for Alzheimer's Disease
only humans and a few related primates can replicate the tangles, which shows maybe amyloid plaques are responsible for symptoms
Neuroplasticity - Neural Degeneration
cutting axons to study response (axotomy)

1. Retrograde – slower, proximal segment
2. Anterograde – degeneration of the distal segment between cut and synaptic clefts, faster
What reduces Neural Degeneration?
1. Apoptosis inhibitor protein
2. Estrogens
3. Nerve growth Factor
Neuroplasticity- Neural Regeneration (What increases?)
1. Schwann cells – capable of regeneration in peripheral nervous system

2. Oligodendrocytes – can’t regenerate in central nervous system, actively inhibit growth
-2 ways: either create new connections or strengthen existing connections
Neuroplasticity- Neurotransplantation
-transplanting fetal tissue
-limited success (~15%)
- MPTP treated monkeys
-stem cells – embryonic stem cells implanted into damaged rat + spinal cord…improved mobility
Rehabilitation
-constraint-induced therapy : tie down the functioning limb while training the impaired limb creates a competition among neuron to foster recovery

-facilitated walking – treat spinal cord injury

- physical exercise and environmental play a role
phantom limb
chronic pain often accompanies.
-Kamachandrion’s hypothesis: reorganization of somatosensory cortex following amputation