Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
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 |