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175 Cards in this Set

  • Front
  • Back

meninges

the three connective tissue layers that make up the protective outer coverings of the brain + the bony skull

pia mater

innermost covering; thin and delicate and closely adheres to the brain

arachnoid mater

middle layer and separated from the pia mater

subarachnoid space

separates the arachnoid mater from the pia mater; contains CSF, blood vessels, and weblike tissue that secure it to the pia mater

dura mater

thick outermost layer that adheres to the inner surface of the cranium

cerebrospinal fluid (CSF)

surrounds the subarachnoid spaces around the brain and spinal cord and fills the ventricles within the brain

cerebrum

largest part of the brain; has 2 hemispheres

cerebral cortex

functional areas include primary motor areas, primary sensory areas, and secondary areas that function at a higher level than the primary areas

hypothalamus

lies inferior to the thalamus and forms the floor and lower part of the side walls of the third ventricle; plays important role in regulating appetite, HR, body temp, water balance, digestion and sexual activity

cerebellum

lies inferior to the pons and is the second largest area of the brain

arbor vitae

a cross-section of the cerebellum looks like a tree; tree of life

PNS

nervous tissue found outside the brain and spinal cord (12 cranial nerves)

PNS subsystems

(1) somatic


(2) autonomic

Autonomic nervous system

(1) Sympathetic


(2) Parasympathetic

Sympathetic

increases everything

Parasympathetic

brings everything back to normal

MS

musculoskeletal system

MS

mitral stenosis

MS

multiple sclerosis

delusion

a persistent belief in an untruth

illusion

an inaccurate sensory perception based on a real stimulus

mental

pertaining to the chin

mental

pertaining to the mind, e.g., mental health

brain

comprising the forebrain, midbrain and hindbrain

cerebrum

main (largest) portion of the brain, occupying the upper part of the cranial cavity; its two hemispheres, united by the corpus callosum, form the largest part of the CNS in humans.

cerebellum

situated on the back of the brain stem; consisting of median lobe (vermis) and two lateral lobes (the hemispheres)

brain stem

the stemlike portion of the brain connecting the cerebral hemispheres with the spinal cord and comprising the pons, medula oblongata, and midbrain

encephalon

located between the cerebrum and midbrain, it contains the thalamus, hypothalamus, and pineal glands; involved in controlling body temperature, sleep, appetite, blood pressure, and sexual activity

spinal cord

that part of the central nervous system lodged in the spinal column

meninges

the three membranes covering the brain and spinal cord: dura mater, arachnoid, and pia mater

dura mater

the outermost, toughest of the three meninges (membranes) of the brain and spinal cord

arachnoid

the delicate membrane interposed between the dura mater and the pia mater

pia mater

the innermost of the three meninges covering the brain and spinal cord

cerebrospinal fluid

fluid within the ventricles of the brain, the subarachnoid space, and the central canal

cranial nerves

the 12 pairs of nerves emerging form the cranial cavity through various openings in the skull, as follows

olfactory (CN I)

sense of smell

optic (CN II)

vision

oculomotor (CN III)

movements of the eye

trochlear (CN IV)

muscles of the eyes

trigeminal (CN V)

facial movements

abducens (CN VI)

muscles of the eye turning the eye outward

facial (VII)

muscles of the face, ears and scalp

auditory (VIII)

pertaining to the ear or the sense of hearing

glossopharyngeal (IX)

pertaining to the tongue and pharynx

pneumogastric vagus (X)

voice and swallowing

spinal (XI)

neck muscles

hypoglossal (XII)

beneath the tongue

spinal accessory nerves

31 pairs of nerves without special names that are connected to the spinal cord

sympathetic

the part of the autonomic nervous system assisting the body in emergencies, defense and survival

parasympathetic

the part of the autonomic nervous system bringing body functions back to normal after a stressful situation has ended

abscess (brain)

secondary to infection in the body, e.g., ear, sinuses

Alzheimer's disease (presenile dementia)

characterized by confusion, restlessness, agnosia, speech disturbances, inability to carry out purposeful movements, and hallucinations; the disease usually begins in later midlife with slight defects in memory and behavior and occurs with equal frequency in men and women. The cause is unknown

amyotrophic lateral sclerosis (ALS)

progressive degeneration of the upper and lower motor neurons; usually fatal

anencephaly

congenital absence of the brain; death occurs in 1-2 days

Bell's palsy

unilateral facial paralysis of sudden onset caused by lesion of the facial nerve; facial distortion

carpal tunnel syndrome

the disorder is largely due to the result of repetitive overuse of the fingers, hands, or wrists, which causes inflammation of the median nerve in the tunnel. Symptoms are intermittent or continuous pain, especially at night; treatment involves anti-inflammatory drugs, splints, physical therapy, and creasing the overuse. If these measures fail, surgical measures to relieve the pressure may be necessary.

cerebral palsy

paralysis from developmental defects or trauma; many symptoms; appearing before age 3 years, caused by non progressive damage to the brain

cerebrovascular accident (CVA)

a decrease in blood flow supply to the brain, causing death to the specific portion of the brain tissue affected; the three types of CVA or hemorrhagic stroke, which occurs when a cerebral vessel ruptures; thrombotic stroke, which occurs when a blood clot in the arteries leading to the brain becomes occluded (blocked); and embolic stroke, which occurs when an embolus (fragment of blood clot, fat, bacteria, or tumor) lodges in a cerebral vessel and causes occlusion

concussion

a violent blow to the head; there may or may not be a loss of consciousness

convulsion (seizure)

an involuntary contraction or series of contractions of the voluntary muscles; sudden disturbances in mental functions and body movements, some with loss of consciousness

encephalitis

inflammation of the brain

epilepsy

seizure disorder; cause usually unknown; symptoms can be managed with medication

fracture (skull)

a break in the bones of the skull; cause can be injury, gunshot wounds

grand mal seizure

also called tonic-clonic seizures; characterized by a sudden loss of consciousness, falling down, and involuntary muscle contractions; often preceded by an aura, a peculiar sensation such as visual disturbance, numbness, or dizziness, which appears just before more definite symptoms

hematoma

blood "tumor" (clot); must be removed if large enough to cause pressure on the brain

herpes zoster

"shingles"; an acute inflammatory disease of cerebral or spinal nerve caused by viral infection; common in elderly adults

Huntington's chorea

ceaseless occurrence of rapid, jerky, involuntary movements; hereditary disease marked by chronic progressive chorea and mental deterioration

hydrocephalus

"water on the brain"; a congenital or acquired condition marked by dilation of the cerebral ventricles accompanied by an accumulation of cerebrospinal fluid within the skull; typically, there is enlargement of the head, prominence of the forehead, mental deterioration, and convulsions

Korsakoff's syndrome

an alcoholic psychosis with disorientation, progressing to complete amnesia

meningitis

inflammation of the meninges caused by bacterial, viral, or fungal infection

meningocele (myelomeningocele)

hernial protrusion of the meninges through a bone defect in the cranium or vertebral column; may be repaired surgically

multiple sclerosis (MS)

brain and cord contain areas of degenerated myelin. Symptoms of lesions include weakness, incoordination, speech disturbances, and visual complaints

myasthenia gavis (MG)

a progressive neuromuscular disorder characterized by chronic fatigue and muscle weakness; considered to be an autoimmune disease. Antibodies block and destroy receptors at the myoneural junction because of a deficiency of acetylcholine. The onset of symptoms is gradual, with drooping eyelids, difficulty speaking and swallowing, and weakness of the facial muscles; the weakness may then extend to other muscles enervated by cranial nerves, especially the respiratory muscles. The disease occurs more often in women than men, with onset between ages 20 & 40 years in women, and in older men between ages 50 & 60 more often than in younger men.

neuropathy

disease of cranial and peripheral nervous system; motor, sensory, and reflex impairment

organic brain syndrome (chronic brain syndrome)

any mental disorder caused by impairment of brain tissue function; may be acute and reversible, caused by injury, infection, and nutritional deficiency, or chronic, resulting from relatively permanent organic impairment of brain tissue function.

Parkinson's disease

a slowly progressive, degenerative, neurological disorder characterized by resting tremor

petit mal seizures

also called absence seizure, the petit mal is a minor seizure lasting only a few seconds. The person has a momentary clouding of consciousness, may have a blank facial expression, and blink the eyes rapidly; the duration of the seizure is 5-10 seconds. The individual may not be aware of the episode. It is more frequent in children.

poliomyelitis

an acute viral disease with fever, sore throat, headache, vomiting, and often stiffness of the neck and back; may be minor or major; can be prevented by vaccination

sciatica

severe pain in the leg along the course of the sciatic nerve; also pain radiating into the buttock and lower limb, most commonly caused by herniation of a lumbar disk

shunt

to bypass, e.g., using a catheter to drain fluid from brain cavities to the spinal cord

spinal cord injuries

a traumatic disruption of the spinal cord, with extensive musculoskeletal involvement; spinal fractures and dislocations are common in car accidents and airplane crashes and can cause varying degrees of paraplegia and quadriplegia

subdural hematoma

beneath the dura mater, usually a result of a closed head injury, acceleration-deceleration injury, use of anticoagulants, contusions, or chronic alcoholism; they are largely a result of venous bleeding. An acute subdural hematoma can occur within minutes or hours following an injury; a chronic subdural hematoma takes weeks to months to evolve. Symptoms include drowsiness, headache, confusion, possible seizure and signs of intracranial pressure and paralysis; treatment involves surgical evacuation of the blood, and in acute subdurals, it may be removed through burr holes in the skull, but chronic ones require a craniotomy because the blood has solidified and cannot be aspirated through burr holes

Tay-Sach's disease

an inherited inborn error of metabolism in which there is an enzyme deficiency causing altered lipid metabolism; deficiency of this enzyme results in accumulation of a specific lipid in the brain, which leads to physical and mental retardation. It is a progressive disorder, marked by degeneration of brain tissue, dementia, convulsions, paralysis, blindness, and death. The symptoms begin around 6 months of age; death occurs between 2 & 4 years of age. It is possible to test for this disease in the unborn fetus through amniocentesis. No therapy is available for the disease; supportive and symptomatic care is indicated. Tay-Sach's primarily affects children of the Ashkenazic Jews

tumors (cord, brain)

benign or malignant, primary or metastatic; may be classified by location, tissue type, or degree of malignancy, e.g., gliomas, neuromas

whiplash

a popular term for an acute cervical sprain; acceleration extension injury of the cervical spine

angiogram (arteriogram), cerebral

a radiopaque substance is injected into arteries in the neck, then x-ray films are taken

Babinski's sign

reflex response; when sole of the foot is stroked, the big toe turns up instead of down (normal in newborn, but pathologic later on)

computerized tomography (CT) brain scan; also called CAT scan

3D view of brain tissue obtained as x-ray beams pass through layers of the brain. A CT scan will show areas of tumors, hemorrhage, blood clots, aneurysms, MS, and brain abscess; contrast medium may also be injected by IV to better visualize abnormalities

cordotomy

cutting of nerve fibers to relieve intractable pain

craniotomy

any operation of the cranium, e.g, puncture of the skull and removal of its contents to decrease the size of the head of a dead fetus and aid in delivery

echoencephalogram (EEG)

use of ultrasound to show displacement of brain structures

electroencephalogram (EKG)

record of electrical activity of the brain

laboratory procedures

examination of cerebrospinal fluid (cell counts, culture, blood)

laminectomy

excision of the posterior arch of a vertebra to view the spinal cord or to relieve pressure

lumbar puncture (LP)

spinal tap

lumbar sympathectomy

a surgical interruption of part of the sympathetic nerve pathways, performed for the relief of chronic pain in vascular diseases, such as arteriosclerosis, claudication and so on

magnetic resonance imagining (MRI) of the brain

noninvasive technique using magnetic waves to create an image of the brain. The MRI is far more precise and accurate than most diagnostic tools; it provides visualization of fluid, soft tissue, and bony structures. MRI and CT are used to complement each other in diagnosing brain and spinal cord lesions. Persons with any implanted metal devices such as a pacemaker, prosthesis, etc., cannot undergo MRI because the strong magnetic field will dislodge them

myelogram (myelography)

the film produced by myelography, e.g., injection of a dye into the subarachnoid space to detect tumors or herniated disks

nerve block

injection of anesthetic into a nerve to produce the loss of sensation

nerve cells (neurons)

conducting cells of the nervous system, consisting of a cell body containing the nucleus and its surrounding cytoplasms, and the axon and dendrites; specialized cells for transmitting impulses

pneumoencephalogram (PEG)

the radiograph obtained by visualization of the fluid-containing structures of the brain after CSF is intermittently withdrawn by lumbar puncture and replaced by air, oxygen, or helium

positron emission tomography (PET) scan

images of various structures show how the brain uses glucose and gives information about brain function; PET scans are used to assess Alzheimer's, stroke, epilepsy, and schizophrenia as well as study and diagnose brain tumors

rhizotomy

cutting the roots of spinal nerves to relieve incurable pain

Romberg test

a test of the sense of balance, e.g., the patient may lose balance when standing erect, feet together, and eyes closed

trephination

drilling a hole in the skull to evacuate clots or inject air for a diagnostic procedure

vagotomy

surgical transection of the fibers of the vagus nerve

ventriculography

radiography of the cerebral ventricles after introduction of air or other contrast medium

affect

the feeling experienced in connection with an emotion

aggression

hostile attitude; may be caused by insecurity or inferiority feeling

ambivalence

conflicting emotional attitudes toward a goal, e.g., hate and love

amnesia

loss of memory

autism

developmental disorder characterized by the inability to form social relationships and communicate with others

bipolar disorder

brain disorder in which the individual experiences extremes in energy, mood, and behavior between mania and depression that interfere with the ability to carry out day-to-day activities; also called manic-depressive illness

catatonia

excessive violent motor activity or lack of reaction and movement; observed in schizophrenia

delirium

a mental disturbance of relatively short duration, e.g., illusions, hallucinations, and excitement

delusion

a false personal belief

depression

in psychiatry, a morbid sadness, dejection, or melancholy; a decrease of body functions

echolalia

automatic repetition by a patient of what is said to him or her

electroconvulsive therapy (ECT, EST)

introducing convulsions by means of electricity; used on patients with affective disorders

hallucination

hearing or seeing things not really present

hypochondria

imaginary illnesses

hysteria

extremely emotional state

major depression

disabling brain disorder that interferes with normal activities of working, eating, sleeping and enjoying usual activities; most patients require treatment (medications and/or therapy) to improve after a depressive episode

malingering

make believe, e.g., pretending to be ill

megalomania

belief in one's own extreme greatness, goodness, or power

neurasthenia

mental and physical exhaustion as a result of psychological stress, conflict, or depression; similar to chronic fatigue syndrome

neurosis

an emotional disorder caused by unresolved conflicts, anxiety being its chief characteristic; person is still in touch with reality

paranoid

a person who is overly suspicious with feelings of being persecuted or having delusions of his or her abilities or power that are not consistent with reality

phobia

any persistent abnormal dread or fear

psychosis

a major mental disorder with a loss of contact with reality; characterized by delusions and hallucinations; often part of schizophrenia and severe depressive disorders

rapid eye movements (REM)

occur during periods of dreaming

schizophrenia

a chronic, severe, and debilitating brain disorder characterized by visual and auditory hallucinations and delusions as well as disordered thoughts. Most individuals with schizophrenia are not able to hold a job or care for themselves.

aphasia

loss of the ability to speak owing to injury or disease of the brain centers

ataxia

failure of muscular coordination

biofeedback

the process of furnishing a person with information on the state of one or more physiologic variables, such as HR, BP, or skin temp, often enabling the person to gain some voluntary control over the body function

cauda equina

the collection of spinal roots descending from the lower spinal cord and supplying the rectal area

comatose

in a deep stupor; cannot be aroused

contrecoup

denoting an injury to the brain, occurring at a site opposite to the point of impact

deep tendon reflex (DTR)

a reflex elicited by a sharp tap on the appropriate tendon or muscle to induce brief stretch of the muscle, followed by contraction

encephalon

the brain

fissure

many meanings; one refers to a deep furrow in the brain

flaccid

weak, lax, soft, flabby; poor muscle tone

foramen magnum

a large opening in the occipital bone through which the spinal cord passes

ganglion

a knot; a group of nerve cell bodies, located outside the CNS

gyrus (pl., gyri)

convolutions of the cerebrum

hemisphere

either half of the brain

ipsilateral

situated on or affecting the same side

limbic system

the part of the brain associated with attitudes and emotional behavior

manometer

an instrument for measuring the pressure, e.g., of spinal fluid

myelin

white, liquid, fatty substance surrounding some nerve fibers (white matter)

neurilemma (sheath of Schwann)

the membrane surrounding the peripheral nerves

paralysis

inability to use muscles because of damage to the nervous system

paresis

slight or incomplete paralysis

paresthesia

an abnormal sensation, such as burning or pricling

plexus

a network of nerves or blood vessels

reflex

an involuntary response to a stimulus

spastic

uncontrollable and forced contractions

stimulus

any agent, act, or influence that produces a reaction or response

sulcus (pl., sulci)

a groove, trench, or furrow on the brain surface

syncope

a faint; temporary loss of consciousness

ventricle (brain)

a small cavity in the brain

anticonvulsant

prevents or relieves convulsions (seizures)

anti-

against

convulsant

pertaining to convulsion

phenobarbital sodium

Luminal Sodium

diazepam

Vallium

antidepressant

prevents, cures, or alleviates mental depression

depressant

pertaining to depression

amitriptyline hydrochloride

Elavil, Amitril

intipramine hydrochloride

Tofranil

hypnotic

induce sleep or semiunconsciousness

hypno-

sleep

-tic

pertaining to

pentobarbital

Nembutal

secobarbital sodium

Seconal Sodium