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21 Cards in this Set

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Damage or destruction of brain tissue may involve wide range of outcomes depending on...

Nature, location, and extent of neural damage




Premorbid competence and personality of individual




Individual’s life situation

Diffuse vs. Focal Damage

Diffuse: overall damage




Focal damage: occurring in just one place (eg: stroke, bullet)

Delirium

State between wakefulness and stupor. Has sudden onset and involves fluctuating state of reduced awareness. Reflects confusion, disturbed concentration, and cognitive dysfunction.




Can occur in person of any age, though the elderly and children are at particularly high risk.

Major Neurocognitive Disorder (Dementia)

Not rapidly fluctuating condition




Characterized by a decline from a previously attained level of functioning; slow onset and a deteriorating course




Caused by over 50 different disorders, but most commonly caused by Alzheimer’s disease

Parkinson's Disease

Characterized by tremors or rigid movements




Primarily caused by loss of dopamine neurons




About 75% eventually show signs of dementia

Huntington's Disease

Rare degenerative disorders of nervous system




Chronic, progressive chorea




Patients usually develop dementia




Onset age 40; more common in males

chorea

involuntary movements characterized by their random, brief, and non-rhythmic character

Alzheimer's Disease

Progressive and fatal neurodegenerative disorder




Usually slow, but progressively deteriorating course terminating in delirium and death

Alzheimer's risk factors

age, genes, genetic mutations of APP, APOE-E4 allele of APOE gene (on exam)




depression, head trauma, brain inflammation, aluminum?




black and green tea reduced risk in Japanese with gene by 86%; increased blood flow to parts of brain for memory

Alzheimer's neuropathology

Atrophy (cell loss), Beta-Amyloid plaque, neurofibrillary tangles (contain tau protein)

Alzheimer's disease course

AD causes destruction of cells that make neurotransmitter important for memory --> drug treatments include choloinesterase inhibitors such as donepezil and non-cholinesterase inhibitor memantine --> Drugs help stop ACh (Acetyl-Choline) from being broken down and increasing availability to brain

Dementia from HIV-1 Infection

Due to breaking down of immune system. Exposure to many pathogens can lead to impaired memory and dementia symptoms.

Vascular disease

Series of circumscribed cerebral infarcts cumulatively destroy neurons overexpanding brain regions

Amnestic disorder

Characteristic feature of amnestic syndrome




Caused by alcohol abuse, head injuries, stroke




(Treatment techniques)

Incidence of head injuries

About 2 million people a year (most from car accidents)

Common causes of brain injuries

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Brain injury risk by gender and age

jlk

Where did rod pierce Phineas Gage?

Frontal lobe/prefrontal cortex

Head injury outcomes

Retrograde amnesia




Anterograde amnesia




Personality changes

Head injury treatments

Promptness, immediate and long-term reeducation and rehabilitation, treatment team often involves wide variety of health professionals

Aftereffects of head injuries

jk