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21 Cards in this Set

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What is an acquired brain injury?

Overarching term applied to describe insults to the brain that are not congenital or perinatal in nature.

What is a traumatic brain injury?

Results from mechanical energy to the head from external physical forces. It may involve rapid forward and backward motion or blunt/penetrating force

What is cardiovascular disease?

Disease of the blood vessels supplying the brain.

What is a cerebrovascular accident? (CVA)

"stroke"


Sudden onset of neurological deficits due to disruption of blood supply to the brain.


Lasts >24 hours


No blood flow, no O2 to brain cells --> neural tissue death

What is transient ischaemic attack? (TIA)

Transient episode of neurological dysfunction caused by focal ischeamia without acute infarction.


It provides warning of impending stroke


Lasting <24 hours

What are the non-modifiable risk factors for stroke?

Age


Gender (more common in men)


Family history

What are the modifiable risk factors of stroke?

TIA


High blood pressure
High cholesterol


Smoking


Obesity


Poor diet


Diabetes


Alcohol


Heart disease

What is ischaemic stroke?

Most common


=restricted/interupted blood flow


Caused by occluded arteries due to blood clots (thombosis or embolism)

What is a haemorrhagic stroke?

Caused by bleeding into brain tissue and spaces


Results in focal haematoma and cerebral oedema ---> increased pressure on brain tissue

What is a traumatic brain injury?

structural damage to the head and traumatic/ischemic injury to brain

What are the 2 classifications of TBI?

Closed head injury: acceleration/deceleration injury or blow to head and skull remains intact




Open head injury: skull is fractured and brain coverings are torn exposing the brain

What is a coup injury?

Blunt force to head


Brain decelerates abruptly by hitting skull


Results in contusion at site of impact



What is a contrecoup injury?

Rebound injury on opposite side of brain

What are the pathological consequences of TBI?

Ischemia


Haemorrhage


Increased ICP


Cerebral oedema


Herniation

What is the normal values for ICP?

0-15mmHg


Can change due to haemorrhage and cerebral oedema

What affect does increased ICP have?

Neurological deterioration


Cellular hypoxia and cell death


Brain herniation

What does a mild head injury/ concussion involve?

Momentary loss of consciousness

What does a moderate head injury involve?

Period of unconsciousness plus neurological deficits

What does a severe head injury involve?

Coma and severe neurological deficits

What are the 2 infectious diseases of CNS?

Meningitis (infection of meninges)


Encephalitis (infection of the brain



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