Additional Brain-related Clinical Correlates Flashcards
Describe TBI
- Traumatic Brain Injury
- Often due to high speed motor vehicle accidents or falls
- damage at site of impact and on opposite side (ricochet effect of brain w/skull)
- Mild TBI ass. with impact sports: concussion (multiple = cumulative damage)
- Contusion - brain bruise (bleed)
- Severe TBI: often associated with bleeding intu dural spaces or overall cerebral edema
- Subdural hematoma (SDH)
- Subarachnoid hematoma (SAH)
- Swelling must be relieved; craniotomy with intracranial pressure monitoring (IVC)
- Can also be due to shearing effects with evidence of a bleed
What is SDH?
Subdural Hematoma
What is SAH?
Subarachnoid hematoma
What is IVC?
Intracranial pressure monitoring
Describe a Cerebrovascular Accident
A Cerebrovascular Accident is a stroke
Occurs when blood circulation to the brain is blocked and brain tissue dies due to lack of oxygen (known as ischemia)
What is the most common cause of a Cerebrovascular Accident?
blockage of a cerebral artery (blood clot)
What is TPA?
Tissue plasminogen activator
(key emergency treatment for ischemic stroke)
What is ischemia?
When blood circulation to the brain is blocked and brain tissue dies due to lack of oxygen
Explain how TPA should be administered
- Tissue plasminogen activator should be administrered IV within 4.5 hours to effectively dissolve clot
- Can be administered via femoral catheter directly to clot site in brain
What is CVA?
Cerebrovascular Accident
What are other causes of CVA or Cerebrovascular Accident?
Aneurysm (rupture)
or
Brain compression by hemorrage or edema
What are the resultant impairments from CVA or Cerebrovascular Accident (Stroke)?
highly variable and related to the regions damaged by the lost blood supply
What is TIA?
Transient ischemic attack
Describe TIA
- temporary episode of reversible cerebral ischemia
- usually caused by cerebral vasospasm (constriction of blood vessels)
Describe Alzheimer’s disease