Aging of the Nervous System Flashcards

1
Q

Changes with Aging

A
  1. Decreased # of sensory receptors
  2. Decreased synthesis of neurotransmitters
    May have decreased control of: Emotions and/or Attention
  3. Reduction of Serotonin
    - Reduced memory
    - Sleep pattern effects
    - Thermoregulation
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2
Q

Senile plaques

A
  • Extracellular deposits of amyloid (starch-like protein-carbohydrate complex) in the gray matter of the brain
  • Occur most often in the cortex and hippocampus
  • Associated w/ AD and Dementia
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3
Q

Proportion of people with plaques

A
  • Age 60 years (10%)
  • Age 80 years (60%)

Increases with age

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4
Q

Neurofibrillary Tangles

A
  • Pathological accumulation of paired helical filaments
  • Found primarily in the cytoplasm of nerve cells of the brain
  • Cerebral cortex and hippocampus
  • Found in higher concentration in older adults
  • Occurs in Alzheimer’s disease and Dementia
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5
Q

Vestibular system changes

A
  • Hair cell receptors decline beginning at age 30
  • Vestibular receptor cells decrease by age 55-60
  • Myelinated fiber loss in vestibular system is 40% by age 80
  • **May lead to c/o dizziness
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6
Q

Somatosensory system changes

A
  • Decreased # of unmyelinated and myelinated nerve fibers
  • Blood vessels become atherosclerotic -> loss of blood supply to nerve fibers
  • -Major contributor to increased prevalence of peripheral neuropathies in older adults
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7
Q

Motor system Changes

A
  • Loss of alpha MN
  • -Remaining αMN will innervate the denervated muscle cells
  • -Results in larger motor units, which can effectively reduce motor coordination for finely tuned movements
  • Space b/w nodes of Ranvier is reduced -> reduced NCV
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8
Q

Autonomic NS Changes

A
  • Reduce sympathetic control of vasculature in the skin

- Results in reduced wound repair efficiency

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9
Q

Anatomic NS Changes with Age

A
  • Overall brain weight decreases with age

- By 8th decade, NCV can decrease by 10-15% especially in myelinated nerves

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