Brain Damage Flashcards
Whats the damage from benign tumors?
Benign: damage by compression but can be cut out and wont regrow
Whats the damage from malignant tumor?
Damage by compression or infiltration. Infiltrating invades other regions and destroys cells in their path.
Compression of the brain regions can damage cells and obstruct the flow.
What are metasteses?
tumor shed cells that travel through bloodstream and creates new tumors
What types of cells in the brain don’t give rise to tumors?
Neurons
Whats a ischemic stroke?
Is the blockage of blood to the brain. Longer to develop, Brain is deprieved of blood and nutrients.
Whats a hemorrhagic stroke?
Hemorrhagic- is the bleeding in the brain. Causes cell death to the neurons.
Whats a thrombus stroke?
Blocks in the same location of stroke.
Whats an embolus stroke?
Forms then get broken apart and travel til it just stuck
What is the penumbra?
The area directly surrounding the stroke.
Understand the series of events leading to cell death in stroke.
1) blockage
2) Neurons that are effected by blockage release excessive glutamate
3) Excessive glutamate triggers excessive Ca+ and Na- into the postsynapses
4) Excessive Ca+ and Na- kills postsynapse neurons by releasing excess glutamate spreading the toxic
How are concussions classified (graded)
Grade 1) symptoms last less than 15 mins, no loss of consciousness
Grade 2) symptoms last greater than 15 mins, no loss of consciousness
Grade 3) loss of consciousness, for a few seconds
What sorts of physical damage can occur to the brain in a traumatic brain injury (TBI)?
TBI are unseen injury, (the silent epidemic)
Understand coup-countercoup.
When you quickly move your head back and forth the neurons in the center stretch die
What are the secondary factors of TBI
Reduction in the cerebral blood flow, reducing the blood flow mean less glucose and less oxygen. Can be treated with Phenylephrine
Why are TBIs problematic for the brain?
Increased excitatory amino acids (EAAs) which causes the increased release of glutamate and aspartate which increases the activation of NMDA receptors
What groups are at high risk for such an injury?
Males 15-24
Substance abusers
Infants/Elderly