brain damage and neuroplasticity (4.5) Flashcards

1
Q

brain damage

A

an injury that causes the destruction or deterioration of brain cells

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2
Q

major causes of brain injury (6)

A

tumors, vascular disorders (strokes), closed-head injuries, infections, neurotoxins, genetic factors

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3
Q

tumor

A

a mass of cells that grows independently of the rest of the body

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4
Q

cancerous vs non-cancerous tumors

A

cancerous: infiltrating; growing diffusely through surrounding tissue; malignant; invade/destroy neighboring tissue; can metastasize (spread); difficult to remove
non-cancerous: encapsulated; growing within a membrane; usually benign; cause damage by putting pressure on tissue; can often be surgically removed

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5
Q

symptoms of a brain tumor (4)

A

headache, seizures, vomiting, nausea

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6
Q

stroke

A

a sudden-onset cerebrovascular event that causes brain damage

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7
Q

infarct vs penumbra

A

infarct: an area of dead or dying tissue
penumbra: an at-risk area of dysfunctional tissue surrounding infarct

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8
Q

cerebral hemorrhage vs cerebral ischemia

A

hemorrhage: bleeding in the brain, typically caused when an aneurysm bursts
ischemia: disruption of blood supply due to thrombosis, embolism, or arteriosclerosis

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9
Q

thrombosis vs embolism vs arteriosclerosis

A

thrombosis: blood clot blocking blood flow at the site of formation (plaque rupture)
embolism: clot carried by blood from a large vessel to a small vessel; “a thrombus that has taken a trip”
arteriosclerosis: walls of blood vessel thicken and narrow the channel; can eventually lead to complete blockage of the blood vessels

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10
Q

glutamate theory (4)

A

(1) blood vessel becomes blocked
(2) neurons affected by the ischemia release excessive glutamate
(3) excessive glutamate binds to NMDA receptors, thus triggering an excessive influx of Na+ and Ca2+ ions into postsynaptic neurons
(4) influx eventually kills postsynaptic neurons, but first triggers the excessive release of glutamate from them, thus spreading the toxic cascade

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11
Q

contusions

A

injuries that involve damage to the cerebral circulatory system; causes internal bleeding and a hematoma (a localized collection of clotted blood; a bruise)

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12
Q

coup vs contrecoup

A

coup: contusions under the site of impact
contrecoup: contusions on the side opposite the impact

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13
Q

concussion

A

blow to the head resulting in no contusion, but a disturbance of consciousness; multiple may result in a dementia referred to as “punch-drunk syndrome”

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14
Q

bacterial vs viral infections

A

bacterial: often lead to cerebral abscesses (pockets of pus); may inflame meninges, creating meningitis; treated with antibiotics (i.e. penicillin)
viral: some preferentially attack neural tissues (i.e. rabies); others have no special affinity for it (i.e. mumps and herpes)

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15
Q

neurotoxins

A

may enter general circulation from the GI tract or lungs or through the skin

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16
Q

toxic psychosis

A

chronic insanity produced by a neurotoxin

17
Q

neuroplasticity degeneration (4)

A

(1) axotomy: the axon of a neuron is cut (infarct zone)
(2) anterograde degeneration: distal portion of damaged neuron degenerates (cut to synaptic terminals)
(3) retrograde degeneration: proximal portion of damaged neuron degenerates (cut to cell body)
(4) transneuronal degeneration: neurons that synapsed on damaged neuron may degenerate (retrograde) and so too may neurons on which the damaged neuron synapsed (anterograde)

18
Q

necrosis vs apoptosis

A

necrosis: passive cell death resulting from injury; quick; inflammation; may damage other cells in the vicinity (i.e. from glutamate storm)
apoptosis: self-destruction; gradual; no inflammation; damage to nearby cells is kept to a minimum

19
Q

collateral sprouting

A

axon branches grow out from adjacent healthy axons and synapse at the vacated sites when an axon degenerates

20
Q

main ways to reduce cognitive dysfunction following an insult (3)

A

block neurodegeneration: apoptosis inhibitors, neurotrophic agonists, glutamate antagonists
promote recovery: transplant Schwann cells, embryonic/adult stem cells, olfactory basal cells
rehabilitative training: cognitive and physical exercise