Causes of Brain Dysfunction Flashcards

1
Q

Explain the layout of the major cerebral arteries

A

Anterior Cerebral Artery: midline & top of brain
Middle Cerebral Artery: outer sides of brain
Posterior Cerebral Artery: back & bottom sides of brain

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2
Q

What is a Ischemic stroke?

A

blockage of a blood vessel

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3
Q

What is a hemorrhagic stroke?

A

bleeding from torn vessel

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4
Q

What are the 6 risk factors for stroke?

A
  1. high blood pressure
  2. high cholesterol
  3. diabetes
  4. smoking
  5. cardiovascular conditions
  6. psychosocial stress (lack of food, inadequate health ed)
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5
Q

What are the 3 types of ischemic stroke?

A
  1. Thrombosis
  2. Embolism
  3. Arteriosclerosis
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6
Q

What is Thrombosis (ischemic stroke)?

A

blockage due to blood clot or other substance

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7
Q

What is Embolism (ischemic stroke)?

A

results from a moving thrombus

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8
Q

What is Asteriosclerosis (ischemic stroke)?

A

thickening/hardening/narrowing of arteries due to fatty plague build up

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9
Q

What are the 3 features of ischemic stroke damage?

A
  1. takes a while to develop (hours to days)
  2. some brain areas more vulnerable (hippocampus)
  3. multiple mechanisms of damage
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10
Q

What are the 4 mechanisms of damage of an ischemic stroke?

A
  1. excitotoxicity (excessive glutamate release)
  2. cell death signaling
  3. neuroinflammation (break down BBB)
  4. oxidative stress
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11
Q

What is an aneurysm?

A

weakened vessel wall (from birth or develop from high blood pressure/accumulated damage)

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12
Q

What are 2 aneurysm treatments?

A
  1. clipping (use titanium metal clip to completely shut off blood flow to aneurysm)
  2. coiling (platinum coils fill up aneurysm -> blood to clot inside & seal off further blood flow)
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13
Q

What is an ENCAPSULATED tumour?

A

grow within their own membrane

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14
Q

What is an INFILTRATING tumour?

A

not self-contained, difficult to remove/destroy

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15
Q

What is an BENIGN tumour?

A

surgically removeable w/ little risk of further growth in body

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16
Q

What is an MALIGNANT tumour?

A

tending to grow & spread, sometimes due to metastasis

17
Q

What are 2 neurotoxins?

A

Mercury & Lead

18
Q

What are the 3 types of brain infections?

A
  1. bacterial infections (Meningitis - inflammation)
  2. viral infections (COVID-19 - can all cause encephalitis, inflammation)
  3. parasitic infections (tapeworms in brain)
19
Q

What is Traumatic Brain Injury (TBI)?

A

brain injury caused by an outside force

20
Q

What are some common causes of TBIs?

A

Open-head / Close-head injuries

21
Q

What is CONTUSION?

A

“bruise” on brain from slamming skull

22
Q

What is HEMORRHAGING?

A

damage to brain’s vasculature by stretching/tearing

23
Q

What is HEMATOMA?

A

pooling of blood after hemorrhaging

24
Q

What is a SUBDURAL hematoma?

A

pooling blood b/w skull & brain

25
What is an EPIDURAL hematoma?
pooling of blood b/w skin & skull
26
Why do TBIs usually include both coup & contrecoup injuries?
Coup: front of brain Contrecoup: back of brain b/c brain hits both front and back upon impact
27
What is Diffuse Axonal Injury?
Injury to axons following a TBI, can be distal too site of injury (disconnection of neural network)
28
What is the effect of repeated mild closed-head injuries?
Chronic Traumatic Encephalopathy (CTE): dementia, memory problems, inappropriate/explosive behaviour