Chapter 10: Brain Damage Flashcards

1
Q

Brain damage is an injury to the brain caused by ..

A

head trauma, inadequate oxygen supply, infections, or intracranial hemorrhage

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2
Q

Lack of oxygen to the brain is also known as

A

Hypoxia or anoxia

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3
Q

Brain tumor also known as

A

Neoplasm

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4
Q

a group of cells growing independently from rest of body

A

Neoplasm

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5
Q

Structure of brain tumor

A

Encapsulated - grow within own membrane

Infiltrating - grow diffusely through surrounding tissue

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6
Q

Origin of brain tumor

A

Gliomas originate from glial cells (often infiltrating)

qMeningiomas grow in the meninges (encapsulated and benign)

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7
Q

originate in one organ and spread to another

A

Metastatic

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8
Q

refer to the presence of cancerous growths in multiple locations within the body, which have originated from a primary cancer site elsewhere

A

Multiple metastatic tumors

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9
Q

process by which cancer cells break away from the primary tumor, travel through the bloodstream or lymphatic system, and establish new tumors in distant organs or tissues

A

Metastasis

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10
Q

A benign tumor that develops on the vestibular nerve

A

Acoustic neuroma

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11
Q

Acoustic neuroma also known as

A

vestibular schwannoma

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12
Q

It is a thick, fibrous membrane that lines the inside of the skull and surrounds the entire brain and spinal cord.

A

Dura matter

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13
Q

Meningiomas are typically (malignant or benign)

A

Benign

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14
Q

responsible for producing myelin

A

Oligodendrocytes

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15
Q

resident immune cells of the CNS and function as the primary form of active immune defense

A

Microglia

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16
Q

line the cavities (ventricles) of the brain and involved in the production and circulation of cerebrospinal fluid (CSF)

A

Ependymal cells

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17
Q

Which is more difficult to treat: gliomas or meningiomas

A

Gliomas

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18
Q

Is acoustic neuroma benign or malignant

A

Benign

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19
Q

cerebrovascular disorder of sudden onset

A

Stroke

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20
Q

A stroke, also known as a

A

cerebrovascular accident (CVA)

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21
Q

occurs when blood flow to a part of the brain is interrupted or reduced, leading to damage or death of brain tissue

A

Stroke

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22
Q

typically result in sudden neurological symptoms such as weakness or numbness on one side of the body, difficulty speaking or understanding speech, vision problems, dizziness, and severe headache

A

Stroke

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23
Q

refers to an area of tissue damage or death (necrosis)

A

Infarct

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24
Q

Infarct is caused by

A

inadequate blood supply

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25
Q

Ischemia

A

Insufficient oxygen supply

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26
Q

Surrounding the core is the —, which consists of brain tissue at risk of damage due to reduced blood flow

A

Penumbra

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27
Q

Stroke is caused by

A

cerebral hemorrhage and cerebral ischemia

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28
Q

This type of stroke occurs when a blood vessel in the brain ruptures, leading to bleeding into the surrounding brain tissue

A

Cerebral hemorrhage

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29
Q

The majority of strokes are caused by —, which occurs when blood flow to the brain is blocked by a clot or other obstruction.

A

Cerebral Ischemia

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30
Q

Cerebral ischemia can result from

A

Thrombosis, Embolism, Arteriosclerosis

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31
Q

the buildup of plaque within blood vessels

A

Atherosclerosis

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32
Q

Formation of a blood clot within a blood vessel supplying the brain

A

Thrombosis

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33
Q

Blockage of a blood vessel in the brain by an embolus, which is a detached blood clot, air bubble, fat globule, or other foreign material that travels through the bloodstream from another part of the body

A

Embolism

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34
Q

A general term referring to the thickening and hardening of arterial walls

A

Arteriosclerosis

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35
Q

refers to injury or damage to brain tissue resulting from inadequate blood flow

A

Ischemic brain damage

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36
Q

Excessive glutamate release can overstimulate postsynaptic neurons through the activation of

A

NMDA (N-methyl-D-aspartate) receptors (glutamate receptor)

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37
Q

Activation of NMDA receptors can lead to

A

influx of calcium ions into the postsynaptic neuron, triggering cell death pr excitotoxicity

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38
Q

refers to tissue damage that occurs beneath the skin’s surface due to blunt force trauma

A

Contusion

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39
Q

affects the underlying tissues, such as muscles, blood vessels, and organ

A

Contusion

40
Q

One defining feature of a contusion is that it involves

A

bleeding within the tissues without causing a visible cut or break in the skin

41
Q

localized collection of blood outside of blood vessels

A

Hematoma

42
Q

How does hematoma form

A

When blood vessels are damaged as a result of a contusion, blood can leak into the surrounding tissues. They may appear as swollen, discolored areas on the skin or may be located deeper within the body.

43
Q

One notable aspect of contusions in the brain is the possibility of

A

countrecoup injuries

44
Q

Imaging techniques used in contusion

A

MRI, CT Scan

45
Q

a type of traumatic brain injury characterized by the accumulation of blood outside the brain, typically between the dura mater and the arachnoid mater

A

Subdural hematoma

46
Q

occurs when a sudden blow or jolt to the head disrupts the normal functioning of the brain

A

Concussion

47
Q

This disruption can lead to a temporary loss of consciousness

A

Concussion

48
Q

In contusion, there is a visible structural damage. In concussion,

A

concussions typically do not show up on imaging tests like CT scans or MRIs. Instead, it involves biochemical and metabolic changes within the brain that can disrupt normal neurological function.

49
Q

Concussions can result in a wide range of symptoms that affect various aspects of

A

cognition, motor function, and neurological well-being

50
Q

degenerative brain disease that has been linked to repeated head injuries, including concussions

A

Chronic traumatic encephalopathy (CTE)

51
Q

an inflammation of the brain

A

Encephalitis

52
Q

Encephalitis is caused by

A

Bacteria or viral

53
Q

Bacterial causes include pathogens like

A

Streptococcus pneumoniae,
Neisseria meningitidis,
Haemophilus influenzae

54
Q

Bacteria in encephalitis can enter the brain

A

directly — through trauma or surgery, or
indirectly — from other infected areas like sinuses or bloodstream

55
Q

often referred to simply as pneumococcus

A

Streptococcus pneumoniae

56
Q

bacterium commonly found in the respiratory tract of humans

A

Streptococcus pneumoniae

57
Q

Streptococcus pneumonia also known as

A

pneumococcus

58
Q

bacterium known for causing meningococcal disease

A

Neisseria meningitidis

59
Q

Neisseria meningitidis also known as

A

meningococcus

60
Q

often referred to simply as meningococcus

A

Neisseria meningitidis

61
Q

bacterium known for causing a range of infections, particularly in children

A

Haemophilus influenzae (H. influenzae)

62
Q

primary treatment for bacterial encephalitis

A

Antibiotics

63
Q

Bacterial encephalitis can extend to involve the

A

meninges, leading to meningitis

64
Q

presents with symptoms such as headache, neck stiffness, fever, and altered mental status

A

Meningitis

65
Q

bacterial encephalitis can lead to the formation of

A

Brain abscesses

66
Q

localized collections of pus within the brain tissue

A

Brain abscesses

67
Q

typically refers to the neurological and cognitive symptoms resulting from late-stage syphilis infection, which can manifest as a form of chronic bacterial encephalitis

A

General paresis

68
Q

It’s characterized by progressive dementia, personality changes, and motor dysfunction.

A

General paresis

69
Q

Virus-causing encephalitis..

A

Herpes simplex virus (HSV),
Varicella-zoster virus (VZV),
Enteroviruses, and
Arboviruses (such as West Nile virus or Japanese encephalitis virus)

70
Q

How does viral encephalitis enter the brain

A

through respiratory or gastrointestinal routes and then spread to the brain, where they cause inflammation.

71
Q

oral herpes (cold sores)

A

HSV-1

72
Q

genital herpes

A

HSV-2

73
Q

HSV means

A

Herpes Simplex Virus (HSV)

74
Q

VZV means

A

Varicella-Zoster Virus (VZV)

75
Q

It causes two distinct clinical syndromes: chickenpox (—) and shingles (—).

A

varicella, herpes zoster

76
Q

Certain viruses have a particular affinity for the central nervous system (CNS). This one causes acute viral encephalitis

A

Rabies virus

77
Q

has been linked to the development of epilepsy, cognitive impairment, and mood disorders

A

Viral encephalitis

78
Q

Some viruses, such as —, can establish latent infections in the nervous system after the initial acute phase of encephalitis.

A

herpes viruses

79
Q

This may be used to reduce inflammation in the brain

A

Corticosteroids

80
Q

Treatment for encephalitis

A

Bacterial — antibiotic; Virus — antiviral medication

81
Q

What is neurotoxins?

A

Substances that are toxic to the nervous system. They interfere with the normal functioning of nerve cells, leading to a range of neurological symptoms or disorders

82
Q

Examples of neurotoxic substances that are considered heavy metals

A

lead, mercury, arsenic, cadmium

83
Q

refers to a condition characterized by hallucinations, delusions, and other psychotic symptoms resulting from exposure to toxic substances

A

toxic psychosis

84
Q

A neurological disorder characterized by involuntary, repetitive movements, often involving the face, lips, tongue, and extremities.

It is most commonly associated with the long-term use of certain medications, particularly antipsychotic drugs used to treat psychiatric conditions.

A

tardive dyskinesia

85
Q

substances that are produced within the body and can have toxic effects on the nervous system

A

endogenous neurotoxins

86
Q

chronic autoimmune disease characterized by inflammation, demyelination, and scarring (sclerosis) of the nerve fibers in the CNS

A

Multiple Sclerosis

87
Q

Also known as Devic’s disease

A

Neuromyelitis Optica (NMO)

88
Q

autoimmune disorder characterized by inflammation and demyelination primarily affecting the optic nerves and spinal cord

A

Neuromyelitis Optica (NMO)

89
Q

refers to a group of autoimmune disorders characterized by inflammation of the brain, resulting from an immune response targeting neuronal proteins or receptors

A

Autoimmune encephalitis

90
Q

Down syndrome also called

A

trisomy 21

91
Q

Characteristics of Down Syndrome

A

Disfigurement
Intellectual impairments
Medical complications

92
Q

What does aneuploidy means

A

abnormal number of chromosomes

93
Q

These two are caused by mutations in the recessive genes, where both copies of the gene must be mutated for the disorder to manifest

A

Tay-Sachs disease and Rett Syndrome

94
Q

rare genetic disorder characterized by the progressive destruction of nerve cells in the brain and spinal cord

A

Tay-Sachs disease

95
Q

Tay-Sachs disease is caused by mutations in the —, which encodes the enzyme —. Without this enzyme, a fatty substance called — accumulates in the cells, particularly in nerve cells of the brain.

A

HEXA gene,
hexosaminidase A (Hex A),
GM2 ganglioside

96
Q

rare genetic neurological disorder that primarily affects girls. It is caused by mutations in the MECP2 gene, which is located on the X chromosome

A

Rett Syndrome

97
Q

caused by a mutation in the HTT gene, which provides instructions for making a protein called huntingtin. The mutation involves an expansion of a sequence of DNA known as a CAG trinucleotide repeat within the gene

A

Huntington’s disease