Chapter 10 Brain Damage Flashcards
What are six causes of brain damage
- Tumours
- Strokes
- Closed Head Injuries
- Infection
- Neurotoxins
- Cerebrovascular disorders
What is a tumour?
Mass of cells that grow independently of the rest of the body
~20% of tumours are Meningiomas, what does this mean? How do they cause brain damage?
Meningiomas grow between the meninges
- encapsulated (have own membrane = easy to remove)
- Most are benign
- Damage results from pressure exerted on surrounding tissue
Most brain tumours are Infiltrating, what does this mean?
Grow diffusely throughout the brain
Non-encapsulated = difficult to remove
Most are malignant (cancerous)
10% of tumours are metastatic, what does this mean?
Transferred to brain from another part of the body through bloodstream
What is a stroke?
Sudden interruption in blood supply to the brain
- progressive
- symptoms depend on brain region effected
What are common outcomes of strokes?
Memory loss
Aphasia (impairment in language)
Paralysis
Vision loss
What are five signs of a stroke?
- weakness
- trouble speaking
- vision problems
- headache
- dizzyness
What is an infarct?
Dead brain damage resulting from a stroke
What is a penumbra?
“at risk” brain tissue around the infarct
-this is what stroke treatment aims to minimize
What are two major types of cerebrovascular disorders?
- Cerebral ischemia
2. Cerebral Hemorrhage
What is a cerebral ischemia? What are three things that can cause a cerebral ischemia?
Caused by disruption of blood supply resulting from blockage in blood vessel = three types of blockage:
- thrombosis
- embolism
- antioclerosis
What is thrombosis?
Plug formed in vessel
What is an embolism?
plug forms in large vessel and travels to small vessel
What is antiosclerosis?
Narrowing of blood vessel b/c of fat deposits usually following damage to the vessel
What is a cerebral hemorrhage?
when a blood vessel ruptures and blood seeps into surrounding tissue
- build up of blood causes damage
- result of aneurysm (balloon-like swelling in an artery caused by defective elasticity)
What are two things to remember about ischemia-induced brain damage?
- it takes time
2. does not occur equally in all parts of the brain - hippocampus generally suffers most damage
What are Closed Head Injuries?
Any blow to the head that does not penetrate the skull
What is a contusion?
Any CHI that involves damage to brains circulatory system
What is a Hematoma?
Build up of clotted blood (bruise) in brain following a contusion - causes pressure on underlying brain tissue
What are three types of Hematoma?
- Epidural Hematoma
- Subdural Hematoma
- Intracerebral Hematoma
What is an epidural hematoma?
Best case scenario
- Outside Meninges = doesn’t interfere with neurons
What is a subdural hematoma?
More severe
-can effect neurons
What is an Intracerebral Hematoma?
Worst Case Scenario
- Within corical area
- progressive
What is a concussion? Autopsy usually shows what? What is a defining feature?
Cognitive disturbance following CHI where there is no evidence of contusion or other brain damage
- loss of consciousness is a defining feature
- “punch-drunk syndrome”
- Damage only seen on autopsy = large amounts of tau protein
What is commonly caused from Bacterial Brain Infections?
Cerebral Abscesses:
pockets of pus in the brain