Chapter 5 Flashcards

1
Q

Myelin sheath

A

nerve conduction is determined by diameter of the nerve and the myelin sheath

multi layer lipid that insulates and protects the nerve fibers. Produced by cells called oligodendroglial cells in the cns

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2
Q

Neurons are similar to other cells in the body because:

A

Neurons are surrounded by a cell membrane.
Neurons have a nucleus that contains genes.
Neurons contain cytoplasm, mitochondria and other organelles.
Neurons carry out basic cellular processes such as protein synthesis and energy production.

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3
Q

neurons differ from other cells in the body because:

A

Neurons have specialize cell parts called dendrites and axons. Dendrites bring electrical signals to the cell body and axons take information away from the cell body.
Neurons communicate with each other through an electrochemical process.
Neurons contain some specialized structures (for example, synapses) and chemicals (for example, neurotransmitters).

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4
Q

the nervous system contains two kinds of cells:

A

neurons are the cell type (primarily) responsible for communication and integration in the nervous system.
glia, which protect the neurons, but also modify their action.

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5
Q

Neurons (nerve cells) have three parts that carry out the functions of communication and integration:

A

dendrites, axons, and axon terminals.

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6
Q

Neurons have a fourth part the ____________, which carries out the basic life processes of neurons.

A

cell body or soma

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7
Q

synapse

A

In the nervous system, a synapse is a structure that permits a neuron (or nerve cell) to pass an electrical or chemical signal to another neuron. Some authors generalize this concept to include the communication from a neuron to any other cell type, such as to a motor cell

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8
Q

Neuron Types

A

bipolar (interneuron), unipolar sensory neuron, multipolar neuron (motoneuron), pyramidal cells

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9
Q

bipolar (interneuron)

A

A bipolar cell is a type of neuron which has two extensions. Bipolar cells are specialized sensory neurons for the transmission of special senses. As such, they are part of the sensory pathways for smell, sight, taste, hearing and vestibular functions.

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10
Q

unipolar sensory neuron

A

A unipolar neuron is a type of neuron in which only one protoplasmic process (neurite) extends from the cell body. Most neurons are multipolar, generating several dendrites and an axon and there are also many bipolar neurons.

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11
Q

multipolar neuron (motoneuron)

A

A multipolar neuron (or multipolar neurone) is a type of neuron that possesses a single axon and many dendrites (and dendritic branches), allowing for the integration of a great deal of information from other neurons. These processes are projections from the nerve cell body. Multipolar neurons constitute the majority of neurons in the central nervous system. They include motor neurons and interneurons and are found mostly in the cortex of the brain, the spinal cord, and also in the autonomic ganglia.

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12
Q

pyramidal cells

A

Pyramidal neurons (pyramidal cells) are a type of multipolar neuron found in areas of the brain including the cerebral cortex, the hippocampus, and the amygdala. Pyramidal neurons are the primary excitation units of the mammalian prefrontal cortex and the corticospinal tract.

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13
Q

Neuroglial cells

A

Located in the gray and white matter of the brain and support and protect the nerve cells. There are 40 to 50 times as many glial cells as nerve cells. They are small and do not participate in generation and transmission of nerve impulses. They maintain homeostasis, form myelin, and provide support and protection for neurons in the central and peripheral nervous systems

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14
Q

Four types of Neuroglial Cells

A

Four types astrocytes, oligodendrocyte, ependymal and microglia

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15
Q

Astrocytes

A

Astrocytes (Astro from Greek astron = star and cyte from Greek “kyttaron” = cell), also known collectively as astroglia, are characteristic star-shaped glial cells in the brain and spinal cord. Astrocytes, function as connective tissue and provide skeletal support for the brain cells and their processes and contribute to the blood brain barrier and can degrade released neurotransmitters. (Fight or Flight- astrocytes help you degrade) Astrocytes will migrate to the site of a brain lesion (a stroke) (form a cavity to place ethe debris in).

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16
Q

Oligodendrocytes

A

Oligodendrocytes (from Greek, meaning cells with a few branches), or oligodendroglia, are a type of neuroglia. Their main functions are to provide support and insulation to axons in the central nervous system of some vertebrates, equivalent to the function performed by Schwann cells in the peripheral nervous system.

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17
Q

ependymal

A

Ependyma is the thin epithelial lining of the ventricular system of the brain and the central canal of the spinal cord, made up of ependymal cells. Ependyma is one of the four types of neuroglia in the central nervous system (CNS). It is involved in the production of cerebrospinal fluid (CSF), and is shown to serve as a reservoir for neuroregeneration.

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18
Q

microglia

A

Microglia are a type of neuroglia (glial cell) located throughout the brain and spinal cord.Microglia account for 10–15% of all cells found within the brain. As the resident macrophage cells, they act as the first and main form of active immune defense in the central nervous system (CNS).Microglia (and other neuroglia including astrocytes) are distributed in large non-overlapping regions throughout the CNS. Microglia are key cells in overall brain maintenance—they are constantly scavenging the CNS for plaques, damaged or unnecessary neurons and synapses, and infectious agents

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19
Q

Schwann

A

Glial cells of the PNS are called Schwann acting as connective tissue

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20
Q

Action potential

A

Excitability is a cells response to various stimuli
Conversion of this response into a nerve impulse is called an action potential
Stimuli include chemical or temperature changes, electrical pulses, and mechanical stimulation

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21
Q

Neuronal responses to brain injuries

A

Nerve cells in the brain are less capable fo regeneration
This restricts the recovery of sensorimotor functions and higher mental functions including language after lesions in the brain
Process of spontaneous recovery after trauma and vascular accidents
Axonal regeneration 10-18 days

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22
Q

neurotransmitters

A

Neurotransmitters, also known as chemical messengers, are endogenous chemicals that enable neurotransmission. They transmit signals across a chemical synapse, from one neuron (nerve cell) to another “target” neuron, muscle cell, or gland cell. Neurotransmitters are released from synaptic vesicles in synapses into the synaptic cleft, where they are received by receptors on the target cells. Neurotransmitters play a major role in shaping everyday life and functions.

23
Q

Types of neurotransmitters

A

There are many different ways to classify neurotransmitters. Dividing them into amino acids, peptides, and monoamines is sufficient for some classification purposes.

24
Q

Major neurotransmitters

A

acetlychloline, dopamine, GABA, Glutamate, Glycine, Norephinephrine, Serotonin.

25
Q

acetylcholine

A

Primary neurotransmitter of the PNS
Regulates muscular activities and muscle contraction
Also found in the CNS
Regulates forebrain activity
Inhibits basal ganglia activity
Cycle of sleep and wakefulness
Voluntary movement of motor fibers of the spinal and cranial nerves
Myasthenia gravis, Alzheimer disease (decreased production)
Probably most important

26
Q

What neurotransmitter is mysathenia gravis associated with?

A

Mysathenia gravis autoimmune neuro muscular disease that results from growth of antibodes to acetylcholine receptors

27
Q

monoamines

A
Norepinephrine
Dopamine
Serotonin
Y-amino butyric acid GABA
glutamate

All lie in the brainstem
Project to areas of the brain and participate in regulating the activity of large portions of the CNS

28
Q

norepinephrine

A

Flight or fight reaction
Regulates sleep attention and mood
Found in pons and medulla
Linked to ADD, narcolepsy, mood disorders

29
Q

dopamine

A

Prefrontal functions (cognition, motivation and emotion)
Regulates basil ganglia motor functions
Upper midbrain and project ipsilaterally
Reduced production causes Parkinson’s disease
Drug abuse directly or indirectly cause dopamine release
Excessive dopamine production in the forebrain contributes to schizophrenia
Thorazine blocks dopamine receptors

30
Q

serotonin

A

95% found in blood platelets and the GI tract
Overall level of arousal sleep
Regulates emotion
Regulates pain perception
May be associated with severe depression and mental illness
Suicide low levels of serotonin

31
Q

GABA

A
Derivative of glutamate
Major inhibitory neurotransmitter for the CNS
Widespread in the nervous system
Regulates excitability of neurons
Regulates pain perception
Inhibits basil ganglia movements
Pharmaceutical agents that interact with GABA are used for epilepsy, anxiety, insomnia and anesthesia
Implicated in Huntington chorea
32
Q

glutamate

A

Main excitatory neurotransmitter in the CNS
Mediates fast synaptic transmission in the CNS
Excessive glutamate may cause stroke or degenerative disorders

33
Q

Large molecules

A

Peptides

Endorphins, enkephalins and substance P
Regulates pain perception

34
Q

Clinical correlates

A

Brain tumors
Multiple sclerosis
Myasthenia gravis

35
Q

brain tumors

A

Neoplasm (tumor)
Primary or metastatic
Malignant or benign
Primary arise from glial cells or meninges within the CNS

36
Q

Malignant tumors

A

Malignant tumors of the brain include astrocytoma’s, ependymal, oligodendrogliomas

37
Q

What is the most malignant brain tumor?

A

Glioblastoma a type of astrocytoma is the most malignant brain tumor half of patients die within 18 months

38
Q

MS stats

A
2-3x more women then men
Usually occurs between ages 20-50
8-10,000 people under age 18 or over 75
2.3 million worldwide
More common in Caucasians of northern European ancestry
39
Q

MS cause

A

Antibodies attack the myelin sheath
Form plaques in the brain
Decreased speed of nerve conduction
Progressive neurological symptoms

40
Q

4 different disease courses (Diagnosis) of MS

A

Relapsing-remitting MS
Primary-progressive MS
Secondary-progressive MS
Progressive-MS

41
Q

Relapsing-Remitting MS

A

Clearly defined attacks (relapses) of worsening neurologic functions
Followed by flare-ups (exacerbations)
Followed by partial repeat recovery (remission)
85% initially diagnosed with relapsing-remitting

42
Q

Primary-progressive ms

A

Slowly worsening neurologic functions with not relapses or remissions
Rate of progression varies
10%

43
Q

Secondary-Progressive MS

A

Initial period of relapsing-remitting MS
Then develop a secondary progress MS where the disease worsens more steadily with or without flare ups remissions or plateau
Prior to disease modifying medications, 50% of people with relapsing-remitting MS develop SP within 10 years

44
Q

Progressive relapsing MS

A

Rare
5%
Clear attacks of worsening disease from the beginning
No remission

45
Q

Symptoms of MS

A
Early symptoms are vision loss
Double vision
Vertigo
Loss of balance
weakness
Numbness in the limbs
46
Q

Speech disorders of MS

A
Dysarthria
Dysphonia
Dysphagia
Slurred speech
Nasal sounding speech

Speech and voice disorders in 25-40%

47
Q

Treatment

A

Treatment is symptomatic
Corticosteroids
B-interferon
Copaxone injections

48
Q

Myasthenia Gravis

A

Neuromuscular junction disorder
Characterized by progressive fatigue and muscle weakness
Worsens with exercise and improves with rest
Caused by under activity of acetylcholine
Autoimmune
Symptoms appear at any age

49
Q

Myasthenia Gravis Prevalence

A

Most prevalent in females during the first 30 years of life

After 30 more prevalent in men

50
Q

Myasthenia Gravis symptoms

A

Onset is gradual
First signs of disease often appear in constantly used muscles such as eye muscles or muscles of respiration
Ptosis
diplopia

51
Q

Myasthenia Gravis speech disorders

A

Involvement of cranial nerves
Altered facial expression
Hypernasality

Prognosis is good for those who do not have a progressive form
Progressive course may result in respiratory paralysis

52
Q

ptosis

A

drooping of the eyelid

53
Q

diploplia

A

double vision