ENAD/EDM Flashcards
What are the main endogenous antioxidants?
Superoxide dismutase
Catalase
Glutathione peroxidase (that contains selenium)
A-tocopherol
Vitamin E
Ascorbic acid
What is the antioxidant mechanism of vitamin E?
Reacts directly with OH- and prevents oxidant injury to polyunsaturated fatty acids and thiol-rich proteins in cellular membranes
Vitamin E is oxidised to a free radical instead - prevents propagation of lipid peroxidation - referred to as “chain breaking action”
What is the histo pathological definition of EDM vs ENAD?
ENAD - histopathological lesions are confined to the brain stem, specifically the lateral accessory cuneate nucleus, the medial cuneate nucleus and the gracilis nucleus
EDM - axonal necrosis and demyelination extend to dorsal and ventral spinocerebellar tracts and ventromedial funiculi of the cervicothoracic spinal cord