Epilepsy Flashcards

1
Q

What does neuronal transmission occur via?

A

The neuronal action potential

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2
Q

What is dysfunction of the neuronal action potential the fundamental basis of?

A

Epilepsy and seizure disorders

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3
Q

What do action potentials occur due to?

A

Depolarisation of the neuronal cell membrane propagating along the axon in a wave

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4
Q

What does the wave of depolarisation of the neuronal cell membrane lead to?

A

The release of neurotransmitters across the axon terminal

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5
Q

In what fashion do action potentials occur?

A

‘All or nothing’

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6
Q

What do action potentials occur as a result of?

A

Local changes in membrane potential caused by a net positive influx of ions

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7
Q

What does membrane potential vary with?

A

Activation of various ligand-gated channels

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8
Q

What affects the ligand-gated channels in the neurone?

A

Binding to neurotransmitters, or changes in the transmembrane potentials

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9
Q

What can a cellular hyper excitable state result from?

A
  • Increased excitatory factors
  • Decreased inhibition
  • Alteration in voltage-gated ion channels
  • Change in ion concentrations

All of these favour membrane depolarisation

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10
Q

Where are neurotransmitters released from?

A

The presynaptic terminal at the synapse

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11
Q

What happens once neurotransmitters are released from the presynaptic terminal?

A

They bind to specific receptors on the post-synaptic membrane for that ligand

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12
Q

What does ligand binding to the post-synaptic terminal cause?

A

Channel activation and movement of ions in or out of the cells

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13
Q

What are the major neurotransmitters in the brain?

A
  • Glutamate
  • Gamma-aminobutyric acid (GABA)
  • Acetylcholine (ACh)
  • Noradrenaline
  • Dopamine
  • Serotonin
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14
Q

What other molecules are thought to modify neurotransmission?

A
  • Neuropeptides

- Hormones

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15
Q

What is the difference between neurotransmitters and molecules such as neuropeptides and hormones, in terms of neurotransmission?

A

Molecules such as neuropeptides and hormones are thought to modify neurotransmission over longer time periods

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16
Q

What is the major excitatory neurotransmitter?

A

Glutamate

17
Q

Give 2 examples of subtypes of glutamate receptors?

A
  • AMPA

- NMDA

18
Q

What are glutamate receptors permeable to?

A

Sodium and potassium

19
Q

What does the movement of sodium and potassium through glutamate receptors lead to?

A

Depolarisation and generation of the action potential

20
Q

What can lead to channel dysfunction?

A

Situations leading to altered brain tissue physiology, such as infection, inflammation, or vascular compromise

21
Q

What can situations leading to altered brain tissue physiological lead to?

A

Seizure activity

Often also results in various other neurological symptoms

22
Q

What do genetic channelopathies cause?

A

Malfunction of a particular ion channel

23
Q

What do genetic channelopathies often have as part of the phenotypical presentation?

A

Epilepsy

24
Q

Give 2 examples of genetic channelopathies?

A
  • SCN1A sodium channelopathy

- CACNA1A channelopathy

25
Q

How does SCN1A sodium channelopathy present?

A

Often presents with a range of troublesome seizures, from frequent febrile seizures, the syndrome of generalised epilepsy with febrile seizures plus (GEFS+), as well as severe myoclonic epilepsy of infancy

26
Q

What is CACNA1A channelopathy associated with?

A

Migraine disorders such as hemiplegic migraine