L08: Disorders of the Lower motoneurone Flashcards

1
Q

What is a motor unit

A

The minimal functional unit of the motor system

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2
Q

What is the motor unit made of

A
  • upper motoneurone
  • Lower motoneurone (alpha)
  • skeletal muscle (extrafusal muscle)
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3
Q

When does LMN signs present

A

When the lower motoneurone becomes damaged

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4
Q

What are the three anatomical damages that can occur to give LMN signs

A
  • damage to Lower motoneurone
  • damage to neuromuscular junction
  • damage to skeletal muscle
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5
Q

What does innervation mean

A

The supply to a neurone or muscle

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6
Q

What does denervation mean

A

Damage to a neurone

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7
Q

What does re-innervation mean

A

Repair to a neurone

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8
Q

If the cell body of a neurone is damage is there a chance of re-innervation

A

No the neurone dies

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9
Q

What is poliomyelitis

A

Damage to the cell body of the lower motoneurone as a result of virus infection

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10
Q

What is Guillain barre syndrome

A

De-myelination of the axon of the lower motoneurone

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11
Q

What is diabetic neuropathy

A

Demyelination of the Lower motonuerone

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12
Q

What is motoneurone disease

A

When the motoneurone undergoes apoptosis

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13
Q

What are the variant of motoneurone disease

A
  • both the upper and lower motoneurone undergoes cell death = progressive supranuclear
  • only the lower motoneurone undergoes cell death
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14
Q

Which motoneurones do not undergo apoptosis

A
  • motoneurone that supplies the anal spinchter

- motorneurone that supplies the eye lid (extraocular muscle)

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15
Q

What is botulinum toxin

A

Depletion of neurotransmitters in the pre-synpatic terminal due to non well preserved tin cans

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16
Q

What do nerve agents do

A

Inhibit acetylcholinesterase from breaking down acetycholine

17
Q

What is myasthenia Graves

A

Autoimmune attack to the nicotinic receptors on the post-synaptic terminal

18
Q

Feature of myasthenia gravis

A

Ptosis - dropping of the eye lids

19
Q

What is duchenne muscular dystrophy

A

Genetic disorder of the skeletal muscle

20
Q

What are the LMN signs

A
  • flaccid muscle weakness
  • hypotonia or Antonia
  • hyporeflexia or areflexia
  • enervation muscle atrophy
  • fasciculation
  • muscle wasting