Lecture 19 Flashcards

1
Q

What is the incidence of strokes?

A

Approximately 750,000/year

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2
Q

What is likelihood of having a stroke related to?

A

Age

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3
Q

What is the process in which linings of arteries develop a layer of plaque, deposits of cholestrorol, fats, calcium and cellular waste products?

A

Astherosclerosis

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4
Q

What are the risk factors of astherosclerosis?

A

High blood pressure
Cigaratte smoking
Diabetes
High blood levels of cholesterol

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5
Q

What is astherosclerosis a precursor of?

A

Heart attacks and strokes

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6
Q

Where do atherosclerotic plaques often form?

A

The interal carotid artery

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7
Q

What does the interal carotid artery supply?

A

Most of the blood flow to the cerebral hemispheres

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8
Q

How can narrowing be visualized?

A

In an angiogram, produced by injecting a radioplaque dye into the blood and examining the artery with a computerized X-ray machine

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9
Q

What can plaques cause?
What does this cause?

A

The severe narrowing of the interior of artery.
Greatly increasing the risk of a massive stroke

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10
Q

What is the rupture of a cerebral blood pressure?

A

A hemorrhagic stroke

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11
Q

What is the occlusion of a blood vessel?

A

An ischemic stroke

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12
Q

What percentage of strokes are ischemic?

A

87%

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13
Q

What is the thrombus?

A

A blood clot that forms within a blood vessel, which may block it and reduce blood flow to the affected area

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14
Q

What is the embolus?

A

A piece of matter (like a blood clot) that dislodges from its site of origin and occludes an artery in the brain

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15
Q

What can an embolus cause?

A

A stroke

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16
Q

What does the amount of brain damage vary from? Depending on what?

A

Negligible to massive
Depending on the size of the affected blood vessel

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17
Q

What can strokes cause?
How can we produce dramtic imrpovements in brain function?

A

Permanent brain damage
Over days, months and year of physical therapy, occuputional therapy and speech therapy

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18
Q

What are researchers approaches to minimize the amount of brain damage caused b strokes?
has it been found to be succesful?

A

To adminster drugs that dissolve blood clots in an attempt to reestablish circulation to an ischemic brain region
Meh- benefits only if it is given within 3-4 hours

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19
Q

What are after stroke treatments?

A

Drugs that reduce sweeling and inflammation
Physical speech and or occupational therapy
Exercise and sensory stimulation (constraint-induced movemnt therapy)

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20
Q

What do the devices that can be deployed through the vascular system to the site of an occlusion do?

A

They use various strategies to secure and/or remove occlusions
The devices can include
1. aspiration devices
2. incorparated into stents
3. after stroke treatments

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21
Q

What is a mass of cells whose growth is uncontrolled and that serves no useful function?

A

Tumor

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22
Q

What is a non concerous “benign” tumour that has a distinct border and cannot metastasize?

A

A non-malignant tumor

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23
Q

What is a cancerous tumour that lacks a distinct border and can metastazie?

A

A malignant tumour

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24
Q

What is metastasis?

A

A process by which cells break off of a tumor, travel through the vascular system and grow elsewhere in the body

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25
What is the main difference between malignancy and non malignancy in tumours>
Whether the tumor is encapsulated (whether there is a distinct border)
26
What happens if there is a border on a tumour?
A surgeon can cut it out becasue it is non malignant it will not regrow
27
How does a cancerous tumour grow? What happens?
By infilitrating the surrounding tissue. There will be no clear cut border between tumor and normal tissue
28
What happens when surgeons miss some cancer cells?
These cells will produce new tumors
29
Can any tumor in the brain (regardless of being malignant or benign) produce neurological symptoms and threaten the patients life?
Yes
30
What are the two means that tumour can damage brain tissue?
Compression and infiltration
31
How can compression destroy the brain tissue?
Directly: destroy the brain tissue indirectly: blocking flow of CSF and causing hydrocephalus
32
What is glioma a type of?
Malignant brain tumour
33
Where do glioma tumour intiating cells originate from?
Neural stem cells that make glia
34
What type of tumour is more resistant to chemotherapy and rapidly proliferate?
Gliomas
35
What is the survuval rate of gliomas?
Low
36
What is an menigioma an example of?
A non malignant (encapsulated) tumor
37
What is meningioma composed of?
Cells that constitue the meninges
38
What causes the right ventricle to be almost completely occluded?
Menigioma
39
Despite being encapsulate, is the meningioma still damaging?
Yes
40
What inflammation of the brain, caused by infection, toxic chemicalso or an allergic reaction called?
Encephalitis
41
What is meningitis?
The inflammation of meninges caused by viruses or bacteria
42
What are the first symptoms of encephalitis?
Headache, fever and nausea
43
What are the first symptoms of meningitis?
Headache and stiff neck
44
What is a viral disease that destroys motor neurons of the brain and spinall cord?
Polio
45
What is a fatal disease that causes brain damage and is usually transmitter through the bite of an infected animal?
Rabies
46
What is a virus that normally causes cold sores near the lips or genitals and in rare cases, it instead enters the brain causing encephalitis and brain damage?
Herpes simplex virus
47
What is a closed head injury?
Caused by a blow to the head with a blunt onject Coup: brain comes into violent contact with the inside of the skull Countercoup: brain recoils in opposite direction and smashes against the skull agin
48
What do open head/penetrating injuries cause damage to?
The portion of the brain that is damanged by the opject or bone
49
Which percentage of deaths caused by injury involve a TBI?
A third
50
Where does scarring often form in survuvors of TBIs?
Within the brain, around the sites of injury, which increases the risk of developing seizures
51
Do mild cases of TBI's (called mTBIs) increade a persons risk for developing brain problems down the road?
Yes
52
What is the most common cause of seizures?
scarring, which may relate to an injury, stroke, the irritating effect of a growing tumor or a developmental abnormality in the brain
53
What are other causes of seizures excluding scarring?
High fevers and withdrawl from GABA agonist
54
What are many cases of seizures? What does this mean?
Idiopathic Unknown causes
55
What can neural network instability and increased risk of seizures come about for? That affect?
Genetic reasons - the amount of function of different ion channels in the brain -the reciprocal wiring of excitatory and inhibitory neurons -the rules that govern synaptic plasticity
56
What are most seizure disorders caused by?
Nongenetic factors
57
What is the preffered term for epilepsy?
Seizure disorder
58
What happens if neurons that make up motor system are involved?
A seizure disorder can cause a convulsion, which is wild uncontrollable activity of the muscles
59
Do all seizures cause convulsions?
No
60
What is a convulsion?
A violent sequence of uncontrollable muscular movemnts caused by seizure
61
What is a seizure that begins at a focus and remains localized, not generalizing to the rest of brain?
A partial (local) seizure
62
What is a seizure that does not produce loss of consciousness?
A simple partial seizure
63
What is a seizure that produces a loss of consciousness?
A complex partial seizure
64
What is a generalized seizure?
Seizure that involves most of the brain
65
What is the aura? What does its exact nature depend on?
Sensation that precedes a seizure. The location of the seizure focus
66
What is a tonic clonic seizure?
A generalized, grand mal seizure that typically starts with an aura that is followed by a tonic phase and then a clonic phase. involves convulsions
67
What is the tonic phase?
First phase of tonic clonic seizure, in which all of the patients skeletal muscles are contracted
68
What is the clonic phade?
The second phase of a tonic clonic seizure, in which patient shows rhythmic jerking movemnts
69
Whom are especially susceptible to seizure disorders?
Children
70
What do children have instead of tonic clonic episodes?
Spells of absence
71
What are absence seizures?
generalized complex seizures
72
What happens during absence seizures? (petit mal seizures)
people stop doing what they are doing and stare off into the distance for a few seconds often blinking their eyes repeatedly
73
How are seizure disorders treated? How do they work?
Anticonvulsant drugs such as benzodiazepines. By increasing effectiveness of inhibitory synapses
74
Do most people with seizure disorders who respons well enough to medications live a normal life?
Yes
75
Exposure to certain toxins, viruses, and drugs during pregnancy can do what?
Impair fetal brain development and cause intellectual disability
76
What do dangerous toxins includes?
organophosphates (from insecticides) heavy metals such as lead and mercury
77
What is the most dangerous drug during pregnancy?
alcohol
78
What happens to babies that are born to alcoholic women?
They are typically smaller than average and devlop more slowly
79
What is fetal alchol syndrome associated with?
Certain facial anomalies and severe intellectual disabilities
80
What is a particularly serious condition associated with alchol consumption during the 3rd or 4th week of preganancy?
fetal alchol syndrome
81
What can several inherited "errors of metabolism" cause?
Brain damage or impair brain development
82
What are genetic abnormalities in which recipe for a particular portein is in error?
Errors of metabolism
83
What is typically the cause of errors of metabolism? What happens if it's a critical enzyme
An enzyme is not synthesized on account of mutation in both copies of the gene. Results can be very serious
84
What is a hereditary disorder caused by the absence of enzyme that converts the amino acid phenylanine to tyroside?
Phenylketonuria (PKU)
85
What can the accumulation of phenylalanine cause? Unless?
Brain damge A special diet is implemented soon after birth
86
What is tay-sachs disease?
An heritable, fatal, metabolic storage disorder
87
In tay sachs disease what does the lack of enzymes in lysosomes cause?
Accumulation of waste products and swelling in brain
88
What are phenylktonuria (PKU) and tay-sachs disease examples of?
Metabolid disorders that can affect development of the brain