Lecture 5 Flashcards
What is a brain tumor?
clump of abnormal
tissue that can be found anywhere in
the brain
What are the 2 kinds of tumors?
- Benign tumors
- Malignant tumors: or cancer
herniation
displaced tissue
What does necrosis mean?
cell death
What is a hemorrhage?
continual bleeding
What is closed head injury
A closed head injury refers to a sharp blow to the head that
does not puncture the brain
After a severe injuiry recovery can be
slow and incomplete.
stroke or cerebrovascular accident
- temporary loss of blood flow to the brain.
- Common cause of brain damage in the elderly
Traumatic Brain Injury (TBI)
results from damage to brain tissue caused by an external force.
Acquired Brain Injury (ABI)
- results from damage to the brain caused by strokes, tumors, anoxia, hypoxia, toxins, degenerative diseases.
- or other conditions not necessarily caused by an external force.
Define TBI
- There is no universally agreed definition of TBI.
- Most frequent indicators of severity are depth/duration of coma and/ or the presence of post-traumatic amnesia (PTA).
The Glasgow Coma Scale (GCS)
- Become the standard and most widely used assessment of altered consciousness.
What do the diffrent scores on the glasgow scale represent?
13-15 mild
9-12 moderate
anything below 8 is considered severe
Closed head injury
- refers to brain injury without any penetrating injury to the brain.
- If the head is resting on impact, the maximum damage will be found at
the impact site.
Open (Penetrating) head
injury occurs when the skull is fractured, and bone fragments may be driven into the brain.
contrecoup injury
- where the brain damage occurs on the side opposite the point of impact, as a result of the brain slamming into that side of the skull.
- You cant get the coup without the contre
- slamming head on dash and brain moves back
Types of primary damage
- Epidural hematoma
- Subdural hematoma
- Intracerebral hemorrhage
Which kind of bleeding is the most severe
bleeding in brain tissue itself. This is the most severe.
- possible is there was enough impact
Epidural hematoma
pool of blood clotting between scull and dura mater
Subdural hematoma
bleeding between dura and arachnoid
Intracerebral hemorrhage:
bleeding in brain tissue itself. This is the most severe.
- possible if there was enough impact
Acute Subdural Haematoma
herniation: midline shift, pushed over
Types of Primary Damage
- axon gets twisted
- axon torn
- Axon broken
Brain Distortion and Herniation
distortion caused by expanding masses or rising pressure in the brain.
Edema
Brain swelling
Hydrocephalus
- Build up of spinal fluid in brain
- When there is a problem with reabsorbtion
- CSF builds up in brain
What do ventricles contain
Spinal fluid
What does the spinal fluid do?
circulates from the ventricles up over the surface of the brain
What happens if blood gets into the fluid?
If blood gets
into the fluid and blocks spinal fluid absorption, spinal fluid will “back up”
into the ventricles and enlarge them. Some one got a big head
Biochemical Changes
- Refers to receptor dysfunction, free radical effects, calcium-mediated damage, and inflammatory events.
- under production or over production
- can lead to cell death
Types of Strokes
- Ischemia:
- Hemorrhage
Ischemia:
- the most common type of stroke, resulting from a blood clot or obstruction of an artery
- Neurons lose their oxygen and glucose supply.
Hemorrhage
- a less frequent type of stroke resulting from a ruptured artery
- Neurons are flooded with excess blood, calcium, oxygen, and other
chemicals.
Effects of Strokes
- Edema: the accumulation of fluid in the brain resulting in increased pressure on the brain and increasing the probability of further strokes
- Disruption of the sodium–potassium pump leading to the accumulation of potassium ions inside neurons
What can Edema and excess potassium cause
the release of the excitatory neurotransmitter glutamate.