Lecture 8. Brain Damage and Neuro Plasticity Flashcards
7 causes of brain damage
- tumor
- stroke
- traumatic brain injury
- brain infection
- neurotoxin
- genetic factors
- programmed cell death
mass of cells that grows independently of the rest of the body
tumor
tumor is also called
neoplasm
common types of brain tumors
- encapsulated tumors
- infiltrated tumors
Tumors that grow within their own membrane
encapsulated tumors
Tumors that grow diffusely through surrounding tissue
infiltrated tumors
examples of encapsulated tumors
- meningioma
- acoustic neuroma
examples of infiltrated tumors
- glioma
- metastatic tumors
____ are almost always benign tumors
encapsulated tumors
______ are usually malignant tumors
infiltrated tumors
Encapsulated tumor that grow between meninges
meningioma
Encapsulated tumor that grow on cranial nerve VIII
acoustic neuroma
tumors that grow on nerves or tracts
neuroma
Brain tumors that develop from glial cells
glioma
Brain tumors that do not originate in the brain but rather grow from infiltrating cells that are carried to the brain by the bloodstream from some other part of the body
metastatic tumors
transmission of disease from one organ to another
metastasis
Tumors that are surgically removable with little risk of further growth in the body
benign tumors
Tumors that are difficult to remove or to completely destroy
malignant tumors
Sudden-onset cerebrovascular disorder
stroke
major types of stroke
- cerebral hemorrhage
- cerebral ischemia
occurs when a cerebral blood vessel ruptures and blood seeps into the surrounding neural tissue and damages it
cerebral hemorrhage
Disruption of the blood supply to an area of the brain
cerebral ischemia
Pathological balloon-like dilation that forms in the wall of an artery at a point where the elasticity of the artery wall is defective
aneurysm
3 main causes of cerebral ischemia
- thrombosis
- embolism
- arteriosclerosis
A plug called thrombus is formed and blocks blood flow at the site of its formation
thrombosis
A plug called embolus is carried by the blood from a larger vessel, where it was formed, to a smaller one, where it becomes lodged
embolism
The walls of blood vessels thicken and the channels narrow which can eventually lead to complete blockage of the blood vessels
arteriosclerosis
treatments / interventions effective to prevent stroke
- NMDA-receptor antagonists
- administration of tissue plasminogen activator
- endovascular therapy
Drug that breaks down blood clots
tissue plasminogen activator
Surgical removal of a thrombus or embolus from an artery
Endovascular therapy
Brain injury produced by blows that do not penetrate the skull
closed-head TBI
types of closed-head TBIs
- contusions
- mild TBI (mTBI)
Involve damage to the cerebral circulatory system, which produces internal hemorrhaging and then produces a bruise in the brain
contusion
“puddle” of blood
subdural hematoma
There is a disturbance of consciousness following a blow to the head yet there is no evidence of contusion or other structural damage
mild TBI
Occur when the brain slams against the inside of the skull
contusion
the blow causes the brain to strike the inside of the skull on the other side of the head
contrecoup injuries
mild TBI is once called ______
concussion
Dementia and cerebral scarring often observed in boxing, rugby players, American football players and other individuals who have experienced repeated MTBIs
chronic traumatic encephalopathy (CTE)
Invasion of the brain by microorganism
brain infections
Resulting inflammation of brain infection
encephalitis
- Play a far greater role in neuropsychological disorders
- Can lie dormant for many years before producing symptoms
viruses
common types of brain infection
- bacterial infection
- viral infection
kinds of bacterial infection
- cerebral abscess
- meningitis
- syphilis
kinds of viral infection
- rabies
- mumps and herpes
Pockets of pus in the brain
cerebral abscess
Inflammation of the meninges
meningitis
Passed from infected to uninfected individuals through contact with genital sores
syphilis
Usually transmitted through the bite of a rabid animal
rabies
Viruses that can attack the nervous system but have no special affinity for it
mumps and herpes
Chemicals that can enter general circulation from the gastrointestinal tract, from the lungs, or through the skin
toxic chemicals
heavy metals that can accumulate in the brain and permanently damage it, producing a toxic psychosis
mercury and lead
chronic mental illness produced by a neurotoxin
toxic psychosis
some neurotoxins are ____ or produced by the patient’s own body
endogenous
Motor disorder developed due to toxic drugs
tardive dyskinesia
Inherited factors that play major roles in virtually all neuropsychological disorder
genetic factors
major cause of neuropsychological disorders of genetic origin
- abnormal recessive gene
- genetic accident
Passed from parents to offspring
abnormal recessive gene
Occurs in mother during ovulation, when an extra chromosome 21 is created in the egg
down syndrome
not an either-or situation
cell death
2 kinds of cell death
- apoptosis
- necrosis
- active cell death
- slow
apoptosis
- passive cell death
- quick
necrosis
some of the causes of human brain damage
neurological diseases
types of neurological diseases
- epilepsy
- parkinson’s disease
- huntington’s disease
- multiple sclerosis
- alzheimer’s disease
neurological disorder characterized by spontaneously recurring seizures
epilepsy
primary symptom of epilepsy
epileptic seizure
peculiar psychological changes just before a seizure
epileptic auras
two general categories of seizure
- focal seizure
- generalized seizure
- seizure that does not involve the entire brain
- they are often not accompanied by a total loss of consciousness or equilibrium
focal seizure
forms of focal seizure
- simple seizure
- complex seizure
Involve only one sort of sensory or motor symptom, and they are rarely accompanied by a loss of consciousness
simple seizure
Often begin in the temporal lobes and usually do not spread out of them
complex seizure
Seizure that involves the entire brain
generalized seizure
forms of generalized seizure
- tonic-clonic seizure
- absence seizure
accompanied by hypoxia
tonic-clonic seizure
- not associated with convulsions
- most common in children, and they frequently cease at puberty
absence seizure
A movement disorder that is associated with degeneration of dopaminergic neurons in the substantia nigra
parkinson’s disease
Clumps of protein often seen in autopsies play an important role in the development and spread of pathology of Parkinson’s patients
alpha-synuclein
Progressive terminal disorder of motor and intellectual function that is produced in adulthood by a dominant gene
huntington’s disease
huntington’s disease is passed from generation to generation by a single mutated dominant gene, called ______
huntingtin
Progressive disease that attacks the myelin of axons in the CNS
multiple sclerosis
Most common form of dementia in the elderly
alzheimer’s disease
3 stages of Alzheimer’s disease
- preclinical stage
- prodromal stage
- dementia stage
Involve pathological changes in the brain without any behavioral or cognitive symptoms
preclinical stage
Involves the combined presence of mild cognitive impairment and certain biological changes
prodromal stage
substages of dementia stage
- mild stage
- moderate dementia stage
- severe dementia
- memory loss of recent events
- changes in personality
- trouble organizing thoughts
- getting lost or misplacing things
mild dementia stage
- patients become more confused and forgetful
- poor judgment and deepening confusion
- greater memory loss
- need help with some memory loss
- changes in personality and behavior
moderate dementia stage
- mental function continues to decline
- there is a growing impact on movement and physical capabilities
severe dementia stage
neuropathological characteristics of Alzheimer’s disease
- neurofibrillary tangles
- amyloid plaques
Came from the genetic analysis of families with early onset Alzheimer’s disease
amyloid hypothesis
The argument against the amyloid hypothesis because many people that don’t have dementia carry significant loads of amyloid plaques
high-plaque normals
Presence of misfolded proteins that initiate a chain reaction causing other proteins to misfold
pathogenic spread hypothesis
The convulsions elicited in kindled animals are similar in many aspects to those observed in some types of human epilepsy
kindling model of epilepsy
Development, or genesis, of epilepsy
epiloptogenesis
The progressive development and intensification of convulsions elicited by a series of periodic brain stimulations
kindling phenomenon
This model displays Parkinsonian motor symptoms, cell loss in the substantia nigra, and a major reduction in brain dopamine
MPTP Model of Parkinson’s Disease
responses to nervous system damage
- degeneration
- regeneration
- reorganization
- recovery
Neural deterioration and death
neural degeneration
kinds of neural degeneration
- anterograde degeneration
- retrograde degeneration
Degeneration of the distal segment
anterograde degeneration
Degeneration of the proximal segment
retrograde degeneration
Degeneration that spreads from damaged neurons to neurons that are linked to them by synapses
transneuronal degeneration
kinds of transneuronal degeneration
- anterograde transneuronal degeneration
- retrograde transneuronal degeneration
When transneuronal degeneration spreads from damaged neurons to the neurons on which they synapse
anterograde transneuronal degeneration
When transneuronal degeneration spreads from damaged neurons to the neurons that synapse on them
retrograde transneuronal degeneration
Regrowth of damaged neurons
neural regeneration
Promoter of Neural Regeneration in Mammalian PNS
- oligodendrocytes
- astrocytes
Promoter of Neural Regeneration in Mammalian CNS
schwann cells
- Roughly equivalent to education and intelligence
- Thought to play a role in the improvements observed after brain damage that do not result from true recovery of brain function
cognitive reserve
Condition in which an amputee continues to experience the limbs that have been amputated
phantom limbs