Motor Dysfunction: Spinal Cord Injury And Subcortical Motor Disorders. Flashcards
Autonomy review: basal ganglia
- Group of subcortical nuclei
- caudate, putamen, globus pallidus
Basal ganglia
Clinically, subthalamic nucleus and substantial nigra included
These structures are grouped together because:
They are highly interconnected automatically
→ they share an importance in motordisturbancescalled dyskinesia [ characterized by involuntary purposeless movements. ]
These structures are grouped together because
They are highly interconnected automatically
→ they share an importance in motordisturbancescalled dyskinesia [ characterized by involuntary purposeless movements. ]
Parkinson’s disease
• Caused by degeneration of pathways from substania nigra to rest of basal ganglia and thalamus
Range of symptom from: resting tremors, muscle rigidly, shrinkage of hand writing etc. When medicated writing goes back to “normal” size,
→→ the exact cause of Pd is unknown, however there are links to genetics, free radical oxidation, immune, particular toxin.
P.d treatments:
Pallidotomy, Stn lesion, L-dopa, deep brain stimulation,
Rapid involuntary movements
Huntington’s disease: genetic, deterioration of caudate nucleus
Ms (multiple sclerosis)
Potentially disabling disease of the brain and spinal cord [ central nervous system]. There is a communication problem between the brain and body since the immune system attacks the protective sheath [myelin] that covers the nerve fibers.
Seizures,
Myoclonic seizures, tonic conic seizures, atonic seizures, focal dyscognitive service
Concussions
1) mild injury to the brain following trauma
2) concussion is when the brain receives trauma from impact, sudden momentum,or movement change.
3) blood vessels may stretch, and cranial nerves may be damaged.
Concussion symptoms.
→ headache, confusion, nausea/vomiting, blurry vision, loss of short term memory and persevering [repeating the same thing ]
Concussion assessment.
Individualized, standard symptoms check, coordination assessments, cognitive tests.
Treatment concussion:
Rest, fluid, mid pain reliever, follow up with physician, light exercise
Concussion long term problems
• It is easier to get another concussion, repeated concussion lead to issues with long memories
Second impact syndrome:
- Caused by a second head injury before the symptoms of first one have resolved, loss of autogregulation of the brains blood supply. can lead to death.
Seizure
Chronic condition: epilepsy
Positive signs: perception of flashing lights,arm jerking
Negative signs: loss of conscious ness, paralysis, blindness
Seizure classifications
Partial [focal] seizures: motor, sensory, autonomic, psychological systems
Generalized seizures: absence, myoclonic, conic, tonic [ jerking of limbs
Unclassified: