MT1.2 Flashcards
WHAT IS GLIAL CELL SCARING?
Loss of brain cells are replaced by glial cells which impede axon regrowth and produce growth inhibiting molecule
what is the penumbra of stoke?
zone of mild ishemia in proximity or region of stroke, cells in this area may die of secondary processes
how can secondary cell death be minimized?
revascularization and sedation
what happens to the BBB in axonic conditions?
BBB is dissembled and WBC enter the brain producing inflammation and edema which results in further cell death
what is secondary cell death? how is it caused
when brain cells die, they release high amounts of glutamate and oxidative agents which cause for more cells to die via excitotoxicity
how come do brain cells die as a result of anoxic conditions?
lack of O2 and glucose disregulates ATP and hence activates 3-caspase which leads to apoptosisis
what other factors can cause apoptosis?
o DNA damage
o Over stimulation (glutamate)
o During normal development
what are some signs associated with mild cerebral hypoxia?
- inattentiveness,
- poor judgment,
- memory loss
- a decrease in motor coordination.
how long can the brain survive in anoxic conditions?
cell death begins within 5 minutes of anoxic conditions
what are the different mechanisms of stoke?
ischemic (trombosis, embolism) or hemorrhagic
what factor may increase risk of blood clots?
vascular diseases
what is an anyeurism?
abnormal dilation of blood vessels for which pressure causes brain dammage
what is the problem with AV anastamosis?
veins cannot withhold the pressure of the A hence will reupture and cause bleeding and increase presssure in the brain
where does a subdural hematoma occur?
between dura and arachnoid layer
what portions of the brain are not contained by the BBB
- area postrema
- posterior pituitary
what types of substances can pass through the BBB?
lipid soluble molecules such as heroine and nicotine
what drug is administered to patients with parkinson?
Ldopa as it increases dopamine production
what forms the tight junctions of the BBB?
capillary cells
what is bovine spongiofrom encephalophathy a result of?
abnormal protein that crosses the BBB
what is the main function of the BBB
prevents direct exchanges from the blood to the ECF and protect from toxins, nTS and antibiotics
what is the main role of CSF ?
Maintains a constant environments for cells of the CNS
Removes brain metabolites
Serves as a mechanical cushion
Allows buoyancy to the brain
Lymphatic system for the brain
Allows polypeptide hormones to circulate
how does CSF exit the ventricles and enter the subarachnoid space?
enters foramen of magdenie
what produces CSF?
choroid plexus
where do A travel in the sc and brain?
subaracnoid space