Neuro chapter 2 Flashcards
Brain tumors are also called ___
neoplasms
What is a meningioma?
Brain tumor encased in meninges
Usually benign
What is a neuroma?
A benign encapsulated tumor growing on a nerve
What is an infiltrating brain tumor?
Malignant tumors that grow diffusely through tissue.
Difficult to remove
What are metastatic tumors?
Tumors that originate elsewhere
What is a stroke?
A sudden-onset cerebrovascular event that causes brain damage
What is the infarct?
The dead or dying tissue at the area of the stroke
What is the penumbra?
The damaged tissue surrounding the infarct (immediate damage zone) in a stroke.
Which one is savable, the infarct or the penumbra?
The penumbra, with immediate attention
A hemorrhage causes __ % of strokes
13
What is a brain hemorrhage?
Blood vessel rupturing in the brain
The aneurysm is the weakened point in the blood vessel
What causes the damage of a brain hemorrhage?
Free floating blood breaks down, forming free radicals which degrade lipid membranes and damage DNA
Free radicals from cerebral hemorrhage
______ breaks down, forming ____ which reacts with iron to make ____ radicals
Oxyhemoglobin breaks down, forming hydrogen peroxide, which reacts with iron forming hydroxyl radicals
What is ischemia?
A disruption of blood supply to the brain (causes most strokes)
What are thrombosis?
Blood clots
What are embolisms?
Blood clots that form because a “plug” moves to block a smaller vessel
What is arteriosclerosis?
Thickening artery wall, usually from fat, causing an ischemia
What are brain stents?
Metal mesh that can open up an artery, cant use them in the brain
What is the expected damage of an ischemic stroke?
Slow time to develop
Depends on the brain area
Blood deprived brain regions release glutamate
What is the glutamate cascade in a stroke?
Dying cells release glutamate
Glutamate stimulates cells causing influx of Na and Ca2+
This kills cells
Dying cells release glutamate
How do you combat ischemic stroke damage?
Thrombolysis
Endovascular therapy
NMDA antagonists
What are closed head injuries?
Injuries that don’t penetrate the skull
Direct or contrecoup
Contusions, concussions
What are contusions?
Closed head injuries that involve bruises
What are concussions?
Closed head injury with no structural damage
What is coup vs contrecoup injuries?
If I hit my head on a wall
Coup = brain hitting front of skull
Contrecoup = brain hitting back of skull after hitting front of skull
Symptoms of a concussion include:
Lack of consciousness (sometimes)
Cognitive damage
Somatic damage
Affective damage
Sleep issues
What is CTE
Chronic Traumatic Encephalopathy
Multiple concussions
“Punch Drunk Syndrome”
What is proof of chronic traumatic encephalopathy?
multiple concussions have lead to a 400% increase in neurodegenerative disorders in NFL players
What is encephalitis?
Inflammation of the brain from microorganisms.
What can cause encephalitis?
Bacteria
Viruses
Parasites
Fungi
A brain abscess is a…
pocket of pus
Meningitis is a bacterial infection resulting in
Inflammation of the meninges
Abscesses and meningitis can be treated with
antibiotics
What is an example of a viral infection that attacks neural tissue?
Rabies
What are neurotoxins?
toxins that are destructive to nerve tissue
Exogenous neurotoxins are…
toxins that enter general circulation from the outside
Endogenous neurotoxins are…
toxins that originate from inside the body
(glutamate in stroke victims is an endogenous neurotoxin
Lead, Mercury, and Venoms are examples of
exogenous neurotoxins
Toxic psychosis is
psychosis resulting from exposure to neurotoxins (lead/mercury poisoning)
What is tardive dyskinesia?
Involuntary motion caused by some antipsychotics
An example of the effects of exogenous neurotoxins
What are genetic factors of brain damage rare and usually recessive?
Our monkey ancestors with down syndrome didn’t live long or have kids
What is an example of a genetic brain damage condition?
Down syndrome
Caused by extra chromosome 21