Neurodevelopmental Disorders- Week Nine Flashcards

1
Q

What 3 syndromes are caused “purely” by genetics

A

Fragile X Syndrome- hereditary

Williams Syndrome
Downs Syndrome

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2
Q

What causes fragile X syndrome?

A

Is is hereditary
X- linked recessive disorder- meaning males are more likely to get it than females
Inhibits the FMR1 gene- which prevents receptor signalling

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3
Q

Physical symptoms of Fragile X Syndrome

A

Prominent ears
Hyper-extendable finger joints
Flat feet

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4
Q

Behavioural symptoms of Fragile X Syndrome

A

Poor eye contact
Hand- flapping
Defensiveness

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5
Q

Psychological symptoms of Fragile X Syndrome

A

Language delay
Motor delay
Intellectual deficits

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6
Q

What causes Williams syndrome

A

Is genetic, not heredity
Caused by a deletion of genes on chromosome 7
Essential for neuro development of connective tissue and synaptic plasticity

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7
Q

What are the physical symptoms of Williams syndrome

A

Elfin face: wide mouth, flattened nose, bulgy cheeks
Slow growth
Joint problems

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8
Q

What are the neuropathological issue of Williams syndrome

A

Thickening of the cortex- associated with psychological problems face by William’s syndrome
Reduced cortical volume and white matter- effects myelin sheath and speed of neurons
Reduced grey matter density

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9
Q

What are the neuropsychological characteristics of Williams syndrome

A
Emotionally immature
Impaired visual-spatial skills
Short concentration
Hyperactivity- excessive talking and language skills
Unusual response to sound
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10
Q

What causes Down’s Syndrome?

A

Genetic not hereditary
Extra chromosome 21
Leads to atypical brain development through biochemical changes

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11
Q

What are the physical symptoms of Down’s Syndromes

A

Round heads, low set ears, stubby hands
Eyes sight and oral problems
Heart and respiratory problems

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12
Q

What are the psychological symptoms of Down’s Syndromes

A

Cognitive and learning problems; information processing, attention, integration, STM
Slower language development

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13
Q

What is the neuropathology of Down’s Syndrome

A

Brain is 10% lighter
Frontal lobes are smaller
Reduced synaptic density
Reduced No of connections between neurons

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14
Q

What are the disorders caused by the environment

A

Foetal alcohol syndrome

Attachment disorders

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15
Q

How is foetal alcohol syndrome caused

A

Alcohol can cross the placenta during pregnancy
Safe level not known
Severity depends on how much and when the alcohol was consumed

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16
Q

What are the physical symptoms of foetal alcohol syndrome

A

Distinctive facial features, small head, low nose bridge, flat mid face, thin upper lip
Grow slowly, lower height and weight

17
Q

What are the neuropathological and neuropsychological symptoms of F.A.S

A

Reduced brain volume
Reduced corpus callousness- hyperactivity
Reduced cerebellum- poor motor skills
Abnormal dendrites of hippocampus- learning difficulties

18
Q

What are the differences between alcohol in the 1st trimester and the 3rd in F.A.S

A

1st trimester- abnormal migration and cortical organisation

3rd trimester- damages to the hippocampus

19
Q

Reasons for insecure attachments

A
Seperation/changes in primary care-giver
Trauma: neglect/abuse
Maternal depression
Maternal addiction
Illness of child
20
Q

Symptoms of insecure attachments

A

Low self esteem
Needy/clingy behaviour
Inability to deal with stress
Lack of self control, can lead to aggressive and anti-social behaviours

21
Q

Implications for brain development from insecure attachments

A

Neural pathways for emotions are still developing
Brain is persistently hyper aroused and dissociative
The limbic system and hypothalamic formation are most effected

22
Q

Name 2 disorders cause by both genetic and environmental factors

A

ADHD

Autism Spectrum Disorder

23
Q

What are the symptoms of hyper-impulsive type ADHD

A

Restlessness
Inappropriate behaviour
Impulse control problem

24
Q

What are the symptoms of inattentive type ADHD

A
Distractibility
Failure in attention, careless mistakes
Failure to follow instructions
Lack of persistence
Disorganisation
25
What is the incidence rate and when is ADHD usually diagnosed by?
2-12% and aged 7
26
ADHD neuropathology
Varied and inconsistent evidence for: Reduced brain volume, smaller cerebellar and callosal regions Differences in dopamine function and frontal lobe functioning differences
27
Considering the cause of ADHD
The genetic causes are not fully understood, but there is evidence for heritability and genetic causes There is also a lack of unique causal factors within the brain The role of toxins, diet, pre-natal influences and parenting styles are not conclusive
28
When are defects most detrimental?
Those defects that occur early on in pre-natal development cause the most issues and some foetus will no be carried full term
29
what is the ratio male to females of autism spectrum disorder
4:1 | Meaning it may have hereditary causes ( X chromosomes)
30
what IQ can autism be associated with?
Both low and high IQ | Most are low Iq, but there is about 10% who have savant skills
31
What are the key symptoms of those autism
poor social interactions,violence and self injury | have specific niche interests that they excel at
32
What are ehe psychological theories surrounding autism
wek central coherence executive function extreme male brains
33
What is the neuropathology for autism?
abnormally rapid head size increase which normalises | structural and functional differences
34
What are the genetic propositions for autism
high heritability in twin studies | not only shared among 1st degree relatives but much wider
35
What are the environmental propositions for autism
``` Maternal stress Paternal age Pesticides Antibody attack MMR vaccine ```