Neurological and Endocrine Disorders Flashcards
Cerebrovascular Accident (CVA)
Also known as a stroke.
Cause: Sudden interruption of blood flow to the brain.
Risk Factors:
Hypertension (leading risk factor).
Atherosclerosis (hardening of arteries).
Heart disease.
Diabetes.
Cigarette smoking.
Heavy alcohol consumption.
Obesity.
Older age.
Male gender.
African American race.
Family history of stroke.
Ischemic Stroke
Cause: Blockage in a cerebral artery.
Types:
Thrombotic Stroke: Blood clot forms in brain artery.
Embolic Stroke: Clot travels from elsewhere to brain.
Transient Ischemic Stroke (TIA):
Temporary blockage, warning sign of future stroke.
Hemorrhagic Stroke
Cause: Bleeding in cerebral artery.
Types:
Intracerebral Hemorrhage: Bleeding within brain.
Subarachnoid Hemorrhage: Bleeding around brain.
Middle Cerebral Artery
Symptoms:
Contralateral sensory loss.
Hemiparesis/hemiplegia.
Contralateral homonymous hemianopsia.
Dysarthria, aphasia/apraxia.
Posterior Cerebral Artery
Symptoms:
Contralateral sensory loss, hemiparesis.
Visual impairment/homonymous hemianopsia.
Dysarthria, nausea, vomiting.
Memory loss.
Anterior Cerebral Artery
Symptoms:
Contralateral sensory loss, hemiparesis (leg).
Impaired insight, judgment.
Mutism, apathy, confusion.
Urinary incontinence.
Traumatic Brain Injury (TBI)
Types: Can be open or closed.
Open Head Injury: Consequences depend on location and severity of injury.
Closed Head Injury: Causes more widespread damage; may result in loss of consciousness.
Symptoms After Regaining Consciousness:
Traumatic Brain Injury (TBI)
Emotional: Mood swings, irritability.
Cognitive: Anterograde and retrograde amnesia.
Behavioral: Changes in personality, impulsivity.
Physical: Headaches, dizziness, fatigue.
Amnesia
Traumatic Brain Injury (TBI)
Anterograde amnesia: Difficulty forming new memories.
Retrograde amnesia: Loss of recent memories.
Prognosis
Traumatic Brain Injury (TBI)
Most recovery occurs in the first three months, with additional improvement in the first year.
Some symptoms may persist indefinitely, especially in moderate to severe injuries.
Motor Disorders
Huntington’s and Parkinson’s disease are caused by degeneration of cells in the motor areas of the brain.
Huntington’s Disease
Neurodegenerative disorder affecting affective, cognitive, and motor functions.
Cause: Autosomal dominant gene; 50% chance of inheritance.
Onset: Typically between 30 and 50 years old.
Pathology: Abnormalities in basal ganglia; altered GABA and glutamate levels.
Symptoms:
Affective: Depression, mood swings.
Cognitive: Short-term memory loss, impaired concentration.
Motor: Clumsiness, involuntary movements (athetosis, chorea).
Progression: Worsening affective, cognitive, and motor symptoms over time.
Later Stages: Severe movement disorders, difficulty speaking and swallowing.
Parkinson’s Disease
Neurodegenerative disorder primarily affecting motor functions.
Cause: Interaction of genetic and environmental factors.
Pathology: Loss of dopamine-producing cells in substantia nigra and basal ganglia.
Other Implications: Excessive glutamate activity, degeneration of norepinephrine neurons.
Symptoms:
Tremor (especially in hands), impaired balance, muscle rigidity,
bradykinesia.
Non-motor symptoms: Depression, cognitive deficits, sleep
disturbances.
Treatment: No cure; symptoms managed with L-dopa to increase dopamine levels.
Depression: Common, precedes motor symptoms in some cases.
Neurocognitive Disorder: May develop in later stages.
Seizure Disorders
Seizure disorders are caused by abnormal electrical activity in the brain.
Focal Onset Seizures
Begin in localized area in one cerebral hemisphere, may spread.
Types:
Focal Onset Aware Seizures (Simple Partial Seizures):
No loss of consciousness.
Focal Onset Impaired Awareness Seizures (Complex Partial Seizures):
Change in consciousness; may start with aura.
Temporal Lobe Seizures
Common, may start with aura (strange taste/odor, intense fear, etc.).
Sweating, dilated pupils, lip-smacking, trouble speaking.
Triggers: Genetic factors, brain injury, tumors, infections, stress.
Frontal Lobe Seizures
Often during sleep, short duration.
Repetitive movements, abnormal posturing, autonomic symptoms.
Parietal Lobe Seizures
Tingling, numbness, abnormal sensations.
Feelings of movement, body image distortions.
Occipital Lobe Seizures
Eye movements, visual hallucinations, visual impairment.