Neurological and Endocrine Disorders Flashcards

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1
Q

Cerebrovascular Accident (CVA)

A

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.

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2
Q

Ischemic Stroke

A

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.

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3
Q

Hemorrhagic Stroke

A

Cause: Bleeding in cerebral artery.
Types:
Intracerebral Hemorrhage: Bleeding within brain.
Subarachnoid Hemorrhage: Bleeding around brain.

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4
Q

Middle Cerebral Artery

A

Symptoms:
Contralateral sensory loss.
Hemiparesis/hemiplegia.
Contralateral homonymous hemianopsia.
Dysarthria, aphasia/apraxia.

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5
Q

Posterior Cerebral Artery

A

Symptoms:
Contralateral sensory loss, hemiparesis.
Visual impairment/homonymous hemianopsia.
Dysarthria, nausea, vomiting.
Memory loss.

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6
Q

Anterior Cerebral Artery

A

Symptoms:
Contralateral sensory loss, hemiparesis (leg).
Impaired insight, judgment.
Mutism, apathy, confusion.
Urinary incontinence.

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7
Q

Traumatic Brain Injury (TBI)

A

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.

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8
Q

Symptoms After Regaining Consciousness:
Traumatic Brain Injury (TBI)

A

Emotional: Mood swings, irritability.
Cognitive: Anterograde and retrograde amnesia.
Behavioral: Changes in personality, impulsivity.
Physical: Headaches, dizziness, fatigue.

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9
Q

Amnesia
Traumatic Brain Injury (TBI)

A

Anterograde amnesia: Difficulty forming new memories.
Retrograde amnesia: Loss of recent memories.

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10
Q

Prognosis
Traumatic Brain Injury (TBI)

A

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.

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11
Q

Motor Disorders

A

Huntington’s and Parkinson’s disease are caused by degeneration of cells in the motor areas of the brain.

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12
Q

Huntington’s Disease

A

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.

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13
Q

Parkinson’s Disease

A

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.

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14
Q

Seizure Disorders

A

Seizure disorders are caused by abnormal electrical activity in the brain.

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15
Q

Focal Onset Seizures

A

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.

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16
Q

Temporal Lobe Seizures

A

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.

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17
Q

Frontal Lobe Seizures

A

Often during sleep, short duration.
Repetitive movements, abnormal posturing, autonomic symptoms.

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18
Q

Parietal Lobe Seizures

A

Tingling, numbness, abnormal sensations.
Feelings of movement, body image distortions.

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19
Q

Occipital Lobe Seizures

A

Eye movements, visual hallucinations, visual impairment.

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20
Q

Generalized Onset Motor Seizures:

A

Also known as tonic-clonic seizures or grand mal seizures.
Involve both hemispheres of the brain.
Cause a change in consciousness.

21
Q

Tonic Phase

A

Stiffening of muscles in the face and limbs.

22
Q

Clonic Phase

A

Jerky rhythmic movements in the arms and legs.
Post-seizure symptoms may include depression, confusion, or fatigue with no memory of the event.

23
Q

Generalized Onset Non-Motor Seizures

A

Also known as absence seizures or petit mal seizures.
Brief loss of consciousness.
Characterized by a blank or absent stare.
Some may have upward eye movements and eyelid fluttering

24
Q

Migraine Headaches

A

Description:
Intense, throbbing pain, usually on one side of the head.
May be accompanied by nausea, vomiting, and sensitivity to light or other sensory stimuli.

25
Q

Migraine Headaches Types

A

Migraine Headaches with Aura (Classic Migraines).
Migraine Headaches without Aura (Common Migraines).

26
Q

Triggers - Migraine Headaches

A

Emotional stress, abrupt weather changes, alcohol, certain foods, skipping meals, etc.

27
Q

Treatment - Migraine Headaches

A

Nonsteroidal anti-inflammatory drugs, ergot alkaloids, SSRIs, SSRI agonists, beta blockers.
Thermal biofeedback and autogenic training.

28
Q

Hypertension - Types:

A

Primary Hypertension (Essential Hypertension):
Cause unknown, often asymptomatic.
Risk factors include obesity, tobacco use, excessive salt intake, stress, etc.
Treatment includes lifestyle changes and medication.
Secondary Hypertension:
Due to a known disease.

29
Q

Hypertension - Treatment

A

Medication such as diuretics, beta blockers, ACE inhibitors.
Lifestyle changes, including biofeedback or relaxation training.

30
Q

Endocrine Disorders

A

Thyroid Disorders:
Hyperthyroidism:
Hypothyroidism:

31
Q

Hyperthyroidism

A

Symptoms: Increased metabolism, elevated body temperature, heat intolerance, increased appetite with weight loss, etc.

32
Q

Hypothyroidism

A

Symptoms: Decreased metabolism, weight gain, slowed heart rate, cold intolerance, depression, etc.

33
Q

Antidiuretic Hormone (ADH)

A

Function: Regulates water excretion in urine.
Central Diabetes Insipidus:
Cause: Low levels of ADH due to tumor, infection, stroke, pituitary surgery, etc.
Symptoms: Frequent and excessive urination, extreme thirst, dehydration, constipation, weight loss, low blood pressure.
Nephrogenic Diabetes Insipidus: Kidneys fail to respond to ADH

34
Q

Pancreas and Blood Glucose Balance

A

Insulin: Regulates blood glucose levels.
Hypoglycemia:
Cause: Excess insulin, skipping meals, excessive alcohol consumption, liver disorders, adrenal and pituitary gland disorders.
Symptoms: Nervousness, shaking, sweating, hunger, dizziness, confusion, weakness, sleepiness, blurred vision, tingling, headaches, irregular heartbeat, seizures, loss of consciousness.

35
Q

Diabetes Mellitus

A

Type 1 Diabetes:
Autoimmune destruction of insulin-producing cells.
Risk Factors: Genetic predisposition, viral infections.
Type 2 Diabetes:
Insufficient insulin production or insulin resistance.
Risk Factors: Genetic predisposition, obesity, sedentary lifestyle, age, certain racial/ethnic groups.

36
Q

Symptoms of Diabetes

A

Extreme hunger and thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, numbness or tingling in hands or feet, frequent infections.

37
Q

Electroencephalography (EEG)
Neurological Diagnostic Tests

A

Purpose: Measures brain’s electrical activity.
Procedure: Small electrodes placed on scalp record brain activity.
Output: Activity shown as wavy lines on graph paper or computer screen.

38
Q

Applications
Electroencephalography (EEG)

A

Identify changes in brain activity in response to stimuli.
Aid in diagnosis of seizure disorders, brain injuries, tumors, and sleep disorders.
Confirm brain death.

39
Q

NEBA
Electroencephalography (EEG)

A

FDA-approved tool to diagnose ADHD in 6 to 17-year-olds by assessing theta and beta brain wave ratio.

40
Q

Limitation
Electroencephalography (EEG)

A

Indicates activity in brain areas, not single neurons.

41
Q

Microelectrode Techniques
Electroencephalography (EEG)

A

Measure single neuron activity, primarily used in research and movement disorder surgeries.

42
Q

Structural Techniques

A

Purpose: Identify structural changes in the brain.

43
Q

Structural Techniques - Types

A

Computerized Axial Tomography (CT Scan): Provides rapid images using X-rays.
Magnetic Resonance Imaging (MRI): Produces detailed 3D images without ionizing radiation.

44
Q

Structural Techniques - Advantages

A

CT Scan: Cost-effective, faster, does not require long periods of patient immobility.
MRI: Detailed images, detects microhemorrhages, contusions, and gliosis without radiation.

45
Q

Functional Techniques - Purpose

A

Assess brain structure and activity.

46
Q

Types - Functional Techniques

A

Positron Emission Tomography (PET): Uses radiotracers to measure brain activity.
Single Photon Emission Computed Tomography (SPECT): Measures brain activity with radiotracers.
Functional MRI (fMRI): Utilizes magnetic fields and radio waves.

47
Q

Applications - Functional Techniques

A

PET and SPECT: Measure regional cerebral blood flow, blood volume, oxygen consumption, or glucose metabolism.
fMRI: Provides detailed images of brain activity.

48
Q
A