Neurology Flashcards
dendrite function
receive chemical messages from other neurons
axon function
sends messages
synapse
small gap that seperates neurons
spine anatomy
c-7
t-12
l-5
s-5
c-4
=33
Layers of meninges
pia matter-innermost
arachnoid- middle layer
dura- outermost (durable)
cranial nerve mneumonic
ooo
to touch and feel
virgin girls vagina
ah heaven
cranial nerves 1
olfactory
smell
cranial nerve II
optic
vision
cranial nerve III
oculomotor
eye movement and pupilary response
cranial nerve IV (4)
trochlear
downa and inward eye movement
CN V (5)
trigeminal
jaw movment
CN VI (6)
abducens
facial movement
CN VII (7)
facial
facial movement
CN VIII (8)
vestibulochlear
hearing and equilibrium
CN IX (9)
glossopharyngeal
swallowing
phonation
CN X(10)
vagus
Parasympathetic nervous system
CN XI (11)
accessory
shoulder shrug
CN XII (12)
hypoglossal
tongue
reticular activating system
responsible for maintaining consciousness and ability to respond to stimuli
how much blood/glucose does brain use
20% blood
25% glucose
diencephalon (interbrain) function
involuntary actions
(temp, sleep, water balance, stress, emotions)
mesencephalon (midbrain)
pons, medulla oblangota
(rr, bp, hr)
babinski reflex
dorsiflexion of great toe and fanning of others. indicates dysfunction of CNS
about ischemic stroke
gradual onset
80% of all strokes
cerebral artery blocked by clot causing brain muscle infarction
with all strokes withold o2 unless presentation or spo2 warrents it
about hemorrhagic stroke
rapid onset of sudden severe headache
20% of strokes
bleed in outer layer of brain
about TIA
temporary interference with blood supply to brain
lasts minutes to hours. symptoms resolve in 24 hours
generalized seizure about
electrical discharge in small area of brain spreads to cerebral cortex causing widespread malfunction
petit-mal seizure
brief generalized seizure
10-30 seconds loss of consciousness
eye or muscle fluttering
occasional loss of muscle tone
partial seizure
confined to a limited portion of brain
may spread and become generalized
simple seizure
focal motor sensory seizure
chaotic movement or dysfunction of one area of body
no loss of consciousness
complex seizure
temporal lobe or psychomotor seizure
status epilepticus
two or more generalized seizures without a return to consciousness
seizure management
move objects
o2
access
benzo
syncope definiton and causes
sudden, temporary loss of consciousness caused by insufficinet blood flow to brain
causes
cardio conditions
hypovolemia
idiopathic
bells palsy
unilateral weakness of facial muscles
occurs due to dysfunction of 7th cranial nerve
can also be caused by herpes simplex
trigeminal neuralgia
also called tic doloreux
painful, affects 5th cranial nerve (trigeminal)
electric shock type spasms and pain
antiseizure meds can be used
alzheimers causes
results from death and disapearance of nerve cells in cerebral cortex
atrophy of brain
picks disease
permanent form of dementia similar to alzheimers disease.
tends to only affect one side of brain
huntingtons disease
genetic defect in chromosome 4.
adult onset and early onset
creutzfeld-jakob disease
form of brain damage. characterized by rapid decrease in mental function and movement. comes from prion
muscular dystrophy
genetic disease
progressive weakness of skeletal and voluntary muscles
multiple sclerosis
unpredictable disease of CNS
inflammation of nerve cells
demyelination or destruction of myelin sheath (protective coating of nerve body)
nerves unable to conduct impulses properly
duchenne dystophy
most common childhood muscular dystrophy
onset by age 6
symmetrical weakness
guillan barre syndrome
bodys immune system attacks peripheral nerves
leads to inflammation and weakness
parkinsons disease
degenerative changes in basal ganglia due to dopamine deficiency
rhythmical muscular tremors
rigidity of movment
droopy posture
usually occurs after 40
leading cause of neuro disability after 60
amyotrophic lateral sclerosis
lou gherigs disease
progressive motro neuron disease affecting motor tracts of lateral columns of spinal cord
progressive muscular atrophy, increased reflexes, spastic irritability of muscles
spina bifida
neural tube defect
failure of one or more fetal vertabrae to close in utero
polio
infectious inflammation of CNS
results in permanent paralyis
subdural bleed
collection of blood between dura and arachnoid matter
venous blood
more common than epidural bleed
slow onset of symptoms :
N/v, headache, decreaseing loc, coma, posturing
subarachnoid bleed
intracranial bleeding into CSF
sudden and severe headache “worst headache of my life”
ss:
dizziness, neck stiffness, unequal pupils, vomitng, seizures, decreasing loc
epidural bleed
collection of blood between cranium and dura in epidural space
arterial bleed (middle meningeal artery)
loss of consciousness followed by lucid interval followed by decreaseing loc
ss: headache
decreasing loc
increased ICP cushing triad
cusing triad
bradycardia, irregular rr, increase in sbp
treat increased icp
spo2 above 94
maintian etco2 30-35 mmhg