Podcast 3 Flashcards

1
Q

What is dura mater in CNS inverted by

A

Sinuvertebra nerves (SN)

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2
Q

What does the SN supply

A

Goes through the IVD to dura and post and longitude ligaments and annulus fibrosis

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3
Q

What happens towards the midline of dorsal dura

A

Becomes insensitive

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4
Q

What nerves have intrinsic innervation at PNS

A

Peripheral nerves
nerve roots
autonomic nervous system

Called nervi nervorum

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5
Q

Three facts about nervi nevorum at PNS

A

1) Innervation ⬆️ capacity of CT to protect fragile nerves
2) Has neuropeptides to mediate inflam response
3) Source of symotoms + contribute to sensory imput

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6
Q

Name seven ways the NS response to elongation

A

1) Development of tension with in tissue
2) Movement of NS
3) Resting position = Nerves curled up and lose
4) Movement and elongation= Nerves Uncurled + loose slack
5) Amount of glide reached limits= Neural tension ⬆️
6) Neural tissue elongates under constant load= Returns to original lenght if elastic limit does not exceed
7) Gliding depends on tension point and sequence of movement

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7
Q

Elaborate on movement of NS

A

Gross (relation to mechanical interphase)
Intraneural
Generalised:
-Movement of body parts in neutral= ⬆️ mvt in NS and ⬇️tension
-Movement of body parts in tension position= ⬇️mvt in NS and ⬆️tension

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8
Q

Name six facts about the axonal transport of NS

A

1)neuro physiology process ralated to mvt
2) Intraneural communication
3)Intracellular movement in axoplasm
4) Constant and controlled movements
5) Transport depends on: supply from blood + enhanced by axoplasm
6) 2 main flows:
anterograde- cell ➡️ perpheries
Retrograde- target➡️cell

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9
Q

And then six facts about blood supply of NS

A

1) Neurophysiology process related to movement
2) Multiple supply
3)Adaptability to mechanical stress
4)Intraneural bloodflow
5)Mobile and intact circulation
6)Sudden movement resulting strong tesion = alter circulation
Lead ➡️hypoxia and nerve damage

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10
Q

Six ways NS is protected

A

1) meylin sheath
2) Wavy appearance of neuron
3) CT resist compression
4) Diffusion barrier fights infection
5) Neurovascular supply coiled
6) Innovation of CT= warning signs

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11
Q

Five types of PNS injuries

A
Compression 
friction 
stretch 
chemical irritation
Illness
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12
Q

Name three key processes related to injury in PN

A

Altered bloodflow
altered axoplasm flow
development: altered impulse generating sites (AIGS)

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13
Q

Elaborate on altered bloodflow (injury)

A

Altered pressure gradient:
Venous stasis(hypoxia)
Oedamatous syage (nerve swell)
Fibrous stage: ⬆️ fibrous tissue

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14
Q

Elaborate on AIGS

A

Axonal injury
myelin sheeth removed
more receptors at site
sensitive to PN

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15
Q

What is the biomechanical response of NS to tensile force

A

Loss of integrity of peripheral nerves at 20% elongation

Bloodflow ends at 15% elongation

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16
Q

What can pathology of NS affect

A

Intraneural

extraneural

17
Q

Two things that can cause neural pathology

A

Chemical and mechanical irritation

18
Q

What is chemical irritation

A

Change of circulation pressure gradient

For example ischaemia and inflammation

19
Q

What is mechanical irritation

A

Compression/elongation/friction causes damage of CT and neural tissue

20
Q

2 clinical consequences of neural pathology

A
Inflammation = pain / machanosenisitivity
Compression = ⬇️conduction
21
Q

5 threats to PNS

A
High mobile suboccipital region
Osteophytes in Cx canal
Disc lesion in Lx
TX canal narrow therefore blood flow poor
Compression
22
Q

Define neuropraxia

A

Temporary block to conduction

Full recovery

23
Q

Define axonotmesis

A

Disruption of Axons with wallerian degen
Loss of conduction
Not always full recovery

24
Q

Define neurotmesis

A

Trunk severed
Wallerian degeneration
open wounds

25
Q

Define neuropathy

A

Mechanical and chemical irritation

26
Q

What is wallerian degeneration

A

The generation of distil/proximal portion of axon following injury to cell body
Process characterised=
Fragmentation of axon + meylin sheeth