PSY1003 SEMESTER 2 WEEK 2 Flashcards
what are acquired brain injury
during life. can be traumatic or non traumatic
what are congential brain injury
resulting from genetic factors affecting neurodevelopment pre-birth or birth related trauma
outline the different type brain injuries
acquired (traumatic (open, closed), non-traumatic) or congenital
outline traumatic brain injury
sudden such as getting hit over head (intracranial injury). can be specific or widespread, affecting brain tissue directly or indirectly by damaging blood supply (circulatory system)
give the 2 type of traumatic brain injury
open or closed head injuries
outline closed head injury
no penetration of skull, sudden hit causes brain to hit skull wall as not enough cushioning from CSF
define contusion
closed-head injuries involving damage to cerebral circulatory system, producing internal haemorrhage and result in haematoma (localised collection of clotted blood in organs or tissue)
define contrecoup injury
blow causes the brain to strike inside of skull on other sides of head
define concussion
disturbance of consciousness following blow to head and no evidence of contusion or other structural damage
what is dementia puglistica/punch drunk syndrome
repeated powerful blows to head. cumulative structural damage can result in dementia like symptoms, increases likelihood of Parkinson’s or Alzheimer’s, occur in boxers
what is CTE (chronic traumatic encephalography)?
dementia, general intellectual deterioration, cerebral scarring due to repeated concussive, sub-concussive blows
define open head injury
skull not remaining intact, object penetrates skull and enters brain. bone fragments can damage tissues. damage can be localised but other complications can occur such as bleeding, infection, swelling
what can swelling from open head injury cause
intracranial pressure and can compress brain area controlling breathing
name 4 type of non-traumatic brain injury
stroke, infection, tumour, hypoxia/anoxia
how common is a stroke
4th biggest killer, >400 children have stroke per year
define infarct
area of dead or dying tissue produced by stroke
define penumbra
tissue surrounding infarct, dysfunctional, may recover or die in ensuing days. primary goal of treatment is to save penumbra
name 2 main causes of stroke
cerebral haemorrhage, cerebral ischemia
what happen in cerebral haemorrhage
ruptured cerebral blood vessel, blood leaks into brain and prevent blood going where its needed, so loos of blood supply to brain. intercranial pressure. blood is toxic to neural tissue
what happen in cerebral ischaemia
caused by interruption of blood supply to part of brain due to blockage of blood vessel eg: clot, thrombus, embolism, atheroscleosis
what does cerebral haemorrhage often result from
aneurysm (pathological balloon like dilation in wall of artery at point where elasticity of artery wall is defective). can be congenital or result of vascular poison/infection
what should those at risk of aneurysm do
avoid smoking, alcohol and hyppertension
what can we do to aid aneurysms if spotted before rupture
aneurysm clips, maintain low BP, avoid strenuous activity
define thrombosis
plug called thrombus is formed, blocks blood flow at site. composed of blood clot, fat, oil, air bubble, tumour cells
define embolism
embolus plug carried by blood from larger vessel to smaller, becomes lodged
define arteriosclerosis
thicken wall of blood vessels, channels narrow due to fat deposit, blocks blood vessels
what can thrombosis, embolism, arteriosclerosis lead to
prevent O2 and glucose, leading to excitotoxicity- neuronal cell death
what part of brain is most suceptible to ischemia-induced brain damage
hippocampus
why is glutamate, a excitatory NT, important in a cerebral ischemia
after blood vessels blocked, many blood-deprived neurons becomes overactive and release too much glutamate that overactivate glutamate receptors in membranes of postsynaptic neurons. causes lots of Na and Ca enter, trigger release of lots of glutamate from neuron, so spread toxic cascade, trigger sequence of internal reactiosn eventually killing postysnaptic neurons
what did glutamate lead to the discovery of as a stroke treatments option
prevent glutaminergic cascade using NMDA-receptor antagonists administered immediately post-stroke
what is tissue plasminogen activator for strokes
drug which breaks down blood clots, administering 3-4 hours post stroke leads to a better chance of recovery
name the main goal of stroke treatments
rescue penumbra by reopening blocked vessel via clot busting drugs that if administered in time can break down clot and prevent stroke damage
which artery tend to be affected by stroke
middle cerebral artery
what is FAST (strokes)
Face
Arms
Speech
Time
name some exogenous neurotoxins
mumps, herpies, rabies
define endogenous neurotoxin
produced by body eg: antibodies that can attack components of nervous system
what is a neurodegenerative disease?
progressive, occur over time
give 3 neurodegenerative disease
Parkinson’s, Alzheimer’s. other dementias