Topic 11 Flashcards
encephalitis
brain infection and inflammation
types of brain infections
- bacterial
- brain abscesses
- meningitis (inflammation of meninges)
- treated with antibiotics
- damage is not reversed - viral
- may affect etiology of other disorders but long dormancy makes them hard to recognize
a. preferential affinity for CNS
- rabies (aggression; vaccine)
b. no preferential affinity for CNS
- mumps, herpes
neurotoxins
heavy metals
- entry from G tract, skin, lungs and move through the bloodstream to the brain
drugs to treat neurological and psychiatric disorders
- tardive dyskinesia (uncontrollable movements of lips, tongue, jaw, and cheeks)
endogenous
- antibodies against CNS components
- excessive glutamate due to stroke
genetic factors
- recessive genes
- accidents of cell division
- most diseases involve numerous loci on chromosomes
ex. down syndrome - extra 21 chromosome (trisomy 21)
- physical characteristics
- intellectual impairments
- medical complications
- probability increases with maternal age
brain tumors
neoplasm - abnormal group of cells growing independently and uncoordinated from rest of body
1. primary
- originate from tissue within the brain
2. metastatic
- originate in another location of the body and spread to brain through bloodstream
- often originate in lungs
- malignant
stroke
- cerebrovascular disorder
- blockage or bleeding vessel interrupts blood stream to the brain
- ischemia is a lack of blood to the brain as a result of stroke
- identified on angiogram
symptoms - depend on area of brain affected
- amnesia, paralysis, aphasia, visual disturbance, coma
risk factors - hypertension
- diabetes
- high colesterol
- smoking
- obesity
- atrial fibrilation
areas of affected tissue after stroke
infarct
- area of dead or dying tissue
penumbra
- dysfunctional area surrounding infarct
- area may recover or die
- goal of treatment is to save penumbra
tissue plasminogen activator (t-PA)
- clot-busting drug
- administered within 3-5 hours for effectiveness
types of stroke
- hemorrhagic
a. intracerebral hemorrhage
- happens in brain tissue and neurons
- caused by hypertension, trauma, infections, tumors, abnormalities in blood vessel
b. subarachnoid hemorrhage
- result of bursting aneurysms
- in subarachnoid space
- caused by congenital or acquired (toxins, infection) - ischemic
a. thrombus
- block of blood flow at site of formation (blood clot, fat, tumor)
b. embolism
- blockage breaks from site of formation and lodges in a smaller vessel
c. arteriosclerosis
- hardening and thickening of arteries
- narrowing of lumen due to fatty deposit
- artery becomes occluded
role of glutamate in strokes
- blocked blood vessel = increase in glutamate
- cell affected by glutamate die after releasing more glutamate
- toxic levels of calcium = direct toxicity
- instigates many second-messenger pathways
traumatic brain injury
- head hitting other objects
- brain can be damaged indirectly through blows that increase blood pressure (to the chest)
closed head injuries
contusion
- deformation of tissue
- bleeding without laceration
concussion
- blow to the head that disrupts consciousness
- no structural damage
- diagnoses through symptoms due to lack of evidence
- effects cognition, movement, and neurological functions for long periods of time
- chronic traumatic encephalopathy occurs with too many concussions over time
epilepsy
- recurrent, spontaneous seizures
- synchronous firing of neurons
- caused by genetics, toxins, tumor, trauma
diagnosis of seizures
scalp electroencephalogram (EEG)
- highly synchronized high amplitude neuronal firing
- individual spikes occur between seizures
- not all seizures involve convulsions
precedences of seizures
- bad smell
- thought/image
- deja vu
- hallucinations
types of epilepsy
- focal seizures
- partial
- epileptic neurons at focus fire together
- some to little spreading
- symptoms depend on area
- no loss of consciousness or equilibrium - generalized seizures
- entire brain
- focal firing spreads to entire brain