Trigger 7: TBI associated disorders Flashcards

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1
Q

chronic traumatic encephalopathy

A

a progressive degenerative disease, which starts which memory loss and mood swings and then difficulty concentrating… progressing into demetia

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2
Q

is there a cure for CTE

A

no

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3
Q

CTE

A

chronic traumatic encephalopathy

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4
Q

what other diseases which have been given different names are also CTE

A

boxing demential and punch drunk syndrome

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5
Q

boxing dementia and punch drunk syndrome are

A

chronic traumatic encephalopathy

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6
Q

cause of CTE

A

repetitive mild TBI

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7
Q

who does CTE effect

A

athletes (boxing, rugby football etc) and veterance

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8
Q

symptoms of CTE

A

Memory loss, depression, suicidal thought, explosive or aggressive behaviour, trouble walking and speaking

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9
Q

pathology of chronic traumatic encephalopathy

A

Tau protein tangles first accumulate in the brain cortex. Tau collects around blood vessels and deep in cortical sulci of the brain (decreased surface area of actual brain)

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10
Q

treatment of CTE

A

none

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11
Q

evidence of links between head trauma and long-term degenerative disease e.g. alzheimers

A

both have hyper phosphorylated Tau proteins associate with dementias –> brains look similar e.g. lose surface area

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12
Q

who are at higher risk of CTE and demential

A

those with Apolipoprotein E genotypes (APoE)

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13
Q

demential pugilistica

A

boxing demential

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14
Q

boxing dementia associated with

A
  • Associated with slurred speech
  • Memory impairment and Parkinson-like syndrome
  • Punch-drunk syndrome
  • Thought to be the same as CTE
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15
Q

describe the time scale of dementia caused by TBI (rate of cognitive decline)

A

1) head injury
2) acute effects of TBI
3) recovery- but loss of functional reserve
4) functional reserve decreases to threshold for dementia

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16
Q

what happens in the brain during TBI/ CTE

A
  • enlarged ventricle dn loss in brain matter
  • gyri are a lot chunkier and prominent
  • shrinking of the brain
17
Q

why are gyro chunkier and more prominennt

A

due to shrinkage of brain matter

18
Q

what is SIS

A

secondary impact syndrome

19
Q

what is secondary impact syndrome

A

occurs when a second head injury occurs before the 1st has cleared

20
Q

SIS are

A

rare but life-threatening

21
Q

SIS occurs after

A

back to back concussions

22
Q

SIS results in

A

a loss of auto regulation of the blood supply

23
Q

loss of auto regulation of the blood supply

A
  • vascular engorgment
  • increased intracranial pressure
  • rapid brain stem failure (2-5 mins)
24
Q

how quickly can brain stem failure occur after SIS

A

2-5 mins due to increased intracranial pressure

25
Q

how many SIS result in death

A

50%

26
Q

people who survive SIS often go on to get

A

dementia or gain severe disabilities

27
Q

examples of how SIS and CTE individuals are supported

A

using mobile apps