Brain (Test 4) Flashcards

1
Q

What is it called when inferior projections of the cerebellum are pushed out of the foramen magnum?

A

Chiari malformation

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2
Q

What is Chiari Malformation associated with?

A

Headaches, nausea, muscles weakness, difficulty swallowing, impaired coordination and blockage of the normal flow of spinal fluid (particularly in the central canal of the spinal cord).

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3
Q

How is Chiari Malformation treated?

A

decompressive surgery

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4
Q

How is a decompressive surgery performed?

A

By removing the lamina of the first (to sometimes up the third) vertebrae and part of the occipital bone of the skull to relieve the pressure.

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5
Q

What are the two important functional systems of the brain?

A

Reticular formation and the limbic system

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6
Q

What is the loosely organized core of gray matter that projects vertically through the core of the midbrain, pons, medulla, diencephalon, and spinal cord?

A

The reticular formation

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7
Q

What is the motor component of the reticular formation responsible for?

A

communicating with the spinal cord and REGULATING MUSCLE TONE (especially when the muscles are at rest). Also assists with the autonomic centers in the medulla and pons to help control respiration, blood pressure and heart rate.

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8
Q

What is the sensory component of the reticular formation responsible for?

A

alerting the cerebrum to incoming sensory info via sensory axons that project into the cerebral cortex.

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9
Q

What is the sensory component of the reticular formation also known as?

A

Reticular activating system (RAS)

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10
Q

What is responsible for maintaining a state of awareness or consciousness?

A

the reticular activating system (RAS)

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11
Q

How does the RAS keep us in a state of consciousness?

A

processes visual, auditory, and touch stimuli

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12
Q

How does the RAS arouse us from sleep?

A

Because the RAS receives stimulatory sensory information and sends it to the cerebrum (note that conversely if there is little or no stimuli while in bed with the light out, you sleep because the RAS is not stimulated to act).

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13
Q

What causes headaches even though the brain itself is pain-insensitive?

A

Pressure produced by tumors, hemorrhage, meningitis, or inflamed nerve roots. Typical emotional stress, increased blood pressure, and food allergies, all of which cause blood vessels diameter changes.

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14
Q

What is the difference between headaches and migraines?

A

Migraines are severe recurring headaches that usually affect only one side of the head.

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15
Q

Are headaches a brain disorder?

A

No, but they may accompany other disease or brain disorders.

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16
Q

What brain disorder is actually a group of neuromuscular disorders that usually result from damage to an infant’s brain before, during, or immediately after birth.

A

Cerebral Palsy

17
Q

What are the three forms of cerebral palsy involving impairment of skeletal motor activity to some degree?

A

athetoid, ataxic, spastic

18
Q

What is athetoid (cerebral palsy) characterized by?

A

slow, involuntary, writhing hand movements

19
Q

What is ataxic (cerebral palsy) characterized by?

A

lack of muscular coordination

20
Q

What is spastic (cerebral palsy) characterized by?

A

increased muscular tone

21
Q

What is Encephalitis?

A

An acute inflammatory disease of the brain most often due to viral infection.

22
Q

What are the symptoms of Encephalitis?

A

Drowsiness, fever, headache, neck pain, coma and paralysis. Oh and death can also occur.

23
Q

What “brain disorder” is characterized by recurring attacks of motor, sensory, or psychological malfunction, with or without unconsciousness or convulsive movements? (technically not a scientific disease…)

A

Epilepsy

24
Q

What is the difference between a grand mal seizure and a petit mal seizure?

A

Grand mal affect the motor areas of the brain and cause severe spasms and loss of consciousness. petit mal affect sensory areas and do not lead to convulsions or prolonged unconsciousness.

25
Q

What brain disorder is an autosomal dominant hereditary disease that affects the cerebral nuclei?

A

Huntington Disease?

26
Q

What are the main symptoms of Huntington disease?

A

rapid, jerky, involuntary moments that usually start unilaterally in the face but over months and years progress to the arms and legs.

27
Q

Which brain disorder is a slow-progressing neurologic condition that affects muscle movement and balance causing patients to exhibit stiff posture, an expressionless face, slow voluntary movements, a resting tremor and a shuffling gait?

A

Parkinson disease

28
Q

What causes Parkinson disease?

A

a deficiency of neurotransmitter dopamine which results from a decrease dopamine production by degenerating neurons in the substantia nigra.

29
Q

What is the medical sequence of events that occurs when the cerebrum pushes down through the tentorial notch because of head trauma, intercrainal bleeding, tumors, inflammation, or cerebral edema called?

A

Rostrocaudal brain deterioration

30
Q

What is one step in the rostrocaudal brain deterioration?

A

Transtentorial brain herniation

31
Q

What are some treatments for rostrocaudal brain herniation?

A

high flow oxygen, barbiturate-induced coma, diuretics, decompressive crainectomy.

32
Q

What is another name for a stroke?

A

Cerebrovascular accident

33
Q

How many stroke victims die within 3 years?

A

2/3

34
Q

What is a thrombus (hint: stroke)?

A

a blood clot within the blood vessel (one cause of cerebrovascular accident aka stroke).

35
Q

What is hemiplegia (hint: stroke)?

A

Contralateral paralysis of the body. Often a symptom of strokes.

36
Q

What is a transit ischemic attack (TIA)?

A

elderly peoples sometimes experience brief episodes of lost sensation or motor ability or “tingling” in the limbs, it’s also known as a “mini stroke.”

37
Q

What causes a TIA or “mini stroke”?

A

a temporary plug in a blood vessel that dissolves in a matter of minutes.