Chapter 10 part 2
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Questions and Answers

What is the characteristic of demyelination in multiple sclerosis?

  • Regeneration of axons
  • Accumulation of CSF fluid
  • Inflammation of neurons
  • Degeneration of myelin (correct)
  • What is the primary purpose of disease-modifying drugs such as Betaseron, Avonex, Extavia, Rebif, Copaxone, Aubagio, and Tecfidera in multiple sclerosis?

  • Curing the disease
  • Targeting symptoms of multiple sclerosis (correct)
  • Preventing muscle spasms
  • Controlling seizures
  • Which of the following drugs is used to control muscle spasms in Cerebral Palsy?

  • Lamotrigine and Valproate
  • Botulinum toxin A, Dantrolene, and Baclofen (correct)
  • Tecfidera, Aubagio, Copaxone
  • Betaseron, Avonex, Extavia
  • What is the characteristic of hydrocephalus in older children and adults?

    <p>Impaired motor function and incontinence</p> Signup and view all the answers

    Which of the following conditions is characterized by the accumulation of CSF fluid in the brain ventricles or subarachnoid space?

    <p>Hydrocephalus</p> Signup and view all the answers

    Which of the following syndromes is characterized by loss of motor function, temperature, and pain below injury but sensations of touch, pressure, vibration intact?

    <p>Anterior cord syndrome</p> Signup and view all the answers

    Which of the following medications are used to control seizures in Cerebral Palsy?

    <p>Lamotrigine and Valproate</p> Signup and view all the answers

    What is the characteristic of Secondary Progressive multiple sclerosis?

    <p>Exacerbations and remissions followed by a slow decline</p> Signup and view all the answers

    Which part of the body is prominently affected in Central Cord Syndrome?

    <p>Upper extremities</p> Signup and view all the answers

    What is the common co-occurrence in Central Cord Syndrome?

    <p>Bladder dysfunction and motor deficits in the upper extremities</p> Signup and view all the answers

    Which condition has no known cure?

    <p>Cerebral Palsy</p> Signup and view all the answers

    In complete spinal cord injury mainly leads to which outcome?

    <p>Loss of sensation and motor function below the level of injury</p> Signup and view all the answers

    Why is Carbidopa typically combined with levodopa in Parkinson's disease treatment?

    <p>It delays the conversion of levodopa to dopamine until it reaches the brain</p> Signup and view all the answers

    Which neurological condition involves the loss of pigmented dopaminergic neurons?

    <p>Parkinson's disease</p> Signup and view all the answers

    What is a potential consequence of high injuries at the level of C1-C2?

    <p>Loss of involuntary functions such as sweating and blood pressure regulation</p> Signup and view all the answers

    Why might artificial ventilation be necessary for injuries above C4?

    <p>To support respiratory function due to potential loss of diaphragm function</p> Signup and view all the answers

    What is the normal volume in intracranial pressure?

    <p>15</p> Signup and view all the answers

    What is the neurotransmitter mostly affected in Parkinson disease?

    <p>Dopamine</p> Signup and view all the answers

    What is the name of the surgery for Parkinson disease?

    <p>Pallidotomy</p> Signup and view all the answers

    What would be the first consequence of unresolved hydrocephalus?

    <p>Intracranial pressure</p> Signup and view all the answers

    What is the primary risk of increased ICP?

    <p>Impaired neurologic function and death</p> Signup and view all the answers

    Study Notes

    Cerebral Palsy

    • Lamotrigine and Valproate are used to control seizures in Cerebral Palsy, but there is no known cure.

    Multiple Sclerosis

    • Characterized by degeneration of myelin, a process known as demyelination.
    • Disease-modifying drugs such as Betaseron, Avonex, Extavia, Rebif, Copaxone, Aubagio, and Tecfidera are used to target symptoms.
    • Secondary progressive multiple sclerosis initially presents with relapsing-remitting characteristics, followed by slow chronic deterioration.

    Hydrocephalus

    • A condition of increased CSF fluid accumulation in the brain ventricles or subarachnoid space.
    • Presents with impaired motor/cognitive function and incontinence in older children and adults.
    • Unresolved hydrocephalus may lead to impaired neurologic function and death due to increased ICP.
    • Normal intracranial pressure is 15 mmHg.

    Spinal Cord Injuries

    • In central cord syndrome, motor deficits are prominent in the upper extremities, accompanied by bladder dysfunction.
    • In anterior cord syndrome, there is a loss of motor function, temperature, and pain below the injury, but sensations of touch, pressure, and vibration remain intact.
    • In complete spinal cord injury, sensation and motor function below the level of injury are lost.

    Parkinson Disease

    • A chronic, progressive neurologic condition that affects pigmented dopaminergic neurons, primarily affecting dopamine.
    • Carbidopa is often combined with levodopa to delay the conversion of levodopa to dopamine until it reaches the brain.
    • Pallidotomy is a surgery used to treat Parkinson disease.

    Other Neurological Conditions

    • High injuries at the level of C1-C2 may result in loss of involuntary function, including sweating, blood pressure regulation, and body temperature regulation.
    • Respiratory support with artificial ventilation may be required for injuries above C4.

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    Description

    Learn about the medications used to control seizures and muscle spasms in Cerebral Palsy, as well as the characteristics of Multiple Sclerosis affecting CNS neurons. Explore the drugs like Lamotrigine, Valproate, Botulinum toxin A, Dantrolene, and Baclofen.

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