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Questions and Answers
What is the leading cause of strokes?
What is the leading cause of strokes?
What is the consequence of neurons becoming overactive after an ischemic stroke?
What is the consequence of neurons becoming overactive after an ischemic stroke?
What is a possible treatment for ischemic stroke?
What is a possible treatment for ischemic stroke?
Which of the following is NOT a characteristic of an ischemic stroke?
Which of the following is NOT a characteristic of an ischemic stroke?
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What is the name of a bruise in the brain caused by closed-head injury?
What is the name of a bruise in the brain caused by closed-head injury?
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Which of the following is a direct consequence of free radicals?
Which of the following is a direct consequence of free radicals?
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What is a potential consequence of a blood clot traveling to a smaller blood vessel?
What is a potential consequence of a blood clot traveling to a smaller blood vessel?
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Which of the following is a possible treatment for ischemic stroke related to glutamate release?
Which of the following is a possible treatment for ischemic stroke related to glutamate release?
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What is the primary cause of Huntington's disease?
What is the primary cause of Huntington's disease?
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What is the typical age of onset for Huntington’s disease?
What is the typical age of onset for Huntington’s disease?
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What is the difference between Huntington’s disease and Multiple Sclerosis (MS)?
What is the difference between Huntington’s disease and Multiple Sclerosis (MS)?
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What is the mechanism by which the HTT gene contributes to Huntington's disease?
What is the mechanism by which the HTT gene contributes to Huntington's disease?
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Which of these is NOT a symptom of Multiple Sclerosis?
Which of these is NOT a symptom of Multiple Sclerosis?
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How does the number of CAG repeats in the HTT gene relate to the severity of Huntington’s disease?
How does the number of CAG repeats in the HTT gene relate to the severity of Huntington’s disease?
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What is the primary role of oligodendrocytes in the context of Multiple Sclerosis?
What is the primary role of oligodendrocytes in the context of Multiple Sclerosis?
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Which of the following is a possible treatment for Multiple Sclerosis?
Which of the following is a possible treatment for Multiple Sclerosis?
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What percentage of Parkinson's Disease cases have a known mutation?
What percentage of Parkinson's Disease cases have a known mutation?
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What is the main component of Lewy bodies?
What is the main component of Lewy bodies?
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What percentage of familial Parkinson's Disease cases are caused by multiplication mutations in the alpha-synuclein gene?
What percentage of familial Parkinson's Disease cases are caused by multiplication mutations in the alpha-synuclein gene?
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Which of the following is NOT a gene linked to Parkinson's Disease?
Which of the following is NOT a gene linked to Parkinson's Disease?
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Which of these statements about the MPTP model of Parkinson's Disease is TRUE?
Which of these statements about the MPTP model of Parkinson's Disease is TRUE?
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What is the approximate concordance rate of Multiple Sclerosis in monozygotic twins?
What is the approximate concordance rate of Multiple Sclerosis in monozygotic twins?
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Which of the following is NOT a characteristic of Experimental Autoimmune Encephalomyelitis (EAE)?
Which of the following is NOT a characteristic of Experimental Autoimmune Encephalomyelitis (EAE)?
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Which of the following is a disease modifying therapy commonly used to treat Multiple Sclerosis?
Which of the following is a disease modifying therapy commonly used to treat Multiple Sclerosis?
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In which stage of Alzheimer's disease does mild cognitive impairment, characterized by confusion, memory decline, and attention difficulties, become evident?
In which stage of Alzheimer's disease does mild cognitive impairment, characterized by confusion, memory decline, and attention difficulties, become evident?
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Which of the following is a pathological hallmark observed in the brains of Alzheimer's disease patients during an autopsy?
Which of the following is a pathological hallmark observed in the brains of Alzheimer's disease patients during an autopsy?
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Why is a definitive diagnosis of Alzheimer's disease typically made only during an autopsy?
Why is a definitive diagnosis of Alzheimer's disease typically made only during an autopsy?
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Which of the following statements is TRUE regarding Alzheimer's disease?
Which of the following statements is TRUE regarding Alzheimer's disease?
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What is the main difference between the PNS and the CNS concerning regeneration?
What is the main difference between the PNS and the CNS concerning regeneration?
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What is the role of Schwann cells in axonal regeneration in the PNS?
What is the role of Schwann cells in axonal regeneration in the PNS?
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What is the main factor prohibiting regeneration in the CNS?
What is the main factor prohibiting regeneration in the CNS?
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Which of the following is NOT a pattern of axonal regeneration in mammalian peripheral nerves?
Which of the following is NOT a pattern of axonal regeneration in mammalian peripheral nerves?
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What is the process called where axons from undamaged neurons grow to innervate target cells previously innervated by damaged axons?
What is the process called where axons from undamaged neurons grow to innervate target cells previously innervated by damaged axons?
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What is the main evidence for cortical reorganization after retinal lesions?
What is the main evidence for cortical reorganization after retinal lesions?
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What is the term used to describe the phenomenon where the somatosensory cortex reorganizes following peripheral nerve transection?
What is the term used to describe the phenomenon where the somatosensory cortex reorganizes following peripheral nerve transection?
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What is a key difference between cortical reorganization observed in animal models and humans?
What is a key difference between cortical reorganization observed in animal models and humans?
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What is a common symptom of Parkinson's Disease?
What is a common symptom of Parkinson's Disease?
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What is the relationship between the Kindling Model of Epilepsy and human post-traumatic epilepsy?
What is the relationship between the Kindling Model of Epilepsy and human post-traumatic epilepsy?
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What is the primary characteristic of an aura?
What is the primary characteristic of an aura?
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What is the role of dopamine in Parkinson's Disease?
What is the role of dopamine in Parkinson's Disease?
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Which of these is NOT a treatment option for Parkinson's Disease?
Which of these is NOT a treatment option for Parkinson's Disease?
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What is the significance of Lewy bodies in the context of Parkinson's Disease?
What is the significance of Lewy bodies in the context of Parkinson's Disease?
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How is the Kindling Model of Epilepsy created?
How is the Kindling Model of Epilepsy created?
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Which of these is NOT a newer intervention under investigation for the treatment of epilepsy?
Which of these is NOT a newer intervention under investigation for the treatment of epilepsy?
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Flashcards
Free Radicals
Free Radicals
Unstable atoms that can damage lipid membranes, the blood-brain barrier, and DNA, leading to cell death.
Ischemic Stroke
Ischemic Stroke
A stroke caused by disrupted blood supply, accounting for 87% of strokes.
Thrombosis
Thrombosis
A condition where a blood clot forms in a blood vessel, causing obstruction.
Embolism
Embolism
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Arteriosclerosis
Arteriosclerosis
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Thrombolysis
Thrombolysis
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Contusions
Contusions
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Concussions
Concussions
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Idiopathic Parkinson’s Disease
Idiopathic Parkinson’s Disease
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Familial Parkinson’s Disease
Familial Parkinson’s Disease
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Alpha-synuclein Mutations
Alpha-synuclein Mutations
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MPTP Neurotoxin
MPTP Neurotoxin
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Parkin Gene Mutations
Parkin Gene Mutations
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Aura in epilepsy
Aura in epilepsy
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Anticonvulsant medications
Anticonvulsant medications
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Kindling model of epilepsy
Kindling model of epilepsy
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Parkinson's Disease symptoms
Parkinson's Disease symptoms
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Substantia nigra degeneration
Substantia nigra degeneration
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Lewy bodies
Lewy bodies
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L-dopa
L-dopa
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Deep brain stimulation
Deep brain stimulation
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Huntington’s Disease
Huntington’s Disease
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Huntingtin gene
Huntingtin gene
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CAG repeats
CAG repeats
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Multiple Sclerosis
Multiple Sclerosis
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Oligodendrocytes
Oligodendrocytes
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Symptoms of Multiple Sclerosis
Symptoms of Multiple Sclerosis
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Progressive nature
Progressive nature
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No cure
No cure
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Multiple Sclerosis Causes
Multiple Sclerosis Causes
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Genetic Predisposition
Genetic Predisposition
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Environmental Factors
Environmental Factors
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Alzheimer's Disease
Alzheimer's Disease
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Progression of Alzheimer's
Progression of Alzheimer's
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Neurofibrillary Tangles
Neurofibrillary Tangles
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Active EAE Model
Active EAE Model
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Corticosteroids in MS
Corticosteroids in MS
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CNS functions
CNS functions
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PNS features
PNS features
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Schwann Cells
Schwann Cells
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Axon regeneration
Axon regeneration
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Collateral sprouting
Collateral sprouting
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Cortical reorganization
Cortical reorganization
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Retinotopic map changes
Retinotopic map changes
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Study Notes
Brain Damage and Neuroplasticity
- The presentation covers key topics of brain injury, neurological diseases, and neuroplastic responses to nervous system damage.
Brain Injury
- Types of brain injury include brain tumors, cerebrovascular disorders, closed-head injuries, infections of the brain, neurotoxins, and genetic factors.
Brain Tumors (Neoplasms)
- A brain tumor is a mass of cells that grows independently of the rest of the body, considered cancerous.
- Types of brain tumors include meningiomas, infiltrating tumors, and metastatic tumors.
- Meningiomas account for ~20% of neoplasms, are encapsulated within the meninges, and are typically benign and removable.
- Infiltrating tumors are the majority of cases, grow diffusely through surrounding tissue, and are often malignant, making removal or destruction challenging. Examples include gliomas.
- Metastatic tumors account for ~10% of neoplasms and originate elsewhere, often the lungs.
Cerebrovascular Disorders: Stroke
- Stroke is a sudden-onset cerebrovascular event causing brain damage.
- An infarct is dead or dying tissue.
- The penumbra is damaged tissue surrounding the infarct, potentially salvageable with early intervention.
- Causes of stroke include Cerebral hemorrhage (13% of strokes) and Cerebral ischemia (87% of strokes)
- Cerebral hemorrhage involves blood vessel ruptures, including aneurysms (weakened blood vessel points). The breakdown of blood components forms free radicals leading to damaged lipid membranes, blood-brain barrier, and DNA damage causing cell death
- Cerebral ischemia involves disruption in blood supply to the brain, including conditions like thrombosis (blood clot) and embolism (blood clot traveling to smaller vessels), and arteriosclerosis (thickening of artery walls due to fat deposits).
- Damage from ischemic strokes involves blood-deprived neurons becoming overactive, releasing glutamate, and activating NMDA receptors causing Na+ and Ca2+ influx, killing neurons and potentially releasing more glutamate before cell death.
Closed-Head Injuries
- Closed-head injuries are brain injuries caused by blows that do not penetrate the skull, resulting in the brain colliding with the skull.
- Types include direct and contrecoup injuries.
- Contusions involve hematomas (bruises).
- Concussions cause a disturbance in consciousness without structural brain damage.
Infections of the Brain
- Encephalitis is brain inflammation caused by microorganisms like bacteria, viruses, fungi, and parasites.
- Abscesses are pockets of pus.
- Meningitis is an inflammation of the meninges (membranes surrounding the brain and spinal cord). Bacterial meningitis is treated with antibiotics. Syphilis is an example of a bacterial infection.
- Viruses can also cause encephalitis, and some viruses like rabies can have a preference for neural tissue, affecting behavior, while other viruses have no preference for CNS tissue. These are often treated with vaccines and anti-viral drugs.
Neurotoxins
- Neurotoxins are substances that cause harm to the nervous system.
- Exogenous neurotoxins enter the general circulation and cross the blood-brain barrier. Examples include heavy metals (like mercury and lead, causing toxic psychosis) and toxins from certain animals (venom from spiders, snakes, and bacterial toxins).
- Endogenous neurotoxins are produced within the body, such as antibodies in autoimmune disorders and excess excitatory neurotransmitters (e.g., glutamate during strokes).
Genetic Factors
- Genetic factors can cause brain damage/disease
- Some genetic disorders, like phenylketonuria (PKU) and Becker's/Duschenne's muscular dystrophy, are caused by recessive genes.
- Most disorders, and Down syndrome in particular, are often caused by multiple genes/mutations.
- Down syndrome results in an extra chromosome 21 (trisomy 21), with a higher prevalence in mothers of advanced age.
Neurological Diseases
- Epilepsy is characterized by recurrent seizures of endogenous origin, affecting about 4% of the population. Causes include brain damage and inflammatory processes, among others. Diagnosis uses electroencephalograms (EEGs) measuring brain activity.
- Parkinson's Disease affects approximately 1% of the population, typically in middle and old age. Symptoms include slow movements, tremors, difficulty in initiating movements, muscle rigidity, reduced facial expression, pain, and dementia. Causes include degeneration of dopaminergic neurons in the substantia nigra (loss of dopamine in the basal ganglia). Diagnoses include PET scans monitoring dopamine levels within basal ganglia.
- Huntington's Disease is a progressive motor disorder, rare (1:10,000) but with a genetic basis. Symptoms involve fidgetiness progressing into jerky movements of limbs and dementia. Caused by a dominant gene, huntingtin, that produces huntingtin protein accumulation, clumps of proteins in the brain. The disease is fatal within approximately 15 years. Diagnosis generally occurs in patients in their 40s.
- Multiple Sclerosis is a progressive disease characterized by multiple hard areas (sclerosis) in the CNS, causing a loss of myelin and progressive loss of neurological function. Causes include genetic predisposition and several environmental factors, such as climate and viral/bacterial infections. Treatments include corticosteroids (to reduce inflammation) and disease-modifying immunomodulators.
- Alzheimer's disease occurs in the majority of individuals over age 65 and is caused by significant neural degeneration, loss of neurons, formation of amyloid plaques, and tau tangles, often resulting in dementia.
Neuroplastic Responses to Nervous System Damage
- Describes the process of neural degeneration, reorganisation and eventual recovery from damage. Axotomy models, showing rapid degeneration of the distal segment and slow degeneration of the proximal segment, illustrate the process. Neural regeneration is different in mammals, with regeneration being common in invertebrates and frogs, but uncommon in higher vertebrates.
- The presentation covers cell replacement therapies, both in embryonic cells and non-embryonic cells, such as neural transplantations, for the treatment of damage from Parkinson's Disease or spinal cord damage.
- Neuroprotective treatments aim to prevent neurodegeneration by addressing factors like apoptosis (cell death) inhibitors, neurotrophic factors (promoting neural growth and survival), and estrogens (which might slow neuronal death).
- Rehabilitative training through methods such as constraint-induced therapy and facilitated walking (harness on treadmill) are often beneficial in recovery from spinal injury or stroke.
- Benefits of cognitive and physical exercise, and the idea of neuroplasticity during this recovery process. The concept of reorganization (a release from inhibition or the development of collateral sprouting) is presented. A two-steps model of reorganization (inhibition and collateral sprouting) is identified.
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Description
Test your knowledge on the leading causes and treatments of strokes, as well as the mechanisms behind Huntington's disease and Multiple Sclerosis. This quiz covers essential concepts and consequences related to these neurological conditions. Perfect for students and professionals looking to reinforce their understanding of neurology.