Brain Plasticity: Disorders and Brain Damage

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  • Created by: meg_lou
  • Created on: 20-04-17 10:17
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  • Disorders and Brain Damage
    • Neurodevelopment disorders
      • Autism
        • 1 in 166, 80% are males, 60% have intellectual disabilities, 35% have epilepsy, 25% have little to no language ability
        • 1 in 10 have savant abilities
          • Consequence of compensatory functional improvement in one area due to damage in another
        • Siblings have 5% chance and 60% concordance rate for MZ twins
        • Brain structures implicated are the frontal cortex, amygdala and cerebellum
      • William's syndrome
        • 1 in every 7500 births
        • Children tend to still be friendly and social
          • Struggle with spatial relations, numbers and abstract reasoning
        • Similar facial features e.g. upturned nose and wide mouth
        • Usually have a heart disorder associated with mutation in a gene on chromosome 7
          • Gene is absent in 95% of those with WS
        • Reduced cortical volume at juncture of occipital and parietal lobes and orbitofrontal cortex
    • Brain damage
      • Closed head injuries
        • Head is not penetrated i.e. blow
          • Coup injury - damage occurs where the blow impacted
            • Contrecoup injury - damage occurs on the opposite side  where the blow impacted
        • Contusions - damage to the cerebral circulatory system
          • Internal haemorrhaging (bleed) leads to a hematoma (bruise)
        • Concussion - disturbance of consciousness
          • Multiple concussions can lead to punch-drunk syndrome
            • Dementia and cerebral scarring observed in boxers and others who often get blows to the head
              • Jerry Quarry - ex boxer who needs help showering, difficulty speaking, eating and distorted memory
      • Brain tumours
        • Mass of cells growing independent to the body
          • Benign - may reoccur but not cancerous in nature
            • Malignant - cancerous
        • Meningiomas- grow within their own membrane and are usually benign
          • Infiltrating tumours - grow diffusively through surrounding tissues, usually malignant
            • Gliomas - develop from the glial cells
      • Cerebrovascular disorders - strokes
        • Cerebral haemorrhage- bleeding of the brain
          • Anuerysm - blood vessel ruptures and blood seeps into neural tissue
        • Cerebral ischemia - disruption of the blood supply
          • Thrombosis - plug forms and blocks blood flow
            • Embolism - plug carried by blood from larger vessel to smaller one
              • Arteriosclerosis - wall of blood vessel thickens
      • Brain infections
        • Invasion of the brain by microorganisms
          • Bacterial infections often lead to abscesses (pockets of pus)
            • Viral infections are an attack on neural tissue e.g. rabies have an affinity for the NS
      • Neurotoxins
        • NS can be damaged from exposure to toxic chemicals e.g. mercury
          • Toxic psychosis where unable to distinguish between reality and fantasy due to exposure to neurotoxin e.g. 'crackpots'
            • Antipsychoticdrugs produced tar dive dyskinesia
              • Abnormality or impairment of voluntary movement
    • Response to nervous system damage
      • Degeneration
        • Anterograde - degeneration of distal segment (segment of cut axon between cut and synaptic terminals
        • Retrograde - degeneration of proximal segment (segment of cut axon between cut and cell body)
      • Regeneration
        • Axons can regenerate to their correct targets if the Schwann cell (myelinate PNS axons) sheaths aren't severed
        • Regenerationincorrect or not possible if Schwann cell sheaths are separated
      • Reorganisation
        • Strengthening of existing connections through release from inhibition
        • Establishment of new connections by collateral sprouting
      • Recovery of function
        • Likely to occur when lesions are small and patient is young
          • Usually gradual improvement of cognitive and behavioural strategies rather than return of lost function
          • Kapur (1997) - brain damage improvement occurred because cognitive reserve allowed them to complete tasks in alternative ways

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