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What causes changes in the CNS as a result of Aging? |
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Definition
changes in DNA, RNA, proteins in the CNS |
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decreased brain weight, secondary loss of brain tissue and atrophy |
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decreased nerve conduction velocity in motor and sensory systems |
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neuraonal changes, such as accumulation of lipofuscin |
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pigmented lipid found in the cytoplasm of neurons |
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formation of senile plaques in the cerebral cortex |
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What do senile plaques contain? |
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Definition
degenerated axons, dendrites, astrocytes, amyloid |
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increased concentration of neurofibrillary tangles leading to distortion of cell bodies |
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reduction in blood supply |
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changes in neurotransmitter activity |
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impaired balance and mobility |
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Why are balance and mobility affected with age? |
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degeneration of the vestibular system, declines in vision and somatosensory function |
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increased susceptibility for neurologic disease |
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involves cellualr swelling, loss of cellular integrity, fragmentation, lysis |
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toxins are released that have a destructive effect on neighboring cells |
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inflammation of the meningeal layer of the spinal cord or brain |
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Inflammation as a result of meningitis may extend to where |
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Definition
dura, arachnoid, pia into the cortex of the brain and/or spinal cord |
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Definition
injury to the meninges, inner ear infection |
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Symptoms of meningitis: Initial |
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Definition
fever, headaches, stiff painful neck |
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Kernig's Sign: As leg is flexed |
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Definition
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Brudzinskis sign: as head flexes |
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Definition
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Meninigitis: As symptoms progress |
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Definition
seizures, coma, vomiting, papilledema, cranial nerve dysfunction |
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optic disc swelling caused by increased ICP |
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What is a primary CNS tumor? |
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Definition
develops in the brain, spinal cord, or surrounding structures |
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Term
What is a secondary CNS tumor? |
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Definition
tumors that metatasize to the location |
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How do SOL affect nerve function |
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Definition
may lead to mild lethargy to paralysis |
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Term
How do priamry tumors affect the brain: 1 |
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Definition
compression of the cerebral tissue |
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Term
How do priamry tumors affect the brain: 2 |
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Definition
invasion or infiltration of the brain tissue |
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Term
How do priamry tumors affect the brain: 3 |
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Definition
erosion of the bone that protects the CNS |
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Term
Compression of the cerebral tissue, as well as invasion or infiltration of the bone tissue may lead to what |
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Definition
cerebral edema and a resultant increase in ICP |
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Term
Edema acummulation and tumor growth may also cause what |
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Definition
flow of CSF to be stopped |
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Symptoms related to increased ICP: 1 |
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Definition
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Symptoms related to increased ICP: 2 |
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Definition
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Symptoms related to increased ICP: 3 |
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Definition
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Symptoms related to increased ICP: 4 |
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Definition
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Symptoms related to increased ICP: 5 |
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Definition
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Symptoms related to increased ICP: 6 |
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What is the most common type of brain tumor |
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A glioma may involve tumor growth where |
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Definition
astrocytes, oligodendrocytes, ependymal cells |
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The tumors are slow growing and usually beningn |
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Where do meningiomas grow? |
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Definition
dura mater, cerebral convexities |
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Gliomas are thought to be a choromosmoal defect or absence of what |
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Meningiomas are related to multiple deletions on chromosome |
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Definition
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Where does meningioma growth start |
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Definition
arachnoid layer of the meninges |
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The meningioma then infiltrates what part |
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Definition
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Due to their proximity to the bony cranium, some meningiomas lead to increased what |
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Definition
bone growth, hyperostosis |
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Clinical Picture Meningioma: |
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Definition
patient complains of mild symptoms that increase over years |
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What is another name for a neurinoma |
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Definition
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Schwannomas tend to grow where |
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Definition
vestibular portion of CN8 |
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Schwannoma of CN#8 has what sypmtoms |
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Definition
uniltaeral hearing loss, tinnitus, vertigo, unsteadiness |
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As a CN8 tumor grows, what may be compressed |
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Definition
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Compression of CN7 may result in what |
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Definition
facial numbness, dyshapgia, facial muscle weakness |
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Primary spinal cord tumors are ____ common than brain tumors |
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Spinal tumors are the _____ found within the brain |
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Which is the most prevalent spinal tumor |
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Which is the second most prevalent tumor |
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Which is the least prevalent spinal tumor |
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How are spinal tumors named |
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Definition
by their location in the cord |
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Intra-dural-intramedullary tumors grow where |
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Intradural-intramedullary tumors are prevalent in which population |
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Definition
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Intradural-intramedullary tumors arise form where |
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Definition
cells within the cord such as astrocytes and ependymal cells |
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Intradural-intramedullary cells tend to be |
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Intradural-extramedullary tumors grow where |
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Definition
outside of the spinal cord but within the dura |
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intradural-extramedullary tumors are most comon among who |
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Definition
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intradural-extramedullary tumors tend to arise from where |
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Definition
supporting tissue of teh CNS, ie meninges or nerve sheath |
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How do intradural-extramedullary tumors grow |
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Extradural-extramedullary tumors are typically |
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Extradural-extramedullary tumors can develop from what |
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Definition
schwannoma or meningioma that grows extradurally |
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