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Pathophysiology vocab ch. 9
Pathophysiology chapter 9: Alterations in Neuronal Impulse Conduction
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Undergraduate 2
04/06/2013

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Term
Neuron
Definition
  • A nerve cell that is the fundamental functional unit of the nervous system.
  • excitable cells that contribute to the highly specialized cell function of transmission of nerve impulses throughout the body.
Term
Cell body (Soma)
Definition

Filled with cytoplasm and contains processes, including the nucleus, that support the metabolic demands of the cell.

Term
Dendrites
Definition

Multiple, branched extensions of the cell body that transmit impulses to the cell body.

Term
Axon
Definition

Carries impulses away from the cell body.

Term
Myelin sheath
Definition

Enhances transmission speed of nerve impulses from the dendrites to the synaptic terminals and is interrupted by the nodes of ranvier.

Term
Sensory Neurons (Afferent neurons)
Definition
Carry impulses from receptors in the periphery to the brain and spinal cord in the central nervous system.
Term
Motor Neurons (Efferent neurons)
Definition

Carry signals away from the spinal cord and brain to targets in the body that regulate activity.

Term
Interneurons
Definition
  • Most abundant neuron type
  • Provide connections between neurons, transmitting signals between afferent and efferent neurons
Term
Glia
Definition
  • Greek meaning "glue"
  • Neural support cells that provide support and nutrition, maintain homeostasis, and form the myelin that covers the neurons of the brain.
Term
Oligodendrocytes
Definition

Responsible for the formation pf multilayered myelin segments around multiple axons in the brain, promoting the speed of nerve impulse conduction in the CNS

Term
Schwann cells
Definition

Produce myelin on long, single axons of the peripheral nervous system

Term
Nodes of Ranvier
Definition

Nodes that are rich in sodium channels and are necessary to promote the movement of the nerve impulse over long distances

Term
Saltatory conduction
Definition

A process in which impulses traveling down the axon jump from node to node in a stepwise fashion

Term
Action potentials
Definition
  • Neurons communicate with other neurons and cells in the body through the generation of electrical signals
  • Electrical events that travel along the entire neuron by allowing charged ions to flood through channels in the semipermeable membrane around the nerve cell
Term
Membrane potential
Definition

The difference in electrical charge between the inside and outside of the cell

Term
Threshold (subthreshold)
Definition

The point at which the cell is committed to an action potential.

Term
Axon hillock
Definition

The point at which the axon is joined to the cell body

Term
Three components of the action potential in the neuron
Definition
  1. Resting membrane potential:
    • The membrane potential of a cell at rest
    • The membrane potential (or state of tension) inside a cell membrane, measured relative to the fluid outside in the absence of significant electrical activity
  2. Depolarization phase:
    • The result of rapid movement of sodium into the cell through sodium channels in the cell membrane
    • This inflow generates an electrical impulse which is transmitted along the axon to trigger the release of neurotransmitters
  3. Repolarization phase:
    • Is initiated by the flow of potassium ions out of the cell
    • The efflux of potassium ions promotes return of the cell to RMP
Term
Synapse
Definition

A small gap or junction separating neurons

Term
Electrical synapses
Definition
  • Transmit impulses by passage of current-carrying ions through small openings known as gap junctions
  • Is fast, direct and multidirectional
  • Gap junctions are commonly involved in the transmission of electrical impulses that lead to cardiac contractions
Term
Chemical synapses
Definition

Involve specific structures important for impulses stimulated by neurotransmitters, chemical agents affecting the funtion of other nearby cell or cells.

Term
Hypopolarization
Definition

Changes membrane potential toward the point of threshold potential (less negative), promoting the excitatory effect of propagation of the impulse or neuron firing.

Term
Hyperpolarization
Definition

Has the opposite effect of moving the membrane potential away from threshold (more negative), promoting an inhibitory effect

Term
Three major types of neurotransmitters:
Definition
  1. Amino acids (e.g., glutamic acid and gammaaminobutyric acid [GABA])
  2. Peptides (e.g., endorphins, enkephalins, substance P)
  3. Monoamines (e.g., serotonin, dopamine, norepinephrine)
Term
Neuromodulators
Definition
  • Released from axon terminals
  • Can alter the effect of neurotransmitters
  • May inhibit, potentiate, or prolong the effects of neurotransmitters
Term

Chromatolysis

Definition

The swelling of a neuron because of injury

Term
Neuronophagia
Definition

Phagocytosis and inflammatory responses caused by a dead neuron damaging neighboring cells

Term
Intraneuronal inclusions
Definition

Distinctive structures formed in the nucleus or cytoplasm

Term
The four lobes of the brain and thei functions
Definition
  1. Frontal: reasoning, planning, speech, and movement
  2. Parietal: perception of touch, pressure, temperature, and pain
  3. Temporal: perception, memory, and recognition of auditory stimuli
  4. Occipital: Vision
Term
Corpus callosum
Definition
A bundle of nerve fibers in which the right and left hempispheres of the brain communicate through.
Term
Functions of the two brain hemispheres
Definition
  • Left:
    • Speech and language
    • Calculations
    • Math
    • Logical abilities
  • Right:
    • Visual imagery
    • Face recognition
    • Music
    • Special abilities
Term
Cauda equina
Definition

The extension of nerves branching from the spinal cord below the lumbar and sacral levels before exiting the vertebral column.

Term
Spinal cord structures
Definition
  • Dorsal horns: posterior extensions which contain sensory neurons that receive afferent impulses via the doral roots
  • Ventral horns: The anterior extensions which contain efferent motor neurons that leave the cord through the ventral roots
  • Upper motor neurons (UMNs): include cell bodies in the motor cortex and the axons extending to the brainstem and spinal cord.
  • Lower motor neurons (LMNs): located in the ventral horns of the spinal cord,
Term
pyramidal motor system
Definition
  • Comprised of the axons in the descending coricospinal and corticobulbar tracts
  • Provides control of voluntary movement
Term
Extrapyramidal system
Definition
  • Separate from the pyramidal motor system
  • Modulates motor function
  • Attenuating erratic motions and maintaining muscle tone and stability of the trunk
Term
The circle of Willis
Definition
  • A cerebral arterial structure that connects the vertebral and carotid circulations
  • Is important as a route of collateral circulation in case perfusion is impaired in another arterial system
Term
Blood Brain Barrier
Definition
  • Protects the brain from exposure to potentially hazardous substances by reduced permeability in capillaries that supply the brain
  • Transports substances in a selective manner because of the tight junctions in the endothelial cells lining the capillaries of the brain
  • Does not allow transport of large molecules, molecules with low lipid solubility, and molecules with high electrical charge
  • Does allow transport of substances that are small, highly lipid soluble, and have a low electrical charge
  • Functions include:
    • Protection of the brain from foreign substances
    • Protection of the brain from hormoned and neurotransmitters in the systemic circulation
    • Protection against drastic environmental fluctations
Term
Astrogliosis
Definition
A process within the CNS in which actrocytes respond to local tissue injury through proliferation, forming a "glial scar"
Term
microglial nodules
Definition

Formed when astrocytes and microglia combine

Term
Global ischemia
Definition

Occurs when there is inadequate blood supply to meet the needs of the brain tissue

Term
Glutamate
Definition

The main excitatory neurotransmitter in the body, active in the promotion of many higher-organ functions

Term
Decerebrate posturing and decorticate posturing
Definition
  • Decerebrate posturing: The result of increased extensor muscle excitability
  • Decorticate posturing: the result of increased flexor muscle excitability
Term
Papilledema
Definition

Edema of the optic disc

Term
Plexus
Definition

An interconnection of fibers formed by spinal nerves

Term
Ganglion
Definition

Group of nerve cell bodies

Term
Preganglionic neurons
Definition

Axon fibers extending from cell bodies in either the brain or spinal cord that project to an autonomic ganglion

Term
postganglionic neurons
Definition

Fibers projecting from the autonomic ganglion to a target organ

Term
Reflex arc
Definition

A basic functional pathway of the nervous system that represents the process by which stimuli are received and interpreted, and in turn stimulate a response.

Term
Distal
Definition

Occurs when the injury affects cells in distal areas of the body, such as the hands and feet

 

Term
Neuronopathy
Definition

Occurs when axonal degeneration occurs because of damage to the cell body

Term
Wallerian degeneration
Definition

Occurs when degeneration of the axon is caused by a crushing injury

Term
Peripheral neuropathy
Definition

The clinical manifestations of damage to peripheral nerves

Term
Mononeuropathy
Definition

Occurs when nerve trauma is limited to a single area

Term
Polyneuropathy
Definition
  • Peripheral nerve damage involving multiple axons
  • Can occur secondary to disease processes such as multiple sclerosis, diabetes mellitus, nutrient deficiency, and toxic agents (arsenic)
Term
Brachial plexus palsy
Definition

trauma to the brachial nerve plexus resulting in flaccid paralysis of the affected arm

Term
Extrapyramidal disorders
Definition

Disorders which involve brain structures with the exclusion of the motor neurons, motor cortex, and pyramidal tract (corticobulbar and corticospinal)

Term
Ataxia
Definition

Inability to coordinate muscle activity

Term
Athetosis
Definition

Involuntary movements of flexion and extension, pronation and supination of hands, toes and feet; slow, writhing-type movements

Term
Ballismus
Definition

Jerking, swinging, sweeping motions of the proximal limbs

Term
Bradykinesia/hypokinesia
Definition

Decrease in spontaneity and movement

Term
Chorea
Definition

Irregular, spasmodic, involuntary movements of the limbs or facial muscles, often accompanied by hypotonia

Term
Cogwheel
Definition

Resistance to movement; rigidity decreasing to stiffness after movement begins

Term
Dystonia
Definition

Abnormal tonicity; difficulty maintaining posture

Term
Hyperkinesis
Definition

Excessive motor activity

Term
Tic
Definition

Repeated, habitual muscle contractions; movements that can be voluntarily suppressed for short period only

Term
Tremor
Definition

Oscillating, repetitive movements of whole muscles; irregular, involuntary contractions of the opposing muscle

Term
Spastic motor dysfunction
Definition

Inability of muscles to relax

Term
athetoid or dyskinetic motor dysfunction
Definition

Inability to control muscle movement

Term
Ataxic motor dysfunction
Definition

Inability to control balance and coordination

Term
Simple partial seizures
Definition
  • Are limited to the originating hemisphere and can involve either motor or sensory brain components
  • Symptoms are sensory and sutonomic without promoting an altered state of consciousness
  • Short lived, lasting a few seconds
Term
Complex partial seizures
Definition
  • Involve both hemispheres and result in loss of consciousness and lack of memory about events during and after seizure
  • Short lived, lasting a few minutes
Term
Generalized seizures
Definition

Caused by a more generalized electrical transmission

Term
Absence seizures
Definition
  • Characterized by a brief change in level of consciousness (LOC) and eye and mouth movements
  • Can occure up to 100 times a day
Term
Myoclonic seizures
Definition

Are characterized by involuntary muscle movements of the extermeties or body, and are not associated with LOC

Term
Tonic-clonic seizures
Definition
  • Convulsive and associated with tonic or clonic motions.
    • Tonic: A state of continuous muscle contraction
    • Clonic: Rapid successions of alternating muscle contraction and relaxation
Term
Postictal state
Definition

Physical state after recovery from seizure; manifested by extreme fatigu, headach, muscle pain, and weakness

Term
Encephalopathy
Definition

Brain disorder

Term
Four common clinical courses in MS
Definition
  1. Relapsing-remitting (RR): charcaterized by periods of acute neurologic symptoms (flare-ups, exacerbations, relapses) alternating with periods of symptom relief or return of neurologic function (remissions)
  2. Primary Progressive: slow, chronic deterioration of neurologic function not associated with exacerbations or remissions
  3. Secondary progressive: Initially presenting with RR characteristics of exacerbations and remissions, followed by a pattern of slow, chronic deterioration as seen in primary progressive
  4. Progressive relapsing: Steady progression of a decline in neurologic function also associated with exacerbations and possible remissions
Term
Pseudobulbar affect
Definition
  • Uncontrollable laughing or crying
  • Can result from cerebral involvement, leading to altered control of emotional responsiveness
Term
nystagmus
Definition

Irregular eye movements

Term
Normal intracranial pressure
Definition

Considered to be 15 mm Hg or 150 to 200 mm H2O

Term
Autoreceptors
Definition

Involved in the detection of neurotransmitters to control release and flow of impulse through the neuron

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