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Neuro Unit 2 Motor Unit Pathologies
Motor Unit Pathologies
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Graduate
02/09/2011

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Term
Poliomyelitis
Definition
Viral infection which attacks the cell bodies of alpha motor neurons in the spinal cord.
Term
Poliomyelitis
Definition
Viral entry is through GI tract.
Term
Poliomyelitis
Definition
In this pathology the virus probably travels up the neuronal axon to cell body, where it interrupts synthesis of neuronal proteins in favor of synthesis of viral proteins.
Term
Poliomyelitis
Definition
In this disease paralysis (if it occurs) develops 2-5 days post onset of illness, but may be delayed as long as 2-3 weeks. The degree of involvement is proportional to number of motor neurons destroyed.
Term
progressive weakness
Definition
In post polio syndrome 30-40 years following the initial disease ? may occur in the previously affected muscles.
Term
neuronal cell body
Definition
Poliomyelitis is an injury to the ?
Term
ALS
Definition
This disease is caused by an injury to the neuronal cell body.
Term
Alpha-latrotoxin, Botulinum toxin, and Tetanus toxin.
Definition
Motor Unit Pathology causing injury to Synaptic Terminals (name 3)
Term
Tetrodotoxin
Definition
A motor unit pathology causing injury to the action potential conductance mechanism.
Term
Puffer fish (a delicacy in japan)
Definition
Tetrodotoxin is produced by ?
Term
Na+ channels
Definition
Tetrodotoxin causes a blockage of ? in the neuronal cell membrane.
Term
black widow spiders/ACh
Definition
Alpha-latrotoxin is produced by ? and stimulates the excessive release of ?
Term
paralysis/ACh
Definition
In Alpha-latrotix severe local cramps are followed by ? (secondary to ? depletion).
Term
Botulinum toxin
Definition
Produced by anaerobic bacterium, found in incompletely sterilized canned foods and fatal in nanogram quantities.
Term
Botulinum Toxin
Definition
Most powerful biological poison known. It works by blocking ACh release with resultant paralysis.
Term
Tetanus Toxin
Definition
Produced by anaerobic bacterium in contaminated puncture wounds. Also found in fertilized soil or soil contaminated by human or animal waste.
Term
Retrograde/50%
Definition
Tetanus toxin is carried to the spinal cord by ? transport up neuronal axons and the mortality rate is ?% while prevention is easily available through the tetanus vaccine.
Term
Tetanus toxin/Glycine
Definition
? Toxin binds to axonal terminals of ?-secreting inhibitory neurons.
Term
Glycine/Excitatory
Definition
Tetanus Toxin prevents ? release, causing unopposed (?excitatory or ?inhibitatory)input to motor neurons and uncontrolled muscle contraction. (tetanus).
Term
Myasthenia Gravis
Definition
This motor unit pathology causes injury to postsynaptic receptors.
Term
ACh
Definition
The Etiology of Myasthenia Gravis is unknown in this autoimmune disorder. Antibodies are produced against own ? receptors which then block the receptors resulting in muscle weakness.
Term
Myasthenia Gravis
Definition
Patient presents initially with weakness of ocular muscles (ptosis/diplopia) and may also have oropharyngeal weakness (dysarthria/dysphagia)and limb and neck weakness.
Term
Cholinesterase blockers (neostigmine or edrophonium)
Definition
In Myasthenia Gravis weakness is resolved by administration of ?
Term
ACh/Widening
Definition
In Myasthenia Gravis: a decreased number of ? receptors, sparse, shallow junctional folds, (?widening or narrowing?) of synaptic space.
Term
Duchenne Muscular Dystrophy (DMD)
Definition
This motor unit pathology causes an injury to the muscle cell membrane.
Term
Duchenne Muscular Dystrophy (DMD)
Definition
Most common x-linked disorder known. Lifespan into the late teens to early twenties. Incidence is 1:3500 live births.
Term
Diptheria Toxin & Lead
Definition
This motor unit pathology is an injury to myelin-forming cells.
Term
Schwann cells
Definition
Diptheria toxin and lead poisons ? cells and causes demyelination of nerve fibers and loss of nerve function.
Term
Guillian-Barre Syndrome and Multiple Sclerosis
Definition
Name 2 motor unit pathologies that cause injury to myelin.
Term
Guillian-Barre Syndrome
Definition
Peripheral polyneuropathy is attributed to this motor unit pathology.
Term
Guillian-Barre Syndrome S&S
Definition
Symmetric Limb weakness progressing to paralysis. May or may not have sensory loss. Recovery from weeks to months. 2/3rds of patients have complete recovery.
Term
CNS
Definition
With Multiple Sclerosis multiple areas of demyelination and sclerosis occur in the (? CNS or PNS? )
Term
Peripheral Nerves
Definition
With Guillian-Barre syndrome segmental demyelination occurs in the ? (including cranial).
Term
Guillian-Barre Syndrome
Definition
The Etiology is unknown although frequently this disease is preceded by a viral infection (such as mono, flu, cold)
Term
Guillian-Barre Syndrome
Definition
May see symmetric limb weakness in this pathology progressing to paralysis.
Term
Guillian-Barre Syndrome
Definition
May or may not have sensory loss in this motor unit pathology.
Term
Guillian-Barre Syndrome
Definition
Recovery may be weeks to months in this motor unit pathology.
Term
Guillian-Barre Syndrome
Definition
2/3rds of patients have complete recovery in this motor unit pathology.
Term
Multiple Sclerosis
Definition
Multiple area of demyelination and sclerosis in CNS. (Name the motor unit pathology)
Term
20-40/females
Definition
Onset usually occurs between the ages of ? and ? in Multiple Sclerosis and is more common in (? males or females?)
Term
Multiple Sclerosis
Definition
is of unknown etiology, but believed to be combination of environmental and genetic.
Term
Multiple Sclerosis
Definition
Viral infection and autoimmune disorder are the two most widely held theories of pathogenesis in this motor unit pathology.
Term
Viral infection/Autoimmune disorder
Definition
? and ? are the 2 most widely held theories of pathogenesis in Multiple Sclerosis.
Term
Multiple Sclerosis
Definition
This disease is characterized by exacerbations and remissions with symptoms varying according to the location and number of lesions. It has a variable and unpredictable course.
Term
severity
Definition
Peripheral nerve injuries are classified according to the ? of lesion.
Term
Neuropraxia
Definition
In this peripheral nerve injury there is a temporary slowing or loss of axonal conduction but with no disruption of axon or axonal degeneration.
Term
Neuropraxia
Definition
This peripheral nerve injury is often due to compression, stretching or inflammation.
Term
Axonotmesis
Definition
Axon continuity is disrupted in this peripheral nerve injury.
Term
Axonotmesis
Definition
In this peripheral nerve injury there is subsequent degeneration of distal axonal segments. Denervation may be partial or complete. There may be distal weakness and/or sensory loss.
Term
Axonotmesis
Definition
With this peripheral nerve injury it is possible to have a full recovery but will have axon degeneration and resprouting.
Term
Neurotmesis
Definition
With this peripheral nerve injury there is complete transection. It is possible to recover but usually must be surgically repaired.
Term
Neurotmesis
Definition
In this peripheral nerve injury there is axonal disruption AND damage to connective tissue surrounding the nerve.
Term
Connective Tissue
Definition
In Neurotmesis there is degeneration of distal axonal segments and distal weakness and/or sensory loss but what distinguishes it from Axonotmesis is there IS damage to the ? surrounding the nerve.
Term
Wallerian Degeneration
Definition
The process of axonal degeneration and secondary myelin degeneration following axmotmesis or neurotmesis is known as ?
Term
Neuronal Cell Body
Definition
In Wallerian degeneration, the axon degenerates since it is no longer supported by the ?
Term
Muscle Spindle
Definition
The ? is the peripheral receptor of the DTR (deep tendon reflex).
Term
Nerve Sheath
Definition
In axonal regeneration, the ? has to be intact for axonal sprouts to grow along it to the target organ.
Term
1mm a day
Definition
Nerve growth rate
Term
Macrophages
Definition
? arrive to ingest and remove degraded myelin and axonal fragements in Wallerian degeneration.
Term
Myelin sheath
Definition
In Wallerian degeneration after the axon degenerates the ? then degenerates followed by macrophage activity.
Term
Secondary demyelination
Definition
? is a name for the degeneration of the myelin sheath in Wallerian degeneration.
Term
PNS
Definition
Axonal regeneration occurs primarily in the ?
Term
Central Chromatolysis
Definition
When the axon of a neuron is cut or damaged, the axon and its myelin sheath undergo degeneration distal to the lesion (Wallerian degeneration). The sequence of events that takes place in the cell body is known as axonal regeneration or ?.
Term
swelling.
Definition
The first step in Central Chromatolysis of the neuronal cell body is ? of the cell body.
Term
Nissl substance
Definition
In central chromatolysis of the neuronal cell body the 2nd step is the disappearance of ?
Term
Altered Metabolism
Definition
In central chromatolysis of a neuronal cell body the 3rd step to support the regeneration of the severed axon is ?
Term
dysarthria
Definition
a nerve, brain, or muscle disorder makes it difficult to use or control the muscles of the mouth, tongue, larynx, or vocal cords, which make speech.
Term
Dysphagia
Definition
Impaired swallowing
Term
1) Poliomyelitis
2) ALS
Definition
Name 2 motor unit pathologies that are due to injury to the neuronal cell body.
Term
Amyotrophic lateral sclerosis
Definition
ALS stands for ? which is also known as Lou Gehrig's disease.
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