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Amyotrophic Lateral Sclerosis (ALS)
• Affects voluntary muscle control by attacking
motor neurons
• The progressive degeneration of the motor neurons
in ALS eventually leads to their death
• Due to the death of motor neurons, the brain can
no longer communicate with muscles in the body
• In time, muscles weaken and atrophy leading to the
patient becoming paralyzed
• Disease becomes fatal as the muscles used for
respiration are affected.
Lou Gehrig
Born June 19, 1903
Died June 2, 1941
• Glutamate toxicity is one possible cause for ALS
• Glutamate necessary for neural transmission
• Glutamate reabsorption facilitated by cell membrane protein
• People with ALS lack this protein
• Excess glutamate toxic to motor neurons
• Cu-Zn superoxide dismutase type 1 gene (SOD 1) is responsible
for converting superoxide anions into Hydrogen Peroxide
• Mutation in SOD 1 gene prevents this conversion
Mutant SOD 1 genes become toxic to
motor neurons due to an increase in
oxidative stress,
ALS causes a breakdown in the motor neurons,
Or pathways between the brain and spinal
Cord and the muscles of the body
Who Gets ALS?
• 5,600 people in the U.S. are diagnosed with ALS each year.
(That's 15 new cases a day.)
• Approximately 30, 000 people in the U.S. have ALS
• According to an ALS association database: 60% of
those diagnosed with the disease are men and 93%
are Caucasian
• Most people who develop the disease are between the
ages of 40 and 70
• ALS is 20% more common in men than women
Categorization of cognitive impairment among patients with ALS
• Muscle weakness in one or more of the
following: hands, arms, legs or the muscles
of speech,
• Difficulty swallowing or breathing
• Twitching (fasciculation) and cramping of
muscles, especially those in the hands and
feet
• Impairment of the use of the arms and legs
• “Thick speech" and difficulty in projecting
the voice
• In more advanced stages, shortness of
breath, severe problems with inspiration and
swallowing
Symptoms of ALS
Other common
symptoms of ALS:
There is no cure for ALS
And the available treatments are
Only moderately effective
Wednesday, Susanne and I
performed a portable chest exam on
a patient with Parkinson’s disease,
A close cousin to ALS
“The length of the metacarpal bones in the palm of the hand — not the wrist or
finger bones but the bones between them — depends on the amount of
testosterone in the body during development. ‘If you're exposed to a lot of
testosterone in utero, your ring finger is long compared to the index finger, and
it's longer in men than in women.’( Anderson, 2011)"
Methods of treatment
Riluzole
Physical therapy
Gastrointestinal therapy
Respiratory therapy
Since July 29, 2014, The ALS Association
has received $115 million in donations!
• Began as a dare
among pro athletes.
• Golfer Chris Kennedy
was the first to focus the
challenge on ALS
• http://www.stem-cell-
regeneration.com/images/sampledata/als_stem_cell.jpg
• http://phillysportshistory.com/wp-
content/uploads/2011/06/lou_2.jpg
• http://bronxbaseballdaily.com/wp-content/uploads/2010/09/lou-
gehrig-426x540.jpg
• http://media.hamptonroads.com/cache/files/images/blogs/200841.j
pg
• http://www.nature.com/nrn/journal/v7/n9/images/nrn1971-f1.jpg
• http://i.ytimg.com/vi/s0xRp7oYSkU/hqdefault.jpg
• http://www.nature.com/nrn/journal/v14/n4/images/nrn3430-f1.jpg
• http://www.nature.com/nrn/journal/v14/n4/images/nrn3430-f1.jpg
• http://img.medscape.com/article/755/622/755622-fig2.jpg
• http://biotuesdays.com/wp-content/uploads/2012/03/ALS.gif
• http://thehealthsuccesssite.com/images/muscle-als.jpg
• http://www.ucl.ac.uk/news/news-articles/1006/hand_pic.JPG
• https://s3.amazonaws.com/pharmacytimes/n_media/image/HSlouG
ehrigsTable1.jpg
• http://blog.patientslikeme.com/wp-content/uploads/2011/12/als-
symptoms-chart.jpg
References
• http://i.ytimg.com/vi/bIaJz8SMHHw/0.jpg
• http://image.made-in-china.com/2f0j00bKETAOLzaRka/300ma-
High-Frequency-X-ray-Machine-YZ30G.jpg
• http://radioactivityci2010.pbworks.com/f/1290796905/Wisconsin-
MRI-machine.jpg
• http://www.radiology-equipment.com/instrumentpics/lsplus.jpg
• http://medchrome.com/wp-
content/uploads/2010/06/electromyographyemg.jpg
• https://sites.google.com/a/conncoll.edu/neurobiology-of-
disease/home/amyotrophic-lateral-sclerosis-als---kelsey-fredericks-
and-paige-landry/als-results-graph.gif
• http://www.leepbook.com/imagesuploads/8355_Lou-Gehrigs-
Disease-Amyotrophic-lateral-sclerosis.jpg
• http://saypeople.com/wp-content/uploads/2011/08/Amyotrophic-
Lateral-Sclerosis-ALS.png

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Als presentation

  • 1. {
  • 2. Amyotrophic Lateral Sclerosis (ALS) • Affects voluntary muscle control by attacking motor neurons • The progressive degeneration of the motor neurons in ALS eventually leads to their death • Due to the death of motor neurons, the brain can no longer communicate with muscles in the body • In time, muscles weaken and atrophy leading to the patient becoming paralyzed • Disease becomes fatal as the muscles used for respiration are affected.
  • 3.
  • 4. Lou Gehrig Born June 19, 1903 Died June 2, 1941
  • 5. • Glutamate toxicity is one possible cause for ALS
  • 6. • Glutamate necessary for neural transmission • Glutamate reabsorption facilitated by cell membrane protein • People with ALS lack this protein • Excess glutamate toxic to motor neurons
  • 7. • Cu-Zn superoxide dismutase type 1 gene (SOD 1) is responsible for converting superoxide anions into Hydrogen Peroxide • Mutation in SOD 1 gene prevents this conversion
  • 8. Mutant SOD 1 genes become toxic to motor neurons due to an increase in oxidative stress,
  • 9.
  • 10.
  • 11.
  • 12. ALS causes a breakdown in the motor neurons, Or pathways between the brain and spinal Cord and the muscles of the body
  • 13.
  • 14. Who Gets ALS? • 5,600 people in the U.S. are diagnosed with ALS each year. (That's 15 new cases a day.) • Approximately 30, 000 people in the U.S. have ALS • According to an ALS association database: 60% of those diagnosed with the disease are men and 93% are Caucasian • Most people who develop the disease are between the ages of 40 and 70 • ALS is 20% more common in men than women
  • 15. Categorization of cognitive impairment among patients with ALS
  • 16. • Muscle weakness in one or more of the following: hands, arms, legs or the muscles of speech, • Difficulty swallowing or breathing • Twitching (fasciculation) and cramping of muscles, especially those in the hands and feet • Impairment of the use of the arms and legs • “Thick speech" and difficulty in projecting the voice • In more advanced stages, shortness of breath, severe problems with inspiration and swallowing Symptoms of ALS
  • 17. Other common symptoms of ALS: There is no cure for ALS And the available treatments are Only moderately effective
  • 18.
  • 19. Wednesday, Susanne and I performed a portable chest exam on a patient with Parkinson’s disease, A close cousin to ALS
  • 20. “The length of the metacarpal bones in the palm of the hand — not the wrist or finger bones but the bones between them — depends on the amount of testosterone in the body during development. ‘If you're exposed to a lot of testosterone in utero, your ring finger is long compared to the index finger, and it's longer in men than in women.’( Anderson, 2011)"
  • 21.
  • 22.
  • 23. Methods of treatment Riluzole Physical therapy Gastrointestinal therapy Respiratory therapy
  • 24. Since July 29, 2014, The ALS Association has received $115 million in donations! • Began as a dare among pro athletes. • Golfer Chris Kennedy was the first to focus the challenge on ALS
  • 25.
  • 26. • http://www.stem-cell- regeneration.com/images/sampledata/als_stem_cell.jpg • http://phillysportshistory.com/wp- content/uploads/2011/06/lou_2.jpg • http://bronxbaseballdaily.com/wp-content/uploads/2010/09/lou- gehrig-426x540.jpg • http://media.hamptonroads.com/cache/files/images/blogs/200841.j pg • http://www.nature.com/nrn/journal/v7/n9/images/nrn1971-f1.jpg • http://i.ytimg.com/vi/s0xRp7oYSkU/hqdefault.jpg • http://www.nature.com/nrn/journal/v14/n4/images/nrn3430-f1.jpg • http://www.nature.com/nrn/journal/v14/n4/images/nrn3430-f1.jpg • http://img.medscape.com/article/755/622/755622-fig2.jpg • http://biotuesdays.com/wp-content/uploads/2012/03/ALS.gif • http://thehealthsuccesssite.com/images/muscle-als.jpg • http://www.ucl.ac.uk/news/news-articles/1006/hand_pic.JPG • https://s3.amazonaws.com/pharmacytimes/n_media/image/HSlouG ehrigsTable1.jpg • http://blog.patientslikeme.com/wp-content/uploads/2011/12/als- symptoms-chart.jpg References
  • 27. • http://i.ytimg.com/vi/bIaJz8SMHHw/0.jpg • http://image.made-in-china.com/2f0j00bKETAOLzaRka/300ma- High-Frequency-X-ray-Machine-YZ30G.jpg • http://radioactivityci2010.pbworks.com/f/1290796905/Wisconsin- MRI-machine.jpg • http://www.radiology-equipment.com/instrumentpics/lsplus.jpg • http://medchrome.com/wp- content/uploads/2010/06/electromyographyemg.jpg • https://sites.google.com/a/conncoll.edu/neurobiology-of- disease/home/amyotrophic-lateral-sclerosis-als---kelsey-fredericks- and-paige-landry/als-results-graph.gif • http://www.leepbook.com/imagesuploads/8355_Lou-Gehrigs- Disease-Amyotrophic-lateral-sclerosis.jpg • http://saypeople.com/wp-content/uploads/2011/08/Amyotrophic- Lateral-Sclerosis-ALS.png

Editor's Notes

  1. How ALS affects its victims
  2. . In these mutations, a malfunction in the Cu-Zn superoxide dismutase type 1 gene (SOD 1) responsible for converting superoxide anions into hydrogen peroxide (Gordon, 2011).
  3. Causes of the disease
  4. This figure illustrates the final categorization of the cohort of incident ALS patients (n=160) using the cognitive domain-based categorization. Percentages were rounded to nearest whole per cent.ALS, amyotrophic lateral sclerosis; ALS-FTD, patients with ALS who meet the criteria for the frontotemporal dementia.
  5. What is ALS