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Lecture II Ng, Hoikee PA-C, MPAS Nova Southeastern University
 
Learning Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Acute brain injury ,[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury ,[object Object],[object Object],[object Object]
Sequence of neuronal cell injury following acute ischemia Ischemia Cell hypoxia Mitochondrial failure Decreased ATP production  Decreased Ca++ pumping Calcium overload Increased Glutamate release Open NMDA channels Free-radical production Reperfusion Immune cells Cell death
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object]
Sequence of neuronal cell injury following acute ischemia Ischemia Cell hypoxia Mitochondrial failure Decreased ATP production  Decreased Ca++ pumping Calcium overload Increased Glutamate release Open NMDA channels Free-radical production Reperfusion Immune cells Cell death Calcium overload is a key event in producing cellular damage
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.)
Mechanisms of Brain Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Mechanisms of Brain Injury (Cont.)
Mechanisms of Brain Injury (Cont.) ,[object Object]
Traumatic Brain Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object]
Types of Brain Injury ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Injury ,[object Object],[object Object],[object Object]
Types of Tramatic Brain Injury ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Injury (Cont.) 05/18/10
Primary Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object]
Primary Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Injury (Cont.) ,[object Object],[object Object],[object Object]
Primary Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Primary Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object],[object Object]
Secondary Injury ,[object Object],[object Object]
Cerebrovascular Disease and Stroke ,[object Object],[object Object],[object Object]
Epidemiology ,[object Object],[object Object],[object Object]
Ischemic Stroke ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ischemic Stroke ,[object Object],[object Object],[object Object],[object Object]
Hemorrhagic Stroke ,[object Object],[object Object],[object Object],[object Object]
Central Nervous System Infections ,[object Object],[object Object],[object Object]
Meningitis ,[object Object],[object Object],[object Object]
Encephalitis ,[object Object],[object Object]
Brain Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Abscess ,[object Object],[object Object],[object Object],[object Object],[object Object]
Brain Abscess
Chronic Disorders of Neurologic Function
Learning objectives ,[object Object],[object Object]
Brain and cerebellar disorders ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Seizure Disorder ,[object Object],[object Object],[object Object]
Seizure Disorder ,[object Object],[object Object],[object Object]
Seizure Disorder ,[object Object],[object Object],[object Object]
Seizure Disorder
Seizure Disorder (Cont.) ,[object Object],[object Object],[object Object]
Dementia ,[object Object],[object Object],[object Object]
Dementia ,[object Object],[object Object],[object Object],[object Object]
Dementia ,[object Object],[object Object],[object Object],[object Object]
Dementia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dementia ,[object Object],[object Object],[object Object]
Dementia  ,[object Object],[object Object],[object Object],[object Object]
Parkinson’s disease ,[object Object]
Parkinson disease ,[object Object]
Basal Ganglia
Parkinson disease ,[object Object]
Parkinson disease ,[object Object],[object Object]
Parkinson Disease (Cont.) ,[object Object]
Parkinson Disease (Cont.)
Cerebral Palsy ,[object Object],[object Object]
Cerebral Palsy (Cont.) ,[object Object]
Hydrocephalus ,[object Object],[object Object],[object Object],[object Object]
Hydrocephalus ,[object Object],[object Object],[object Object]
Hydrocephalus ,[object Object],[object Object],[object Object],[object Object]
Hydrocephalus (Cont.)
Hydrocephalus ,[object Object],[object Object],[object Object]
Hydrocephalus (Cont.)
Cerebellar Disorders ,[object Object],[object Object],[object Object]
Spinal cord & peripheral nerve disorders ,[object Object],[object Object],[object Object],[object Object],[object Object]
Multiple Sclerosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multiple Sclerosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Multiple Sclerosis ,[object Object],[object Object],[object Object],[object Object]
Multiple Sclerosis ,[object Object],[object Object],[object Object]
Spinal Cord and  Peripheral Nerve Disorders
Spina Bifida ,[object Object],[object Object],[object Object]
Amyotrophic Lateral Sclerosis ,[object Object],[object Object],[object Object],[object Object]
Amyotrophic Lateral Sclerosis ,[object Object],[object Object]
Spinal Cord Injury ,[object Object],[object Object]
Spinal Cord Injury ,[object Object],[object Object],[object Object],[object Object]
Spinal Cord Injury (Cont.)
Spinal Cord Injury (Cont.) ,[object Object],[object Object],[object Object],[object Object]
Guillain-Barré Syndrome  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 
Guillain-Barré Syndrome (GBS) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object]

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Paj 5103 clinical neuropahtophys ii hn10

Editor's Notes

  1. 75% of cases of GBS are preceded 1-3 weeks by an acute infectious process, usually respiratory or gastrointestinal. 20-30% of all cases occuring in North America, Europe, Australia, preceded by infection or reinfection with Campylobacter jejuni. Similar proportion preceded by a human herpesvirus infection, often cytomegalovirus or Epstein Barr virus (EBV). Other viruses and also Mycoplasma pneumoniae have been identified as agents involved in antecedent infections. Recent immunization has also been associated with GBS. GBS also occurs more frequently than can been attrributed to chance alone in patients with lymphoma, including Hodgkin’s disease, in HIV-seropositive individuals, and in patients with systemic lupus erythematosus (SLE).