Shared Flashcard Set

Details

Clinical Neuroscience
Motor disorders, sleep disorders, consciousness disorders, sexual dysfunction
115
Other
Undergraduate 3
04/07/2009

Additional Other Flashcards

 


 

Cards

Term
Cortical, volitional system
Definition
intentional, planned movement: basal ganglia and cerebellum (posture, walking, moving, coordination)
Term
Somatotopic mapping
Definition
in the motor cortex, areas of the body are mapped out; each area of the body is controlled by a specific area of neurons in this area of the brain
Term
Premotor (PMA) area
Definition
proximal innervation, uses sensory information
Term
Supplementary Motor Area (SMA)
Definition
distal innervation, for higher order movement and planning/imagining movements (PET study showed that thinking about making certain movements activates SMA)
Term
Direct Pathway of basal ganglia
Definition
release/facilitates movement
Term
Indirect pathway of basal ganglia
Definition
inhibits movement
Term
Huntington disease
Definition
1. Clinical features – small, uncontrollable movements; mood problems; depression
2. Epidemiology (prevalence) – 7 in 100,000 worldwide (according to Wikipedia)
3. Course & outcomes – more CAG repetitions  earlier age of onset; first small and short-term symptoms; progress with disease
4. Biological mechanisms – more than 35 CAG repetitions on a section of chromosome 4
5. Brain structure, function & Cognition – basal ganglia and caudate/putamen heavily involved; however, all of the cortex is generally affected
6. Etiologic factors (genetics, environment) – dominant genetic trait
7. Treatment (biological & behavioral) – several medications control symptoms; there is no treatment
Term
Circadian rhythms
Definition
– 24 hour biological cycles; melatonin facilitates by being produced more during the night when it is dark; without any environmental light-dark variation, the body shifts to a 25 hour cycle
Term
Biological correlates of sleep
Definition
brain waves have different patterns and are less frequent (lower Hz) when asleep; the reticular formation helps you stay awake by spreading neurotransmitter through the brain
Term
sleep stages
Definition
– stage 1: theta waves, HR and breathing slow, respiration slows, body temp decreases; stage 2: theta waves and sleep spindles; stage 3: delta waves; stage 4: delta waves, deep sleep (slow wave sleep)
Term
Non-Rem sleep vs. REM sleep
Definition
REM sleep associated with dreaming, increased HR and respiration, erection, waking EEG patterns; cannot occur unless specific norepinephrine neurons are shut down in the brain and cholinergic neurons in the pons are on; non-REM sleep is a basic deep sleep during which the body demonstrates lowered cerebral blood flow and lower blood pressure in general compared to wakefulness or REM sleep
Term
Consciousness
Definition
awareness of existence, ability to perceive; no set definition
Term
Properties of consciousness
Definition
personal (can’t share with others, introspective); selective (only attend to specific things/one thing at a time); continuous (stream of consciousness); changing
Term
Functional theories of consciousness
Definition
integration of signals; planning/problem solving; coherent behavior to complex events; theory of mind
Term
Inner speech
Definition
thinking to yourself instead of audible conversation
Term
Unconscious systems
Definition
specific internal systems such as visual input, organ function, etc.
Term
Freud and consciousness
Definition
ego: mediates between id and superego; id: instincts/drives; superego: what you “should” do
Term
Repression
Definition
defense mechanism? Bad memories are less likely to be remembered than plesent ones
Term
daydreaming, fantasies
Definition
allow experiencing something mentally without it actually happening; positive expectations lead to higher success and motivation; positive fantasies associated with lower motivation/success
Term
suggestibility
Definition
likelihood to believe or do something somebody tells you, likelihood of falsely remembering a story or a dream
Term
brain death
Definition
coma and cause for coma, lack of reflexes, no motor responses, no breathing, persistent, confounding factors ruled out
Term
coma
Definition
absence of arousal, unresponsive, no wakefulness, most don’t recover
Term
vegetative state
Definition
unawareness of self, no evidence of language comprehension; breathing present, eye closure and opening, possible sleep/wake cycles
Term
minimally conscious state
Definition
limited evidence of awareness, eye closure/opening cycles, can follow simple commands
Term
locked in syndrome
Definition
descending motor tracts lesioned; no speech or movements; sensation and consciousness in tact
Term
Blindsight
Definition
injury to visual cortex; person is blind but can localize and discriminate between stimuli at a rate above chance
Term
Neglect
Definition
body can’t sense one side of the body (contralateral to lesion)
Term
Cultural, Scientific, political history
Definition
1900’s: legalization o birth control; Freud’s sexuality ideas
1940’s: first antibiotics treated syphilis and gonorrhea
1960’s: oral contraceptives
1970’s: Rowe vs. Wade: abortion legalized in US; gay rights, feminism
1980’s: AIDS, safe sex
1990’s on: celibacy vs. practice based sex ed.; HIV and treatments; pro-life vs. pro choice; internet
Term
Excitement
Definition
Female: lubrication, vasocongestion, sex flush in clitoris and labia
Male: erection, elevation/expansion of testes;
Both: Nipple erection, muscle tension
Term
Plateau
Definition
Both: Sex Flush, increased muscle tension, hyperventilation; increased heart rate and blood pressure
Term
Orgasm
Definition
Female: pelvic, uterine, rectal contractions; Male: Ejaculation, contractions of urethra and anal sphincter; Both: increased heart rate, blood pressure, hyperventilation, pleasure sensation
Term
Resolution
Definition
slow loss of vasocongestion, erection, men have refractory period
Term
Male Sexual Response circuits; paragigantocellular nucleus, serotonin
Definition
inhibits erection using sympathetic activation
Term
Parasympathetic
Definition
Medial preoptic area (MPOA) and hypothalamic paraventricular nucleus – proerectile
Term
nitrous oxide & acetylcholine & erectile response
Definition
relax smooth muscles around blood vessels; constrict draining veins
Term
prolactin & orgasms
Definition
prolactin level is increased 400% after intercourse than after masturbation -> greater satisfaction?
Term
genetics of sexual response
Definition
genes influence 34% of orgasmic response w/partner; 45% during masturbation
Term
estrogen
Definition
female gonadotrophine hormone; neuroprotective; reduces effects of free radicals
Term
progesterone
Definition
female gonadotrophine hormone
Term
testosterone
Definition
male gonadotrophine hormone, produce male sexual characteristics, decreases with age, correlated positively with aggression in boys, neuroprotective
Term
hormones & sexual behavior
Definition
more hormone = higher sex drive; more hormone = more attractive; 24% more likely to have sex in 6 days prior to ovulation; women dress more attractively around ovulation
Term
determinants of attractiveness in men & women
Definition
symmetry is always attractive; some say blue eyes are more attractive because that is a pure recessive gene; waist to hip ratio is important in attractiveness of women; men are more attractive if they are tall with wide shoulders, narrow hips
Term
gender differences in sexual behavior, mate selection
Definition
men look for women who are fertile, young, healthy; women prefer men who are committed, fertile, have status and resources
Term
Sexual dysfunction
Definition
chronic inability to respond sexually in a way that is pleasing to one or both partners
Term
Risk factors
Definition
general health, diabetes, cardiovascular disease, genitourinary disease, psychiatric/neurologic disorders
Term
Hypoactive sexual desire disorder
Definition
lack of sexual fantasies/activity; prevalence: 22% of women, 5% of men; many times comorbid with mood or anxiety disorders
Term
Female sexual arousal disorder
Definition
lack of pleasure from stimulation; no vasocongestion or lubrication with stimulation, may be result of physiological factors; prevalence: 21% of Females
Term
Male erectile dysfunction
Definition
difficulty achieving/maintaining erection; Prevalence: 10-20%; 4-9% receive treatment; increases with age; related to other medical disorders including diabetes, cardiovascular disease, lack of exercise, hormonal factors
Term
Female orgasmic disorder
Definition
inability to experience orgasm after excitement despite receiving adequate stimulation; Prevalence: 10%; 40% only with clitoral stimulation
Term
sexual arousal disorders
Definition
lack of physiological changes that comprise the excitement phase of the sexual response cycle
Term
Male premature ejaculation
Definition
ejaculation too early for male and partner; 15-30%
Term
Male orgasmic disorder
Definition
inability to ejaculate; 8%
Term
Dyspareunia
Definition
Pain during intercourse; poor lubrication; poorly healed vaginal lacerations; endometriosis (uterine cell growth outside the uterus); 10-15% of females, rare in males
Term
Vaginismus
Definition
inability to relax cervical muscles to allow penetration despite sexual arousal; 2 to 17%; sexual abuse, aversion to sexuality, rape, after an incident that led to pain during intercourse
Term
medication effects on sexual dysfunction
Definition
certain medications can heighten the risk for sexual dysfunction, including psychoactive medications, cardiovascular medications, hormonal preparations; many times this is related to serotonin reuptake being inhibited because serotonin is needed in normal sexual response
Term
sex therapy
Definition
medication can help some types of dysfunctions; Viagra helps by inhibiting blood from flowing out of the penis; sex therapy can also work; couples can use techniques like “stop-start,” couple’s therapy, cognitive therapy and relaxation
Term
Neurosyphilis
Definition
caused by bacteria; infects spinal cord and sensory tracts; destructs brain cells causing paralysis, tremors, dementia; symptoms also include irritability, poor concentration, confusion; 15% prevalence in 1900; now antibiotics can treat it
Term
HIV
Definition
human immunodeficiency virus; transmitted through bodily fluid contact; attacks immune system; four stages include: 1) initial infection; 2) clinically asymptomatic stage; 3) symptomatic HIV; 4) AIDS; prevalence in DC 3%
Term
Gustatory pathways
Definition
taste system; microvilli send information to hypothalamus, thalamus, amygdala, gustatory and somatosensory cortices
Term
Olfactory pathways
Definition
smell system; olfactory bulb projects to amygdala and hippocampus which easily relates smell to learning/memory
Term
Lesion effects on ventroedial hypothalamus
Definition
ventromedial hypothalamus is the satiety area which tells the animal to stop eating; a lesion would make the animal very overweight
Term
Lesion effects on lateral hypothalamus
Definition
hypothalamus tells animal to start eating; lesion would make the animal lose weight because it would not be driven to eat
Term
Leptin
Definition
hormone produced by fat cells which signals the ventromedial hypothalamus to stop eating; reverses eating disorder in rats
Term
OB gene and leptin
Definition
when rats have mutation in OB gene, they cannot produce leptin efficiently so the hypothalamus ventral medial hypothalamus is not signaled to stop eating; when rats have mutation in OB gene, they cannot produce leptin efficiently so the hypothalamus ventral medial hypothalamus is not signaled to stop eating; too little leptin stimulates eating
Term
Glucose
Definition
glucose levels drop prior to eating making hunger feeling
Term
Cholecystokinin
Definition
suppresses eating, produced by intestine
Term
Ghrelin
Definition
secreted by stomach before eating
Term
serotonin & appetite
Definition
levels in hypothalamus rise in anticipation of eating, spike during eating, decrease after eating
Term
cannabinoid
Definition
activation of this system increases hunger
Term
rimonabant
Definition
cannabinoid antagonist decreases hunger and, therefore, results in weightloss
Term
conditioning
Definition
conditioned times to eat (5:00 dinner); need to eat before I get dessert
Term
social context & relationships and eating
Definition
eat more in the company of others; friends of obese people tend to gain weight; effects greater for same sex rather than opposite sex relationships
Term
arcuate nucleus (ARC)
Definition
area in the ventromedial hypothalamus that regulates hunger/satiety signals and releases corresponding neurotransmitter
Term
environmental cues for eating
Definition
external cues like signs, pictures or smells can correspond with food; Schachter said that hunger is influenced by both internal and external cues
Term
stress and eating
Definition
increases appetite
Term
Obesity
Definition
high amount of body fat in relation to lean body mass
Term
BMI
Definition
high amount of body fat in relation to lean body mass
Term
Epidemiology of obesity
Definition
25% of US citizens classified as obese; obesity has grown greatly since 1990 (about 10 to 15% obese)
Term
genetic factors and obesity
Definition
about 50 to 70% genetic factors in BMI
Term
nucleus accumbens & dopaminergic pathways
Definition
amount of dopamine released in nucleus accumbens influences the food’s reinforcing qualities because dopamine causes a good feeling
Term
brain activation, hunger & obesity
Definition
obese peoples’ brains respond more to food and have a down-regulation of dopamine reward circuit so they anticipate food but get less pleasure from eating it so feel the need to eat more
Term
gastric bypass
Definition
make stomach smaller and bypass some of the small intestine
Term
lap band
Definition
surgical weight loss intervention where band is tightened around stomach but can be adjusted by the addition or by taking away of saline from the band
Term
suprachiasmic nucleus
Definition
receives input from retina about the time in the biological clock and regulates melatonin secretion; melatonin decreases during daylight
Term
Brain activation during dreaming
Definition
forebrain very active (PFC and other areas) due to imagination, stories, etc.; occipital lobe also active
Term
Hypersomnia
Definition
excessive sleepiness
Term
obstructive sleep apnea
Definition
stop breathing briefly during the night; 5% of men over age 40; obesity is a risk factor
Term
narcolepsy
Definition
sudden sleepiness; more periods of REM and less deep sleep than normal; 90% of cases also associated with a gene on chromosome 6
Term
hypnagogic hallucinations
Definition
hallucinations when falling asleep
Term
hypnopompic hallucinations
Definition
hallucination when waking up
Term
sleep paralysis
Definition
awakening during REM but paralysis persists, often with hallucinations
Term
narcolepsy and hypocretin (orexin)
Definition
lower levels of hypocretin in hypothalamus and CSF of narcoleptics
Term
insomnia
Definition
inability to fall asleep; 15 to 20% of adults, more common with increased age; related to depression and anxiety
Term
insomnia & hyperarousal
Definition
insomnia also associated with increased metabolic rate, cortisol production and lack of daytime sleepiness
Term
treatment of insomnia
Definition
breathing/relaxation before bed; more activity and less naps during the day; regular bedtime and wake time
Term
circadian rhythm disorders
Definition
people cannot sleep and wake up at the time required in society; normal quality of sleep
Term
phototherapy
Definition
shine bright lights to alter circadian rhythms
Term
Parasomnias
Definition
sleep disorders involving abnormal behaviors, perceptions, movements, dreams during any stage of sleep
Term
Confusional arousals
Definition
unusual movements or crying in bed
Term
Sleepwalking
Definition
somnambulism; occurs within first two hours of sleeping; 1 to 17% of children but only 4% of adults affected
Term
Night Terrors
Definition
arousal from non-REM sleep accompanied by panic, motor behavior; more common in children than adults
Term
REM sleep behavior disorder (RBD)
Definition
individuals act out their dreams because muscle atonia is absent; most patients are males older than 50
Term
Attentional deficits
Definition
consciousness is limited so there is no way to pay attention to many things at once; we have natural attention deficits
Term
Perceptual distortions
Definition
perceptions can be misleading; our consciousness can alter our perceptual experience
Term
Hemiballismus
Definition
degeneration of subthalamic nucleus; ballistic, violent movements; malnutrition and emaciation; continuous during waking hours, absent during sleep; basal ganglia affected
Term
Deep brain stimulation therapy for movement disorder
Definition
found to help relieve symptoms of movement disorders
Term
Lesch Nyhan Syndrome
Definition
self-injurious behavior; delayed growth; HPRT1 mutation that makes body unable to remove uric acid; only males; reduction in caudate nucleus size
Term
Dystonia
Definition
muscle contractions cause abnormal postures and twisting movement; due to basal ganglia abnormalities; first symptoms occur in childhood or adolescence and progress; can be treated with sedatives, dopamine agonists/antagonists, anticholinergics; physical therapy; surgical abalation
Term
Basal Ganglia and movement
Definition
basal ganglia control involuntary movements; volitional system
caudate nucleus, putamen, globus pallidus, subthalamic nucleus, substantia nigra
Term
Tourette syndrome
Definition
1. Clinical features – tics: repetitive involuntary movements or vocalizations
2. Epidemiology (prevalence) – 200,000 in the US
3. Course & outcomes – age of onset between 7 and 10 years old; progresses during adolescence, improves during young adulthood; 10% have severe/disabling course
5. Biological mechanisms – genes may be a factor
6. Brain structure, function & Cognition – basal ganglia probably involved because of dopamine, serotonin, norepinephrine downregulation
7. Etiologic factors (genetics, environment) – a genetic factor may be shared with ADHD and OCD
8. Treatment (biological & behavioral) – dopamine antagonists; behavioral interventions
Term
Neural systems affected by Parkinson’s disease
Definition
ACh system overstimulates targets and dopamine-producing neurons die
Term
Pharmacological Treatment
Definition
cholinergic antagonists were first used but were not found to be very effective; dopamine agonists (L-dopa) were found to work well for a time
Term
wearing off of L-dopa
Definition
drug stops working for as long of at time after about 4 years
Term
on-off phenomena of L-dopa
Definition
patients began to freeze and be immobile for a time
Term
Lesch-Nyhan Syndrome
Definition
1. Clinical features – self mutilation, uric acid crystals in urine
2. Epidemiology (prevalence) – 1/380,000 births
3. Course – low muscle density at birth; strange behavior around 6 months, progresses after that
4. Biological mechanisms – mutation in gene that reduces uric acid production
5. Brain structure, function & Cognition – putamen, globus palladus affected; uncontrolled movements
6. Etiologic factors (genetics, environment) – all boys; girls not affected
7. Treatment (biological & behavioral) – deep brain stimulation may help, other treatments have not been proven effective, muscle relaxants, sedatives, removal of teeth
Supporting users have an ad free experience!