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Assoc. Prof. Stephen Wilson Brain Injury Forumjury
 

Assoc. Prof. Stephen Wilson Brain Injury Forumjury

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    Assoc. Prof. Stephen Wilson Brain Injury Forumjury Assoc. Prof. Stephen Wilson Brain Injury Forumjury Presentation Transcript

    • What is Brain Injury?Brain Injury or Behaving Badly?Stephen WilsonNorth Shore Ryde Health ServiceMater Hospital30 April 2013
    • Program• The nerve cell• Basic Brain Anatomy• What are the syndromes and behavioursassociated with Brain injury[TBI/Alcohol/Hypoxia]
    • The Fragile Nerve Cell• Oxygen• Glucose• Thiamine• Oxygen• Glucose• Thiamine(B1)• Neuro transmitters• Protection: Bone, Bloodbrain barrier• Support: CSF, Glial Cells• Nourishment: Diet• Growth: Neuroplasticity
    • Brain InjuryNeurone damage Causes• Trauma• From BirthIntellectual disability• Infection/EncephalitisHIV dementia, TertiarySyphilis, CJD, Herpes simplex• Lack of oxygenAssociated with drugoverdose, suicide, cardiacarrythmia, stroke• PoisonsAlcohol, Methylalcohol, Marijuana
    • Brain Anatomy
    • Traumatic Brain InjuryFrontal SyndromeStructures
    • Traumatic Brain InjuryFrontal /Executive FunctionBehaviour• Inability making decisions• Motivation• Inappropriate behaviour• Controlling emotions• Social behaviour• Lack of Self-awareness• Neglect appearanceExecutive• Planning and organisation• Flexible thinking• Monitoring performance• Multi-tasking• Solving unusual problems• Learning rules• Concentrating and taking ininformation• Delayed cognitiveprocessing
    • Case Study
    • AlcoholStructuresCerebellumLimbic systemHippocampusPeripheral nerves/sensationOptic nerves (metho)
    • AlcoholKorsakoff’s SyndromeSymptoms• Poor balance, Ataxia• Numb feet• Retrograde Amnesia• Antero grade amnesia• Heavy alcohol consumption• Poor diet and thiaminedeficiencyBehaviour• Confabulation: inventsevents to fill the gaps inmemory• difficulty in acquiring newinformation or learning newskills• Poor insight: believe thattheir memory is functioningnormally• Talkative repetitive
    • Case Study• Dory: I dont know where Iam... I dont know whatsgoing on. I think I lostsomebody but I, I cantremember... and I cantremember...• I suffer from short-termmemory loss. It runs in myfamily... At least I think itdoes... hm. Where *are*they?
    • HypoxiaStructures• Diffuse brain damage• Boundary zone/Watershed• Basal gangliaBehaviour• Movement disorders• Gait Parkinsonism• Epilepsy• Cognitive impairment• Agnosia• Features of Korsakoff andTBI
    • Case Study
    • Conclusion• Difficult to decide Psychosis vs Brain damage• May be co existent• Understanding the injury may help withmanaging behaviour
    • Questions?